2019-05-15T14:09:03-05:00 2018-06-30 381357951 PLANTE & MORAN PLLC 750 TRADE CENTRE WAY STE 300 PORTAGE MI 49002 990 2017-07-01 455553307 MARYWOOD HEALTH CORPORATION MARY 6165881645 111 LAKESIDE DRIVE GRAND RAPIDS MI 49503 MAUREEN GEARY CHAIR/PRESIDENT 6165881645 2019-05-15 1 CAROL LALONDE CPA P00181637 2695674500 2019-05-15 67.59.56.31 2019-05-15 07:31:52 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 58F74DC53CB874483B207ADF23CD6921384352E9 2017 2019-02-21 02:37:17Z MAUREEN GEARY 2025 FULTON ST E GRAND RAPIDS MI 49503 6987577 0 X HTTP://MARYWOODCIRCLE.ORG X 2012 MI RESTORING OPTIMUM HEALTH THROUGH HOLISTIC REHABILITATION IN A HEALING, INCLUSIVE ENVIRONMENT. 4 4 236 14 0 0 1450 686 6760691 6961583 0 0 976538 22032 7738679 6984301 0 0 0 0 4097555 4118840 0 0 0 3688208 3924350 7785763 8043190 -47084 -1058889 2345719 2332419 3582170 1438596 -1236451 893823 RESTORING OPTIMUM HEALTH THROUGH HOLISTIC REHABILITATION IN A HEALING, INCLUSIVE ENVIRONMENT. 0 0 7265358 6961583 PROVIDING PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY AND SPIRITUAL CARE DURING THE REHABILITATION PROCESS FOLLOWING INJURY OR ILLNESS. 7265358 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 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 1 0 0 0 1 2 0 1 236 1 0 0 0 0 0 0 0 0 0 0 X 4 4 0 1 1 0 1 1 1 1 0 0 0 0 1 1 1 1 1 1 0 0 MI X SHARON BAYLISS DIRECTOR OF FINANCE - TSSM 7343436600 17410 COLLEGE PKWY SUITE 200 LIVONIA MI 48152 MAUREEN GEARY DIRECTOR - CHAIR/PRESIDENT 1.00 0.00 X X 0 0 0 MARY BARRETT DIRECTOR - VICE PRESIDENT 1.00 0.00 X X 0 0 0 SANDRA DELGADO DIRECTOR - TREASURER 1.00 0.00 X X 0 0 0 LUCIANNE SIERS DIRECTOR - SECRETARY 1.00 0.00 X X 0 0 0 LARRY YACHCIK DIRECTOR - VICE CHAIR - PART YEAR 1.00 0.00 X X 0 0 0 KIM HOPPE DIRECTOR - TREASURER - PART YEAR 1.00 0.00 X X 0 0 0 RHONDA DORNBOS DIRECTOR - PART YEAR 1.00 0.00 X 0 0 0 KAREN LEHMAN DIRECTOR - PART YEAR 1.00 0.00 X 0 0 0 ROBERT SCHMIDT ADMINISTRATOR 45.00 0.00 X 0 0 0 RYAN WILTZER ADMINISTRATOR - PART YEAR 45.00 0.00 X 82874 0 17220 82874 0 17220 0 0 0 0 FUNCTIONAL PATHWAYS 10133 SHERRILL BLVD SUITE 200 KNOXVILLE TN 37932 CONTRACT THERAPY SERVICES 1157293 1 686 686 MEDICARE REVENUE 623000 4761243 4761243 AQUINATA HALL MANAGEME 900099 876243 876243 MEDICAID REVENUE 623000 709480 709480 PRIVATE PAY REVENUE 623000 523039 523039 PACE REVENUE 623000 91578 91578 6961583 3654 3276 378 378 GUEST MEALS 900099 20867 20867 BARBER SHOP 900099 723 723 64 64 21654 6984301 6961583 0 22032 X 108063 108063 3331211 3079222 251989 21939 22636 -697 460617 424442 36175 197010 177141 19869 90999 90999 17747 17747 53506 53506 1685423 1685423 510 458 52 166857 150029 16828 72509 65196 7313 807736 726273 81463 6399 5754 645 1436 1291 145 169377 152295 17082 49912 44878 5034 PHARMACEUTICALS 264771 238068 26703 BAD DEBT EXPENSE 174223 156652 17571 FOOD 137609 123731 