MARY FREE BED REHABILITATION HOSPITAL: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
MARY FREE BED REHABILITATION HOSPITAL (EIN 38-1359265)
Tax period
2016-04-01 to 2017-03-31
Filed
2018-02-14
IRS object ID
201820459349302052
Schema version
2016v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-02-14T17:18:19-06:00ReturnTs
Tax Period End2017-03-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN381357951PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PLANTE & MORAN PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1750 Trade Centre Way Ste 300AddressLine1Txt
CityPortageCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49002ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-04-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN381359265EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARY FREE BED REHABILITATION HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMARYBusinessNameControlTxt
Phone8005288989PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1235 WEALTHY ST SEAddressLine1Txt
CityGRAND RAPIDSCityNm
State AbbreviationMIStateAbbreviationCd
ZIP495035247ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRANDALL L DENEFFPersonNm
Person TitleCHIEF FINANCIAL OFFICERPersonTitleTxt
Phone8005288989PhoneNum
Signature2018-02-08SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCarol LaLonde CPAPreparerPersonNm
PTINP00181637PTIN
Phone2695674500PhoneNum
Preparation2018-02-08PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address67.59.56.32IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-02-08IPDt
IP Tm11:02:10IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id58F74DC53CB874483B207ADF23CD6921384352E9AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1MARY FREE BED HOSPITAL AND REHABILITATION CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerRANDALL L DENEFFPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1235 WEALTHY ST SEAddressLine1Txt
CityGRAND RAPIDSCityNm
State AbbreviationMIStateAbbreviationCd
ZIP495035247ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$101,247,777GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.maryfreebed.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1913FormationYr
Legal Domicile StateMILegalDomicileStateCd
Activity Or MissionHELPING PEOPLE WITH DISABILITIES ACHIEVE INDEPENDENCE THROUGH REHABILITATION SERVICES. EDUCATING THE COMMUNITY ON DISABLING DISEASES AND INJURY PREVENTION. CARRYING OUT MEDICAL AND SCIENTIFIC RESEARCH TO IMPROVE THE CARE AND OUTCOMES FOR PEOPLE WITH DISABILITIES.ActivityOrMissionDesc
Voting Members Governing Body26VotingMembersGoverningBodyCnt
Voting Members Independent24VotingMembersIndependentCnt
Total Employee1355TotalEmployeeCnt
Total Volunteers193TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$5,554,156PYContributionsGrantsAmt
CY Contributions Grants$4,420,000CYContributionsGrantsAmt
PY Program Service Revenue$79,234,240PYProgramServiceRevenueAmt
CY Program Service Revenue$92,930,028CYProgramServiceRevenueAmt
PY Investment Income$2,034,711PYInvestmentIncomeAmt
CY Investment Income$795,343CYInvestmentIncomeAmt
PY Other Revenue$454,952PYOtherRevenueAmt
CY Other Revenue$523,637CYOtherRevenueAmt
PY Total Revenue$87,278,059PYTotalRevenueAmt
CY Total Revenue$98,669,008CYTotalRevenueAmt
PY Grants And Similar Paid$3,341,622PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$60,000CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$54,194,831PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$63,907,216CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$20,815,435PYOtherExpensesAmt
CY Other Expenses$25,027,958CYOtherExpensesAmt
PY Total Expenses$78,351,888PYTotalExpensesAmt
CY Total Expenses$88,995,174CYTotalExpensesAmt
PY Revenues Less Expenses$8,926,171PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$9,673,834CYRevenuesLessExpensesAmt
Total Assets BOY$119,243,072TotalAssetsBOYAmt
Total Assets EOY$133,654,270TotalAssetsEOYAmt
Total Liabilities BOY$37,958,374TotalLiabilitiesBOYAmt
Total Liabilities EOY$38,840,701TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$81,284,698NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$94,813,569NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionRESTORING HOPE AND FREEDOM THROUGH REHABILITATION.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$24,051,265ExpenseAmt
Revenue$36,121,346RevenueAmt
DescPROVIDE NURSING SERVICES AND INFECTION CONTROL FOR 31,735 PATIENT DAYS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$15,683,650ExpenseAmt
Revenue$16,304,291RevenueAmt
DescPROVIDE OUTPATIENT REHABILITATION AND CLINIC SERVICES FOR APPROXIMATELY 92,736 PATIENT VISITS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$13,083,259ExpenseAmt
Revenue$23,633,179RevenueAmt
DescPROVIDE THERAPY AND OTHER MEDICAL SERVICES FOR 31,735 PATIENT DAYS.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$20,111,043ExpenseAmt
Grant$60,000GrantAmt
Revenue$16,871,212RevenueAmt
DescREHABILITATION STAFFING AND MANAGEMENT SERVICES; MEDICAL SERVICES REHABILITATION PROGRAM ADMINISTRATION; OFFICE EXPENSES FOR PROGRAM SERVICES; MEDICAL RECORDS; SUPPLIES; UTILITIES, MAINTENANCE, DEPRECIATION RELATED TO PROGRAM SERVICES AND ASSETS; PATIENT MEALS; INSURANCE; DRIVER REHABILITATION SERVICES; MOTION ANALYSIS/GAIT LAB SERVICES; BENEFIT COSTS AND PAYROLL TAXES ON PROGRAM SALARIES NOT SPECIFICALLY LISTED; OTHER PROGRAM SERVICES AND MEDICAL SERVICES NOT SPECIFICALLY LISTED; BAD DEBTS; TRAVEL/CONFERENCES.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$20,111,043TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$60,000TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$16,871,212TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$72,929,217TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document83IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1355EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members26GoverningBodyVotingMembersCnt
