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      <Form990PartVIISectionAGrp>
        <PersonNm>DAVE BEEMER</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID HOOKER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DEB KAY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DR BENJAMIN BRUINSMA MD</PersonNm>
        <TitleTxt>CMO</TitleTxt>
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        <PersonNm>DR CHRISTOPHER MORELLI MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <PersonNm>DR JEFFREY KRAMER MD</PersonNm>
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        <PersonNm>HOLLY PETERSON</PersonNm>
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        <PersonNm>KEVIN BIRCHMEIER</PersonNm>
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        <PersonNm>LAURIE DUTHIE</PersonNm>
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        <PersonNm>LUIS AVILA</PersonNm>
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        <PersonNm>MARGARET NAULT</PersonNm>
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        <PersonNm>MARILYN WALTON</PersonNm>
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        <PersonNm>MARY BETH BROWN</PersonNm>
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        <PersonNm>NANCY ALBERS</PersonNm>
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        <PersonNm>Pamela Buschle</PersonNm>
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        <PersonNm>STEPHEN DREW</PersonNm>
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        <PersonNm>SUSAN BLOSS</PersonNm>
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        <PersonNm>TONJA MOYER</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Wendy Stock</PersonNm>
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        <PersonNm>BRUCE BRASSER</PersonNm>
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        <PersonNm>DR BRIDGET RIZIK MD</PersonNm>
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        <PersonNm>DR CHRISTOPHER RIZIK DO</PersonNm>
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        <PersonNm>DR IAN GONZALES MD</PersonNm>
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        <PersonNm>DR THOMAS HORDT MD</PersonNm>
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        <PersonNm>KYLE JOSEPHSON</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DR Michael Jakubowski MD</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TIMOTHY TUTHILL</PersonNm>
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            <BusinessNameLine1Txt>MILLER JOHNSON ATTORNEYS</BusinessNameLine1Txt>
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            <AddressLine1Txt>45 OTTAWA AVE SW STE 1100</AddressLine1Txt>
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            <AddressLine1Txt>209 S ALLOY DRIVE</AddressLine1Txt>
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        <NetCommunityBenefitExpnsAmt>702</NetCommunityBenefitExpnsAmt>
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        <TotalExpensePct>0.0</TotalExpensePct>
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        <TotalExpensePct>0.00069</TotalExpensePct>
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      <BadDebtExpenseReportedInd>true</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>2136083</BadDebtExpenseAmt>
      <BadDebtExpenseAttributableAmt>94502</BadDebtExpenseAttributableAmt>
      <ReimbursedByMedicareAmt>13372814</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>14518316</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>-1145502</MedicareSurplusOrShortfallAmt>
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        <CostToChargeRatioInd>X</CostToChargeRatioInd>
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      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
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      <HospitalFacilitiesGrp>
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        <BusinessName>
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          <CityNm>GRAND RAPIDS</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>495035247</ZIPCd>
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        <WebsiteAddressTxt>WWW.MARYFREEBED.COM</WebsiteAddressTxt>
        <StateLicenseNum>10600000134</StateLicenseNum>
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        <TeachingHospitalInd>X</TeachingHospitalInd>
        <ResearchFacilityInd>X</ResearchFacilityInd>
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        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
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        <CHNAConductedInd>true</CHNAConductedInd>
