2024-02-06T11:54:39-06:00 2023-03-31 381357951 PLANTE & MORAN PLLC 750 TRADE CENTRE WAY STE 300 PORTAGE MI 49002 990 2022-04-01 461164285 MARY FREE BED REHABILITATION HOSPITAL FOUNDATION MARY 8005288989 235 WEALTHY STREET SE GRAND RAPIDS MI 495035247 NATHANIEL GUZMAN TREASURER 8005288989 2024-02-05 1 NATHANIEL GUZMAN 999009999 0 SAMANTHA L BECKER P01344887 2695674500 2024-02-01 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z NATHANIEL GUZMAN 235 WEALTHY STREET SE GRAND RAPIDS MI 495035247 10416123 0 X WWW.MARYFREEBED.COM/FOUNDATION X 2012 MI TO RECEIVE AND ADMINISTER FUNDS FOR MARY FREE BED REHABILITATION HOSPITAL, A CHARITABLE ORGANIZATION, IN ORDER TO RAISE FUNDS FOR CAPITAL, EXPANSION, AND PROGRAM IMPROVEMENTS OF THE HOSPITAL AND RELATED TAX EXEMPT ORGANIZATIONS. 16 14 0 85 0 0 3668704 7592489 0 0 178157 279099 290301 179698 4137162 8051286 1941228 2515982 0 0 988387 1049602 0 0 1143810 411032 431129 3340647 3996713 796515 4054573 19514518 30031805 5108793 12266556 14405725 17765249 TO RECEIVE AND ADMINISTER FUNDS FOR MARY FREE BED REHABILITATION HOSPITAL, A CHARITABLE ORGANIZATION, IN ORDER TO RAISE FUNDS FOR CAPITAL, EXPANSION, AND PROGRAM IMPROVEMENTS OF THE HOSPITAL AND RELATED TAX EXEMPT ORGANIZATIONS. 0 0 2353955 2353955 TO RECEIVE AND ADMINISTER FUNDS FOR MARY FREE BED REHABILITATION HOSPITAL, A CHARITABLE ORGANIZATION, IN ORDER TO RAISE FUNDS FOR CAPITAL, EXPANSION, AND PROGRAM IMPROVEMENTS OF THE HOSPITAL AND RELATED TAX EXEMPT ORGANIZATIONS. 162027 162027 TO RECEIVE AND ADMINISTER FUNDS FOR MARY FREE BED REHABILITATION HOSPITAL, A CHARITABLE ORGANIZATION, IN ORDER TO RAISE FUNDS AND SUPPORT EMPLOYEES OF MARY FREE BED REHABILITATION HOSPITAL. 2515982 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 16 14 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 MI X RYAN PODVIN 6168408676 235 WEALTHY STREET SE GRAND RAPIDS MI 495035247 KENT RIDDLE PRESIDENT 1.00 56.00 X X 0 1090250 32133 DR BENJAMIN BRUINSMA TRUSTEE 1.00 40.00 X 0 445441 42081 LEE PEREZ CHAIRMAN OF THE BOARD 1.00 0.00 X X 0 0 0 LINDSAY BENEDICT VICE CHAIR 1.00 0.00 X X 0 0 0 BRENT VAN HAREN TRUSTEE 1.00 0.00 X 0 0 0 TIMOTHY ARTER TRUSTEE 1.00 0.00 X 0 0 0 DIANE VANDER MAAS TRUSTEE 1.00 0.00 X 0 0 0 EVA AGUIRRE COOPER TRUSTEE 1.00 0.00 X 0 0 0 GREGORY CONWAY TRUSTEE 1.00 0.00 X 0 0 0 ANNE CHAMBERLIN TRUSTEE 1.00 0.00 X 0 0 0 REVEREND KATHERINE LEE BAKER TRUSTEE 1.00 0.00 X 0 0 0 JACQUES MOSS TRUSTEE 1.00 0.00 X 0 0 0 MARCUS JACKSON TRUSTEE 1.00 0.00 X 0 0 0 AMY STUURSMA TRUSTEE 1.00 3.00 X 0 0 0 JENNIFER TAYLOR TRUSTEE 1.00 1.00 X 0 0 0 DR MICHAEL JAKUBOWSKI TRUSTEE 1.00 54.00 X 0 0 0 WILLIAM C VANDENBERG TRUSTEE (THRU 06/2022) 1.00 0.00 X 0 0 0 SUSAN BLOSS TRUSTEE (THRU 06/2022) 1.00 0.00 X 0 0 0 NATHANIEL GUZMAN TREASURER (NON VOTING) 1.00 39.00 X 0 183692 