MARY FREE BED REHABILITATION HOSPITAL: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- MARY FREE BED REHABILITATION HOSPITAL (EIN 38-1359265)
- Tax period
- 2015-04-01 to 2016-03-31
- Filed
- 2017-02-01
- IRS object ID
- 201700329349300320
- Schema version
- 2015v3.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-02-01T09:25:51-06:00 | ReturnTs |
| Tax Period End | 2016-03-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 381357951 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLANTE & MORAN PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 750 Trade Centre Way Ste 300 | AddressLine1Txt |
| City | Portage | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49002 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-04-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 381359265 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARY FREE BED REHABILITATION HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MARY | BusinessNameControlTxt |
| Phone | 8005288989 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 235 WEALTHY ST SE | AddressLine1Txt |
| City | GRAND RAPIDS | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 495035247 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RANDALL L DENEFF | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 8005288989 | PhoneNum |
| Signature | 2017-01-18 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Carol LaLonde CPA | PreparerPersonNm |
| PTIN | P00181637 | PTIN |
| Phone | 2695674500 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARY FREE BED HOSPITAL AND REHABILITATION CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | RANDALL L DENEFF | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 235 WEALTHY ST SE | AddressLine1Txt |
| City | GRAND RAPIDS | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 495035247 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $115,661,449 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.maryfreebed.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1913 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or Mission | HELPING 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 Body | 24 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 22 | VotingMembersIndependentCnt |
| Total Employee | 1264 | TotalEmployeeCnt |
| Total Volunteers | 172 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $6,335,221 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,554,156 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $64,535,239 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $79,234,240 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,548,844 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,034,711 | CYInvestmentIncomeAmt |
| PY Other Revenue | $666,280 | PYOtherRevenueAmt |
| CY Other Revenue | $454,952 | CYOtherRevenueAmt |
| PY Total Revenue | $75,085,584 | PYTotalRevenueAmt |
| CY Total Revenue | $87,278,059 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $2,806,563 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $3,341,622 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $51,492,165 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $54,194,831 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $18,525,816 | PYOtherExpensesAmt |
| CY Other Expenses | $20,815,435 | CYOtherExpensesAmt |
| PY Total Expenses | $72,824,544 | PYTotalExpensesAmt |
| CY Total Expenses | $78,351,888 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,261,040 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $8,926,171 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $114,903,720 | TotalAssetsBOYAmt |
| Total Assets EOY | $119,494,091 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $39,258,710 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $38,209,393 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $75,645,010 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $81,284,698 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | RESTORING HOPE AND FREEDOM THROUGH REHABILITATION. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $13,835,941 | ExpenseAmt |
| Revenue | $25,671,894 | RevenueAmt |
| Desc | PROVIDE THERAPY AND OTHER MEDICAL SERVICES FOR 28,993 PATIENT DAYS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $15,131,869 | ExpenseAmt |
| Revenue | $18,445,731 | RevenueAmt |
| Desc | PROVIDE OUTPATIENT REHABILITATION AND CLINIC SERVICES FOR APPROXIMATELY 85,105 PATIENT VISITS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $12,463,781 | ExpenseAmt |
| Revenue | $21,662,641 | RevenueAmt |
| Desc | PROVIDE NURSING SERVICES AND INFECTION CONTROL FOR 28,993 PATIENT DAYS. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $22,113,207 | ExpenseAmt |
| Grant | $3,341,622 | GrantAmt |
