2024-02-08T09:54:09-06:00 2023-03-31 381357951 PLANTE & MORAN PLLC 750 TRADE CENTRE WAY STE 300 PORTAGE MI 49002 990 2022-04-01 381359265 MARY FREE BED REHABILITATION HOSPITAL MARY 8005288989 235 WEALTHY ST SE GRAND RAPIDS MI 495035247 RYAN PODVIN CHIEF FINANCIAL OFFICER 8005288989 2024-02-05 1 RYAN PODVIN 999009999 1 SAMANTHA L BECKER P01344887 2695674500 2024-01-31 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z MARY FREE BED HOSPITAL AND REHABILITATION CENTER RYAN PODVIN 235 WEALTHY ST SE GRAND RAPIDS MI 495035247 192594946 0 X WWW.MARYFREEBED.COM X 1913 MI 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. 23 20 2683 238 0 0 3944996 3613511 159714801 172261690 551955 209592 157464 157895 164369216 176242688 159657 116050 0 0 119366537 129190784 0 0 0 42022663 43164058 161548857 172470892 2820359 3771796 226651083 233232761 79308595 82380375 147342488 150852386 X RESTORING HOPE AND FREEDOM THROUGH REHABILITATION. 0 0 24040012 63172845 PROVIDE NURSING SERVICES AND INFECTION CONTROL FOR 39,825 PATIENT DAYS. 13110284 18061661 PROVIDE OUTPATIENT REHABILITATION AND CLINIC SERVICES FOR APPROXIMATELY 123,940 PATIENT VISITS. 7973230 21690869 PROVIDE THERAPY AND OTHER MEDICAL SERVICES FOR 39,825 PATIENT DAYS. 109694751 116050 69336315 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. 109694751 116050 69336315 154818277 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 86 0 1 2683 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 23 20 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X RYAN PODVIN 6168408676 235 WEALTHY ST SE GRAND RAPIDS MI 49503 ADRIANA ALMANZA DIRECTOR (THRU 5/22) 1.00 1.00 X 0 0 0 AMY ABBOTT DIRECTOR 1.00 1.00 X 0 0 0 AMY STUURSMA SECRETARY 1.00 3.00 X X 0 0 0 BECKY BECHLER DIRECTOR 1.00 1.00 X 0 0 0 CAMERON YOUNG DIRECTOR 1.00 1.00 X 0 0 0 DAN VAUGHAN TREASURER 1.00 1.00 X X 0 0 0 DAVE BEEMER DIRECTOR 1.00 1.00 X 0 0 0 DAVID MUIR CHAIRMAN 1.00 1.00 X X 0 0 0 DEB KAY DIRECTOR 1.00 1.00 X 0 0 0 DIANNE DEROSEAU DIRECTOR (THRU 5/22) 1.00 1.00 X 0 0 0 DR BENJAMIN BRUINSMA MD DIRECTOR 40.00 1.00 X 445441 0 42081 DR MICHAEL JAKUBOWSKI MD DIRECTOR 54.00 1.00 X 504025 0 37586 DR MIKE ANDARY MD DIRECTOR (THRU 5/22) 1.00 1.00 X 0 0 0 HOLLY PETERSON DIRECTOR 1.00 1.00 X 0 0 0 JENNIFER TAYLOR VICE CHAIRMAN 1.00 1.00 X X 0 0 0 KENT RIDDLE CEO 54.00 3.00 X X 1090250 0 32133 KEVIN BIRCHMEIER DIRECTOR 1.00 1.00 X 0 0 0 LAURA PUFF DIRECTOR (THRU 5/22) 1.00 3.00 X 0 0 0 LUIS AVILA DIRECTOR 1.00 1.00 X 0 0 0 MARILYN WALTON DIRECTOR 1.00 1.00 X 0 0 0 MARUEEN KOZEL DIRECTOR 1.00 1.00 X 0 0 0 MOLLY KRAUSS VICE CHAIRMAN (THRU 5/22) 1.00 1.00 X X 0 0 0 NANCY ALBERS DIRECTOR 1.00 1.00 X 0 0 0 PAMELA BUSCHLE DIRECTOR 1.00 1.00 X 0 0 0 PAUL DOYLE DIRECTOR (THRU 5/22) 1.00 1.00 X 0 0 0 SANDRA GADDY DIRECTOR 1.00 1.00 X 0 0 0 SCOTT LEWIS DIRECTOR (THRU 5/22) 1.00 1.00 X 0 0 0 SUE KINSLER ASST. TREASURER 1.00 3.00 X X 0 0 0 SUSAN BLOSS DIRECTOR 1.00 1.00 X 0 0 0 WENDY STOCK DIRECTOR 1.00 3.00 X 0 0 0 RYAN PODVIN CFO 49.00 1.50 X 314637 0 30000 INGRID CHESLEK COO 40.00 0.00 X 520090 0 29083 CHRISTIE MCKINNEY DO PHYSICIAN 40.00 0.00 X 351216 0 