Independent Voting Member24IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RANDALL DENEFFBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6168408317PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1235 WEALTHY ST SEAddressLine1Txt
CityGRAND RAPIDSCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49503ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (38 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
KENT RIDDLE
PRESIDENT50.003.00Yes (X)Yes (X)$595,852$0$29,039
MIKE JAKUBOWSKI MD
TRUSTEE50.004.00Yes (X)$431,332$0$35,812
DAVID MUIR
CHAIRMAN1.000.00Yes (X)Yes (X)$0$0$0
MOLLY KRAUSS
VICE CHAIRMAN1.001.00Yes (X)Yes (X)$0$0$0
CAROL SPRINGER
SECRETARY - THROUGH 12/18, DIRECTOR - AFTER 12/181.000.00Yes (X)Yes (X)$0$0$0
LAURA PUFF
SECRETARY - AFTER 12/181.001.00Yes (X)Yes (X)$0$0$0
CHAD BUSH
TREASURER1.000.00Yes (X)Yes (X)$0$0$0
MARGARET NAULT
ASSISTANT TREASURER1.001.00Yes (X)Yes (X)$0$0$0
GREG CONWAY
DIRECTOR1.001.00Yes (X)$0$0$0
JAMES MOYER
DIRECTOR1.000.00Yes (X)$0$0$0
TERRENCE O'ROURKE
DIRECTOR1.000.00Yes (X)$0$0$0
MIKE WILLIAMS
DIRECTOR1.000.00Yes (X)$0$0$0
MIKE ANDARY MD
DIRECTOR1.000.00Yes (X)$0$0$0
ANN CHAPMAN DEBES
DIRECTOR1.000.00Yes (X)$0$0$0
ROGER SPOELMAN
DIRECTOR1.000.00Yes (X)$0$0$0
SUE TAYLOR
DIRECTOR1.000.00Yes (X)$0$0$0
JULIE RIDENOUR
DIRECTOR1.001.00Yes (X)$0$0$0
KIM RIDINGS
DIRECTOR1.003.00Yes (X)$0$0$0
MICHELLE SUCHOVSKY-GABROSEK
DIRECTOR1.000.00Yes (X)$0$0$0
JEANNE SKILTON
DIRECTOR1.000.00Yes (X)$0$0$0
DIANE DEROSEAU
DIRECTOR - AFTER 12/181.000.00Yes (X)$0$0$0
ELLEN NELSON
DIRECTOR - AFTER 12/181.000.00Yes (X)$0$0$0
SCOTT LEWIS
DIRECTOR - AFTER 12/181.000.00Yes (X)$0$0$0
HOLLY MARIE PETERSON
DIRECTOR - AFTER 12/181.000.00Yes (X)$0$0$0
SAM HO MD
DIRECTOR - AFTER 12/181.000.00Yes (X)$0$0$0
JUDY DUNTEN
DIRECTOR - AFTER 12/181.000.00Yes (X)$0$0$0
JOAN KULLGREN
DIRECTOR - THROUGH 12/181.000.00Yes (X)$0$0$0
JAN LIPPERT
DIRECTOR - THROUGH 12/181.000.00Yes (X)$0$0$0
JENNIFER TAYLOR
DIRECTOR - THROUGH 12/181.000.00Yes (X)$0$0$0
WILLIAM VANDENBERG MD
DIRECTOR - THROUGH 12/181.0040.00Yes (X)$0$202,864$31,433
SHELLEY MISHLER
DIRECTOR - THROUGH 12/181.001.00Yes (X)$0$0$0
RANDALL DENEFF
VP OF FINANCE45.003.00Yes (X)$273,626$0$26,314
INGRID CHESLEK
CHIEF NURSING OFFICER45.000.00$242,065$0$12,793Yes (X)
THOMAS STRANZ
VP OF INPATIENT SERVICES45.000.00$238,347$0$7,542Yes (X)
JEFF GARBER
VP OF NETWORK DEVELOPMENT45.000.00$241,507$0$18,236Yes (X)
TIMOTHY PIETRYGA
VP OF ADVANCEMENT & DEVELOPMENT1.0045.00$190,911$0$25,246Yes (X)
BRUCE BRASSER
VP OF NETWORK OPERATIONS45.002.00$203,092$0$28,951Yes (X)
GEORGE MEYER
VP OF OUTPATIENT SERVICES45.000.00$186,893$0$19,507Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,603,625TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$202,864TotReportableCompRltdOrgAmt
Total Other Compensation$234,873TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K33IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MILLER JOHNSON SNELL & CUMMISKY
PO BOX 306GRAND RAPIDSMI49501LEGAL SERVICES$478,242
DICKINSON WRIGHT
200 OTTAWA AVE NW STE 1000GRAND RAPIDSMI49503LEGAL SERVICES$158,058
J2 INTERACTIVE LLS
2 THIRTEENTH STCHARLESTOWNMA02129TECHNOLOGY CONSULTANTS$117,705
SENIOR CARE CENTRAL LLC
183 PUMA LANERIDGWAYCO81432REHABILITATION CONSULTANTS$108,957
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
Related Organizations$3,743,638RelatedOrganizationsAmt
All Other Contributions$676,362AllOtherContributionsAmt
Noncash Contributions$69,784NoncashContributionsAmt
Total Contributions$4,420,000TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Service Revenue621400$75,829,157$75,829,157
Contract Service Revenue621400$16,691,013$16,691,013
Program Expense Reimbursement621400$409,858$409,858
FieldValueIRS element (for citing)
Total Program Service Revenue$92,930,028TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$491,879TotalRevenueColumnAmt
Exclusion$491,879ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$404,228RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$404,228RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$404,228TotalRevenueColumnAmt
Exclusion$404,228ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,882,233SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$2,578,769SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$303,464SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$303,464TotalRevenueColumnAmt
Exclusion$303,464ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
Computer/System Support541519$111,720$111,720
Donation Processing Support541900$7,689$7,689
FieldValueIRS element (for citing)
Other Revenue Total$119,409OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$98,669,008TotalRevenueColumnAmt
Related Or Exempt Func Income$92,930,028RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,318,980ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$60,000TotalAmt
Program Services$60,000ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,316,867TotalAmt
Management And General$1,316,867ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$49,903,374TotalAmt
Program Services$42,594,845ProgramServicesAmt
Management And General$7,308,529ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,220,340TotalAmt
Program Services$1,931,696ProgramServicesAmt
Management And General$288,644ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$6,793,343TotalAmt
Program Services$5,881,139ProgramServicesAmt
Management And General$912,204ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,673,292TotalAmt
Program Services$3,176,906ProgramServicesAmt
Management And General$496,386ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$298,800TotalAmt
Management And General$298,800ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$60,631TotalAmt
Management And General$60,631ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$22,605TotalAmt
Management And General$22,605ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$937,756TotalAmt
Program Services$918,047ProgramServicesAmt
Management And General$19,709ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$738,389TotalAmt
