MARY FREE BED REHABILITATION HOSPITAL: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
MARY FREE BED REHABILITATION HOSPITAL (EIN 38-1359265)
Tax period
2009-04-01 to 2010-03-31
Filed
2011-02-09
IRS object ID
201120409349301102
Schema version
2009v1.7
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)
Timestamp2011-02-09T09:27:02-06:00Timestamp
Tax Period End Date2010-03-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Plante & Moran PLLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1750 TRADE CENTRE WAY STE 300AddressLine1
CityPORTAGECity
StateMIState
ZIP Code49002ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-04-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN381359265EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MARY FREE BED HOSPITAL & REHABILITATION CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMARYNameControl
Phone6162420300Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1235 WEALTHY ST SEAddressLine1
CityGRAND RAPIDSCity
StateMIState
ZIP Code495035247ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRANDALL L DENEFFName
TitleVICE PRESIDENT - FINANCETitle
Phone6162420300Phone
Date Signed2011-02-09DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameCarol LaLonde CPAName
Phone2695674500Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1Mary Free Bed Rehabilitation HospitaBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonwILLIAM h bLESsingNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1235 WEALTHY ST SEAddressLine1
CityGRAND RAPIDSCity
StateMIState
ZIP Code495035247ZIPCode
FieldValueIRS element (for citing)
Gross Receipts53555247GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.maryfreebed.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1913YearFormation
State Legal DomicileMIStateLegalDomicile
Activity Or Mission DescriptionHELPING 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body24NbrVotingMembersGoverningBody
Nbr Independent Voting Members22NbrIndependentVotingMembers
Total Nbr Employees735TotalNbrEmployees
Total Nbr Volunteers52TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1812844ContributionsGrantsPriorYear
Contributions Grants Current Year1826077ContributionsGrantsCurrentYear
Program Service Revenue Prior Year35184755ProgramServiceRevenuePriorYear
Program Service Revenue CY41588836ProgramServiceRevenueCY
Investment Income Prior Year686486InvestmentIncomePriorYear
Investment Income Current Year1723056InvestmentIncomeCurrentYear
Other Revenue Prior Year538361OtherRevenuePriorYear
Other Revenue Current Year516666OtherRevenueCurrentYear
Total Revenue Prior Year38222446TotalRevenuePriorYear
Total Revenue Current Year45654635TotalRevenueCurrentYear
Grants And Similar Amnts CY1390990GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year27264014SalariesEtcPriorYear
Salaries Etc Current Year31891959SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year9889810OtherExpensePriorYear
Other Expenses Current Year9693011OtherExpensesCurrentYear
Total Expenses Prior Year37153824TotalExpensesPriorYear
Total Expenses Current Year42975960TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1068622RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2678675RevenuesLessExpensesCY
Total Assets BOY54723271TotalAssetsBOY
Total Assets EOY68657422TotalAssetsEOY
Total Liabilities BOY10306896TotalLiabilitiesBOY
Total Liabilities EOY8710570TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY44416375NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY59946852NetAssetsOrFundBalancesEOY
Mission DescriptionRestoring hope and freedom through rehabilitation.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense7000086Expense
Grants1390990Grants
Revenue7316490Revenue
DescriptionProvide therapy and other medical services for 16,067 patient days.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense7597055Expense
Revenue8195812Revenue
DescriptionProvide outpatient rehabilitation services for approximately 37,585 patient visits.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense6473288Expense
Revenue6765881Revenue
DescriptionProvide nursing services and infection control for 16,067 patient days.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense16165367Expense
Revenue19362113Revenue
Descriptionrehabilitation staffing and management services; Outpatient Clinics; 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; Psychology Inpatient 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;Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp16165367TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev19362113TotalOfOtherProgramServiceRev