28375 CHRISTOPHER MORELLI DO PHYSICIAN 40.00 0.00 X 405157 0 29070 JEFFREY GARBER CHIEF STRATEGY OFFICER 40.00 0.00 X 462793 0 17101 RALPH WANG MD PHYSICIAN 40.00 0.00 X 351624 0 42081 STUART YABLON MD PHYSICIAN 40.00 0.00 X 365663 0 30723 4810896 0 318233 157 0 1 0 MILLER JOHNSON ATTORNEYS 45 OTTAWA AVE SW GRAND RAPIDS MI 49503 LEGAL SERVICES 525415 CLIENT FINANCIAL SERVICES 209 S ALLOY FENTON MI 48430 FINANCIAL SERVICES 168633 PLANTE MORAN PLLC 10060 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 FINANCIAL SERVICES 138270 3 2458155 700000 455356 3613511 PATIENT SERVICE REVENUE 621400 124084658 124084658 CONTRACT SERVICE REVENUE 621400 37769949 37769949 REHABILITATION JV INCOME 621400 9933740 9933740 RETAIL CAFE REVENUE 621400 473343 473343 172261690 525875 525875 157895 0 157895 157895 157895 16020970 15005 16352258 0 -331288 15005 -316283 -316283 176242688 172261690 0 367487 116050 116050 3089962 488081 2601881 93483691 91358352 2125339 3081908 2842481 239427 20684311 19629344 1054967 8850912 8387775 463137 718081 608334 109747 146775 146775 7268149 5468457 1799692 474317 51790 422527 740287 442570 297717 5497501 3848251 1649250 2611636 2134876 476760 184607 168592 16015 220691 202899 17792 1823201 20314 1802887 7764389 5523302 2241087 1035368 108571 926797 MEDICAL SUPPLIES 10737072 10627684 109388 FOOD SERVICE 955636 583601 372035 BAD DEBT EXPENSE 906026 906026 REPAIRS 277592 201769 75823 1802730 1099158 703572 172470892 154818277 17652615 0 20325 10675 31352023 29272458 19556941 19371658 226296 257191 1913798 3080622 123569969 57563571 67374994 66006398 22422870 32008672 5445904 5445904 78337932 77779183 226651083 233232761 25388916 23294351 289558 2695970 29779412 30536823 21064366 20251450 2786343 5601781 79308595 82380375 X 147342488 150852386 147342488 150852386 226651083 233232761 X 3771796 -313674 51776 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 21080 21080 0 PART II-B, LINE 1: PORTION OF MEMBERSHIP FEES IDENTIFIED BY THE AMERICAN HOSPITAL ASSOCIATION, MICHIGAN HEALTH & HOSPITAL ASSOCIATION, COALITION PROTECTING AUTO NO FAULT, AMERICAN MEDICAL REHABILITATION PROVIDERS ASSOCIATION, AND PUBLIC AFFAIRS ASSOCIATES ARE ALLOCATED TO LOBBYING. CONTACTS WITH STATE AND FEDERAL LEGISLATORS THROUGH E-MAIL. 1102670 1102670 71280291 23393197 47887094 276220 276037 183 47690103 33894337 13795766 3220685 3220685 66006398 INVESTMENT IN JOINT VENTURE- REHABILITATION SERVICES 43238524 OTHER RECEIVABLES 8976904 DUE FROM MARY FREE BED FUND 69353 DUE FROM MARY FREE BED GUILD 18263 DUE FROM MARY FREE BED ORTHOTICS & PROSTHETICS 345621 DUE FROM MARY FREE BED REHABILITATION HOSPITAL FOUNDATION 11893503 DUE FROM MARY FREE BED REHABILITATION, LLC 3084502 DUE FROM MARY FREE BED CONDO ASSOCIATION 4113 DUE FROM ABVI 477475 CONTRACT ACCOUNTS RECEIVABLE 9670925 77779183 DUE TO MARY FREE BED REHABILITATION HOSPITAL FOUNDATION 191574 OTHER LIABILITIES 5410207 5601781 1 1 X 1 X 145.000000000000 1 X 1 1 1 0 1 1 643261 643261 0.00370 20722508 13497342 7225166 0.04210 21365769 13497342 7868427 0.04580 1189526 663877 525649 0.00310 4330492 1486854 2843638 0.01660 