2014-02-14T12:03:55-07:00 2013-06-30 990 2012-07-01 381676540 PINE REST FOUNDATION PINE 6164555000 PO Box 165 Grand Rapids MI 495010165 Paul Karsten 6164555000 2014-02-14 2012 2015-11-30 17:44:51Z Mark Eastburg PO Box 165 Grand Rapids MI 495010165 23405708 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. 16 14 0 0 0 0 734735 384888 0 0 286671 2596356 0 0 1021406 2981244 846210 934041 0 0 0 0 0 0 166248 270962 339919 1117172 1273960 -95766 1707284 20275417 22021331 32977 71607 20242440 21949724 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 893150 893150 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 $462,630 was made to provide funds for financial assistance for patients with the inability to pay for services. An additional $430,520 was made available for education, prevention and support programs throughout the Hospital. Funding was provided to conduct research on outcomes of Electro Convulsive Therapy (ECT) and measure improvement in mental health and functioning after treatment and in turn improve practice at Pine Rest. Funding was provided to conduct quality research studies at Pine Rest, allowing staff to understand the current standards and best practice fro protecting human subjects, while ensuring that all requirements are met, including approval from an Institutional Review Board, maintenance of documentation and ensuring that the research is conducted according to the approved protocol. Funding was provided for education and the implementation of treatment models for behavioral medicine within the outpatient network relating to psychiatric symptoms of chronic illnesses (such as diabetes, high blood pressure, and heart disease). Funding was provided to support accessible and flexible trainings specific to behavioral health care services, as well as the ability to develop individualized trainings specific to Community and Residential Services needs. Funding was also provided for a Model of Care Implementation within the Hospital. A number of research, development and training programs were also funded. 40891 0 129861 Annual Golf Classic Fundraiser: The net proceeds from the Annual Golf Classic is put into a Foundation Endowment that builds each year. Then every 3-years, a three-year rolling average is taken to provide support to the Patient Assistance Fund, a program which provides financial assistance for patients with the inability to pay for services, or invested in order to provide additional support to Pine Rest. 0 0 0 934041 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 1 0 1 0 0 1 0 0 0 0 0 0 0 X 16 14 0 0 0 0 1 0 1 1 1 0 0 1 1 1 1 1 1 0 0 0 MI X X Paul H Karsten 6164555000 300 68th Street SE Grand Rapids MI 495486927 Mark Eastburg 2 38 X 0 305893 21860 Peter Harkema 20 20 X 0 107770 13421 Peter Boumgarden 1 0 X 0 0 0 Margaret Breon 1 0 X 0 0 0 Tony Campbell 2 0 X 0 0 0 Samantha Howell 1 0 X 0 0 0 Suzanne Keep 1 0 X 0 0 0 Nicholas Leonardos 1 0 X 0 0 0 Jim Schipper 1 0 X 0 0 0 Allen VanderLaan 1 0 X 0 0 0 Stephen Wert 1 0 X 0 0 0 Jan Winters 1 0 X 0 0 0 Tom Nobel 4 0 X 0 0 0 Peter Baldwin 4 0 X 0 0 0 Kirk Lambers 4 0 X 0 0 0 Jeff Yonker 4 0 X 0 0 0 0 413663 35281 0 0 1 0 0 13335 243386 0 0 128167 0 384888 0 0 0 0 0 644780 644780 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22376040 0 20424464 0 1951576 0 1951576 1951576 0 0 0 243386 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2981244 2596356 0 0 934041 934041 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1643 0 1643 0 20 0 20 0 8000 0 8000 0 0 0 0 0 0 0 132678 0 132678 0 0 0 0 0 0 0 0 0 10632 0 10632 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Biannual Pine Rest Foundation Event 166248 0 0 166248 20698 0 20698 0 1273960 934041 173671 166248 889036 210225 0 0 18461 17300 0 0 0 0 0 0 0 0 0 0 0 0 19367920 21793806 0 0 0 0 0 0 0 0 20275417 22021331 32977 71607 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32977 71607 X 16536567 18243851 0 0 3705873 3705873 20242440 21949724 20275417 22021331 1707284 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 893150 1 893150 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3705873 0 414875 414875 0 0 3705873 3705873 0 0 0 0 0 3705873 3705873 0 0 0 0 0 3705873 3705873 0 0 0 0 0 3705873 3705873 0 0 0 0 0 3705873 0 1 0 0 0 0 0 X SchD_P05_S00_L04 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. SchD_P10_S00_L02 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 expense. The Corporation has no amounts accrued for interest and penalties as of June 30, 2013. 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 129861 0 129861 0 0 0 0 0 40891 Pine Rest Foundation Event 113525 0 113525 0 0 0 0 0 54997 0 243386 0 243386 0 0 0 0 0 95888 95888 147498 1 Pine Rest Christian Mental Health Services PO Box 165 Grand Rapids MI 495010165 381368360 501(c)(3) 982120 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 SchI_P01_S00_L02 Schedule I, Part I, Line 2 All grants are reviewed by the 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 managers responsible for utilizing the grant funds for their intended purpose. 0 0 0 0 0 0 0 0 0 Mark Eastburg 0 281411 0 24482 0 0 0 5778 0 16082 0 327753 0 0 F990_P06_S0A_L06 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. F990_P06_S0A_L07b 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. F990_P06_S0B_L11b 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, 2012 to June 30, 2013 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 15, 2013 and fulfilled the required procedures for the review and approval of the Form 990. F990_P06_S0B_L12c 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, 2012 to June 30, 2013 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 15, 2013 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 corporate policy of the Conflict of Interest disclosures. F990_P06_S0C_L19 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 982119 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. Also, every 3 years, a three-year rolling average is taken from proceeds of the Annual Golf Classic Fundraiser and provided to support the Patient Assistance Fund of Pine Rest Christian Mental Health Services or invested to provide additional support to Pine Rest. All grants are reviewed by the Foundation Board of Governors on a regular basis. Pine Rest Foundation received approval for Form 8868 extending the due date to February 15, 2014.