24086 TIMOTHY PIETRYGA SECRETARY (NON VOTING) 40.00 0.10 X 0 219915 27775 0 1939298 126075 0 0 1 0 0 216451 28784 7347254 281398 7592489 377086 377086 1986866 2084853 -97987 -97987 -97987 459682 216451 279984 179698 179698 8051286 0 0 458797 X 2353955 2353955 162027 162027 248643 49729 198914 564995 66621 498374 25246 3616 21630 148475 21256 127219 62243 8921 53322 83250 16650 66600 240 240 22050 22050 93228 93228 888 888 72811 72811 3401 680 2721 53277 8363 44914 28400 28400 2365 2365 6848 3424 3424 9525 9525 DONOR RELATIONS 40683 40683 DUES AND SUBSCRIPTIONS 7140 3570 3570 OTHER FUNDRAISING 7023 7023 3996713 2515982 336921 1143810 1641761 13023221 2764801 2113206 103132 196579 12929 7367 14991895 14691432 19514518 30031805 97832 100648 43610 133220 4967351 12032688 5108793 12266556 X 5482842 3788826 8922883 13976423 14405725 17765249 19514518 30031805 4054573 -695049 0 X X 0 1 X 1 0 X X X 1 MARY FREE BED REHABILITATION HOSPITAL 381359265 3 1 2141189 0 1 2141189 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 DUE TO RELATED PARTY 12032688 12032688 GALA 485000 61850 423150 41648 118381 77920 5904 LET FREEDOM SPRING LUNCHEON 95346 60846 34500 1800 18001 2142 1575 1 95787 93755 2032 12613 676133 216451 459682 43448 136382 80062 20092 279984 179698 0 MARY FREE BED REHABILITATION HOSPITAL 235 WEALTHY STREET SE GRAND RAPIDS MI 49503 381359265 501(C)(3) 2141189 0 N/A N/A SUBSIDY FOR PEDIATRIC CARE AND OTHER HOSPITAL PROGRAMS MARY FREE BED ORTHOTICS AND PROSTHETICS 235 WEALTHY STREET SE GRAND RAPIDS MI 49503 382643391 501(C)(3) 22500 0 N/A N/A SUBSIDY FOR PEDIATRIC CARE CAPITAL REGION COMMUNITY FOUNDATION 300 MARSHALL ST SUITE 300 LANSING MI 48912 382776652 501(C)(3) 15000 0 N/A N/A PEDIATRIC PLAYGROUND COVENANT HEALTHCARE FOUNDATION 700 COOPER AVE SAGINAW MI 48602 382572154 501(C)(3) 33333 0 N/A N/A MARY FREE BED AT COVENANT CAPITAL CAMPAIGN ASSOCIATION FOR THE BLIND AND VISUALLY IMPAIRED 256 CHERRY ST SE GRAND RAPIDS MI 49503 381387122 501(C)(3) 141933 0 N/A N/A SUBSIDY FOR BLIND AND VISUALLY IMPAIRED 5 0 EMPLOYEE GIVING PROGRAM TO SUPPORT EMPLOYEES WITH FINANCIAL HARDSHIP 37 32509 0 N/A N/A EDUCATION SUPPORT 113 57990 0 N/A N/A EMPLOYEE ASSISTANCE 82 919 0 N/A N/A PATIENT CHARITABLE ASSISTANCE 94 65196 0 N/A N/A COVENANT PATIENT ASSISTANCE 4 1296 0 N/A N/A LEE MONTGOMERY ATHLETE ASSISTANCE 3 929 0 N/A N/A EMPLOYEE SCHOLARSHIP FUND - MATTHEW FITZPATRICK 3 3188 0 N/A N/A PART I, LINE 2: - MARY FREE BED REHABILITATION HOSPITAL FOUNDATION PROVIDES GRANTS TO MARY FREE BED REHABILITATION HOSPITAL (MFB), A CHARITABLE ORGANIZATION, IN ORDER TO RAISE FUNDS FOR CAPITAL, EXPANSION, AND PROGRAM IMPROVEMENTS OF THE HOSPITAL AND RELATED TAX EXEMPT ORGANIZATIONS. - MARY FREE BED REHABILITATION HOSPITAL FOUNDATION ALSO PROVIDES GRANTS TO EMPLOYEES OF MARY