13878 MEDICAID BED TAX 91811 91811 133525 120058 13467 8043190 7265358 777832 0 159339 297869 1141361 1148844 10139 17493 723780 535148 355299 188632 679581 679581 2345719 2332419 557743 984562 3024427 454034 3582170 1438596 X -1236451 893823 -1236451 893823 2345719 2332419 X -1058889 3189163 X X 1 X 0 1 0 X 651533 281495 1450 686 935164 2379286 7441874 7711824 6961583 24494567 3030819 7723369 7713274 6962269 25429731 0 126278 126278 126278 126278 25303453 3 3 3 3 29580 32492 29954 25308 117334 3060402 7755861 7743228 6987577 25547068 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: GROSS SALES OF INVENTORY - 2014 AMOUNT: $ 3,280. 2015 AMOUNT: $ 7,228. 2016 AMOUNT: $ 6,679. 2017 AMOUNT: $ 3,654. MISCELLANEOUS REVENUE - 2014 AMOUNT: $ 26,300. 2015 AMOUNT: $ 25,264. 2016 AMOUNT: $ 23,275. 2017 AMOUNT: $ 21,654. 55568 43568 12000 668212 491580 176632 188632 MINISTRY VENTURES NOTE PAYABLE 350000 ACCOUNTS PAYABLE - MINISTRY VENTURES 8399 ACCOUNTS PAYABLE - PHPV 29330 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 66305 454034 X PART X, LINE 2: THE ORGANIZATION IS A NOT-FOR-PROFIT CORPORATION AND IS EXEMPT FROM TAX UNDER THE PROVISIONS OF INTERNAL REVENUE CODE SECTION 501(C)(3). ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS OR OTHER APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ORGANIZATION AND HAS CONCLUDED THAT AS OF JUNE 30, 2018 AND 2017, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. FORM 990, PART VI, SECTION A, LINE 3 MARYWOOD HEALTH CORPORATION HAS A CONTRACT WITH TRINITY SENIOR SERVICES MANAGEMENT (TSSM) TO PROVIDE MANAGEMENT SERVICES. THIS CONTRACT BECAME EFFECTIVE ON FEBRUARY 15, 2018. FORM 990, PART VI, SECTION A, LINE 4 MARYWOOD HEALTH CORPORATION AMENDED ITS ARTICLES OF INCORORATION AND BYLAWS DURING THE YEAR TO INDICATE THAT THE CORPORATION HAS ONLY ONE MEMBER. FORM 990, PART VI, SECTION A, LINE 6 MINISTRY VENTURES IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBER OF THE CORPORATION SHALL ELECT OR APPOINT THE BOARD OF DIRECTORS OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING CORPORATE ACTIONS MUST BE APPROVED BY THE UNANIMOUS VOTE OF THE MEMBERS OF THE CORPORATION: A. THE AMENDMENT OR RESTATEMENT OF THE CORPORATION'S ARTICLES OF INCORPORATION OR BYLAWS. B. ELECTION OR REMOVAL OF MEMBERS OF THE BOARD OF DIRECTORS OF THE CORPORATION AS PROVIDED IN THE BYLAWS OR ANY OTHER CHANGE TO THE COMPOSITION, NUMBER, AUTHORITY, VOTING REQUIREMENTS AND QUORUM REQUIREMENTS OF THE BOARD OF DIRECTORS. C. ANY MERGER OR CONSOLIDATION OF THE CORPORATION WITH ANOTHER ENTITY. D. ADMISSION OR SUBSCRIPTION OF ADDITIONAL MEMBERS OF THE CORPORATION. E. TERMINATION OF THE LEASE FOR THE PREMISES LOCATED AT 111 LAKESIDE DRIVE NE, GRAND RAPIDS, MICHIGAN 49503, WHERE THE NURSING HOME OPERATIONS OF THE CORPORATION ARE CONDUCTED. F. ACQUISITION OF ANY REAL PROPERTY