Total Program Service Expense37235796TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109623NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees735NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Nbr Voting Governing Body Members24NbrVotingGoverningBodyMembers
Number Independent Voting Members22NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Randall DeNeffBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6162420403TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1235 Wealthy St SeAddressLine1
CityGrand RapidsCity
StateMIState
ZIP Code49503ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (43 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
William H Blessing
President45.00XX357498046520
John F Butzer MD
Medical Director50.00XX380586048350X
Kent Riddle
Chairman1.00XX000
julie Ridenour
Secretary1.00XX000
Dan Jones
vice chairman - part yea1.00XX000
Steve Landstra
treasurer - part year1.00XX000
Kay kress
asst treas - part year1.00XX000
Jean Blossfield
director - part year1.00X000
benjanmin bruinsma md
director - part year1.00X000
linda conway
director - part year1.00X000
bert Crandall
director - part year1.00X000
marianne Delavan
director1.00X000
dianne deroseau
director - part year1.00X000
stephen drew
director1.00X000
bill grice
director - part year1.00X000
melissa hall
director - part year1.00X000
paula hendricksen
director - part year1.00X000
doug kindschi
VICE chairman1.00XX000
molly krauss
director1.00X000
david muir
TReasurer1.00XX000
ellen nelson
director1.00X000
judy palmer
director1.00X000
linda patterson
director1.00X000
susan steketee
director1.00X000
dan vaughAn
director1.00X000
SHELLY MISHLER
SECRETARY1.00XX000
KIM RIDINGS
ASSIstant treasurer1.00XX000
NANCY ALBERS
Director1.00X000
STEPHAN BLOOM DO
Director1.00X000
SUSAN BLOSS
Director1.00X000
CHAD BUSH
Director1.00X000
CHARLES DUBOSE JR MD
Director1.00X000
JOAN KULLGREN
Director1.00X000
JAN LIPPERT
Director1.00X000
JENNIFER TAYLOR
Director1.00X000
randall deneff
vp of finance45.00X161595033725X
dayle maples
PEDIATRIC ORTHOPEDIC SUR30.00274420025881X
bruce brasser
vp of clinical operation45.00140829030885X
bill sonday
director of in-patient p45.00124211014053X
frances dietrich
director of out-patient45.00117548019426X
bruce hart
director of finance45.00109747013439X
robert bosch
manager of support servi40.00000X
kelli miller
vp of human resources40.00000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1666434TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation232279TotalOtherCompensation
Number Individuals GT100 K10NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
FRICANO CONSTRUCTION
PO BOX 276CALEDONIAMI49316CONSTRUCTION MANAGEMENT696502
TOWERS WATSON
1079 SOLUTIONS CENTERCHICAGOIL60677PENSION ACTUARIAL/CONSULTING219464
Rehab & Physical Medicine Specialists
350 Lafayette SEGrand RapidsMI49503Rehab Program Administration157800
ADVANTAGE HEALTH PHYSICIANS NETWORK
245 STATE STREET SEGrand RapidsMI49503PHYSICIAN MEDICAL SERVICES152578
REHABILITATION MEDICINE ASSOCIATES
245 CHERRY STREET SEGrand RapidsMI49503MEDICAL PROGRAM ADMINISTRATION134777
FieldValueIRS element (for citing)
Number Of Contractors GT100 K6NumberOfContractorsGT100K
Related Organizations1106736RelatedOrganizations
Government Grants89267GovernmentGrants
All Other Contributions630074AllOtherContributions
Noncash Contributions5950NoncashContributions
Total Contributions1826077TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Patient Service Revenu6214003652644036526440
Contract Service Reven62140047736414773641
Program Expense Reimbu621400155712155712
Equity in Income of Jo900099133043133043
FieldValueIRS element (for citing)
Total Program Service Revenue41588836TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1036744TotalRevenueColumn
Exclusion$1,036,744ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real463563Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real463563Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column463563TotalRevenueColumn
Exclusion$463,563ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities5974451Securities
Other2612473Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities7900612Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-1926161Securities
Other2612473Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column686312TotalRevenueColumn
Exclusion$686,312ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
Computer/System Suppor54151943260$43,260
Donation Processing Su5419008200$8,200