392479 216590 175889 0.00100 150098 150098 0.00090 6062595 2367321 3695274 0.02160 27428364 15864663 11563701 0.06740 5 60 7239 7239 0.00000 5 60 7239 7239 0.00000 1 906026 65104 31578394 42260317 -10681923 X 1 1 1 1 MARY FREE BED REHABILITATION HOSPITAL 235 WEALTHY ST SE GRAND RAPIDS MI 495035247 WWW.MARYFREEBED.COM 10600000134 X X X MARY FREE BED REHABILITATION HOSPITAL 1 0 0 1 X X X X X X X X X 20 1 1 1 1 X SEE PART V, PAGE 8 X 1 20 1 SEE PART V, PAGE 8 0 1 X 145.000000000000 250.000000000000 X X X X X 1 1 X X X X 1 X WWW.MARYFREEBED.COM/FINANCIAL-ASSISTANCE/ X WWW.MARYFREEBED.COM/FINANCIAL-ASSISTANCE/ X WWW.MARYFREEBED.COM/FINANCIAL-ASSISTANCE/ X X X X X X X 1 X 0 X X X X 0 X X 0 0 MARY FREE BED REHABILITATION HOSPITAL PART V, SECTION B, LINE 5: MARY FREE BED REHABILITATION HOSPITAL ENCOURAGES PATIENTS AND COMMUNITY MEMBERS TO PARTICIPATE IN VOICEKENT, A SURVEY ABOUT OUR COMMUNITY HEALTH OFFERINGS AND NEEDS, OFFERED BY THE JOHNSON CENTER FOR PHILANTHROPY AND KENT COUNTY HEALTH DEPARTMENT. THE GOAL IS TO PROVIDE OBJECTIVE DATA TO RESIDENTS, NONPROFIT ORGANIZATIONS AND OTHER DECISION MAKERS TO ASSIST IN IMPROVING THE OVERALL HEALTH OF OUR COMMUNITY. LEADERS FROM MARY FREE BED ANALYZED SECONDARY HEALTH ASSESSMENT RESEARCH CONDUCTED BY LOCAL, STATE, AND FEDERAL AGENCIES. MARY FREE BED UTILIZES- THROUGH AN APPROVED USER AGREEMENT- GEOGRAPHIC AND POPULATION DEMOGRAPHICS PROVIDED IN THE KENT COUNTY CHNA TO DESCRIBE OUR COMMUNITY AND POPULATIONS SERVED. THESE DEMOGRAPHICS ARE ACQUIRED BY KENT COUNTY THROUGH SURVEYING, TOWN HALL MEETINGS AND HEALTH DEPARTMENT WORKGROUPS. A VARIETY OF OTHER PRIMARY AND SECONDARY SOURCES ARE USED IN THE KENT COUNTY CHNA IN ORDER TO PROVIDE A BROAD OVERVIEW OF COMMUNITY NEEDS IN KENT COUNTY.SEE REFERENCES FOR WEB LINK TO KENT COUNTY CHNA FOR DATA SOURCE INFORMATION.ALONG WITH THE ABOVE MENTIONED SOURCES OF DATA, MARY FREE BED ALSO UTILIZED FERERAL AND STATE HEALTH DOCUMENTS TO PROVIDE A CLEAR UNDERSTANDING AND ALIGNMENT OF THE NEEDS OF OUR COMMUNITY.IT IS THE BROAD OBJECTIVE OF THE MARY FREE BED REHABILITATION HOSPITAL CHNA AND COMMUNITY BENEFITS PLAN TO SUPPORT COMMUNITY INITIATIVES THAT ARE ALIGNED WITH THE FEDERAL, STATE AND LOCAL HEALTH GOALS. MARY FREE BED REHABILITATION HOSPITAL PART V, SECTION B, LINE 6A: MERCY HEALTH, METRO HEALTH/UNIVERSITY OF MICHIGAN HEALTH, SPECTRUM HEALTH, PINE REST CHRISTIAN MENTAL HEALTH SERVICES, BRONSON HEALTH CARE, HELEN DEVOS CHILDREN'S HOSPITAL, SPECTRUM HEALTH, ST. JOSEPH MERCY OAKLAND HOSPITAL MARY FREE BED REHABILITATION HOSPITAL PART V, SECTION B, LINE 6B: KENT COUNTY HEALTH DEPARTMENT, GRAND VALLEY STATE UNIVERSITY, AREA AGENCY ON AGING OF WEST MICHIGAN, GRAND RAPIDS LGBTQIA+ HEALTHCARE CONSORTIUM, ROSEVELT PARK NEIGHBORHOOD ASSOCIATION, COMMUNITY MEMBERS, MEL TROTTER MINISTRIES, GRAND RAPIDS PUBLIC SCHOOLS, DISABILITY ADVOCATES OF KENT COUNTY, AND MANY OTHERS MARY FREE BED REHABILITATION HOSPITAL PART V, SECTION B, LINE 7D: PART V, SECTION B, LINE 7A: HTTPS://WWW.MARYFREEBED.COM/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/PART V, SECTION B, LINE 10: HTTPS://WWW.MARYFREEBED.COM/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ MARY FREE BED REHABILITATION HOSPITAL PART V, SECTION B, LINE 11: SPECIFIC NEEDS IDENIFIED IN CHNA: ACCESS TO HEALTH CARE:IMPLEMENTATION STRATEGY: IMPLEMENT INITIATIVES TO PROVIDE BETTER PATIENT EXPERIENCE BASED ON DEMOGRAPHICS OF PATIENTS SERVED - MEASURABLE OUTCOME: INCREASE COMPLETEION RATE OF DEMOGRAPHIC DATA CAPTURE IMPLEMENTATION STRATEGY: REQUIRE EMPLOYEE EDUCATION ON CULTURAL COMPETENCE AND IMPLICIT BIAS- MEASURABLE OUTCOME: INCREASE AWARENESS AND BETTER SERVE PATIENTS MEASURED BY TRAINING AS MEASURED BY COMPLETION RATE AND POSTTEST COMPLETION SUCCESS RATE REPORT SPECIFIC NEEDS IDENTIFIED IN CHNA: DISCRIMINATION & RACIAL INEQUITY:IMPLEMENTATION STRATEGY: PROVIDE OPPORTUNITIES AND SAFE PLATFORM FOR REFLECTION AND DISCUSSIONS TO INCREASE AWARENESS AND UNDERSTANDING, PROMOTE INCLUSION THROUGH OPEN COMMUNICATION, INCREASE WILLINGNESS TO PARTICIPATE- MEASUREABLE OUTCOME: NUMBER OF SAFE SPACE SESSIONS FOR UNCOMFORTABLE CONVERSATIONS FOR EMPLOYEES THAT MAY OCCUR AROUND DISCRIMINATION & RACIAL INEQUITY TO GAIN DEEPER UNDERSTANDING OF ISSUESIMPLEMENTATION STRATEGY: INCREASE EDUCATIONAL OPPORTUNITIES ON DEI (DIVERSITY, EQUITY AND INCLUSION) SUBJECT MATTER- MEASUREABLE OUTCOME: NUMBER OF EDUCATIONAL OPPORTUNITIES OFFERED FOR STAFF AND COMMUNITY MEMBERS, DEMOGRAPHIC BREAKDOWN REPORT OF PARTICIPANTS, COMPLETION SUCCESS RATES ON POSTTEST REPORTIMPLEMENTATION STRATEGY: INCREASE THE NUMBER OF MINORITY AND DISABILITY SCHOLARSHIPS AWARDED TO STUDENTS BY 10% OR MORE OVER THE NEXT THREE YEARS- MEASURABLE OUTCOME: NUMBER OF RESPONSES AND APPLICATIONS FROM EXPANDED ADVERTISING AND PROMOTION EFFORTS THROUGH NEW TRACKING QUESTIONS/SECTION ON APPLICATION- MEASURABLE OUTCOME: NUMBER OF STUDENTS AWARDED SCHOLARSHIPSSPECIFIC NEEDS IDENTIFIED IN CHNA: ECONOMIC SECURITY:IMPLEMENTATION STRATEGY: CARE MANAGEMENT TEAM TO ASSESS AND DOCUMENT ASSESSMENT ON SOCIAL DETERMINANTS OF ECONOMIC SECURITY- MEASURABLE OUTCOME: CARE MANAGEMENT TEAM COMPLETION OF TRAINING ON THE ASSESSMENT AND DOCUMENTATION OF SOCIAL DETERMINANTS OF HEALTH FOR ALL PATIENTS- MEASURABLE OUTCOME: MEASUREMENT OF THE NUMBER OF PATIENTS WITH ASSESSMENTS DOCUMENTED IN THEIR MEDICAL RECORD IMPLEMENTATION STRATEGY: INCREASE AWARENESS OF RESOURCES AVAILABILITY IN THE COMMUNITY TO HELP MEET PATIENT NEEDS- MEASURABLE OUTCOME: EACH CARE MANAGER TO EXPLORE 2 RESOURCES PER YEAR AND PRESENT TO THE ENTIRE TEAM- MEASURABLE OUTCOME: IMPROVE INTERNAL SHAREPOINT DRIVE TO STORE AND HOUSE RESOURCES IN AN ORGANIZED MANNER IN ORDER TO FACILITATE THE PROVISION OF ASSISTANCE TO PATIENTS IMPLEMENTATION STRAGETY: OFFER EDUCATIONAL OPPORTUNITIES RELATED TO ECONOMIC SECURITY - MEASURABLE OUTCOME: NUMBER OF EDUCATION AND LEARNING ACTIVITIES OFFERED PER CALEDAR YEAR - MEASURABLE OUTCOME: SUCCESS COMPLETION RATE ON POSTTEST REPORT AND DEMOGRAPHIC BREAKDOWN INFORMATION OF PARTICIPANTS SPECIFIC NEEDS IDENTIFIED IN CHNA: MENTAL HEALTH IMPLEMENTATION STRATEGY: OBTAIN DATA ON RESILIENCE AS PART OF ROUTINE CLINICAL CARE USING THE CONNOR-DAVISON RESILIENCE SCALE 10- MEASURABLE OUTCOME: NUMBER OF PATIENTS