BY THE CORPORATION AND FOR THE DISPOSITION OF ANY PROPERTY WITH A BOOK VALUE IN EXCESS OF $10,000 FOR LESS THAN FAIR MARKET VALUE. G. THE SALE OR TRANSFER OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATION'S ASSETS. H. THE DISSOLUTION OF THE CORPORATION. I. ALL BORROWINGS FOR CAPITAL OR OPERATING PURPOSES AND ALL GUARANTEES, INCLUDING BOTH SECURED AND UNSECURED BORROWINGS AND GUARANTEES, AND THE APPROVAL OF ALL MORTGAGES OF REAL ESTATE IN EXCESS OF $10,000. J. ANNUAL CAPITAL AND OPERATING BUDGETS OF THE CORPORATION AND ANY MATERIAL AMENDMENTS TO SUCH BUDGETS. K. ALL CAPITAL EXPENDITURES IN EXCESS OF $10,000 NOT REFLECTED IN A BUDGET PREVIOUSLY APPROVED BY THE MEMBERS. L. CHANGING THE CORPORATION'S NAME OR CONDUCTING BUSINESS OF THE CORPORATION UNDER AN ASSUMED NAME. M. REQUIRING THE MEMBERS TO CONTRIBUTE ADDITIONAL CAPITAL TO THE CORPORATION UNLESS SUCH CONTRIBUTION IS REQUIRED BY FEDERAL OR STATE LAW OR REGULATION. N. ANY OTHER ACTION WHERE APPROVAL OF THE MEMBERS IS REQUIRED BY LAW. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WILL BE REVIEWED AT A BOARD MEETING AFTER FILING THE RETURN WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY THE BOARD MEMBERS ARE REQUIRED TO SIGN A DOCUMENT INDICATING THEY DON'T HAVE A CONFLICT OF INTEREST. POTENTIAL CONFLICTS IDENTIFIED ARE REVIEWED BY THE CHAIR OF THE BOARD, OR THE OTHER BOARD MEMBERS IF RELATED TO THE CHAIR. IF A MEMBER WERE DETERMINED TO HAVE A CONFLICT OF INTEREST, THE BOARD WOULD MAKE A DETERMINATION IF THAT MEMBER SHOULD BE EXCLUDED FROM VOTING ON MATTERS PERTAINING TO THE PARTICULAR CONFLICT IDENTIFIED. FORM 990, PART VI, SECTION B, LINE 15A FOR EXECUTIVE COMPENSATION A MINIMUM OF THREE SOURCES ARE USED. EACH SOURCE IS A THIRD PARTY ORGANIZATION SPECIALIZING IN COMPENSATION IN THE WEST MICHIGAN AREA. THE INFORMATION IS THEN COMPILED BY THE HR DEPARTMENT AND USED TO MAKE A RECOMMENDATION ON THE SALARY FOR EACH PERSON. THE BOARD OF DIRECTORS, ALONG WITH THE MANAGEMENT COMPANY, REVIEW THE COMPENSATION OF KEY EMPLOYEES. THE BOARD FORMALLY APPROVES THE SALARY OF THE EXECUTIVE DIRECTOR. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 1,685,423. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,685,423. FORM 990, PART XI, LINE 9: FORGIVENESS OF DEBT 3,189,163. FORM 990, PART XII, LINE 2C: THERE WAS NO CHANGE IN PROCESS FROM THE PRIOR YEAR. SISTERS OF THE ORDER OF ST DOMINIC OF GRAND RAPIDS 2025 E FULTON STREET GRAND RAPIDS MI 49503 381360581 CHURCH MI 501(C)(3) LINE 1 N/A 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 1 0 1 SISTERS OF THE ORDER OF ST DOMINIC OF GRAND RAPIDS E 350000 ACTUAL AMOUNT SISTERS OF THE ORDER OF ST DOMINIC OF GRAND RAPIDS M 846243 ACTUAL AMOUNT SISTERS OF THE ORDER OF ST DOMINIC OF GRAND RAPIDS Q 596532 ACTUAL AMOUNT SISTERS OF THE ORDER OF ST DOMINIC OF GRAND RAPIDS S 1906280 ACTUAL AMOUNT