2015-02-12T11:12:47-07:00 2014-06-30 990 2013-07-01 381676540 PINE REST FOUNDATION PINE 6164555000 PO Box 165 Grand Rapids MI 495010165 Paul Karsten Chief Financial Officer 6164555000 2015-02-12 2013 2016-02-25 16:41:14Z Mark Eastburg PO Box 165 Grand Rapids MI 495010165 22266152 0 X www.pinerest.org X 1960 MI The Pine Rest Foundation was organized to raise funds by means of memberships and gifts, to manage investment assets in an effort to increase available funds, and to provide grants that support the services and mission of Pine Rest Christian Mental Health Services which is to express the healing ministry of Jesus Christ by providing behavioral health care with professional excellence, Christian integrity and compassion. 14 12 0 12 0 0 384888 402915 0 0 2596356 3597342 0 -105280 2981244 3894977 934041 960000 0 0 0 0 0 0 0 339919 172918 1273960 1132918 1707284 2762059 22021331 24758616 71607 46833 21949724 24711783 The Pine Rest Foundation was organized to raise funds by means of memberships and gifts, to manage investment assets in an effort to increase available funds, and to provide grants that support the services and mission of Pine Rest Christian Mental Health Services which is to express the healing ministry of Jesus Christ by providing behavioral health care with professional excellence, Christian integrity and compassion. 0 0 960000 960000 0 Each year, following a specific formula, the Pine Rest Foundation awards grants to Pine Rest Christian Mental Health Services to fund various aspects of behavioral health care and counseling programs. An award of $497,870 was made to provide funds for financial assistance for patients with the inability to pay for services. An additional $462,130 was made available for education, prevention, and support programs through the Hospital. Funding was provided for the development of a Residency Program, specifically the Residency Program Director and other staff who spent time recruiting, interviewing and selecting the first class of residents. Funding was also provided to administer a pre-admission survey for new long-term residents, this survey allowed staff to have ready a welcoming bag filled with the patients favorite items. A welcoming party was funded as well as a discharge gift for patients able to move on in their lives. Funding was also provided to implement specific evidence based practice models to enhance service delivery, especially focusing on individualizing treatment plans for patients. 0 0 0 none 0 0 0 960000 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 X 14 12 0 0 0 0 1 0 1 1 1 0 0 1 1 1 1 1 1 0 0 0 MI X Paul H Karsten 6164555000 300 68th Street SE Grand Rapids MI 495486927 Mark Eastburg Board Member 2 38 X 0 321558 28260 Peter Harkema Interim Executive Director 20 20 X 0 46878 0 Teresa Newmarch Current Executive Director 20 20 X 0 0 0 Margaret Breon Board Member 1 0 X 0 0 0 Tony Campbell Board Member 1 0 X 0 0 0 Samantha Howell Board Member 1 0 X 0 0 0 Suzanne Keep Board Member 1 0 X 0 0 0 Jim Schipper Board Member 1 0 X 0 0 0 Allen VanderLaan Board Member 1 0 X 0 0 0 Stephen Wert Vice President 4 0 X X 0 0 0 Jan Winters Treasurer 4 0 X X 0 0 0 Peter Baldwin President 4 0 X X 0 0 0 Jeff Yonker Secretary 4 0 X X 0 0 0 Tim Schowalter Board Member 1 0 X 0 0 0 Peter Boumgarden Board Member 1 0 X 0 0 0 Randall Johnson Former Executive Director 20 20 X 0 95774 11252 0 464210 39512 1 1 1 0 Merrill Lynch 250 Monroe Ave NW Ste 600 Grand Rapids MI 49503 Investment management fees 135329 0 0 12038 319376 0 0 71501 0 402915 0 0 0 0 0 2250127 0 0 2250127 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19555560 0 18208345 0 1347215 0 1347215 0 0 1347215 57550 319376 162830 -105280 0 -105280 0 0 0 0 0 0 0 0 0 0 0 0 0 3894977 0 0 3492062 960000 960000 3120 3120 1080 1080 6700 6700 135329 135329 23681 23681 3008 3008 1132918 960000 172918 0 210225 136526 0 0 17300 23800 0 2500 0 0 0 0 0 0 0 0 0 0 21793806 24595790 0 0 0 0 22021331 24758616 71607 46833 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71607 46833 X 18243851 21005910 0 0 3705873 3705873 21949724 24711783 22021331 24758616 2762059 0 0 0 0 0 X 0 1 X 1 0 X X 0 0 0 PINE REST CHRISTIAN MENTAL HEALTH SERVICES 381368360 3 1 1 1 960000 