| Revenue | $13,453,974 | RevenueAmt |
| Desc | REHABILITATION 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $22,113,207 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $3,341,622 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $13,453,974 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $63,544,798 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 75 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1264 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 24 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 22 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RANDALL DENEFF | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6168408317 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 235 WEALTHY ST SE | AddressLine1Txt |
| City | GRAND RAPIDS | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49503 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| MIKE JAKUBOWSKI MD | ||||||||
| MEDICAL DIRECTOR | 50.00 | 2.00 | Yes (X) | Yes (X) | $391,418 | $0 | $33,985 | |
| KENT RIDDLE | ||||||||
| PRESIDENT | 51.00 | 1.00 | Yes (X) | Yes (X) | $580,909 | $0 | $15,960 | |
| DAVID MUIR | ||||||||
| CHAIRMAN | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MOLLY KRAUSS | ||||||||
| VICE CHAIRMAN | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| CAROL SPRINGER | ||||||||
| SECRETARY | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| CHAD BUSH | ||||||||
| TREASURER | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| VICKIE DODGE | ||||||||
| ASSISTANT TREASURER - TRHOUGH 7/6 | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MARGARET NAULT | ||||||||
| ASSISTANT TREASURER - AFTER 7/6 | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JOAN KULLGREN | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JAN LIPPERT | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| GREG CONWAY | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JAMES MOYER | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| TERRENCE O'ROURKE | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MIKE WILLIAMS | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MIKE ANDARY MD | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| ANN CHAPMAN DEBES | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| ROGER SPOELMAN | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JENNIFER TAYLOR | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| SUE TAYLOR | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| WILLIAM VANDENBERG MD | ||||||||
| DIRECTOR | 1.00 | 40.00 | Yes (X) | $0 | $346,052 | $27,291 | ||
| SHELLEY MISHLER | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JULIE RIDENOUR | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| KIM RIDINGS | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MICHELLE SUCHOVSKY-GABROSEK | ||||||||
| DIRECTOR - AFTER 7/6 | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JEANNE SKILTON | ||||||||
| DIRECTOR - AFTER 7/6 | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| DAN VAUGHAN | ||||||||
| DIRECTOR - THROUGH 7/6 | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| NANCY ALBERS | ||||||||
| DIRECTOR - THROUGH 7/6 | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| SUSAN BLOSS | ||||||||
| DIRECTOR - THROUGH 7/6 | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| RANDALL DENEFF | ||||||||
| VP OF FINANCE | 45.00 | 3.00 | Yes (X) | $200,806 | $0 | $25,134 | ||
| THOMAS STRANZ | ||||||||
| VP OF INPATIENT SERVICES | 45.00 | 0.00 | $193,700 | $0 | $7,602 | Yes (X) | ||
| JEFF GARBER | ||||||||
| VP OF NETWORK DEVELOPMENT | 45.00 | 0.00 | $258,556 | $0 | $16,556 | Yes (X) | ||
| GEORGE MEYER | ||||||||
| VP OF OUTPATIENT SERVICES | 45.00 | 0.00 | $175,842 | $0 | $18,172 | Yes (X) | ||
| TIMOTHY PIETRYGA | ||||||||
| VP OF ADVANCEMENT & DEVELOPMENT | 45.00 | 1.00 | $192,830 | $0 | $23,843 | Yes (X) | ||
| BRUCE BRASSER | ||||||||
| VP OF NETWORK OPERATIONS | 45.00 | 2.00 | $180,117 | $0 | $27,521 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,174,178 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $346,052 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $196,064 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 29 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MILLER JOHNSON SNELL & CUMMISKY | |||||
| PO BOX 306 | GRAND RAPIDS | MI | 49501 | LEGAL SERVICES | $461,094 |
| DICKINSON WRIGHT | |||||
| 200 OTTAWA AVE NW STE 1000 | GRAND RAPIDS | MI | 49503 | LEGAL SERVICES | $264,813 |
| REHAB & PHYSICAL MEDICINE SPECIALISTS | |||||
| 350 LAFAYETTE STE 301 | GRAND RAPIDS | MI | 49503 | MEDICAL SERVICES | $154,168 |
| INTERPRETER NETWORK | |||||
| 4079 PARK EAST COURT STE 10 | GRAND RAPIDS | MI | 49546 | INTERPRETER SERVICES | $104,416 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $5,338,244 | RelatedOrganizationsAmt |