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        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>25</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>true</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>true</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>https://tinyurl.com/mvfpdvbx</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>25</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>https://tinyurl.com/mvfpdvbx</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>145.0</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>250.0</FPGFamilyIncmLmtDscntCarePct>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <ResidencyCriteriaInd>X</ResidencyCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <ProvidedNonprofitContactInd>X</ProvidedNonprofitContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>https://www.maryfreebed.com/financial-services/financial-assistance/</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>https://www.maryfreebed.com/financial-services/financial-assistance/</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>https://www.maryfreebed.com/financial-services/financial-assistance/</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
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        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <OtherPublicityInd>X</OtherPublicityInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
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        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <LookBackMedicarePrivateInd>X</LookBackMedicarePrivateInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - MARY FREE BED REHABILITATION HOSPITAL. 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. WEB LINK TO KENT COUNTY CHNA FOR DATA SOURCE INFORMATION: https://tinyurl.com/mvfpdvbx ALONG WITH THE ABOVE MENTIONED SOURCES OF DATA, MARY FREE BED ALSO UTILIZED FERERAL AND STATE HEALTH DOCUMENTS [LISTED ABOVE IN PROFILES] 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 AS DESCRIBED ABOVE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6a Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - MARY FREE BED REHABILITATION HOSPITAL. COREWELL HEALTH, PINE REST CHRISTIAN MENTAL HEALTH SERVICES, TRINITY HEALTH, UNIVERSITY OF MICHIGAN HEALTH-WEST</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6b Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - MARY FREE BED REHABILITATION HOSPITAL. KENT COUNTY HEALTH DEPARTMENT, GRAND VALLEY STATE UNIVERSITY, AREA AGENCY ON AGING OF WEST MICHIGAN, GRAND RAPIDS LGBTQ+ HEALTHCARE CONSORTIUM, ROSEVELT PARK NEIGHBORHOOD ASSOCIATION, COMMUNITY MEMBERS, MEL TROTTER MINISTRIES, GRAND RAPIDS PUBLIC SCHOOLS, DISABILITY ADVOCATES OF KENT COUNTY, AND MANY OTHERS</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - MARY FREE BED REHABILITATION HOSPITAL. - SPECIFIC NEEDS IDENIFIED IN CHNA: ACCESS TO MEDICAL CARE - IMPACT GOAL #1: TEXTCARE AND MARY &amp; ME HEALTH NAVIGATION - IMPLEMENTATION STRATEGY: MULTI-CHANNEL PROMOTION OF PRGRAM TO MFB EMPLOYEES TO MAKE SURE THEY ARE WELL-INFORMED ABOUT THE FREE OPTION FOR NO-COST HEALTHCARE VIA TEXTCARE - IMPLEMENTATION STRATEGY: MULTI-CHANNEL PROMOTION OF NURSE CONCIERGE PROGRAM FOR EMPLOYEES AND THEIR FAMILIES - MEASURABLE OUTCOME: INCREASE UNIQUE UTILIZATION USER PERCENTAGE OF TEXTCARE SERVICES BY 10% ANNUALLY - MEASURABLE OUTCOME: INCREASE EMPLOYEE PARTICIPATION IN THE MARY &amp; ME HEALTHIER TOGETHER PROGRAM BY 5% EACH YEAR - IMPACT GOAL #2: INCLUSIVE CARE - IMPLEMENTATION STRATEGY: EXPAND ORGANIZATION'S CAPACITY TO TRAIN THE WORKFORCE ON THE CULTURE OF INCLUSION - IMPLEMENTATION STRATEGY: EXPAND ORGANIZATION'S ABILITY TO COMMUNICATE WITH PATIENTS AND THEIR FAMILIES IN MULTIPLE LANGUAGES - MEASURABLE OUTCOME: PROVIDE A MINIMUM OF 15 EDUCATIONAL OFFERINGS ON SUBJECTS TO EXPAND THE DIVERSITY OF OUR WORKFORCE - MEASURABLE OUTCOME: INCREASE ARCHIVE OF TRANSLATED DOCUMENTS FOR THE TOP THREE LANGUAGES IN KENT COUNTY (OTHER THAN ENGLISH) BY A MINIMUM OF 5-10 DOCUMENTS PER YEAR - IMPACT GOAL #3: STROKES OF RESILIENCE - IMPLEMENTATION STRATEGY: SUBMIT GRANT FUNDING PROPOSALTO THE MICHIGAN HEALTH ENDOWMENT FUND - MEASURABLE OUTCOME: IMPLEMENT COMMUNITY-BASED PEER SUPPORT PROGRAM FOR STROKE SURVIVORS AND THEIR CAREGIVERS - IMPACT GOAL #4: ACCESS TO REHABILITATION SERVICES - IMPLEMENTATION STRATEGY: OPEN THE STATE'S FIRST PEDIATRIC REHABILITATION HOSPITAL - MEASURABLE OUTCOME: SUCCESSFUL COMPLETION OF THE PHASES OF CONSTRUCTION FOR THE JOAN SECCHIA CHILDREN'S REHABILITATION HOSPITAL - SPECIFIC NEEDS IDENTIFIED IN CHNA: HEALTH INSURANCE - IMPACT GOAL #1: ADDRESSING UNINSURED EMPLOYEES - IMPLEMENTATION STRATEGY: OPTIMIZE INTERNAL SYSTEMS TO ENSURE THAT THE HEALTH NAVIGATION MANAGER IS AWARE OF THE MFB UNINSURED POPULATION AS ENROLLMENT DEADLINES APPROACH TO FACILITATE ENHANCED COMMUNICATION, SUPPORT AND GUIDANCE FOR COMPLETING THE ENROLLMENT PROCESS. - MEASUREABLE OUTCOME: DECREASE THE PERCENTAGE OF UNINSURED EMPLOYEES - SPECIFIC NEEDS IDENTIFIED IN CHNA: ACCESS TO MEDICAL CARE, HEALTH INSURANCE, ACCESS TO HEALTHY FOOD, AND HOUSING - IMPACT GOAL #1: SOCIAL DETERMINANTS OF HEALTH - IMPLEMENTATION STRATEGY: STRIVE TO LOCATE GAPS IN THE SOCIAL NEEDS OFPATIENTS THAT AFFECT OVERALL HEALTH, AND INFLUENCE ACCESS TO RESOURCES TO ENSURE THAT PATIENTS HAVE THE INFORMATION NEEDED TO MAKE EDUCATED CHOICES - MEASURABLE OUTCOME: COMPLETE SDOG ASSESSMENT FOR 100% OF INPATIENT POPULATION, EXCLUDING THOSE WHO DENY ASSESSMENT/RESOURCES - MEASURABLE OUTCOME: PROVIDE RESOURCES TO 100% OF THOSE PATIENTS IDENTIFIED WITH GAPS -OTHER NEEDS IDENTIFIED IN CHNA NOT ADDRESSED IN THIS IMPLEMENTATION PLAN MARY 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 AREAS 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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - MARY FREE BED REHABILITATION HOSPITAL. 