WHERE THE TOOL WAS USED TO COLLECT DATA (MAINTAINED IN CONFIDENTIAL DATABASE). IF STRONG RELATIONSHIP BETWEEN DATA AND SUBJECTIVE LEVEL OF MENTAL HEALTH, WILL USE THIS INFORMATION TO DEVELOP AND IMPLEMENT THERAPEUTIC STRATIGIES TO IMPROVE OR BOOST RESILILENCE IN OUR PATIENTS IMPLEMENTATION STRATEGY: INCREASE EDUCATION OPPORTUNITIES RELATED TO MENTAL HEALTH- MEASURABLE OUTCOME: NUMBER OF EDUCATIONAL OPPORTUNITIES FOR STAFF AND COMMUNITY MEMBERS - MEASURABLE OUTCOME: SUCCESSFUL COMPLETION OF POSTTEST REPORT - OTHER NEEDS IDENTIFIED IN CHNA NOT ADDRESSED IN THIS IMPLEMENTATION PLANMARY FREE BED REHABILITATION HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN WILL ADDRESS THE FOUR AFOREMENTIONED COMMUNITY IDENTIFIED HEALTH NEEDS. WHILE THE CHNA AND IP CHOSE TO FOCUS ON HOSPITAL RESOURCES THAT STRENGTHEN THESE 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 HOUSING, SUBSTANCE ABUSE OR ELEMENTS OF THE BUILT ENVIRONMENT. 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 OUTCOMES:MARY 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 16J: THE ADMISSIONS/ACCESS DEPARTMENTS REVIEW THE AVAILABILITY OF INSURANCE COVERAGES, AND AVAILABILITY OF FINANCIAL ASSISTANCE IF UNINSURED OR UNDER-INSURED WITH EACH PATIENT/GUARANTOR AT THE TIME OF ADMISSION. MARY FREE BED REHABILITATION HOSPITAL PART V, SECTION B, LINE 21D: NOT APPLICABLE TO AN IP REHABILITATION HOSPITAL - THE HOSPITAL DOES NOT OPERATE AN EMERGENCY DEPARTMENT. 23 1 - MARY FREE BED OUTPATIENT SERVICES 235 WEALTHY ST SE GRAND RAPIDS MI 49503 OUTPATIENT THERAPY, PSYCHOLOGY, AND NUTRITION 2 - MARY FREE BED PHYSICIAN CLINIC 235 WEALTHY ST SE GRAND RAPIDS MI 49503 OUTPATIENT PHYSICIAN CLINIC 3 - MARY FREE BED PAIN REHABILITATION 235 WEALTHY ST SE GRAND RAPIDS MI 49503 OUTPATIENT PAIN REHABILITATION 4 - MARY FREE BED KALAMAZOO SOUTHWEST 7125 STADIUM DRIVE KALAMAZOO MI 49009 OUTPATIENT THERAPY, OUTPATIENT PAIN REHABILITATION 5 - MARY FREE BED AT MUNSON MEDICAL CENTER 5191 ROSEWOOD DR TRAVERSE CITY MI 49685 OUTPATIENT THERAPY, OUTPATIENT PAIN REHABILITATION 6 - MARY FREE BED SPARTANNASH YMCA 5722 METRO WAY SW SUITE B WYOMING MI 49519 OUTPATIENT THERAPY 7 - MARY FREE BED HOLLAND 3290 N WELLNESS DR SUITE 170 HOLLAND MI 49424 OUTPATIENT THERAPY, OUTPATIENT PAIN REHABILITATION 8 - MARY FREE BED ABA PROGRAM 1550 3 MILE RD NW SUITE A GRAND RAPIDS MI 49544 OUTPATIENT PSYCHOLOGY, OUTPATIENT ABA THERAPY 9 - MARY FREE BED AT MUNSON MEDICAL CENTER 128 AMES ST ELK RAPIDS MI 49629 OUTPATIENT THERAPY 10 - MARY FREE BED AT CANCER & HEMATOLOGY 6425 S HARVEY ST NORTON SHORES MI 49444 OUTPATIENT THERAPY, OUTPATIENT PAIN REHABILITATION 11 - MARY FREE BED HOME & COMMUNITY THERAPY 350 LAFAYETTE AVENUE SE GRAND RAPIDS MI 49503 HOME THERAPY SERVICES 12 - MFB HAND CENTER 1000 EAST PARIS AVE SUITE 115A GRAND RAPIDS MI 49546 OUTPATIENT THERAPY 13 - MARY FREE BED AT CANCER & HEMATOLOGY - E 5800 FOREMOST DR SE GRAND RAPIDS MI 49546 OUTPATIENT THERAPY 14 - MFB AT MUNSON HEALTHCARE - SPINE CENTER 3988 WEST ROYAL DRIVE TRAVERSE CITY MI 49684 OUTPATIENT THERAPY 15 - THE MARY FREE BED YMCA 5500 BURTON ST SE GRAND RAPIDS MI 49546 