Management And General$738,389ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$734,139TotalAmt
Program Services$607,272ProgramServicesAmt
Management And General$126,867ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$2,516,039TotalAmt
Management And General$2,516,039ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$190,771TotalAmt
Program Services$190,771ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$160,690TotalAmt
Program Services$113,103ProgramServicesAmt
Management And General$47,587ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$318,975TotalAmt
Program Services$284,605ProgramServicesAmt
Management And General$34,370ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$292,798TotalAmt
Management And General$292,798ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$5,007,736TotalAmt
Program Services$4,371,610ProgramServicesAmt
Management And General$636,126ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$424,598TotalAmt
Program Services$369,400ProgramServicesAmt
Management And General$55,198ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PURCH - LAB & PHARMACY$5,888,831$5,888,831
BAD DEBT$1,360,758$1,360,758
UTILITIES$979,010$868,197$110,813
GENERAL SUPPLIES$621,655$562,557$59,098

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$4,473,777TotalAmt
Program Services$3,749,480ProgramServicesAmt
Management And General$724,297ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$88,995,174TotalAmt
Program Services$72,929,217ProgramServicesAmt
Management And General$16,065,957ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$500BOYAmt
EOY$500EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$6,725,121BOYAmt
EOY$5,568,248EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$13,637,647BOYAmt
EOY$14,833,583EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$96,360BOYAmt
EOY$91,295EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$419,807BOYAmt
EOY$1,075,962EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$83,443,352LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$24,482,010LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$44,892,129BOYAmt
EOY$58,961,342EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$20,741,865BOYAmt
EOY$20,477,265EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$32,729,643BOYAmt
EOY$32,646,075EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$119,243,072BOYAmt
EOY$133,654,270EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$22,391,401BOYAmt
EOY$25,029,418EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$15,566,973BOYAmt
EOY$13,811,283EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$37,958,374BOYAmt
EOY$38,840,701EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$80,101,522BOYAmt
EOY$94,302,136EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,183,176BOYAmt
EOY$511,433EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$81,284,698BOYAmt
EOY$94,813,569EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$119,243,072BOYAmt
EOY$133,654,270EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$9,673,834ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,425,836NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$2,429,201OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$22,605OtherActivitiesAmt
Total Lobbying Expenditures$22,605TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationPORTION OF MEMBERSHIP FEES IDENTIFIED BY THE AMERICAN HOSPITAL ASSOCIATION, MICHIGAN HEALTH & HOSPITAL ASSOCIATION, COALITION PROTECTING AUTO NO FAULT, AMERICAN MEDICAL REHABILITATION PROVIDERS ASSOCIATION, AND PUBLIC AFFAIRS ASSOCIATES ARE ALLOCATED TO LOBBYING. CONTACTS WITH STATE AND FEDERAL LEGISLATORS THROUGH E-MAIL.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,102,670OtherCostOrOtherBasisAmt
Book Value$1,102,670BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$42,099,286OtherCostOrOtherBasisAmt
Depreciation$9,979,204DepreciationAmt
Book Value$32,120,082BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$395,497OtherCostOrOtherBasisAmt
Depreciation$381,414DepreciationAmt
Book Value$14,083BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$31,541,446OtherCostOrOtherBasisAmt
Depreciation$14,054,352DepreciationAmt
Book Value$17,487,094BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,304,453OtherCostOrOtherBasisAmt
Depreciation$67,040DepreciationAmt
Book Value$8,237,413BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$58,961,342TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
INVESTMENT IN JOINT VENTURE- REHABILITATION SERVICES$19,621,207
OTHER RECEIVABLES$7,617,004
DUE FROM MARY FREE BED FUND$293,185
PROCEEDS FROM CONSTRUCTION LOAN$5,109,904
DUE FROM MARY FREE BED GUILD$4,775
FieldValueIRS element (for citing)
Total Book Value Other Assets$32,646,075TotalBookValueOtherAssetsAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other145.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent250Yes (X)Percent250Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$445,012TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$445,012NetCommunityBenefitExpnsAmt
Total Expense0.00510TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,672,151TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,645,657DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,026,494NetCommunityBenefitExpnsAmt
Total Expense0.04590TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$125,913TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$44,815DirectOffsettingRevenueAmt
Net Community Benefit Expns$81,098NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$14,243,076TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,690,472DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,552,604NetCommunityBenefitExpnsAmt
Total Expense0.05190TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,491TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,491NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$386,043TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$122,500DirectOffsettingRevenueAmt