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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>18</FacilityNum>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>MARY FREE BED OUTPATIENT SERVICES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>235 WEALTHY ST SE</AddressLine1Txt>
            <CityNm>GRAND RAPIDS</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>49503</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT THERAPY, PSYCHOLOGY, AND NUTRITION</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>MARY FREE BED PHYSICIAN CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>235 WEALTHY ST SE</AddressLine1Txt>
            <CityNm>GRAND RAPIDS</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>49503</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>MARY FREE BED AT CANCER &amp; HEMATOLOGY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>6425 S HARVEY ST</AddressLine1Txt>
            <CityNm>NORTON SHORES</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>49444</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT THERAPY, OUTPATIENT PAIN REHABILITATION</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>MARY FREE BED SPARTANNASH YMCA</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>5722 METRO WAY SW SUITE B</AddressLine1Txt>
            <CityNm>WYOMING</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>49519</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>MARY FREE BED ABA PROGRAM</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1550 3 MILE RD NW SUITE A</AddressLine1Txt>
            <CityNm>GRAND RAPIDS</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>49544</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT PSYCHOLOGY, OUTPATIENT ABA THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>MARY FREE BED KALAMAZOO SOUTHWEST</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>7125 STADIUM DRIVE</AddressLine1Txt>
            <CityNm>KALAMAZOO</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>49009</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT THERAPY, OUTPATIENT OUTPATIENT THERAPY, OUTPATIENT</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>MARY FREE BED AT MUNSON MEDICAL CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>5191 ROSEWOOD DR</AddressLine1Txt>
            <CityNm>TRAVERSE CITY</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>49685</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT THERAPY, OUTPATIENT PAIN REHABILITATION</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>MARY FREE BED HOLLAND</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3290 N WELLNESS DR SUITE 170</AddressLine1Txt>
            <CityNm>HOLLAND</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>49424</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT THERAPY, OUTPATIENT PAIN REHABILITATION</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>THE MARY FREE BED YMCA</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>5500 BURTON ST SE</AddressLine1Txt>
            <CityNm>GRAND RAPIDS</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>49546</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>MFB AT MUNSON HEALTHCARE - FOSTER FAM</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>550 MUNSON AVENUE</AddressLine1Txt>
            <CityNm>TRAVERSE CITY</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>49686</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>MARY FREE BED HOME &amp; COMMUNITY THERAPY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>350 LAFAYETTE AVENUE SE</AddressLine1Txt>
            <CityNm>GRAND RAPIDS</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>49503</ZIPCd>
          </USAddress>
          <FacilityTxt>HOME THERAPY SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>MARY FREE BED AT MUNSON MEDICAL CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>128 AMES ST</AddressLine1Txt>
            <CityNm>ELK RAPIDS</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>49629</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>MFB AT MUNSON HEALTHCARE - CHUMS CORN</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4025 CHUMS VILLAGE DR SUITE E</AddressLine1Txt>
            <CityNm>TRAVERSE CITY</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>49685</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>MFB HAND CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1000 EAST PARIS AVE SUITE 115A</AddressLine1Txt>