OUTPATIENT THERAPY 16 - MFB AT MUNSON HEALTHCARE - CHUMS CORNER 4025 CHUMS VILLAGE DR SUITE E TRAVERSE CITY MI 49685 OUTPATIENT THERAPY 17 - MARY FREE BED HOLLAND PEDIATRICS 3290 N WELLNESS DR SUITE 170 HOLLAND MI 49424 OUTPATIENT THERAPY 18 - MFB AT MUNSON HEALTHCARE - FOSTER FAMILY 550 MUNSON AVENUE TRAVERSE CITY MI 49686 OUTPATIENT PHYSICIAN CLINIC 19 - MARY FREE BED PSYCHOLOGY - TRAVERSE CITY 550 MUNSON AVENUE TRAVERSE CITY MI 49686 OUTPATIENT PSYCHOLOGY, OUTPATIENT ABA THERAPY 20 - MFB AT PLASTIC SURGERY ASSOCIATES 220 LYONS ST NW SUITE 700 GRAND RAPIDS MI 49503 OUTPATIENT THERAPY 21 - MARY FREE BED MOTION ANALYSIS CENTER 301 MICHIGAN ST NE GRAND RAPIDS MI 49503 OUTPATIENT THERAPY 22 - MFB AT MUNSON MEDICAL CENTER - KINGSLEY 2291 M-113 E KINGLSEY MI 49649 OUTPATIENT THERAPY 23 - MFB OP - GRAND TRAVERSE BAY WEST YMCA 3700 SILVER LAKE ROAD TRAVERSE CITY MI 49684 OUTPATIENT THERAPY PART I, LINE 7: THE COST TO CHARGE RATIO IS USED TO CALCULATE COMMUNITY BENEFITS. PART I, LN 7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $906,026. PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY BUILDING ACTIVITIES INCLUDED WORKING WITH "WEST MICHIGAN WORKS!" TO HELP YOUNG PEOPLE IDENTIFY THEIR INTERESTS, GAIN KNOWLEDGE OF HEALTH CARE CAREERS, AND OBTAIN TRAINING FOR THOSE CAREERS, AND FOR OUR CFO AND COO TO SERVE ON THE BOARDS OF OTHER NON-PROFIT COMMUNITY SERVICE ORGANIZATIONS 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 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 RATE (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: REVIEWED THE LISTING OF BAD DEBT WRITEOFFS POSTED DURING THE YEAR, AND FILTERED TO ACCOUNTS WITH CHARITY, MEDICAID, OR SELF-PAY AS SECONDARY PLANS. HIGHER AMOUNTS WERE CHECKED FOR PATIENT FINANCIAL SERVICE NOTES INDICATING THE PATIENT WAS LIKELY ELIGBLE FOR CFA, BUT THE PATIENT/GUARANTOR DID NOT PROVIDE THE NECESSARY INFORMATION TO MEDICAID, MFB, OR TO ANY OTHER ACUTE HOSPITAL INVOLVED IN THEIR CARE DESPITE REPOEATED ATTEMPT TO OBTAIN THIS INFORMATION. PART III, LINE 4: ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES, REDUCED BY EXPLICIT PRICE CONCESSIONS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO QUALIFYING INDIVIDUALS AS PART OF OUR FINANCIAL ASSISTANCE POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED PRIMARILY TO SELF-PAY PATIENTS. ESTIMATES FOR EXPLICIT PRICE CONCESSIONS ARE BASED ON PROVIDER CONTRACTS, PAYMENT TERMS FOR RELEVANT PROSPECTIVE PAYMENT SYSTEMS, AND HISTORICAL EXPERIENCE ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE ORGANIZATION'S ABILITY TO COLLECT OUTSTANDING AMOUNTS.FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDE BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE ORGANIZATION RECORDS SIGNIFICANT IMPLICIT PRICE CONCESSIONS 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. PART III, LINE 8: (1) MEDICARE GROSS REIMBURSMENTS AMOUNTS WERE TAKEN FROM THE CMS PROVIDER STATISTICAL AND REIMBURSEMENT SYSTEM REPORT (PS&R REPORTS) LESS SEQUESTRATION DEDUCTIONS, PLUS SETTLEMENTS ON THE FY2023 COST REPORT SUBMITTED AUG 2023(2) ALL OF THE MEDICARE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT BECAUSE SERVICES ARE PROVIDED WITH THE FULL RECOGNITION THAT MEDICARE REIMBURSEMENT WILL BE INSUFFICIENT TO COVER THE COSTS OF PROVIDING THOSE SERVICES.