2013-02-14T08:55:18-07:00 2012-06-30 990 2011-07-01 381676540 PINE REST FOUNDATION PINE 6164555000 PO Box 165 Grand Rapids MI 495010165 Paul Karsten 6164555000 2013-02-14 2011 2016-03-07 17:11:31Z Pine Rest Foundation PO Box 165 Grand Rapids MI 495010165 19647126 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. 18 16 0 0 0 0 646186 734735 0 0 3717903 286671 0 0 4364089 1021406 899417 846210 0 0 0 0 0 0 90292 144658 270962 1044075 1117172 3320014 -95766 20385375 20275417 47169 32977 20338206 20242440 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 805065 805065 0 Each year, following a specific formula, the Pine Rest Foundation awards grants to the Pine Rest Christian Mental Health Services to fund various aspects of behavioral health care and counseling programs. An award of $391,124 was made to provide funds for financial assistance for patients with the inability to pay for services. An additional $364,565 was made available for education, prevention and support programs throughout the Hospital. Funding was provided to support a research study and field testing for a new diagnostic screening tool (CAT-DI). The tool screens for depression, anxiety and bipolar disorders. Funding was provided for education and the implementation of treatment models for behavioral medicine within the outpatient network relating to psychiatric symptoms of commom chronic illnesses (such as diabetes, high blood pressure, and heart disease). Funding was also provided for the execution of best practice models within three residential programs of the Hospital; Sensory Integration, Trauma Training and Gentle Teaching. A number of research, development and training programs were also funded. 41145 124800 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 846210 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 1 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 18 16 1 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 X 0 274094 17988 Randall Johnson 20 X 0 104125 12584 Peter Baldwin 1 X 0 0 0 Peter Boumgarden 1 X 0 0 0 Margaret Breon 1 X 0 0 0 Kathy Dunlap 1 X 0 0 0 Suzanne Keep 1 X 0 0 0 Carri Kendall 1 X 0 0 0 Nicholas Leonardos 1 X 0 0 0 Jim Schipper 1 X 0 0 0 John Van Fossen 1 X 0 0 0 Stephen Wert 1 X 0 0 0 Jan Winters 1 X 0 0 0 Jeff Yonker 1 X 0 0 0 John Lichtenberg 4 X 0 0 0 Tom Nobel 4 X 0 0 0 Kirk Lambers 4 X 0 0 0 Cindy Varney 4 X 0 0 0 0 378219 30572 0 0 1 0 0 0 20678 420219 0 0 293838 0 734735 0 -277604 -277604 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19189995 0 18625720 0 564275 0 564275 564275 0 0 0 420219 0 0 0 0 0 1021406 286671 0 0 846210 846210 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 4959 0 4959 0 0 0 0 0 8000 0 8000 0 0 0 0 0 0 0 134257 0 134257 0 0 0 0 0 0 0 0 0 13260 0 13260 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 Banquet 90292 0 0 90292 20194 0 20194 0 1117172 846210 180670 90292 767239 889036 0 0 12287 18461 0 0 0 0 0 0 0 0 0 0 0 0 19605849 19367920 0 0 0 0 0 0 0 0 20385375 20275417 47169 32977 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47169 32977 X 16632333 16536567 0 0 3705873 3705873 20338206 20242440 20385375 20275417 -95766 0 X 0 1 1 X 0 X X 0 0 0 PINE REST CHRISTIAN MENTAL HEALTH SERVICES 381368360 3 1 1 1 755689 1 755689 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 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 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, 2012 and 2011. 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 124800 0 124800 0 0 0 0 0 41145 Biannual Pine Rest Foundation Banquet 295419 0 295419 0 0 0 0 0 90292 0 420219 0 420219 0 0 0 0 0 131437 131437 288782 1 Pine Rest Christian Mental Health Services PO Box 165 Grand Rapids MI 495010165 381368360 501(c)(3) 888720 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 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 254101 0 19993 0 0 0 5819 0 12169 0 292082 0 0 SchJ_P01_S00_L03 Schedule J, Part I, Line 3 The organization did not pay any compensation to any officer or director. Compensation disclosed was paid by the organization's sole member, Pine Rest Christian Mental Health Services, a nonprofit corporation. F990_P06_S0A_L02 Form 990, Part VI, Section A, Line 2 Conflict of Interest Disclosures: Margaret Breon - Husband is CEO/President of Spectrum Health Hospital, competitor to the sole member. Kirk Lambers - On the Contributions Committee for Royal Technologies, whom has given contributions to the Pine Rest Foundation in the past few years. Allen VanderLaan - Personal donations and donates to the Pine Rest Foundation through VanderLaan Family Foundation. Suzanne Keep - Chair and faculty at University of Detroit Mercy in Grand Rapids Nursing Program, which has a partnership with Aquinas College and Saint Mary's Hospital (joint venture with the sole member). 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, 2011 to June 30, 2012 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 16, 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, 2011 to June 30, 2012 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 16, 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 questionaire, which adheres to the corporate policy of 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 1 0 1 0 0 0 Pine Rest Christian Mental Health Services b 839344 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 15,2013.