Net Community Benefit Expns$263,543NetCommunityBenefitExpnsAmt
Total Expense0.00300TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$666,427TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$554,829DirectOffsettingRevenueAmt
Net Community Benefit Expns$111,598NetCommunityBenefitExpnsAmt
Total Expense0.00130TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,625TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,625NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,063,586TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$677,329DirectOffsettingRevenueAmt
Net Community Benefit Expns$386,257NetCommunityBenefitExpnsAmt
Total Expense0.00450TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$15,306,662TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,367,801DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,938,861NetCommunityBenefitExpnsAmt
Total Expense0.05640TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$9,000NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$9,000NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$1,360,758BadDebtExpenseAmt
Bad Debt Expense Attributable$468,781BadDebtExpenseAttributableAmt
Reimbursed By Medicare$19,411,997ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$29,258,823CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$9,846,826MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARY FREE BED REHABILITATION HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1235 wealthy st seAddressLine1Txt
Citygrand rapidsCityNm
State AbbreviationMIStateAbbreviationCd
ZIP495035247ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.MARYFREEBED.COMWebsiteAddressTxt
State License10600000134StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1MARY FREE BED REHABILITATION HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttp://www.maryfreebed.com/about-us/chna/OwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLHTTPS://WWW.MHA.ORG/NEWSROOM/PUBLICATIONS/COMMUNITY-BENEFITOtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLhttp://www.maryfreebed.com/about-us/chna/StrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care145.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care250.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLHTTPS://WWW.MARYFREEBED.COM/FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLHTTPS://WWW.MARYFREEBED.COM/FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLHTTPS://WWW.MARYFREEBED.COM/FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Nondis Emergency Care Policy0NondisEmergencyCarePolicyInd
No Emergency CareYes (X)NoEmergencyCareInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
MARY FREE BED REHABILITATION HOSPITALPart V, Section B, Line 5: In an effort to align hospital services with the needs of our community, leaders from Mary Free Bed have analyzed secondary health assessment research conducted by local, state and federal agencies. The goal of this analysis was to ensure essential health needs of our community are being addressed by services available across the Mary Free Bed Rehabilitation Network. Mary Free Bed Rehabilitation Hospital intends to use this Community Health Needs Assessment to address the needs of our community at large in order to implement necessary and productive community-based programs.
MARY FREE BED REHABILITATION HOSPITALPart V, Section B, Line 6b: KENT COUNTY HEALTH DEPARTMENT
MARY FREE BED REHABILITATION HOSPITALPart V, Section B, Line 7d: Submitted to the MHA (Michigan Hospital Association)
MARY FREE BED REHABILITATION HOSPITALPart V, Section B, Line 11: Disability - Implementation Strategy: Provide comprehensive rehabilitation focused on the specialized needs of the increasing number of cancer survivors by increasing cancer rehabilitation and survivorship programs and services across the network - Measureable Outcome: Increase the number of oncology patients who have an encounter with a Mary Free Bed provider or team member across the network - Implementation Strategy: Maintain or increase initiatives and services offered through the Betty Bloomer Ford Cancer Rehabilitation Program - Measureable Outcome: Number of programs offered, [maintain or increase] community partnerships offered through the Betty Bloomer Ford Cancer Rehabilitation Program - Implementation Strategy: Increase patient self-management and awareness of body weight, nutrition, and chronic disease risk - Measureable Outcome: Increase the number of patients enrolled in the Mary Free Bed Weight Management Program - Measureable Outcome: Increase the number of patient encounters with the Outpatient Nutrition Program dietitian - Implementation Strategy: Implement use of the Kent County Health Department Community Nutrition Survey on access to Healthy Food Choices across the continuum (KCCNA 2015) - Measureable Outcome: Obtain and report to Kent County results of access to Healthy Food Choices survey as reported by patients - Implementation Strategy: Improve physical, emotional and mental health of persons with disabilities by receiving Recreational Therapy Services - Measureable Outcome: FIM Scores or other HRQOL pre-post assessments, maintain or improve the functionality and quality of life for persons with disabilities or impairments who receive inpatient Recreational Therapy servicesSpecific Needs Identified in CHNA: Chronic DiseaseSpecific Needs Identified in CHNA: Nutrition & ObesitySpecific Needs Identified in CHNA: Mental Health & Quality of Life - Implementation Strategy: Maintain targeted efforts toward utilizers of Mary Free Bed Rehabilitation Hospital's Wheelchair and Adaptive Sports programs and services - Measurable Outcome: number of participants, maintain or increase the clinics and teams offered by Wheelchair and Adaptive Sports for persons with disabilities or impairments - Implementation Strategy: Promote the health and well-being of persons with disabilities who have the opportunity to take part in the Driver Rehabilitation Program - Measureable