(3) THE COST TO CHARGE RATIO WAS CALCULATED BASED ON THE FY2023 MEDICARE COST REPORT. PART III, LINE 9B: PATIENTS RECEIVING 100% CHARITY CARE HAVE A UNIQUE FINANCIAL CLASS ASSIGNED TO THEM. UNDERINSURED AND LOW INCOME INSUREDS WILL HAVE A SECONDARY FINANCIAL CLASS OF CFA. ALL CHARITY CARE ACCOUNTS ARE EXCLUDED FROM ACCOUNTS BEING SENT TO THE COLLECTION AGENCY. FOR THOSE PATIENTS/GUARANTORS WHOM WE HAVE REASON TO BELIEVE WOULD QUALIFY FOR FAP, COPIES OF THE POLICIES AND APPLICATIONS ARE PROVIDED, AND ASSISTANCE OFFERED TO COMPLETE THE FORMS. 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. INPUT 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 ONLY PARTIALLY COVERED BY THEIR INSURANCE, PATIENTS ARE CONTACTED AND CHARITY CARE 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 658,046 PEOPLE IN 2021 ACCORDING TO THE US CENSUS BUREAU. IN 2020 APPROXIMATELY 79% OF THE RESIDENTS WERE WHITE, 10% WERE BLACK/AFRICAN AMERICAN, AND 10% WERE HISPANIC OR LATINO. IN 2020, LESS THAN 5% HAD NO HIGH SCHOOL DIPLOMA, AND 80.7% HAD A HIGH SCHOOL DIPLOMA/GED OR HIGHER. IN 2020, APPROXIMATELY 11% OF ITS RESIDENTS LIVED BELOW THE POVERTY LEVEL AND ANOTHER 24% ARE ALICE (ASSET LIMITED, INCOME CONSTRAINED, EMPLOYED). IN GRAND RAPIDS, 47% OF HOUSEHOLDS AE BELOW THE ALICE THRESHOLD (POVERTY LEVEL AND ALICE HOUSEHOLDS COMBINED). 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 0 SCHOLARSHIP AMERICA INC 7900 INTERNATIONAL DRIVE MINNEAPOLIS MN 55425 042296967 501(C)(3) 29750 0 N/A N/A SCHOLARSHIPS SPECTRUM HEALTH FOUNDATION 25 MICHIGAN STREET NE SUITE 4100 GRAND RAPIDS MI 49503 382752328 501(C)(3) 15000 0 N/A N/A PROGRAM SUPPORT THE SPARROW FOUNDATION 1322 E MICHIGAN AVE LANSING MI 48912 386100687 501(C)(3) 8200 0 N/A N/A PROGRAM SUPPORT THE ECONOMICS CLUB OF GRAND RAPIDS 220 LYON STREET NW STE 220 GRAND RAPIDS MI 49503 232744255 501(C)(3) 6300 0 N/A N/A PROGRAM SUPPORT COVENANT HEALTHCARE FOUNDATION 1447 N HARRISON SAGINAW MI 48602 382572154 501(C)(3) 5900 0 N/A N/A PROGRAM SUPPORT MICHIGAN CROSSROADS INC - BOY SCOUTS OF AMERICA 14258 MICHIGAN STREET EAGLE MI 48822 454003240 501(C)(3) 5600 0 N/A N/A PROGRAM SUPPORT 6 0 X X X X 0 1 0 0 0 0 0 1 0 KENT RIDDLE CEO 874750 0 215500 0 0 0 20900 0 11233 0 1122383 0 0 0 INGRID CHESLEK COO 452857 0 67233 0 0 0 17850 0 11233 0 549173 0 0 0 DR MICHAEL JAKUBOWSKI MD DIRECTOR 438817 0 65208 0 0 0 23950 0 13636 0 541611 0 0 0 DR BENJAMIN BRUINSMA MD DIRECTOR 436441 0 9000 0 0 0 23950 0 18131 0 487522 0 0 0 JEFFREY GARBER CHIEF STRATEGY OFFICER 462793 0 0 0 0 0 14633 0 2468 0 479894 0 0 0 CHRISTOPHER MORELLI DO PHYSICIAN 396157 0 9000 0 0 0 23950 0 5120 0 434227 0 0 0 STUART YABLON MD PHYSICIAN 356663 0 9000 0 0 0 20806 0 9917 0 396386 0 0 0 RALPH WANG MD PHYSICIAN 342624 0 9000 0 0 0 23950 0 18131 0 393705 0 0 0 CHRISTIE MCKINNEY DO PHYSICIAN 351216 0 0 0 0 0 23255 0 5120 0 379591 0 0 0 RYAN PODVIN CFO 278710 0 35927 0 0 0 16365 0 13635 0 344637 