| All Other Contributions | $215,912 | AllOtherContributionsAmt |
| Noncash Contributions | $24,142 | NoncashContributionsAmt |
| Total Contributions | $5,554,156 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Patient Service Revenue | 621400 | $65,834,815 | $65,834,815 |
| Contract Service Revenue | 621400 | $12,944,449 | $12,944,449 |
| Program Expense Reimbursement | 621400 | $454,976 | $454,976 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $79,234,240 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $603,961 | TotalRevenueColumnAmt |
| Exclusion | $603,961 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $428,639 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $428,639 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $428,639 | TotalRevenueColumnAmt |
| Exclusion | $428,639 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $29,814,140 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $28,383,390 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,430,750 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,430,750 | TotalRevenueColumnAmt |
| Exclusion | $1,430,750 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| Computer/System Support | 541519 | $15,450 | $15,450 |
| Donation Processing Support | 541900 | $10,863 | $10,863 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $26,313 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $87,278,059 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $79,234,240 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,489,663 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,341,622 | TotalAmt |
| Program Services | $3,341,622 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,248,816 | TotalAmt |
| Management And General | $1,248,816 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,051,015 | TotalAmt |
| Program Services | $35,354,900 | ProgramServicesAmt |
| Management And General | $6,696,115 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,619,471 | TotalAmt |
| Program Services | $1,439,179 | ProgramServicesAmt |
| Management And General | $180,292 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,043,577 | TotalAmt |
| Program Services | $5,289,775 | ProgramServicesAmt |
| Management And General | $753,802 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,231,952 | TotalAmt |
| Program Services | $2,704,394 | ProgramServicesAmt |
| Management And General | $527,558 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $626,937 | TotalAmt |
| Management And General | $626,937 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $94,144 | TotalAmt |
| Management And General | $94,144 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,947 | TotalAmt |
| Management And General | $17,947 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $441,084 | TotalAmt |
| Program Services | $379,725 | ProgramServicesAmt |
| Management And General | $61,359 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $281,881 | TotalAmt |
| Management And General | $281,881 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $868,532 | TotalAmt |
| Program Services | $677,324 | ProgramServicesAmt |
| Management And General | $191,208 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,423,831 | TotalAmt |
| Management And General | $2,423,831 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $142,417 | TotalAmt |
| Program Services | $111,728 | ProgramServicesAmt |
| Management And General | $30,689 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $245,205 | TotalAmt |
| Program Services | $208,328 | ProgramServicesAmt |
| Management And General | $36,877 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $239,558 | TotalAmt |
| Program Services | $208,415 | ProgramServicesAmt |
| Management And General | $31,143 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,290,963 | TotalAmt |
| Program Services | $3,733,138 | ProgramServicesAmt |
| Management And General | $557,825 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $334,278 | TotalAmt |
| Program Services | $253,106 | ProgramServicesAmt |
| Management And General | $81,172 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PURCH - LAB & PHARMACY | $5,146,832 | $5,146,832 | |
| UTILITIES | $956,993 | $921,151 | $35,842 |
| BAD DEBT | $735,041 | $735,041 | |
| PENSION expense | $646,329 | $614,013 | $32,316 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,323,463 | TotalAmt |
| Program Services | $2,426,127 | ProgramServicesAmt |
| Management And General | $897,336 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,351,888 | TotalAmt |
| Program Services | $63,544,798 | ProgramServicesAmt |