Coverage Services9000991643$1,643
FieldValueIRS element (for citing)
Total Other Revenue53103TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column45654635TotalRevenueColumn
Related Or Exempt Function Income41588836RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$2,239,722ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1390990Total
Program Services1390990ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total735615Total
Management And General735615ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total23620208Total
Program Services21081795ProgramServices
Management And General2538413ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2629972Total
Program Services2287859ProgramServices
Management And General342113ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3009859Total
Program Services2618330ProgramServices
Management And General391529ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1896305Total
Program Services1649629ProgramServices
Management And General246676ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total45382Total
Program Services13012ProgramServices
Management And General32370ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total31850Total
Management And General31850ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total72628Total
Program Services72628ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total635615Total
Program Services553880ProgramServices
Management And General81735ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total49460Total
Program Services44227ProgramServices
Management And General5233ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total94842Total
Program Services75807ProgramServices
Management And General19035ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1924531Total
Program Services1607546ProgramServices
Management And General316985ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total215707Total
Program Services187647ProgramServices
Management And General28060ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Purch - Lab & Pharmacy26692692023475645794
qaap10639591063959
Supplies (Program)98297792895654021
Utilities58104848514895900
Bad Debt Expense518312518312

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total807431Total
Program Services632596ProgramServices
Management And General174835ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total42975960Total
Program Services37235796ProgramServices
Management And General5740164ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2288BOY
EOY500EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY5934039BOY
EOY7207360EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY5808573BOY
EOY8375834EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY127702BOY
EOY100458EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY519389BOY
EOY391519EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis32715603LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec23078675LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY10784424BOY
EOY9636928EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY28626052BOY
EOY40261709EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY123917BOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2796887BOY
EOY2683114EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY54723271BOY
EOY68657422EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY6678673BOY
EOY7743354EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY3628223BOY
EOY967216EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY10306896BOY
EOY8710570EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY43560109BOY
EOY59088182EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY856266BOY
EOY858670EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY44416375BOY
EOY59946852EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY54723271BOY
EOY68657422EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations1GrantsOtherOrganizations
Grants Other Organizations$6,092GrantsOtherOrganizationsAmount
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities0OtherActivities
Total Lobbying Expenditures IIB6092TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1102670OtherCostOrOtherBasis
Book Value1102670BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis16699240OtherCostOrOtherBasis
Depreciation12312472Depreciation
Book Value4386768BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis522622OtherCostOrOtherBasis
Depreciation385129Depreciation
Book Value137493BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis13834164OtherCostOrOtherBasis