0 0 0 PART I, LINE 4B MARY FREE BED REHABILITATION HOSPITAL (MFB) MAINTAINS A SUPPLEMENTAL RETIREMENT PLAN (SERP) FOR A SELECT GROUP OF EXECUTIVES OF MFB AND ITS AFFILIATED ENTITIES. THIS SERP IS AN UNFUNDED, NONQUALIFIED DEFERRED COMPENSATION PLAN THAT IS INTENDED TO COMPLY WITH SECTION 457(F) OF THE INTERNAL REVENUE CODE. BENEFITS UNDER THIS SERP IS TAXABLE TO THE PARTICIPATING EXECUTIVES WHEN SUCH AMOUNTS ARE VESTED. KENT RIDDLE AND INGRID CHESLEK ARE PARTICIPANTS OF THIS PLAN. THERE WERE NO SERP PAYMENTS DURING THE YEAR. PART I, LINE 7 NON-FIXED PAYMENTS WERE MADE TO EXECUTIVES THAT WERE PREDICATED ON CERTAIN INDIVIDUAL AND TEAM GOALS WHICH ARE SPELLED OUT IN THEIR CONTRACTS. A KENT HOSPITAL FINANCE AUTHORITY 382350002 2012-10-26 14000000 PARTIAL FUNDING OF NEW HOSPITAL ADDITION 0 0 0 B KENT HOSPITAL FINANCE AUTHORITY 382350002 490580FP7 2021-10-06 31253906 FINANCE CAPITAL PROJECTS 0 0 0 A 14000000 14000000 14000000 0 0 1 1 B 717083 31253906 513906 16665131 6302820 7772049 0 1 0 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 1 0 0 0 0 0 0 0 B 0 1 0 0 0 0 0 0 0 A 1 B 1 SCHEDULE K, PART I, BOND ISSUES: (A) ISSUER NAME: KENT HOSPITAL FINANCE AUTHORITY (F) DESCRIPTION OF PURPOSE: PARTIAL FUNDING OF (I) THE ACQUISITION, CONSTRUCTION, RENOVATION, FURNISHING, AND EQUIPPING OF CAPITAL IMPROVEMENTS TO THE CORPORATION'S FACILITIES LOCATED AT 235 WEALTHY STREET, S.E., GRAND RAPIDS, MICHIGAN 49503 (THE "MAIN CAMPUS"): (II) THE CONSTRUCTION, RENOVATION, FURNISHING, AND EQUIPPING OF A KITCHEN AND CAFE LOCATED AT THE MAIN CAMPUS; (III) THE CONSTRUCTION, RENOVATING, FURNISHING, AND EQUIPPING A NEW SIXTH FLOOR OF PATIENT CARE FACILITIES LOCATED ON THE MAIN CAMPUS; (IV) THE ACQUISITION, CONSTRUCTION, RENOVATING, FURNISHING, AND EQUIPPING OF A PROFESSIONAL OFFICE BUILDING TO BE USED PRIMARILY FOR ADMISTRATIVE PURPOSES LOCATED AT 350 LAFAYETTE AVENUE, S.E., GRAND RAPIDS, MICHIGAN 49503; AND (V) THE ACQUISITION AND INSTALLATION OF A COMPUTER HARDWARE AND SOFTWARE SYSTEM AND ASSOCIATED EQUIPMENT KNOWN AS THE EPIC PROJECT (COLLECTIVELY, THE "PROJECT") SCHEDULE K, PART IV, ARBITRAGE, LINE 2C: (A) ISSUER NAME: KENT HOSPITAL FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/01/2018 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 11B THE FORM 990 IS REVIEWED BY THE CFO PRIOR TO FILING. AFTER COMPLETION OF THE RETURN, RETURN WILL BE POSTED TO AN INTERNAL WEBSITE PORTAL FOR ALL BOARD MEMBERS TO REVIEW BEFORE FILING. 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 WOULD BE 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. 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. AN INCENTIVE PLAN WITH SPECIFIC MEASURES AND WEIGHTINGS FOR FINANCIAL, QUALITY, CUSTOMER SATISFACTION, AND INDIVIDUAL GOALS IS ALSO IN PLACE FOR THE PRESIDENT. THIS PROCESS WAS MOST RECENTLY UNDERTAKEN IN 2020. 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: CONTRIBUTIONS RECEIVED FROM JOA PARTNERS 182,053. TRANSFER TO AFFILIATES -130,277. FORM 990, PART XII, LINE 2C: THERE HAS BEEN NO CHANGE IN PROCESS FROM PRIOR YEAR. 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