Outcome: Maintain or increase the number of persons engaging in the Driver Rehabilitation Program - Implementation Strategy: Using health information technology, improve coordination of care and services across the continuum of care and services - Measureable Outcome: Using health information technology, increase the number of persons with complex care needs who are being medically managed with a nurse case manager or nurse navigator - Measureable Outcome: Reduce delays in access to care through tracking time of inbound calls to conversion to an appointment or speaking with a team member for information (access center) - Implementation Strategy: Expand capacity for NEXT Steps Day Rehab Program for patients who require intensive rehabilitation services in an outpatient setting - Measureable Outcome: Increase access to NEXT Steps Day Rehab Program as measured by patient encounters with program staff - Implementation Strategy: Maintain Universal Access practices to assure access to quality health care in the Post-Acute Care Setting (2013 MFB CHNA) - Measureable Outcome: Accept for treatment, all patients whom are clinically appropriate regardless of their ability to pay (see MFB 2016-2018 CHNA for universal access definition) - Implementation Strategy: Maintain or improve the proportion of community members, including the uninsured and working poor, that access healthcare services at MFB (2013 MFB CHNA) - Measureable Outcome: Maintain or increase the number of charity and Medicaid patients treated over the cycle - Implementation Strategy: Expand out-patient services statewide by 2018 (MFB SO1.8) - Measureable Outcome: Maintain or increase in patient visits seen by outpatient encountersSpecific Needs Identified in CHNA: AccessPAGE 4 - Implementation Strategy: Expand the capacity for post-acute care by increasing the number of referral sources - Measureable Outcome: Increase number of inpatient visits from referral sources seen by MFB providers - Implementation Strategy: Expand capacity for post-acute care through the development of two new subspecialty inpatient programs in our Network (Lansing & Muskegon)(MFB SO1.3) - Measureable Outcome: Increase in inpatient subspecialty visits seen in Lansing & Muskegon by an MFB provider - Implementation Strategy: Maintain or expand MFB Rehabilitation Home & Community Services Program of receiving therapy at home for brain or spinal cord injury patients (new) - Measureable Outcome: Maintain or increase the number of patients seen by Home & Community Services providers - Implementation Strategy: Maintain or increase initiatives and services offered through MFB Wheelchair and adaptive sports - Measureable Outcome: Number of programs offered by Wheelchair and Adaptive Sports - Implementation Strategy: Maintain or increase initiatives, services, and community partnerships offered through the MFB YMCA - Measureable Outcome: Number of visits of guests having a disability or impairment who access the MFB YMCACompetent Workforce - Implementation Strategy: Maintain or increase initiatives and services offered through medical & health education that are focused on post-acute care and rehabilitation - Measureable Outcome: Number of attendees - Measureable Outcome: Number of medical education events and certifications offered at MFB open to MFB and West Michigan Community members that are focused on post-acute care and rehabilitation - Implementation Strategy: Reduce risk of chronic disease, improve cardiovascular health, and promote quality of life in the MFB workforceSpecific Needs Identified in CHNA: DisabilitySpecific Needs Identified in CHNA: Chronic Disease, Nutrition & ObesityPAGE 5through the implementation of a comprehensive Employee Wellness Program (MFB SO4.3) and use of population health management reports (new) - Measureable Outcome: Use population health management values to drive employee wellness initiatives and challenges - Measureable Outcome: Improve nutritional habits by increasing number of employees accessing the Outpatient Registered Dietician via health care claims data or encounters - Measureable Outcome: Improve BMI and weight status awareness by increasing the number of employees who regularly participate in the MFB Healthy! You Wellness Program or other weight management program - Measureable Outcome: Improve physical activity levels among MFB employees through peer exercise/physical activity challenges - Measureable Outcome: Improve employee life satisfaction per self-reported life satisfaction on population health management reportsOther needs identified in CHNA not addressed in this strategyMary Free Bed Rehabilitation Hospital's Community Health Needs Assessment and Implementation Plan will address the three aforementioned community identified health needs. While the CHNA and IP chose to focus on hospital resources that strengthen these three community needs areas, it is important to recognize that these are not the only needs being addressed by the hospital. The Mary Free Bed IP will not address certain community needs identified by the Kent County CHNA- such as substance abuse or violence and safety. While these needs were identified in our community, and Mary Free Bed has an obligation to assess patients for these conditions, however, other area organization are better able to allocate resources to these needs as they relate to persons in the community.Monitoring of Implementation Strategy and reporting of outcomesMary Free Bed has identified individuals within the organization who will be accountable for each strategy. In addition, a workgroup has been established to identify metrics of measurement for each outcome. Systems and processes are being put into place to obtain specific measures and track each health need. These measures will be collected annually and results submitted to the Board and Mary Free Bed Community. Upon review, adjustments or changes will be made to the strategies and measurable outcomes as deemed appropriate or necessary.