Depreciation10051547Depreciation
Book Value3782617BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis556907OtherCostOrOtherBasis
Depreciation329527Depreciation
Book Value227380BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings9636928TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionAccrued Pension CostsDescription
Amount$967,216Amount
FieldValueIRS element (for citing)
Total Of Amounts967216TotalOfAmounts
Total Revenue45654635TotalRevenue
Total Expenses42975960TotalExpenses
Excess Or Deficit For Year2678675ExcessOrDeficitForYear
Net Unrealized GL On Investments10660249NetUnrealizedGLOnInvestments
Other$2,191,553OtherAmount
Total Adjustments12851802TotalAdjustments
Excess Or Deficit Per FS15530477ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt56314884TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments10660249NetUnrealizedGainsInvestments
Revenue Not Rptd F99010660249RevenueNotRptdF990
Revenue Subtotal45654635RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99045654635TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt42975960TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal42975960ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99042975960TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPart XI, Line 8 - Other Adjustments:Identifier
ExplanationPension RElated Changes: 2191553.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage145.000000000000FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent250XPcent250
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report0AnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense461596TotalCommunityBenefitExpense
Net Community Benefit Expense461596NetCommunityBenefitExpense
Percent Of Total Expense0.01070PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense6380143TotalCommunityBenefitExpense
Direct Offsetting Revenue4497479DirectOffsettingRevenue
Net Community Benefit Expense1882664NetCommunityBenefitExpense
Percent Of Total Expense0.04380PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense6841739TotalCommunityBenefitExpense
Direct Offsetting Revenue4497479DirectOffsettingRevenue
Net Community Benefit Expense2344260NetCommunityBenefitExpense
Percent Of Total Expense0.05450PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense69077TotalCommunityBenefitExpense
Net Community Benefit Expense69077NetCommunityBenefitExpense
Percent Of Total Expense0.00160PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense84920TotalCommunityBenefitExpense
Net Community Benefit Expense84920NetCommunityBenefitExpense
Percent Of Total Expense0.00200PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense41653TotalCommunityBenefitExpense
Net Community Benefit Expense41653NetCommunityBenefitExpense
Percent Of Total Expense0.00100PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense195650TotalCommunityBenefitExpense
Net Community Benefit Expense195650NetCommunityBenefitExpense
Percent Of Total Expense0.00460PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense7037389TotalCommunityBenefitExpense
Direct Offsetting Revenue4497479DirectOffsettingRevenue
Net Community Benefit Expense2539910NetCommunityBenefitExpense
Percent Of Total Expense0.05910PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$392,466BadDebtExpenseAmount
Amount Attributable To10000AmountAttributableTo
Amount Reimbursed By Medicare3038109AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare3549706CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-511597MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

FieldValueIRS element (for citing)
Business Name Line1PORTER HILLS REHABILITATION LLCBusinessNameLine1
FieldValueIRS element (for citing)
Description Ent Primary ActivityREHABILITATION SERVICESDescriptionEntPrimaryActivity
Organization Profit Or Ownership0.50000OrganizationProfitOrOwnership

Form990 Schedule H Part V Form990ScheduleHPartV

Name Name

FieldValueIRS element (for citing)
Business Name Line1MARY FREE BED HOSPITAL & REHABILITATIONBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1235 wealthy st seAddressLine1
Citygrand rapidsCity
StateMIState
ZIP Code495035247ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Shortfall As Community BenefitPart III, Line 8: MARY FREE BED HOSPITAL AND REHABILITATION CENTER HAS ESTIMATED THAT MOST OF THE MEDICARE SHORTFALL SHOULD BE TREATED AS CHARITY CARE AS MANY OF THESE PATIENTS ARE LIVING ON FIXED INCOMES AND HAVE LIMITED MEANS.ShortfallAsCommunityBenefit
