2026-05-05T09:30:18-07:00 2025-06-30 990 2024-07-01 381368360 PINE REST CHRISTIAN MENTAL HEALTH SERVICES PINE 6164555000 300 68th Street SE PO Box 165 Grand Rapids MI 495010165 Paul Karsten Vice President & CFO 6164555000 2026-05-05 1 2024 2025-03-06 01:10:19Z Mark Eastburg 300 68th Street SE Grand Rapids MI 49548 303112072 0 X pinerest.org X 1908 MI 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. 22 19 2712 173 0 0 17723388 62190922 207997471 216724408 4404162 4539665 698766 807250 230823787 284262245 0 0 0 0 161117873 170531218 0 0 704202 56259769 65747187 217377642 236278405 13446145 47983840 145169225 211655554 55585432 61406180 89583793 150249374 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. 0 0 83697216 0 107832727 The organization's largest service program, measured by net revenue, is Hospital and Acute Services (HAS). HAS cares for individuals in inpatient, partial hospitalization, and Psychiatric Urgent Care facilities at the organization's Cutlerville, MI 280-acre campus. Our services include dedicated psychiatric care for children, adolescents, adults, and geriatric individuals. Clinical teams address the full spectrum of psychiatric diagnoses. Specialty services are available for treating individuals with co-occurring substance abuse and psychiatric diagnoses. We also provide specialty services for women with perinatal mood disorders, and young people with eating disorders. We provide professional assessment and individualized treatment including diagnosis, medication management and education, individual and group therapies, individual and family consultations and therapy, case management, discharge planning and aftercare. The inpatient program is licensed by the state of Michigan. The inpatient and partial hospitalization programs are accredited by The Joint Commission. 72610733 0 74355855 The organization's second largest service program is its outpatient Clinic Network. The Clinic Network offers ambulatory outpatient care at nineteen locations throughout Western and Northern Michigan. For people who do not require the structured environment of the inpatient or residential care settings, outpatient services are at the center of the behavioral health continuum. Nearly 75% of all persons who come to Pine Rest are served through outpatient services. Our clinicians provide a broad spectrum of intervention across the age continuum in convenient, non-restrictive environments. In addition to traditional outpatient care, Pine Rest provides a variety of specialty services including telemedicine, assessment through the Psychological Consultation Center, intensive outpatient and residential substance abuse/addictions services, and court-related services and assessments. 11290994 0 17445786 The Pine Rest Residential Division offers longer term psychiatric services, in a residential setting, to clients with mental health needs. Our residential programs are offered in 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 Residential Division provided 18,697 patient days of care in fiscal year 2025. 10224822 0 10267791 Residency - The organization's third-largest department is the Graduate Medical Education (GME) Department, which operates in partnership with Michigan State University College of Human Medicine. Pine Rest trains the next generation of psychiatrists by fostering an environment of excellence grounded in clinical best practices, patient safety, quality of care, scholarly activity, research, and physician wellness. Established in July 2014, the GME Department has expanded over time with the addition of fellowship programs and a rural training track serving Northern Michigan. The department supports approximately 50 residents and fellows annually. Trainees complete supervised clinical rotations with attending physicians across hospital inpatient services, residential programs, outpatient clinics, urgent care, primary care, and other community-based settings, as well as participating in research and scholarly activities. The overarching goal of the program is to ensure a sustainable pipeline of highly trained psychiatrists to meet the current and future mental health needs of the State of Michigan. 3099185 0 3476639 Homes for the Developmentally Disabled serves adults with developmental disabilities in exceptional residential settings with multiple opportunities for engaging in on-site and community activities that match abilities. Homes for the Developmentally Disabled services program had 18,295 patient days of care in fiscal year 2025. 