| Management And General | $14,807,090 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $500 | BOYAmt |
| EOY | $500 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,770,881 | BOYAmt |
| EOY | $6,725,121 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,338,591 | BOYAmt |
| EOY | $13,637,647 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $102,272 | BOYAmt |
| EOY | $96,360 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $924,511 | BOYAmt |
| EOY | $419,807 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $72,001,973 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $27,109,844 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,741,707 | BOYAmt |
| EOY | $44,892,129 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,268,057 | BOYAmt |
| EOY | $20,741,865 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,757,201 | BOYAmt |
| EOY | $32,980,662 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $114,903,720 | BOYAmt |
| EOY | $119,494,091 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,710,624 | BOYAmt |
| EOY | $22,391,401 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,548,086 | BOYAmt |
| EOY | $15,817,992 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,258,710 | BOYAmt |
| EOY | $38,209,393 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,447,808 | BOYAmt |
| EOY | $80,101,522 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,197,202 | BOYAmt |
| EOY | $1,183,176 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,645,010 | BOYAmt |
| EOY | $81,284,698 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $114,903,720 | BOYAmt |
| EOY | $119,494,091 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $8,926,171 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$3,316,069 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $29,586 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $17,947 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $17,947 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | PORTION OF MEMBERSHIP FEES IDENTIFIED BY THE AMERICAN HOSPITAL ASSOCIATION, MICHIGAN HEALTH & HOSPITAL ASSOCIATION, COALITION PROTECTING AUTO NO FAULT, AMERICAN MEDICAL REHABILITATION PROVIDERS ASSOCIATION, PUBLIC AFFAIRS ASSOCIATES. CONTACTS WITH STATE AND FEDERAL LEGISLATORS THROUGH E-MAIL. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,102,670 | OtherCostOrOtherBasisAmt |
| Book Value | $1,102,670 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $35,687,923 | OtherCostOrOtherBasisAmt |
| Depreciation | $11,476,554 | DepreciationAmt |
| Book Value | $24,211,369 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $419,031 | OtherCostOrOtherBasisAmt |
| Depreciation | $396,031 | DepreciationAmt |
| Book Value | $23,000 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $28,242,188 | OtherCostOrOtherBasisAmt |
| Depreciation | $14,839,670 | DepreciationAmt |
| Book Value | $13,402,518 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,550,161 | OtherCostOrOtherBasisAmt |
| Depreciation | $397,589 | DepreciationAmt |
| Book Value | $6,152,572 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $44,892,129 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| INVESTMENT IN JOINT VENTURE- REHABILITATION SERVICES | $16,957,022 |
| OTHER RECEIVABLES | $3,960,244 |
| DUE FROM MARY FREE BED FUND | $51,340 |
| PROCEEDS FROM CONSTRUCTION LOAN | $12,008,352 |
| DUE FROM MARY FREE BED GUILD | $3,704 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $32,980,662 | TotalBookValueOtherAssetsAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 145.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent250 | Yes (X) | Percent250Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $400,390 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $400,390 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00510 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,560,263 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,567,972 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,992,291 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03820 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,960,653 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,567,972 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,392,681 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04330 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,364 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,364 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $431,748 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $431,748 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00550 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $341,255 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $161,462 