            <CityNm>GRAND RAPIDS</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>49546</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>MFB AT MUNSON HEALTHCARE - SPINE CENT</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3988 WEST ROYAL DRIVE</AddressLine1Txt>
            <CityNm>TRAVERSE CITY</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>49684</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>MFB OP - GRAND TRAVERSE BAY WEST YMCA</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3700 SILVER LAKE ROAD</AddressLine1Txt>
            <CityNm>TRAVERSE CITY</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>49684</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>MARY FREE BED AT CONVENANT HEALTHCARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>700 COOPER AVENUE</AddressLine1Txt>
            <CityNm>SAGINAW</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48602</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>MARY FREE BED MOTION ANALYSIS CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>301 MICHIGAN ST NE</AddressLine1Txt>
            <CityNm>GRAND RAPIDS</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>49503</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COST TO CHARGE RATIO IS USED TO CALCULATE COMMUNITY BENEFITS. 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 $2,136,083.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part II COMMUNITY BUILDING ACTIVITIES</FormAndLineReferenceDesc>
        <ExplanationTxt>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 SEVERAL OF OUR MANAGEMENT TEAM SERVE ON THE BOARDS OF OTHER NON-PROFIT COMMUNITY SERVICE ORGANIZATIONS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>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 BASED ON THE BALANCE OF THOSE ACCOUNTS NOTED TO BE IN BAD DEBT STATUS (ACCOUNTS ARE WITH A COLLECTION AGENCY), 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>REVIEWED THE LISTING OF BAD DEBT WRITEOFFS POSTED DURING THE YEAR. INCLUDED AMOUNTS WRITTEN OFF DUE TO BANKRUPTCY. INCLUDED ALL SELF-PAY AMOUNTS WITH A SELF-PAY, MEDICAID OR A MARKETPLACE PLAN AS PRIMARY. THEN FILTERED TO ACCOUNTS WITH 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>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. 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. THE ORGANIZATION PERFORMS PERIODIC ASSESSMENTS TO DETERMINE IF AN ALLOWANCE FOR EXPECTED CREDIT LOSSES IS NECESSARY. THE ORGANIZATION CONSIDERS ITS INCURRED LOSS EXPERIENCE AND ADJUSTS FOR KNOWN AND EXPECTED EVENTS AND OTHER CIRCUMSTANCES. IN ESTIMATING ITS EXPECTED CREDIT LOSSES, THE ORGANIZATION MAY CONSIDER CHANGES IN THE LENGTH OF TIME ITS RECEIVABLES HAVE BEEN OUTSTANDING, CHANGES IN CREDIT RATINGS FOR ITS PAYORS, REQUESTS FROM PAYORS TO ALTER PAYMENT TERMS DUE TO FINANCIAL DIFFICULTY, AND NOTICES OF PAYOR BANKRUPTCIES OR PAYORS ENTERING RECEIVERSHIP. BECAUSE THE ORGANIZATION'S ACCOUNTS RECEIVABLE ARE TYPICALLY PAID FOR BY HIGHLY-SOLVENT, CREDITWORTHY PAYORS, SUCH AS MEDICARE, OTHER GOVERNMENTAL PROGRAMS, AND HIGHLY REGULATED COMMERCIAL INSURERS ON BEHALF OF THE PATIENT, THE ORGANIZATION'S CREDIT LOSSES HAVE BEEN INFREQUENT AND INSIGNIFICANT IN NATURE. AMOUNTS RECOGNIZED FOR ALLOWANCES FOR EXPECTED CREDIT LOSSES ARE IMMATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 8</FormAndLineReferenceDesc>
        <ExplanationTxt>(1) MEDICARE GROSS REIMBURSMENTS AMOUNTS WERE TAKEN FROM THE CMS PROVIDER STATISTICAL AND REIMBURSEMENT SYSTEM REPORT (PS&amp;R REPORTS) LESS SEQUESTRATION DEDUCTIONS, PLUS ANTICIPATED SETTLEMENTS ON THE FY2025 COST REPORT SUBMITTED AUG 2025 (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 FY2025 MEDICARE COST REPORT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 9b</FormAndLineReferenceDesc>
        <ExplanationTxt>PATIENTS RECEVING FINANCIAL ASSISTANCE HAVE A BILLING INDICATOR OF "MFB FINANCIAL ASSISTANCE" ATTACHED TO THEIR ACCOUNTS. FOR THOSE THAT ARE UNDERINSURED AND LOW INCOME THAT QUALIFY FOR ASSISTANCE, SECONDARY PAYOR INDICATING CFA WILL BE ADDED TO THEIR ACCOUNT. PATIENTS RECEIVING FINANCIAL ASSISTANCE WITH NO PATIENT RESPONSIBILITY 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a FAP website</FormAndLineReferenceDesc>
        <ExplanationTxt>- 1 MARY FREE BED REHABILITATION HOSPITAL: Line 16a URL: https://www.maryfreebed.com/financial-services/financial-assistance/;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16b FAP Application website</FormAndLineReferenceDesc>
        <ExplanationTxt>- 1 MARY FREE BED REHABILITATION HOSPITAL: Line 16b URL: https://www.maryfreebed.com/financial-services/financial-assistance/;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16c FAP plain language summary website</FormAndLineReferenceDesc>