MARY FREE BED REHABILITATION HOSPITALPart V, Section B, Line 13h: SELF PAY PATIENTS CHARGE AMOUNTS WERE BASED ON THE OVERALL AVERAGE OF NET COLLECTIONS AND CONSIDERED CHARITY, BAD DEBTS, MEDICARE, MEDICAID, AND ALL OTHER PAYERS.

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 7, Column (f):The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 1,360,758.
Part III, Line 2:FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES FOR AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDE BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THE THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE.
Part III, Line 3:LOOKED AT HIGHT DOLLAR BAD-DEBT WRITEOFFS ON INPATIENT ACCOUNTS TO DETERMINE WHY THERE WAS NO INSURANCE COVERAGE. A PERCENTAGE OF 34.45% WAS DERIVED BASED ON PATIENT FINANCIAL SERVICE NOTES STATING THE PATIENTS WERE LIKELY ELIGIBLE FOR CFA, BUT THE PATIENT/GUARANTOR DID NOT PROVIDE THE NECESSARY INFORMATION TO MEDICAID, MFB, OR TO ANY OTHER ACUTE HOSPITAL INVOLVED IN THEIR CARE DESPITE REPEATED ATTEMPTS TO OBTAIN THIS INFORMATION.
Part III, Line 4:ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES. AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ESTABLISHED ON AN AGGREGATE BASIS BY USING HISTORICAL WRITE-OFF RATE FACTORS APPLIED TO UNPAID ACCOUNTS BASED ON AGING. LOSS RATE FACTORS ARE BASED ON HISTORICAL LOSS EXPERIENCE AND ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE HOSPITAL'S ABILITY TO COLLECT OUTSTANDING AMOUNTS. UNCOLLECTIBLE AMOUNTS ARE WRITTEN OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE. AN ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS AND INTERIM PAYMENT ADVANCES IS BASED ON EXPECTED PAYMENT RATES FROM PAYORS BASED ON CURRENT REIMBURSEMENT METHODOLOGIES. THIS AMOUNT ALSO INCLUDES AMOUNTS RECEIVED AS INTERIM PAYMENTS AGAINST UNPAID CLAIMS BY CERTAIN PAYORS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE.
Part III, Line 8:(1) MEDICARE GROSS REIMBURSEMENTS AMOUNTS WERE TAKEN FROM THE CMS PROVIDER STATISTICAL AND REIMBURSEMENT SYSTEM REPORT (PS&R REPORT) LESS SEQUESTRATION DEDUCTIONS PLUS MEDICARE MCO GROSS REVENUES FROM INTERNAL PAYER MIX REPORTS TIMES A CALCULATED REIMBURSEMENT % BASED ON ZERO BALANCE SHEET ACCOUNTS.(2) ALL OF THE MEDICARE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT BECAUSE SERVICES ARE PROVIDED WITH THE FULL RECOGNITION THAT MEDICARE REIMBURSEMENT WILL BE INSUFFICIENT TO COVER THE COSTS OF PROVIDING THOSE SERVICES.(3) THE COST TO CHARGE RATIO WAS CALCULATED BASED ON THE FY2017 MEDICARE COST REPORT.
Part III, Line 9b:ALL PATIENTS RECEIVING CHARITY CARE HAVE A UNIQUE FINANCIAL CLASS ASSIGNED TO THEM. ALL CHARITY CARE ACCOUNTS ARE EXCLUDED FROM ACCOUNTS BEING SENT TO THE COLLECTION AGENCY.
Part VI, Line 2:THE HEALTHCARE NEEDS OF THE COMMUNITIES SERVED ARE DETERMINED THROUGH THE HOSPITAL'S ANNUAL STRATEGIC PLANNING PROCESS AND A COMMUNITY-WIDE SURVEY BY THE KENT COUNTY HEALTH DEPARTMENT. INPUTS FROM PATIENTS, FAMILIES OF PATIENTS, REFERRING PHYSICIANS, HOSPITAL DISCHARGE PLANNERS, AS WELL AS INFORMATION FROM OTHER COMMUNITY HEALTHCARE PROVIDERS ARE USED TO DETERMINE THE REHAB HEALTHCARE NEEDS OF THE COMMUNITIES SERVED.
Part VI, Line 3:EACH PATIENT RECEIVES AN INFORMATION PACKET WHICH INCLUDES A COPY OF OUR CHARITY CARE POLICY AND APPLICATION. FURTHER, IF ANY SERVICES ARE NOT COVERED OR PARTIALLY COVERED, PATIENTS ARE CONTACTED AND CHARITY IS AGAIN OFFERED, IF APPROPRIATE. MANY OF OUR PATIENTS COME FROM AN ACUTE CARE HOSPITAL WITH SIMILAR CHARITY POLICIES; WE ARE OFTEN ABLE TO CONTACT THE REFERRING HOSPITAL TO DISCUSS A PATIENT'S ELIGIBILITY.