2011791 0 2285609 Pine Rest has a Grants Management Program designed to introduce new research and programs to the organization and provide better services to our patients and community. Our Grants Management service line administers several grant programs to further our mission in compliance with the requirements of each grant award. 1035411 0 630659 The Education and Prevention Department supports a range of educational, grant-funded, and research activities designed to promote community wellness and advance behavioral health care. The department encompasses two educational training programs-a psychology internship and fellowship program, and a chaplain education and residency program. This department reflects the organization's partnership with Michigan State University College of Human Medicine and supports the organization's research initiatives and continuing education activities. 16371209 0 16660698 183970152 1 0 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 161 0 1 2712 1 0 0 0 0 0 0 0 0 X 22 19 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X Paul H Karsten 6162816363 300 68th St SE Grand Rapids MI 495010165 Mark C Eastburg PhD President & CEO 58 2 X 626579 0 67554 William Sanders Chief Medical Officer 60 0 X 543455 0 50597 Marwan Tabbara Medical Staff 55 0 X 519428 0 53116 Lindsey Bailey Medical Staff 55 0 X 513771 0 33758 Jack Mahdasian Medical Staff 55 0 X 462870 0 55485 Bibhas Singla Medical Staff 55 0 X 459026 0 50570 Samuel Lin Medical Staff 55 0 X 447205 0 44342 Louis Nykamp Medical Staff 55 0 X 428959 0 51842 Paul H Karsten VP & CFO 58 2 X 427070 0 46135 Robert L Nykamp VP & COO 60 0 X 430421 0 30911 James Eicher Medical Professional 55 0 X 393883 0 48486 Sonia Motin Medical Staff 55 0 X 373267 0 50828 Valerie MathisAllen Medical Staff 55 0 X 322473 0 34905 Susan Langeland Chief Information Officer 60 0 X 283300 0 26429 Harmony Gould Director of HBS 60 0 X 240795 0 33696 Thomas Scott Halstead Director of PPG 60 0 X 197699 0 52869 Ryan LaRue Vice President of Contracts 55 0 X 171886 0 37113 Jody Vanderwel Chairperson 2 0 X 0 0 0 Douglas Josephson Vice Chairperson & Secretary 4 0 X 0 0 0 Gil Segovia Treasurer 2 0 X 0 0 0 Steve Alles Board Member 1 0.00 X 0 0 0 Mina Breuker Board Member 1 0 X 0 0 0 Mary Ann Cartwright Board Member 1 0 X 0 0 0 Robert Connors Board Member 1 0 X 0 0 0 Steve Ender Board Member 1 0 X 0 0 0 Stacia Ford-Spicer Board Member 1 0 X 0 0 0 Brett Holleman Board Member 1 0 X 0 0 0 Marilyn Litka-Klein Board Member 1 0 X 0 0 0 Craig Lubben Board Member 1 0 X 0 0 0 David McKeague Board Member 1 0 X 0 0 0 Michael Ramirez Board Member 1 0 X 0 0 0 Abbey Sladick Board Member 1 0 X 0 0 0 Tom Stritzenger Board Member 1 0 X 0 0 0 Susan Valcq Board Member 1 0 X 0 0 0 Christian Van Andel Board Member 1 0 X 0 0 0 Sherita Washington Board Member 1 0 X 0 0 0 Becky Schrotenboer Board Member 1 0 X 0 0 0 6842087 0 768636 247 1 1 0 EV Construction 86 East 6th Street Holland MI 49423 Construction 46667772 Forefront healthcare LLC 22622 Harper Ave St Clair Shores MI 48080 Food Service 3828986 Dan Vos Construction 6160 E Fulton Ada MI 49301 Construction 3540140 Epic Systems Corporation 1979 Milky Way Verona WI 53593 Electronic Medical Record 2972995 US Signal LLC 201 Ionia Ave SW Grand Rapids MI 49503 Data Storage 1862761 80 0 0 0 12238296 1177555 48775071 0 62190922 Inpatient and Partial Revenue 622210 108485775 108485775 0 0 Outpatient Clinics 621420 83575087 83575087 0 0 Residential Revenue 623200 22335853 22335853 0 0 Other Patient Revenue 624100 2327693 2327693 0 0 0 0 0 0 216724408 3223736 0 0 3223736 0 0 0 0 0 0 0 0 20499 0 6168 0 14331 0 14331 0 0 14331 20159588 0 18843659 0 1315929 0 1315929 0 0 1315929 0 Rustic Market Sales 620000 429124 429124 0 0 Medical Record Transcription 624100 119299 119299 0 0 244496 244496 0 0 792919 284262245 217517327 0 4553996 0 0 0 0 0 0 0 0 6842087 3920882 2921205 0 0 0 0 0 135873128 120695343 14698771 479014 0 0 0 0 27816003 23426126 4285812 104065 0 0 0 0 0 0 0 0 275507 52509 222998 0 164905 0 164905 0 110100 110100 0 0 0 0 237113 0 237113 0 12216946 9906320 2287197 23429 643537 11805 618860 12872 1512389 788346 672351 51692 7419024 261294 7156982 748 0 0 0 0 4514316 3646022 863189 5105 904897 731822 170935 2140 0 0 0 0 0 0 0 0 1317531 0 1317531 0 0 0 0 0 7694173 3623081 4047556 