        <ExplanationTxt>- 1 MARY FREE BED REHABILITATION HOSPITAL: Line 16c URL: https://www.maryfreebed.com/financial-services/financial-assistance/;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2 Needs assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3 Patient education of eligibility for assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 4 Community information</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL PRIMARILY SERVES KENT COUNTY IN WESTERN MICHIGAN AND 12 OR SO SURROUNDING COUNTIES. KENT COUNTY HAD AN ESTIMATED POPULATION OF 659,083 PEOPLE AS OF 2022 ACCORDING TO THE US CENSUS BUREAU. IN 2022 APPROXIMATELY 76% OF THE RESIDENTS WERE WHITE, 10% WERE BLACK/AFRICAN AMERICAN, AND 11% WERE HISPANIC OR LATINO. APPROXIMATELY 12% OF THE POPULATION SPEAKS A LANGUAGE OTHER THAN ENGLISH, AND 5% OF THE POPULATION OVER THE AGE OF 5 HAS LIMITED ENGLISH proficiency. Approximately 11% of residents of Kent County have at least one disability. In 2022, less than 8% had no high school diploma, and 92.5% had a high school diploma/GED or higher. In 2021, approximately 10% of its residents lived below the poverty level and another 23% are ALICE (Asset Limited, Income Constrained, Employed). In Grand Rapids, 45% of households are below the ALICE Threshold (poverty level and ALICE households combined).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 Promotion of community health</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 7 State filing of community benefit report</FormAndLineReferenceDesc>
        <ExplanationTxt>MI</ExplanationTxt>
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          <AddressLine1Txt>7900 INTERNATIONAL DRIVE</AddressLine1Txt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>1615</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>497579</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DR JEFFREY KRAMER MD</PersonNm>
        <TitleTxt>DIRECTOR (THRU 12/24)</TitleTxt>
        <BaseCompensationFilingOrgAmt>154215</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>15000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>13479</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>23210</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>205904</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRUCE BRASSER</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <BaseCompensationFilingOrgAmt>345031</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>47369</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>26379</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>22017</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>440796</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DR THOMAS HORDT MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>417552</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>40000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>17250</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>23357</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>498159</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KYLE JOSEPHSON</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>371084</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>37083</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>26618</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>23357</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>458142</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DR IAN GONZALES MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>369136</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>37500</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>27150</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>21551</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>455337</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DR BRIDGET RIZIK MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>375356</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>35375</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>27150</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>9566</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>447447</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DR CHRISTOPHER RIZIK DO</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>313900</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>39450</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>27150</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>23357</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>403857</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 7 Non-fixed payments</FormAndLineReferenceDesc>
        <ExplanationTxt>NON-FIXED PAYMENTS WERE MADE TO EXECUTIVES THAT WERE PREDICATED ON CERTAIN INDIVIDUAL AND TEAM GOALS WHICH ARE SPELLED OUT IN THEIR CONTRACTS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK1" softwareId="24020961" softwareVersionNum="2024v5.1">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>KENT HOSPITAL FINANCE AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>382350002</BondIssuerEIN>
        <CUSIPNum>490580FP7</CUSIPNum>
        <BondIssuedDt>2021-10-06</BondIssuedDt>