FREE BED REHABILITATION HOSPITAL WHO EXPERIENCE FINANCIAL HARDSHIP. A COMMITTEE EVALUATES THE EMPLOYEE NEED AND FOLLOWS THE EMPLOYEE GIVING PROGRAM POLICY TO ENSURE EMPLOYEE IS QUALIFIED TO RECEIVE SUPPORT. - SKILLED TRADES EDUCATION SUPPORT IS PROVIDED TO MARY FREE BED REHABILITATION HOSPITAL AND RELATED ENTITY STAFF MEMBERS THROUGH GRANTS RECEIVED THROUGH THE STATE OF MICHIGAN SKILLED TRADES TRAINING FUNDS. - LEE MONTGOMERY ATHLETE ASSISTANCE: THE LMAAF PROVIDES ATHLETES WITH FINANCIAL SUPPORT TO LEARN, GROW AND PRACTICE THEIR FAVORITE SPORT OR PARTICIPATE IN A SPORT THAT THEY OTHERWISE MIGHT NOT BE ABLE TO EXPERIENCE. - COVENANT PATIENT ASSISTANCE: FINANCIAL SUPPORT PROVIDED TO PATIENTS LOCATED IN THE BAY REGION. PART III, COLUMN (B): ESTIMATED BASED ON THE AVERAGE AMOUNT GRANTED PER RECIPIENT. 0 1 0 0 0 0 0 0 0 KENT RIDDLE PRESIDENT 0 874750 0 215500 0 0 0 20900 0 11233 0 1122383 0 0 DR BENJAMIN BRUINSMA TRUSTEE 0 436441 0 9000 0 0 0 23950 0 18131 0 487522 0 0 TIMOTHY PIETRYGA SECRETARY (NON VOTING) 0 179915 0 40000 0 0 0 14139 0 13636 0 247690 0 0 NATHANIEL GUZMAN TREASURER (NON VOTING) 0 167830 0 15862 0 0 0 10450 0 13636 0 207778 0 0 PART I, LINE 3 THE ORGANIZATION'S PRESIDENT, KENT RIDDLE, IS COMPENSATED BY A RELATED PARTY WHO USES A COMPENSATION COMMITTEE, FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE COMPENSATION COMMITTEE TO DETERMINE HIS COMPENSATION. 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 IS A PARTICIPANT OF THIS PLAN. THERE WERE NO SERP PAYMENTS DURING THE YEAR. X 3 237983 FMV X 1 600 FMV X THERAPY/ADAPTIVE EQUIPMENT 7 24276 FMV X ENTERTAINMENT 28 10912 FMV X PPE 17 5025 FMV X GIFT CERTIFICATES 19 2602 FMV 0 1 0 SCHEDULE M, PART I, COLUMN (B): THE AMOUNT LISTED IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS RECEIVED. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION'S SOLE MEMBER IS MARY FREE BED REHABILITATION HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION'S SOLE MEMBER, MARY FREE BED REHABILITATION HOSPITAL, ELECTS THE DIRECTORS OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS OF THE BOARD ARE SUBJECT TO APPROVAL BY MARY FREE BED REHABILITATION HOSPITAL. IN ADDITION, APPROVAL OF THE MARY FREE BED GUILD, THE HOSPITALS SOLE SHAREHOLDER, SHALL BE REQUIRED: A. TO ELECT OR REMOVE TRUSTEES OF THE CORPORATION; B. TO CHANGE THE PURPOSE OR PHILOSOPHY OF THE CORPORATION; C. TO AMEND THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION; D. TO DISSOLVE OR LIQUIDATE THE CORPORATION; E. TO MERGE OR CONSOLIDATE THE CORPORATION WITH ANOTHER CORPORATION; F. TO CREATE OR ACQUIRE A NEW SUBSIDIARY CORPORATION, OR TO SELL OTHERWISE DISPOSE OF, MERGE OR CONSOLIDATE EXISTING SUBSIDIARIES OF THE CORPORATION; G. TO ENTER INTO A JOINT VENTURE WITH ANOTHER ORGANIZATION IN WHICH THE CORPORATION