23536 642275 0 642275 0 Adjustment for Release of Restriction on Philanthropy funded Capital 10373258 0 10373258 0 Hospital Rate Adjustment 7134353 7134353 0 0 Food and Nutritional Services 4560554 4502745 56208 1601 Patient Assistance 2267372 2267372 0 0 3758937 2892032 866905 0 236278405 183970152 51604051 704202 1729097 7384958 0 0 35746 0 19138297 19567372 70000 60000 0 0 0 0 0 0 11729983 11874838 231279340 112142411 67029890 119136929 34370999 38670742 0 0 0 0 0 0 11065213 14960715 145169225 211655554 21189030 24707681 0 0 437216 2358017 20820000 18120000 0 0 0 0 0 0 500000 547500 12639186 15672982 55585432 61406180 X 86148220 134132060 3435573 16117314 89583793 150249374 145169225 211655554 X 47983840 0 0 0 0 12681741 X 0 1 X 1 1 1 X 0 0 0 0 0 0 1 110100 0 0 110100 0 Schedule C, Part II-B, Line 1 Verbal and written communication with public officials regarding legislation and proposals affecting the delivery of healthcare in Michigan and nationally. 27952684 357193 3423050 1313897 200984 0 30218046 25595067 39324 3116509 662198 136018 0 27952684 24395211 86064 3193427 1986096 93539 0 25595067 30454204 123914 -4707914 1360139 114854 0 24395211 26104515 117946 5332485 1094565 6177 0 30454204 0.85 0.15 0 0 1 1 0 441920 441920 0 90533124 56594873 33938251 0 7043352 3541905 3501447 0 58917201 47385938 11531263 0 74343743 4619695 69724048 119136929 Deferred Compensation 6135248 Operating Lease Right of Use Asset 6495891 Other Assets 2329576 14960715 0 Deferred Compensation 6135248 Finance Lease Obligations, net of current 3834758 Operating lease liability, net of current 5702976 15672982 X 284031300 0 0 0 0 0 284031300 237113 -6168 230945 284262245 236047460 0 0 0 6168 6168 236041292 237113 0 237113 236278405 Schedule D, Part V, Line 4 The spending policy adopted by the Pine Rest Foundation allows for annual spending of 5% of the average fair market value of its net assets for the prior three years. This amount is transferred from the Foundation to the operating funds of the Pine Rest organization to provide for the care of patients and for other initiatives that benefit the organization. The spending policy allows for use of investment earnings on restricted endowment funds in accordance with donor wishes. Schedule D, Part X, Line 2 The Corporation is a non-profit hospital corporation organized under the laws of the State of Michigan and is designated by the Internal Revenue Service as a section 501(c)(3) organization. It is exempt from income taxes on related income pursuant to section 501(a) if the Internal Revenue Code. The Corporation has no amounts accrued for taxes, interest, or penalties as of June 30, 2025. The Corporation does not expect the total amount of unrecognized tax benefits to significantly change in the next twelve months. The Corporation is no longer subject to examination by tax authorities for years before 2020. Schedule D, Part XI, Line 4b Rental expense reported in expenses in audited financial statements but reported in net revenue in the IRS Form 990 Schedule D, Part XII, Line 2d Rental expense reported in expenses in audited financial statements but reported as net revenue in the IRS Form 990 1 1 X 1 X 2.5 1 X 1 1 0 0 7162896 889000 6273896 0.0333 44900407 35729306 9171101 0.0487 0 0 0 0 0 0 52063303 36618306 15444997 0.0820 510790 0 510790 0.0022 0 0 0 0 57612575 43441500 14171075 0.06 601528 125351 476177 0.002 0 0 0 0 0 0 0 58724893 43566851 15158042 0.0642 0 0 110788196 80185157 30603039 0.1462 1 5244812 179205 27216374 34270374 -7054000 X 1 1 1 1 Pine Rest Christian Mental Health Services 300 68th Street SE PO Box 165 Grand Rapids MI 495010165 www.pinerest.org X Pine Rest Christian Mental Health Services 1 0 0 1 X X X X X X X X X 23 1 1 1 1 X https://www.pinerest.org/about-us/ X https://kentcountyhealthconnect.org/community-health-needs-assessment/2023-chna/ 1 23 1 https://www.pinerest.org/media/CHIP-2024.pdf 0 0 1 X 1 1 X X X X 1 X https://www.pinerest.org/community-services-outreach/financial-assistance/ X https://www.pinerest.org/community-services-outreach/financial-assistance/ X https://www.pinerest.org/community-services-outreach/financial-assistance/ X X X X X X 1 X 0 X X X X 0 X X X X 0 0 Schedule H, Part V, Section B, Line 5-Pine Rest Christian Mental Health Services The process of assessing community health needs in Kent County, Michigan, is undertaken on a collaborative basis. The Kent County Community Health Needs