        <IssuePriceAmt>31253906</IssuePriceAmt>
        <PurposeDesc>FINANCE CAPITAL PROJECTS</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>1795000</RetiredAmt>
        <TotalProceedsAmt>31253906</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>513906</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>24437180</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>6302820</OtherSpentProceedsAmt>
        <RefundingTaxExemptBondsInd>false</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>true</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>false</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <EngageBondCounselResearchInd>false</EngageBondCounselResearchInd>
        <PrivateBusUseByOthersPct>0.0</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.0</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.0</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ChangeInUseBondFinancedPropPct>0</ChangeInUseBondFinancedPropPct>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>false</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>true</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <TermOfHedgePct>0</TermOfHedgePct>
        <SuperintegratedHedgeInd>false</SuperintegratedHedgeInd>
        <HedgeTerminatedInd>false</HedgeTerminatedInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <TermOfGICPct>0</TermOfGICPct>
        <RegulatorySafeHarborStsfdInd>false</RegulatorySafeHarborStsfdInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>false</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part I BOND ISSUES</FormAndLineReferenceDesc>
        <ExplanationTxt>(A) ISSUER NAME: KENT HOSPITAL FINANCE AUTHORITY (F) DESCRIPTION OF PURPOSE: PARTIAL FUNDING (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 CONTRUCTION, 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 ADMINISTRATIVE PURPOSE 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")</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part IV, Line 2c ARBITRAGE</FormAndLineReferenceDesc>
        <ExplanationTxt>(A) ISSUER NAME: KENT HOSPITAL FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/01/2018</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="24020961" softwareVersionNum="2024v5.1">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d Description of other program services</FormAndLineReferenceDesc>
        <ExplanationTxt>(Expenses $ 76,059,195 including grants of $ 137,919)(Revenue $ 104,059,719) 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS ONE SHAREHOLDER, MARY FREE BED GUILD, AS DICTATED BY THE BY-LAWS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>HE SOLE SHAREHOLDER, MARY FREE BED GUILD, HOLDS 50% OF THE BOARD POSITIONS WHICH EXERCISE THE RIGHT TO ELECT HOSPITAL BOARD MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE SHAREHOLDER MUST APPROVE CERTAIN HOSPITAL BOARD TRANSACTIONS SUCH AS REAL ESTATE TRANSACTIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>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 2025.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES DETERMINES THE COMPENSATION FOR THE HOSPITAL'S OTHER OFFICERS AND KEY EMPLOYEES. 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 OTHER OFFICERS AND KEY EMPLOYEES. AN INCENTIVE PLAN WITH SPECIFIC MEASURES AND WEIGHTINGS FOR FINANCIAL, QUALITY, CUSTOMER SATISFACTION, AND INDIVIDUAL GOALS IS ALSO IN PLACE FOR THE OTHER OFFICERS AND KEY EMPLOYEES. THIS PROCESS WAS MOST RECENTLY UNDERTAKEN IN 2025.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTRIBUTIONS RECEIVED FROM JOA PARTNERS - 1205300; TRANSFER TO AFFILIATES - -500000; Total - 705300;</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR" softwareId="24020961" softwareVersionNum="2024v5.1">
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>THERAPY PRACTICE HOLDING COMPANY LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>235 WEALTHY ST SE</AddressLine1Txt>
          <CityNm>GRAND RAPIDS</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>49503</ZIPCd>
        </USAddress>
        <EIN>611782449</EIN>
        <PrimaryActivitiesTxt>HOLDING COMPANY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <TotalIncomeAmt>0</TotalIncomeAmt>
        <EndOfYearAssetsAmt>0</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MARY FREE BED REHABILITATION HOSPITAL</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MARY FREE BED GUILD FUND</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>235 WEALTHY STREET SE</AddressLine1Txt>
          <CityNm>GRAND RAPIDS</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>49503</ZIPCd>
        </USAddress>
        <EIN>382643392</EIN>
        <PrimaryActivitiesTxt>SUPPORTING ORGANIZATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MARY FREE BED GUILD</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MARY FREE BED GUILD</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>235 WEALTHY STREET SE</AddressLine1Txt>
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</Return>