1 960000 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3705873 0 518745 518745 0 0 3705873 3705873 0 414875 414875 0 0 3705873 3705873 0 27864 27864 0 0 3705873 3705873 0 656416 656416 0 0 3705873 3705873 0 316841 316841 0 0 3705873 0 1 0 0 0 0 0 X Schedule D, Part V, Line 4 The permanent endowment funds will be held in perpetuity and the income generated by the corpus of these funds will be used to fulfill the mission of the Foundation. Schedule D, Part X, Line 2 Income Taxes: The Corporation 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 expenses. The Corporation has no amounts accrued for interest and penalties as of June 30 2014. 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 2010. Annual Golf Classic 130947 101447 29500 0 0 0 0 0 55786 Foundation Fall Dinner 245979 217929 28050 0 0 0 0 0 107044 0 376926 319376 57550 0 0 0 0 0 162830 162830 -105280 1 Pine Rest Christian Mental Health Services PO Box 165 Grand Rapids MI 495010165 381368360 501(c)(3) 960000 0 Cash Value The purpose of the grants were to support the programs, services and mission of Pine Rest Christian Mental Health Services, its sole member. 1 0 Schedule I, Part I, Line 2 All grants are reviewed by th Foundation Board of Governors on a regular basis. Each specific service or program is monitored periodically by an assigned governor. This involves regular contact between the Board of Governors and the manager responsible for utilizing the grant funds for their intended purpose. 0 0 0 0 0 0 0 0 0 Mark Eastburg Board Member 0 288791 0 32767 0 0 0 12563 0 15697 0 349818 0 Randall Johnson Former Executive Director 0 95774 0 0 0 0 0 1113 0 10140 0 107027 0 0 Schedule J, Part I, Line 3 The related organization, Pine Rest Christian Mental Health Services, 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 Pine Rest Board. The Pine Rest Executive Committee is assisted from time to time in this regard by a special Compensation Committee made up of three outside directors. Form 990, Part VI, Section A, Line 6 The Foundation is a corporation organized on a membership basis. The corporation's sole member is Pine Rest Christian Mental Health Services, a nonprofit corporation. Form 990, Part VI, Section A, Line 7b The Foundation is a corporation organized on a membership basis. The corporation's sole member is Pine Rest Christian Mental Health Services, a nonprofit corporation. Decisions of the governing board are subject to approval by the sole member. Form 990, Part VI, Section B, Line 11b The organization made the decision to have the Pine Rest Foundation Board Members review the Form 990 for the full year: July 1, 2013 to June 30, 2014 at the first Pine Rest Foundation Board meeting to take place subsequent to completion and prior to filing. This meeting took place on Wednesday, January 21, 2015 and fulfilled the required procedures for the review and approval of the Form 990. Form 990, Part VI, Section B, Line 12c The organization made the decision to have the Pine Rest Foundation Board Members review the Form 990 for the full year: July 1, 2013 to June 30, 2014 at the first Pine Rest Foundation Board meeting to take place subsequent to completion and prior to filing. This meeting took place on Wednesday, January 21, 2015 and fulfilled the required procedures for the review and approval of the Form 990. The organization also had each of its Board members complete a specific Conflict of Interest questionnaire, which adheres to the corporation policy of the Conflict of Interest disclosures. Form 990, Part VI, Section C, Line 19 All documents are available to the public upon request. Pine Rest Christian Mental Health Services PO Box 165 Grand Rapids MI 495010165 381368360 Provides behavioral health services in inpatient, outpatient, and residential settings. MI 501(c)(3) 3 N/A 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 Pine Rest Christian Mental Health Services b 960000 Each year, following a specific formula, the Pine Rest Foundation awards grants to Pine Rest Christian Mental Health Services to fund various aspects of behavioral health care and counseling programs. Pine Rest Foundation received approval for Form 8868 extending the due date to February 15, 2015.