Assessment (CHNA) is a three-year cycle of community-driven data collection and analysis conducted by the Kent County Health Department (KCHD) in partnership with local healthcare providers and community organizations. Its purpose is to identify the strengths, challenges, health priorities, and opportunities to improve the well-being of Kent County's population. The process involves more than fifty community organizations, including acute care health systems and specialty hospitals in the county. Pine Rest is a principal participant in the CHNA process, especially as it relates to behavioral health in all aspects. Through community engagement and participation, this process identifies and prioritizes health-related needs and analyzes a broad range of social, economic, environmental and behavioral factors that may contribute to health needs or influence health outcomes of residents. The process involves collection of information from the public through focus groups, meetings and surveys. Information from the CHNA process is then used to develop a community health improvement plan (CHIP), which aims to address the prioritized needs. The final CHIP, compiled by the Department of Public Health with the assistance of all major participants, is made available to the public on the Departments website. See https://kentcountyhealthconnect.org/community-health-needs-assessment/2023-chna/. See the CHIP for details on methods employed, data collected, sources of input, and key findings. Pine Rest uses the CHIP to establish its own strategic initiatives addressing the needs identified in the behavioral health field. See https://www.pinerest.org/about-us/#KCCNA Schedule H, Part V, Section B, Line 6a-Pine Rest Christian Mental Health Services Pine Rest Christian Mental Health Services, Kent County Health Department, Mary Free Bed Rehabilitation Hospital, Trinity Health, University of Michigan Health West, Corewell Health Schedule H, Part V, Section B, Line 6b-Pine Rest Christian Mental Health Services https://kentcountyhealthconnect.org/community-health-needs-assessment/2023-chna/ for a full list of participants Schedule H, Part V, Section B, Line 11-Pine Rest Christian Mental Health Services For each year of the CHNA, Pine Rest assesses and builds a response to the report. Pine Rest Christian Mental Health Services then selects issues from the CHNA that can and should be addressed by the organization. Schedule H, Part V, Section B, Line 13h-Pine Rest Christian Mental Health Services In determining financial assistance eligibility, Pine Rest evaluates the patient/guarantor's ability to pay the organization for services requested or previously provided. Pine Rest evaluates information such as: income, net worth, employment status, other financial obligations, and frequency of healthcare needs. Schedule H, Part V, Section B, Line 21c-Pine Rest Christian Mental Health Services Pine Rest Christian Mental Health Services is a behavioral health facility. Emergency medical care is not provided at the organization and therefore the organization does not fall under EMTALA Schedule H, Part V, Section B, Line 21d-Pine Rest Christian Mental Health Services Pine Rest Christian Mental Health Services is a behavioral health facility and does not provide emergency medical care. The organization does not fall under EMTALA 28 Pine Rest - Campus Clinic 300 68th Street SE PO Box 165 Grand Rapids MI 495010165 Outpatient clinic, residential detox, screening, assessment, referral Pine Rest - Southwest Clinic 4211 Parkway Place Suite 100 Grandville MI 49418 Outpatient Clinic, screening, assessment, referral and follow up Pine Rest - Traverse City Clinic 700 E Hammond Rd Suite 200 Traverse City MI 49686 Outpatient Clinic, mental health, addiction treatment and follow up Pine Rest - Northeast Clinic 3225 North Evergreen Drive NE Suite 301 Grand Rapids MI 49525 Outpatient Clinic, screening, assessment, referal and follow up Pine Rest - Northwest Clinic 2118 3 Mile Road NW Grand Rapids MI 49544 Outpatient Clinic, screening, assessment, referral and follow up Pine Rest - Northshore Clinic 17325 Van Wagoner Road Spring Lake MI 49456 Outpatient Clinic, screening, assessment, referral and follow up Pine Rest - Neuromodulation Clinic ECT/TMS 300 68th Street SE Building C Entrance C4 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 - InterActions Residential Treatment 300 68th Street SE Grand Rapids