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $179,793 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00230 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $21,552 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $21,552 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $797,919 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $161,462 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $636,457 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00810 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,758,572 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,729,434 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,029,138 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05140 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $735,041 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $200,700 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $18,256,532 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $22,442,340 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$4,185,808 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARY FREE BED REHABILITATION HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 235 wealthy st se | AddressLine1Txt |
| City | grand rapids | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 495035247 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.MARYFREEBED.COM | WebsiteAddressTxt |
| State License | 1060000134 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARY FREE BED REHABILITATION HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | http://www.maryfreebed.com/about-us/chna/ | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | http://www.maryfreebed.com/about-us/chna/ | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 145.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 250.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.MARYFREEBED.COM | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.MARYFREEBED.COM | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.MARYFREEBED.COM | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | 0 | NondisEmergencyCarePolicyInd |
| No Emergency Care | Yes (X) | NoEmergencyCareInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| MARY FREE BED REHABILITATION HOSPITAL | Part 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 HOSPITAL | Part V, Section B, Line 6b: KENT COUNTY HEALTH DEPARTMENT |
| MARY FREE BED REHABILITATION HOSPITAL | Part V, Section B, Line 7d: Submitted to the MHA (Michigan Hospital Association) |
| MARY FREE BED REHABILITATION HOSPITAL | Part 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 HOSPITAL | Part 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. |
| MARY FREE BED REHABILITATION HOSPITAL | Part V, Section B, Line 22d: AMOUNTS WERE CALCULATED USING THE AVERAGE PAYMENT RATE OF ALL PAYERS. |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7, COLUMN (F): | THE BAD DEBT EXPENSE INCURRED ON FORM 990, PART IX, LINE 25(A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $735,041. |
| 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 high dollar bad-debt writeoffs on inpatient accounts to determine why there was no insurance coverage. Found 3 patients who never completed CFA paperwork, Medicaid paperwork, or failed to responded to other possible insurance questions. Unable to reach by home, social workers unable to help, phones disconnected, etc. |
| 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) Took Medicare plus Medicare MCO revenues from the payer mix reports, and applied an estimated Cost-to-charge ratio. (2) All of the Medicare shortfall should be considered a community benefit because services were provided at less than our costs. (3) a estimated cost to charge ratio was used |
| 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 about 10% black/African American. About 10% of the population has no high school diploma and 50% have a high school diploma or GED equivalent. In 2009, 14.5% 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 States | MI |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| HEART OF WEST MICHIGAN UNITED WAY | |||||||
| 118 COMMERCE AVE SW | GRAND RAPIDS | MI | 49503 | 680480736 | 501(C)(3) | $70,000 | HEALTH AND HUMAN SERVICES |
| MARY FREE BED MEDICAL GROUP | |||||||
| 235 WEALTHY ST SW | GRAND RAPIDS | MI | 49503 | 271589392 | 501(C)(3) | $3,271,622 | PROGRAM SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MIKE JAKUBOWSKI MD | ||||||||||||||
| MEDICAL DIRECTOR | $372,135 | $0 | $19,283 | $0 | $0 | $0 | $18,831 | $0 | $15,154 | $0 | $425,403 | $0 | $0 | $0 |
| KENT RIDDLE | ||||||||||||||
| PRESIDENT | $485,159 | $0 | $95,750 | $0 | $0 | $0 | $742 | $0 | $15,218 | $0 | $596,869 | $0 | $0 | $0 |
| WILLIAM VANDENBERG MD | ||||||||||||||