Part VI, Line 4:THE HOSPITAL PRIMARILY SERVES KENT COUNTY IN WESTERN MICHIGAN AND 12 OR SO SURROUNDING COUNTIES. KENT COUNTY HAD 602,600 PEOPLE IN 2010. APPROXIMATELY 75% OF THE RESIDENTS WERE WHITE, AND 10% WERE BLACK/AFRICAN AMERICAN. IN 2014, 14% HAD NO HIGH SCHOOL DIPLOMA, AND 86% HAD A HIGH SCHOOL DIPLOMA OR GED EQUIVALENT. IN 2014, 14.6% OF ITS RESIDENTS LIVED BELOW THE POVERTY LEVEL.
Part VI, Line 5:MARY FREE BED REHABILITATION HOSPITAL HAS AN OPEN MEDICAL STAFF AND A COMMUNITY BOARD. THE HOSPITAL AND A SISTER CORPORATION, THE MARY FREE BED FUND, USE SURPLUS AND DONATED FUNDS FOR A VARIETY OF ACTIVITIES TO SUPPORT THE HEALTH OF OUR GENERAL COMMUNITY AND MORE SPECIFICALLY, THE HEALTH AND WELL BEING OF PERSONS WITH DISABILITIES.
Part VI, Line 7, Reports Filed With StatesMI

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1HEART OF WEST MICHIGAN UNITED WAYBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1118 COMMERCE AVE SWAddressLine1Txt
CityGRAND RAPIDSCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49503ZIPCd
FieldValueIRS element (for citing)
Recipient EIN680480736RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$60,000CashGrantAmt
Purpose Of GrantHEALTH AND HUMAN SERVICESPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KENT RIDDLE
PRESIDENT$520,852$0$75,000$0$0$0$14,575$0$14,464$0$624,891$0$0$0
MIKE JAKUBOWSKI MD
TRUSTEE$389,829$0$41,503$0$0$0$18,831$0$16,981$0$467,144$0$0$0
WILLIAM VANDENBERG MD
DIRECTOR - THROUGH 12/18$0$202,864$0$0$0$0$0$19,875$0$11,558$0$234,297$0$0
RANDALL DENEFF
VP OF FINANCE$248,549$0$25,077$0$0$0$15,185$0$11,129$0$299,940$0$0$0
INGRID CHESLEK
CHIEF NURSING OFFICER$242,065$0$0$0$0$0$0$0$12,793$0$254,858$0$0$0
THOMAS STRANZ
VP OF INPATIENT SERVICES$212,347$0$26,000$0$0$0$2,510$0$5,032$0$245,889$0$0$0
JEFF GARBER
VP OF NETWORK DEVELOPMENT$227,384$0$14,123$0$0$0$11,460$0$6,776$0$259,743$0$0$0
TIMOTHY PIETRYGA
VP OF ADVANCEMENT & DEVELOPMENT$150,911$0$40,000$0$0$0$8,293$0$16,953$0$216,157$0$0$0
BRUCE BRASSER
VP OF NETWORK OPERATIONS$192,850$0$10,242$0$0$0$11,970$0$16,981$0$232,043$0$0$0
GEORGE MEYER
VP OF OUTPATIENT SERVICES$171,893$0$15,000$0$0$0$6,714$0$12,793$0$206,400$0$0$0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
KENT HOSPITAL FINANCE AUTHORITY
A3823500022012-10-26$14,000,000PARTIAL FUNDING OF NEW HOSPITAL ADDITION000
KENT HOSPITAL FINANCE AUTHORITY
B3641421142014-12-18$8,500,000pARTIAL FUNDING OF EXISTING HOSPITAL RENOVATION000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtCapital ExpendituresCapitalExpendituresAmtCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$14,000,000$14,000,00000Yes (1)Yes (1)
B$8,500,000$8,500,00000Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0000000
B0000000

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A000Yes (1)00000
B000Yes (1)00000

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
A0
B0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceDate Rebate Computation PerformedFormAndLineReferenceDesc
ExplanationIssuer Name: KENT HOSPITAL FINANCE AUTHORITY Date the Rebate Computation was Performed: 03/31/2017 Issuer Name: KENT HOSPITAL FINANCE AUTHORITY Date the Rebate Computation was Performed: 03/31/2017ExplanationTxt

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)EQUIPMENT2$55,000FMV
Yes (X)GOODS4$14,784FMV
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Column (b):FormAndLineReferenceDesc
ExplanationTHE AMOUNT LISTED IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part I, Item CDBA: MARY FREE BED HOSPITAL AND REHABILITATION CENTER DBA: MARY FREE BED TRANSITIONAL CENTER
Form 990, Part VI, Section A, line 2SUE TAYLOR AND JENNIFER TAYLOR HAVE A FAMILY RELATIONSHIP.
Form 990, Part VI, Section A, line 6THE ORGANIZATION HAS ONE SHAREHOLDER, MARY FREE BED GUILD, AS DICTATED BY THE BY-LAWS.
Form 990, Part VI, Section A, line 7aTHE SOLE SHAREHOLDER, MARY FREE BED GUILD, HOLDS 50% OF THE BOARD POSITIONS WHICH EXERCISE THE RIGHT TO ELECT HOSPITAL BOARD MEMBERS.