Debt Collection PolicyPart 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.DebtCollectionPolicy
Needs AssessmentPart VI, Line 2: THE HEALTHCARE NEEDS OF THE COMMUNITIES SERVED ARE DETERMINED THROUGH THE HOSPITAL'S ANNUAL STRATEGIC PLANNING PROCESS. 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.NeedsAssessment
Patient Education AssistancePart 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.PatientEducationAssistance
Community InformationPart VI, Line 4: THE HOSPITAL SERVES PRIMARILY THE WESTERN MICHIGAN COMMUNITY.CommunityInformation
Community Building ActivitiesPart VI, Line 5: COMMUNITY BUILDING ACTIVITIES ARE HANDLED PRIMARILY BY A SISTER CORPORATION, THE MARY FREE BED FUND (EIN:38-2643392).CommunityBuildingActivities
Other InformationPart VI, Line 6: THE HOSPITAL FURTHERS ITS EXEMPT PURPOSES BY PROMOTING THE HEALTH OF THE COMMUNITY THROUGH AN OPEN MEDICAL STAFF, A BOARD COMPRISED OF COMMUNITY MEMBERS, AND PERIODIC TRANSFER OF SURPLUS FUNDS TO THE MARY FREE BED FUND WHICH ARE USED FOR SUPPORTING PROGRAMS FOR THE DISABLED IN THE COMMUNITY. STAFF SERVE ON BOARDS OR VOLUNTEER AT OTHER NON-PROFIT AGENCIES. THE HOSPITAL PARTNERS WITH OTHER AGENCIES ON HEALTH ISSUES SUCH AS STROKE PREVENTION AND USE OF HELMETS TO REDUCE HEAD INJURIES.OtherInformation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained0RecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistancePurpose Of GrantPurposeOfGrant
MICHIGAN REHABILITATION SERVICES
750 FRONT NWGRAND RAPIDSMI49504386000134governmental350001500BOOKSTAFF SUPPORTREHABILITATION SERVICES
MARY FREE BED FUND
235 WEALTHY ST SEGRAND RAPIDSMI49503382643392501(C)(3)6772450N/AN/AGENERAL PROGRAM SUPPORT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org1CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
William H Blessing
31449109177033830000465200404018000
John F Butzer MD
335277010962034347000483500428936000
randall deneff
156128046020865000337250195320000
dayle maples
264453097800187000258810300301000
bruce brasser
1363070452200000308850171714000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePart I, Line 6ReturnReference
ExplanationAN INCENTIVE PLAN WITH SPECIFIC MEASURES AND WEIGHTINGS FOR FINANCIAL (BASED ON NET EARNINGS RELATIVE TO BUDGET), QUALITY, CUSTOMER SATISFACTION, AND INDIVIDUAL GOALS IS IN PLACE FOR THE PRESIDENT AND MEDICAL DIRECTOR.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section A, line 6THE ORGANIZATION HAS ONE SHAREHOLDER AS DICTATED BY THE BY-LAWS.
Form 990, Part VI, Section A, line 7aTHE SOLE SHAREHOLDER 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 11NO REVIEW WAS OR WILL BE CONDUCTED 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 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 INTERESTS WOULD BE DISCLOSED TO THE BOARD OF DIRECTORS AND ASSURANCES OBTAINED THAT NO ILLEGAL OR SUBSIDIZED ACTIVITIES ARE OCCURRING. ALL DISCLOSURES REVIEWED BY THE HOSPITAL'S COMPLIANCE COMMITTEE.
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. 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.
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 2C:THERE HAS BEEN NO CHANGE IN PROCESS FROM PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNABusiness Name Line1DirectControllingEntityName/BusinessNameLine1
mary free bed guild of grand rapids
235 wealthy street segrand rapidsMI49503382649369charitable healthcareMI501(c)(3)Line 7N/A
MARY FREE BED BRACE AND CORSET SHOP
235 wealthy street seGrand rapidsMI49503382643391Charitable healthcareMI501(c)(3)Line 9MARY FREE BED GUILD OF GRAND RAPIDS
mary free bed fund
235 wealthy street segrand rapidsMI49503382643392supporting organizationMI501(c)(3)Line 11a, ImarY FREE BED GUILD OF GRAND RAPIDS

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1porter hills rehabilitation llcBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13590 e fulton stAddressLine1
Citygrand rapidsCity
StateMIState
ZIP Code49546ZIPCode
FieldValueIRS element (for citing)
EIN383545072EIN
Primary Activityrehabilitation servicesPrimaryActivity
Legal Domicile StateMILegalDomicileState
Predominant Income TyperelatedPredominantIncomeType
Share Of Total Income94538ShareOfTotalIncome
Share Of EOY Assets452130ShareOfEOYAssets
Disproportionate Allocations0DisproportionateAllocations
General Or Managing Partner0GeneralOrManagingPartner
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
mary free bed BRACE AND CORSET
I163469
MARY FREE BED BRACE AND CORSET
P960012
mary free bed fund
P205718
MARY FREE BEd fund
B677245
MARY FREE BED FUND
C1106736

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