MI 49548 Adult Foster Care Pine Rest - Retreat Clinic 300 68th Street SE Building B Entrance B1 Grand Rapids MI 49548 Residential mental health and addiction treatment and detox Pine Rest - Holland Clinic 926 S Washington Ave Suite 210 Holland MI 49423 Outpatient Clinic, screening, assessment, referral and follow up Pine Rest - Kalamazoo Clinic 1530 Nichols Road Kalamazoo MI 49006 Outpatient Clinic, screening, assessment, referral and follow up Pine Rest - Zeeland Clinic 440 S State Street Suite 300 Zeeland MI 49464 Outpatient Clinic, screening, assessment, referral and follow up Pine Rest - Caledonia Clinic 6505 Cherry Meadow Dr SE Caledonia MI 49316 Outpatient Clinic, screening, assessment, referral and follow up Pine Rest - CenterPointe Recovery Center 1701 Olmstead Kalamazoo MI 49048 Behavioral Health Treatment 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 - Portage Clinic 7895 Currier Dr Suite 100 Portage MI 49002 Outpatient Clinic, screening, assessment, referral and follow up Pine Rest - Eastwood 7041 Madison SE Grand Rapids MI 49548 Adult Foster Care Pine Rest - Supported Independent Living 821 68th Street SE Grand Rapids MI 49508 Residential supervised independent living Pine Rest - Forest Hills Clinic 877 Forest Hill Ave SE Grand Rapids MI 49546 Outpatient clinic, residential detox, screening, assessment, referral Pine Rest - Hastings Clinic 450 Meadow Run Suite 300 Hastings MI 49058 Outpatient clinic, residential detox, screening, assessment, referral Pine Rest - Psychological Consultation Center 6500 Byron Center Ave SW Suite 300 Byron Center MI 49315 Specializes in assessing the relationship between behavior and brain functioning. Schedule H, Part I, Line 7 Utilizing prescribed worksheets 1 through 8 as defined by the IRS Schedule H, Part III, Section A, Line 4 The provision for bad debt 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 balances are written off and charged to bad debt after collection efforts have been made in accordance with organizational policy. Recoveries are treated as a reduction of bad debt. Accounts receivable balances are reduced by an allowance for doubtful accounts. The allowances for doubtful accounts are reviewed frequently based upon historical data regarding collections. Schedule H, Part III, Section B, Line 8 The organization's Medicare cost report and Audited Financial Statements are utilized for this calculation. Schedule H, Part III, Section C, Line 9b The organization's financial assistance policy and collection policies address the circumstances in which "extraordinary collection action" will be taken with regard to a patient who is or may be eligible for financial assistance. In summary, as long as a patient is eligible to apply for financial assistance, no extraordinary collection action will be taken. If a patient submits a complete financial assistance application during the application period, Pine Rest will not engage in any extraordinary collection action during the application processing. Outstanding patient balances owed and not covered by the financial assistance program may be subject to extraordinary collection action. However, uninsured patients whose annual income is less than or equal to 250% of the Federal poverty guidelines and who do not qualify for financial assistance will qualify to have their charges reduced to Medicare rates for the same or similar services. Payment of the adjusted charges will be considered payment in full for the billed services. The collection policy can be consulted for complete details. https://pinerest.org/media/Billing-Collections-Policy.pdf Schedule H, Part VI, Line 2 Pine Rest Christian Mental Health Services reviews and builds a response to the most recent Community Health Needs Assessment (CHNA) and ensures that the organization is addressing community needs. Further, the planning process takes into account market demand and the needs of the greater medical community in assessing how to organize clinical care delivery. The organizations annual budget process ensures that it is performing these services in a financially sustainable manner. Schedule H, Part VI, Line 3 Pine Rest has implemented measures to communicate to patients, their family members and the public the availability of both public and private financial assistance. Communication methods include but are not limited to written information in all admissions offices, waiting rooms and