Form 990, Part VI, Section A, line 7bTHE SOLE SHAREHOLDER MUST APPROVE CERTAIN HOSPITAL BOARD TRANSACTIONS SUCH AS REAL ESTATE TRANSACTIONS.
Form 990, Part VI, Section B, line 11bTHE VP OF FINANCE REVIEWS THE 990. NO REVIEW WAS OR WILL BE CONDUCTED BY THE GOVERNING BODY PRIOR TO FILING. AFTER COMPLETION OF THE RETURN, THE RETURN WILL BE POSTED TO THE INTERNAL WEBSITE PORTAL FOR ALL BOARD MEMBERS.
Form 990, Part VI, Section B, line 12cCONFLICT OF INTEREST POLICIES ARE UPDATED ANNUALLY BY ALL BOARD MEMBERS, OFFICERS, AND STAFF. PROCESS IS ADMINISTERED OUT OF THE EXECUTIVE ADMINISTRATION OFFICE. ANY DISCLOSED CONFLICTS OF INTEREST ARE DISCLOSED TO THE BOARD OF DIRECTORS AND ASSURANCES OBTAINED THAT NO ILLEGAL OR SUBSIDIZED ACTIVITIES ARE OCCURRING. ALL DISCLOSURES ARE REVIEWED BY THE HOSPITAL'S COMPLIANCE COMMITTEE. IF A CONFLICT OF INTEREST IS EXPOSED, THE INDIVIDUAL WHO IS THE SUBJECT OF THE CONFLICT IS EXCUSED FROM THE MEETING SO THE REST OF THE BOARD MAY DISCUSS THE ISSUE AND TAKE APPROPRIATE ACTION.
Form 990, Part VI, Section B, line 15THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES DETERMINES THE COMPENSATION FOR THE HOSPITAL'S PRESIDENT AND MEDICAL DIRECTOR. MARKET SURVEY DATA OF COMPARABLE SALARIES IS USED TO ESTABLISH BASE SALARY. FORM 990S OF SIMILAR ORGANIZATIONS ARE ALSO USED TO ESTABLISH COMPENSATION FOR THE PRESIDENT AND THE MEDICAL DIRECTOR. AN INCENTIVE PLAN WITH SPECIFIC MEASURES AND WEIGHTINGS FOR FINANCIAL, QUALITY, CUSTOMER SATISFACTION, AND INDIVIDUAL GOALS IS ALSO IN PLACE FOR THE PRESIDENT AND MEDICAL DIRECTOR. THIS PROCESS WAS MOST RECENTLY UNDERTAKEN IN 2017.
Form 990, Part VI, Section C, line 19GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT AVAILABLE FOR PUBLIC INSPECTION. FINANCIAL STATEMENTS ARE SUMMARIZED IN AN ANNUAL REPORT WHICH IS AVAILABLE TO THE PUBLIC.
Form 990, Part XI, line 9:PENSION RELATED CHANGES 1,806,166. INCREASE IN EQUITY JOINT VENTURE 2,073,035. TRANSFER TO MARY FREE BED MEDICAL GROUP -1,450,000.
FORM 990, PART XII, LINE 2C:THERE HAS BEEN NO CHANGE IN PROCESS FROM PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
MARY FREE BED GUILD
235 WEALTHY STREET SEGRAND RAPIDSMI49503382649369CHARITABLE HEALTHCAREMI501(c)(3)Line 7N/A0
MARY FREE BED ORTHOTICS AND PROSTHETICS
235 WEALTHY STREET SEGRAND RAPIDSMI49503382643391ORTHOTICS & PROSTHETICSMI501(c)(3)Line 10Yes (1)MARY FREE BED GUILD
MARY FREE BED FUND
235 WEALTHY STREET SEGRAND RAPIDSMI49503382643392SUPPORTING ORGANIZATIONMI501(c)(3)Line 12a, IYes (1)marY FREE BED GUILD
MARY FREE BED MEDICAL GROUP
235 WEALTHY STREET SEGRAND RAPIDSMI49503271589392PHYSICIAN SERVICESMI501(c)(3)Line 12a, IYes (1)MARY FREE BED REHABILITATION HOSPITAL
MARY FREE BED REHABILITATION HOSPITAL FOUNDATION
235 WEALTHY STREET SEGRAND RAPIDSMI49503461164285SUPPORTING ORGANIZATIONMI501(c)(3)Line 12a, IYes (1)MARY FREE BED REHABILITATION HOSPITAL
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
MARY FREE BED ORTHOTICS AND PROSTHETICS
O$841,805ACTUAL COSTS INCURRED
MARY FREE BED ORTHOTICS AND PROSTHETICS
J$73,476ACTUAL COSTS INCURRED
MARY FREE BED FUND
L$104,650CASH
MARY FREE BED ORTHOTICS AND PROSTHETICS
M$398,883ACTUAL COSTS INCURRED
MARY FREE BED REHABILITATION HOSPITAL FOUNDATION
C$2,695,224CASH
MARY FREE BED MEDICAL GROUP
B$1,450,000CASH
MARY FREE BED FUND
C$1,048,414CASH

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