WILL OWN 25% OR MORE OF THE JOINT VENTURE ENTITY OR TO ENTER INTO ANY JOINT VENTURE WITH AN ORGANIZATION THAT IS NOT A TAX EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, OR COMPARABLE PROVISIONS OF SUBSEQUENT LEGISLATION (THE ""CODE""); H. TO PURCHASE, ACQUIRE, SELL, EXCHANGE, GIVE AS SECURITY, MORTGAGE, OR TO DISPOSE OF ANY REAL PROPERTY OWNED, HELD OR LEASED BY THE CORPORATION; I. TO GUARANTEE THE DEBT OF OTHERS BY THE CORPORATION; OR J. TO APPROVE THE PURPOSE AND SCOPE OF MAJOR FUNDING CAMPAIGNS TAKEN TO THE COMMUNITY AT LARGE. 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 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 IX: GRANTS AND ASSISTANCE TO ORGANIZATIONS AND INDIVIDUALS ARE REPORTED AS PROGRAM SERVICE EXPENSE. ALL OTHER EXPENSES ARE ALLOCATED TO MANAGEMENT AND GENERAL OR FUNDRAISING EXPENSE. MARY FREE BED FOUNDATION'S PURPOSE IS TO SUPPORT MARY FREE BED REHABILITATION HOSPITAL AND RELATED ENTITIES, SO WHILE CERTAIN EXPENSES ARE ALLOCATED TO THE MANAGEMENT AND GENERAL COLUMN ON THE STATEMENT OF FUNCTIONAL EXPENSES, THESE EXPENSES ARE AN ALLOCATION AS A PART OF THE MARY FREE BED HEALTH SYSTEM AND THEREFORE IN DIRECT SUPPORT OF THE OVERALL SYSTEM'S MISSION. FORM 990, PART XII, LINE 2C: THERE HAS BEEN NO CHANGE IN PROCESS SINCE PRIOR YEAR. ASSOCIATION FOR THE BLIND AND VISUALLY IMPAIRED 456 CHERRY SE GRAND RAPIDS MI 49503 381387122 CHARITABLE HEALTHCARE MI 501(C)(3) LINE 7 MARY FREE BED REHABILITATION HOSPITAL 1 MARY FREE BED GUILD FUND 235 WEALTHY STREET SE GRAND RAPIDS MI 49503 382643392 SUPPORTING ORGANIZATION MI 501(C)(3) LINE 12A, I MARY FREE BED GUILD 1 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 AND PROSTHETICS MI 501(C)(3) LINE 10 MARY FREE BED REHABILITATION HOSPITAL 1 MARY FREE BED REHABILITATION HOSPITAL 235 WEALTHY STREET SE GRAND RAPIDS MI 49503 381359265 CHARITABLE HEALTHCARE MI 501(C)(3) LINE 3 MARY FREE BED GUILD 1 THE FOUNDATION IN SUPPORT OF THE ASSOCIATION FOR THE BLIND 456 CHERRY SE GRAND RAPIDS MI 49503 383382541 SUPPORTING ORGANIZATION MI 501(C)(3) LINE 12A, I ASSOCIATION FOR THE BLIND AND VISUALLY IMPAIRED 1 MARY FREE BED INSURANCE COMPANY PCC 235 WEALTHY STREET SE GRAND RAPIDS MI 49503 854388186 RISK MANAGEMENT MI 501(C)(3) LINE 12A, I MARY FREE BED REHABILITATION HOSPITAL 1 MARY FREE BED REHABILITATION LLC 235 WEALTHY ST SE GRAND RAPIDS MI 49503 383584123 PHYSICAL THERAPY MI N/A C 1 MARY FREE BED CONDOMINIUM ASSOCIATION 235 WEALTHY ST SE GRAND RAPIDS MI 49503 382694280 CONDO MAINTENANCE MI N/A C 1 MARY FREE BED DRIVERS LLC 250 LAFAYETTE AVE SE GRAND RAPIDS MI 49503 851559630 DRIVER ROAD TEST MI N/A C 1 0 1 1 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 1 MARY FREE BED REHABILITATION HOSPITAL B 2141189 CASH ASSOCIATION FOR THE BLIND AND VISUALLY IMPAIRED B 141933 CASH