other public locations as well as information on the Pine Rest website. In addition, Pine Rest offers a plain language summary of its Financial Assistance Eligibility Policy as part of the patient intake and/or discharge process and provides individuals with assistance with completing the application. The Financial Assistance Eligibility Policy, plain-language summary and application form are available in fourteen languages. Schedule H, Part VI, Line 4 The Pine Rest hospital and residential campus is located in Cutlerville, Michigan and primarily serves people living in the greater West Michigan area. Some programs, draw from a larger geographic area. Through growing telehealth services, the organization's clinical reach continues to expand. The network of inpatient, residential, and outpatient services reaches people of all ages, races, ethnicities, and walks of life. Schedule H, Part VI, Line 5 To ensure a strategic focus on the health needs of the community served, the majority of the governing body is composed of residents of the primary service area of the organization. These individuals are neither employees nor contractors of the organization. In addition, the organization has an open medical staff, allowing hospital staff membership to all physicians in the community who meet membership and clinical privilege requirements. This approach improves access to behavioral health services through greater availability of medical staff within the service area. Since 1910, the organization has consistently applied surplus funds to the improvement of patient access and care as well as provide staff education and research designed to expand and improve the level of patient care. Pine Rest also provides educational programs to the community on various behavioral health topics. X 1 1 X X X X 0 0 0 0 0 0 0 1 0 Mark C Eastburg PhD President & CEO 495346 0 131233 0 8904 0 30500 0 28150 0 694133 0 0 0 William Sanders Chief Medical Officer 458035 0 85420 0 411 0 23000 0 27185 0 594051 0 0 0 Marwan Tabbara Medical Staff 514298 0 5130 0 411 0 30500 0 22205 0 572544 0 0 0 Lindsey Bailey Medical Staff 417622 0 96150 0 385 0 23000 0 10374 0 547531 0 0 0 Jack Mahdasian Medical Staff 387914 0 74956 0 403 0 30500 0 24581 0 518354 0 0 0 Bibhas Singla Medical Staff 431359 0 27666 0 411 0 23000 0 27159 0 509595 0 0 0 Samuel Lin Medical Staff 370899 0 76306 0 411 0 23000 0 20930 0 491546 0 0 0 Louis Nykamp Medical Staff 423727 0 5232 0 411 0 30500 0 20930 0 480800 0 0 0 Paul H Karsten VP & CFO 336567 0 90503 0 311 0 30500 0 15324 0 473205 0 0 0 Robert L Nykamp VP & COO 333862 0 96559 0 411 0 30500 0 0 0 461332 0 0 0 James Eicher Medical Professional 320057 0 73826 0 381 0 23000 0 25105 0 442369 0 0 0 Sonia Motin Medical Staff 350002 0 23265 0 373 0 23000 0 27455 0 424095 0 0 0 Valerie MathisAllen Medical Staff 308765 0 13708 0 370 0 23000 0 11535 0 357378 0 0 0 Susan Langeland Chief Information Officer 246715 0 36585 0 366 0 0 0 26063 0 309729 0 0 0 Harmony Gould Director of HBS 212752 0 28043 0 323 0 23000 0 10373 0 274491 0 0 0 Thomas Scott Halstead Director of PPG 168364 0 29335 0 258 0 30500 0 22111 0 250568 0 0 0 Ryan LaRue Vice President of Contracts 142057 0 29829 0 222 0 11886 0 25005 0 208999 0 0 0 Schedule J, Part I, Line 1a Taxable term life premiums added to taxable income were grossed up to compensate for taxes on the premiums. Grossed up amounts were taxed. Schedule J, Part I, Line 3 The Board of Directors has adopted a written executive compensation plan and has delegated to the Compensation Committee the responsibility for implementing and overseeing compensation issues with regular reporting to the board. In setting and reviewing executive compensation for the COO, CFO, CMO and Vice Presidents, the Compensation Committee relies on market data for similarly situated hospital executives in comparable organizations. The Compensation Committee also reviews salary market information for the CEO and makes a recommendation to the Executive Committee. The Executive Committee oversees CEO compensation. The Executive Committee relies on market data for similarly situated professionals serving comparable institutions. The organization regularly commissions studies by ECG Management to ensure that the total compensation paid to Physicians is reasonable, consistent with objective market data and in the best interest of the organization. The compensation model for Physicians