| DIRECTOR | $0 | $346,052 | $0 | $0 | $0 | $0 | $0 | $19,875 | $0 | $7,416 | $0 | $373,343 | $0 | $0 |
| RANDALL DENEFF | ||||||||||||||
| VP OF FINANCE | $200,806 | $0 | $0 | $0 | $0 | $0 | $15,185 | $0 | $9,949 | $0 | $225,940 | $0 | $0 | $0 |
| THOMAS STRANZ | ||||||||||||||
| VP OF INPATIENT SERVICES | $193,700 | $0 | $0 | $0 | $0 | $0 | $2,510 | $0 | $5,092 | $0 | $201,302 | $0 | $0 | $0 |
| JEFF GARBER | ||||||||||||||
| VP OF NETWORK DEVELOPMENT | $229,317 | $0 | $29,239 | $0 | $0 | $0 | $11,460 | $0 | $5,096 | $0 | $275,112 | $0 | $0 | $0 |
| GEORGE MEYER | ||||||||||||||
| VP OF OUTPATIENT SERVICES | $175,842 | $0 | $0 | $0 | $0 | $0 | $6,714 | $0 | $11,458 | $0 | $194,014 | $0 | $0 | $0 |
| TIMOTHY PIETRYGA | ||||||||||||||
| VP OF ADVANCEMENT & DEVELOPMENT | $152,830 | $0 | $40,000 | $0 | $0 | $0 | $8,293 | $0 | $15,550 | $0 | $216,673 | $0 | $0 | $0 |
| BRUCE BRASSER | ||||||||||||||
| VP OF NETWORK OPERATIONS | $180,117 | $0 | $0 | $0 | $0 | $0 | $11,971 | $0 | $15,550 | $0 | $207,638 | $0 | $0 | $0 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|
| KENT HOSPITAL FINANCE AUTHORITY | |||||||
| A | 382350002 | 2012-10-26 | $14,000,000 | PARTIAL FUNDING OF NEW HOSPITAL ADDITION | 0 | 0 | 0 |
| KENT HOSPITAL FINANCE AUTHORITY | |||||||
| B | 364142114 | 2014-12-18 | $8,500,000 | pARTIAL FUNDING OF EXISTING HOSPITAL RENOVATION | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|
| A | $14,000,000 | $14,000,000 | 0 | 0 | Yes (1) | Yes (1) |
| B | $8,500,000 | $6,647,429 | 0 | 0 | 0 | 0 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | 0 |
| B | 0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Date Rebate Computation Performed | FormAndLineReferenceDesc |
| Explanation | Issuer Name: KENT HOSPITAL FINANCE AUTHORITY Date the Rebate Computation was Performed: 03/31/2016 Issuer Name: KENT HOSPITAL FINANCE AUTHORITY Date the Rebate Computation was Performed: 03/31/2016 | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part I, Item C | DBA: MARY FREE BED HOSPITAL AND REHABILITATION CENTER DBA: MARY FREE BED TRANSITIONAL CENTER |
| Form 990, Part VI, Section A, line 6 | THE ORGANIZATION HAS ONE SHAREHOLDER, MARY FREE BED GUILD, AS DICTATED BY THE BY-LAWS. |
| Form 990, Part VI, Section A, line 7a | THE 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 7b | THE SOLE SHAREHOLDER MUST APPROVE CERTAIN HOSPITAL BOARD TRANSACTIONS SUCH AS REAL ESTATE TRANSACTIONS. |
| Form 990, Part VI, Section B, line 11 | THE 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, RETURN WILL BE POSTED TO INTERNAL WEBSITE PORTAL FOR ALL BOARD MEMBERS. |
| Form 990, Part VI, Section B, line 12c | CONFLICT 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 15 | THE 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 2016. |
| Form 990, Part VI, Section C, line 19 | GOVERNING 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 -759,961. INCREASE IN EQUITY JOINT VENTURE 789,547. |
| 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/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| MARY FREE BED GUILD | |||||||||||
| 235 WEALTHY STREET SE | GRAND RAPIDS | MI | 49503 | 382649369 | CHARITABLE HEALTHCARE | MI | 501(c)(3) | Line 7 | N/A | 0 | |
| MARY FREE BED ORTHOTICS AND PROSTHETICS | |||||||||||
| 235 WEALTHY STREET SE | GRAND RAPIDS | MI | 49503 | 382643391 | ORTHOTICS & PROSTHETICS | MI | 501(c)(3) | Line 9 | Yes (1) | MARY FREE BED GUILD | |
| MARY FREE BED FUND | |||||||||||
| 235 WEALTHY STREET SE | GRAND RAPIDS | MI | 49503 | 382643392 | SUPPORTING ORGANIZATION | MI | 501(c)(3) | Line 11a, I | Yes (1) | marY FREE BED GUILD | |
| MARY FREE BED MEDICAL GROUP | |||||||||||
| 235 WEALTHY STREET SE | GRAND RAPIDS | MI | 49503 | 271589392 | PHYSICIAN SERVICES | MI | 501(c)(3) | Line 11a, I | Yes (1) | MARY FREE BED REHABILITATION HOSPITAL | |
| MARY FREE BED REHABILITATION HOSPITAL FOUNDATION | |||||||||||
| 235 WEALTHY STREET SE | GRAND RAPIDS | MI | 49503 | 461164285 | SUPPORTING ORGANIZATION | MI | 501(c)(3) | Line 11a, I | Yes (1) | MARY FREE BED REHABILITATION HOSPITAL | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (7 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| MARY FREE BED FUND | ||
| C | $646,421 | CASH |
| MARY FREE BED ORTHOTICS AND PROSTHETICS | ||
| O | $834,000 | ACTUAL COSTS INCURRED |
| MARY FREE BED ORTHOTICS AND PROSTHETICS | ||
| J | $200,944 | ACTUAL COSTS INCURRED |
| MARY FREE BED MEDICAL GROUP | ||
| B | $3,271,622 | CASH |
| MARY FREE BED FUND | ||
| L | $102,096 | ACTUAL COSTS INCURRED |
| MARY FREE BED ORTHOTICS AND PROSTHETICS | ||
| M | $367,000 | ACTUAL COSTS INCURRED |
| MARY FREE BED REHABILITATION HOSPITAL FOUNDATION | ||
| C | $4,691,823 | CASH |
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