was adopted by the organization based upon those studies. Review and approval of all new Physician employment contracts by both the CFO and chairman of the Compensation Committee is required to ensure that all compensation packages are within the approval limits. Documentation and supporting detail are maintained for all compensation decisions. Schedule J, Part I, Line 7 Employment contracts with officers of the organization allow for performance-based incentives. Each year, the Board of Directors articulates and approves objective, measurable performance criteria. If performance criteria are met, performance-based incentives are paid. A Kent Hospital Finance Authority 382350002 2022-03-25 28120000 Refinance 2015 and 2017 Bonds 0 0 0 A 0 0 0 0 0 0 0 0 0 0 0 0 2031 1 0 0 1 A 0 0 0 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 1 A 1 William Sanders Chief Medical Officer X 100000 60000 0 1 1 60000 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 organization's Form 990 each year prior to submission to the IRS. The Finance Committee votes on a motion to approve the form as amended. Recommended changes are made to the form and supporting schedules. The final filed Form 990 as filed with the IRS is made available to all Board members as well as external auditors for their review and information. Form 990, Part VI, Section B, Line 12c Every year, each member of the Board of Directors, as well as every officer and key employee completes and certifies a written conflict-of-interest statement. The statement requires acknowledgment of the written conflict-of-interest policy and disclosure of any transaction or relationship falling within the policy. The organization's independent auditors also review transactions for conflicts of interest as part of the annual audit. The organization employs a director of corporate integrity, whose responsibilities include discovery and reporting of all actual and potential conflicts of interest. Form 990, Part VI, Section B, Line 15 The Board of Directors has adopted a written executive compensation plan and has designated to the Compensation Committee the responsibility for implementing and overseeing the plan, with regular reporting to the board. In setting and reviewing executive compensation for the CMO, COO, CFO and Vice Presidents, the Compensation Committee relies on market data for similarly situation hospital executives in comparable institutions. The Compensation Committee also reviews salary market information for the CEO and makes recommendations to the Executive Committee. The Executive Committee oversees CEO compensation. In setting and reviewing compensation of Physicians (both employed and independently contracted), the Compensation Committee relies on market data for similarly situated professionals serving in comparable institutions. The Corporation regularly commissions studies by ECG Management Consultants to ensure that the total compensation paid to Physicians is reasonable, consistent with objective market data and in the best interest of Pine Rest. The compensation model for Physicians adopted by the Corporation is based upon these studies. Review and approval of all new Physician employment contracts by both the CFO and the Chairperson of the Compensation Committee is required to ensure that the compensation packages are within approved limits. Documentation and supporting detail are maintained for all compensation decisions. Form 990, Part VI, Section C, Line 19 Available upon request Form 990, Part XI, Line 9 Change in net assets with donor restrictions equals contributions restricted by donors less net assets released from restrictions. 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 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 Pine Rest Foundation c 1507707 In accordance with its written spending policy, the Pine Rest Foundation makes annual grants to Pine Rest Christian Mental Health Services to fund various aspects of behavioral healthcare and counseling programs as well as patient assistance. Pine Rest Foundation p 58301 Pine Rest Christian Mental Health Services accounts payable department processes all invoices for the Pine Rest Foundation. The Pine Rest Foundation then reimburses Pine Rest Christian Mental Health Services for the amount equal to those invoices processed and paid on the Foundation's behalf. Extension 8868 was approved to extend the deadline to May 15, 2026