2024-05-10T08:39:16-05:00 2023-06-30 381357951 PLANTE & MORAN PLLC 3000 TOWN CENTER SUITE 100 SOUTHFIELD MI 48075 990 2022-07-01 463971740 MARY FREE BED SUB-ACUTE REHABILITATION MARY 6168408000 235 WEALTHY ST GRAND RAPIDS MI 49503 DAVID DEFRAIN VP OF FINANCE 6168408000 2024-05-09 1 DAVID DEFRAIN XXX-XX-XXXX 1 TINA PETERS P00904574 2483522500 2024-05-09 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z KIERSTEN CUDNEY 235 WEALTHY ST GRAND RAPIDS MI 49503 9611366 0 X WWW.MARYFREEBED.COM/SUB-ACUTE X 2012 MI MARY FREE BED SUB-ACUTE REHABILITATION PROVIDES SHORT-TERM INPATIENT REHABILITATION THAT IS CUSTOMIZED, COMPREHENSIVE AND COORDINATED TO HELP INDIVIDUALS RECOVER QUICKLY FROM AN ILLNESS, INJURY OR SURGERY. 8 8 0 7 0 0 516254 0 8137255 9208331 154 81 362308 402954 9015971 9611366 0 0 0 0 4799012 5142134 0 0 0 4579697 4918214 9378709 10060348 -362738 -448982 11692852 11138028 1490940 1385098 10201912 9752930 NONE 0 0 6572672 9611285 REHABILITATION SERVICES WITH 48 BEDS AND 16,512 PATIENT DAYS FOR 2023. 6572672 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 MI X DAVID DEFRAIN VP OF FINANCE 7343775885 20555 VICTOR PARKWAY LIVONIA MI 48152 X RAPLH WANG MD CHAIR 0.50 0.00 X X 0 0 0 STACEY JOHNSON VICE CHAIR 0.50 0.00 X X 0 0 0 NATE GUZMAN TREASURER 0.50 0.00 X X 0 0 0 BRUCE BRASSER SECRETARY 0.50 0.00 X X 0 0 0 HOLLY BANNINGA DIRECTOR OF ACCESS/REFERRALS 0.10 0.00 X 0 0 0 KIERSTEN CUDNEY BOARD MEMBER 0.10 0.00 X 0 0 0 BECKY LUND BOARD MEMBER 0.50 0.00 X 0 0 0 LEEANN PENNINGTON BOARD MEMBER - PART YEAR 0.50 0.00 X 0 0 0 KAREN POWELL BOARD MEMBER - PART YEAR 0.50 0.00 X 0 0 0 MEG REIMER BOARD MEMBER 0.50 0.00 X 0 0 0 INGRID CHESLEK COO 0.50 0.00 X 0 0 0 DAVID DEFRAIN VP OF FINANCE 0.50 0.00 X 0 0 0 0 0 0 0 0 0 0 0 PATIENT SERVICE REVENU 623990 9208331 9208331 9208331 81 81 DIRECT CARE WORKER REI 900099 213055 213055 PRIORITY HEALTH 900099 189000 189000 PRIVATE PAY 900099 899 899 402954 9611366 9611285 0 81 X 4112674 2103466 2009208 1029460 526527 502933 1335 1335 5400 5400 144000 144000 3201653 3183305 18348 7157 7157 209392 209392 134135 134135 404202 404202 41133 41133 MEDICAL SUPPLIES 690231 690231 BAD DEBT 65720 65720 DUES AND SUBSCRIPTION 3542 3542 RECRUITMENT 3423 3423 6891 6891 10060348 6572672 3487676 0 500 500 801708 754021 1419437 1317443 17029 16547 54496 27977 11736444 3434904 8679682 8301540 720000 720000 11692852 11138028 1490940 1385098 1490940 1385098 X 10201912 9752930 10201912 9752930 11692852 11138028 -448982 0 X 0 0 0 X 435183 177241 516254 1128678 7652762 7639842 7547557 8499563 9611285 40951009 7652762 8075025 7724798 9015817 9611285 42079687 0 121312 12734 134046 121312 12734 134046 41945641 414 227 68 154 81 944 1963 555 2518 2377 782 68 154 81 3462 7655139 8075807 7724866 9015971 9611366 42083149 0.99670 0.99350 0.00010 0.00020 X 143990 143990 10264071 2259620 8004451 1328383 1175284 153099 8301540 INTANGIBLE ASSETS 720000 720000 FORM 990, PART VI, SECTION A, LINE 3 NURSING STAFF COMPLETED TRANSITION OVER TO MARY FREE BED (MFB) HOSPITAL EMPLOYMENT FULLY 4/1/17. ACCOUNTS PAYABLE AND PAYROLL ARE MANAGED BY MFB HOSPITAL. TRINITY SENIOR LIVING COMMUNITIES (TSLC) PROVIDES CLINICAL, BILLING, AND ACCOUNTING SERVICES. CURRENTLY THE JOINT VENTURE IS LEGALLY INITIATING THE AMENDING OF THE MANAGEMENT AGREEMENT WHICH OUTLINES THE RESPONSIBILITIES OF TSLC AND MFB HOSPITAL. FORM 990, PART VI, SECTION A, LINE 6 TRINITY SENIOR LIVING COMMUNITIES AND MARY FREE BED REHABILITATION HOSPITAL ARE THE SOLE SHAREHOLDERS OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A THE SHAREHOLDERS SHALL HAVE THE EXCLUSIVE RIGHT TO ELECT OR APPOINT THE DIRECTORS OF THE CORPORATION; FOUR DIRECTORS SHALL BE APPOINTED BY MARY FREE BED AND FOUR DIRECTORS SHALL BE APPOINTED BY TRINITY SENIOR LIVING COMMUNITIES. FORM 990, PART VI, SECTION A, LINE 7B IN ADDITION TO ANY VOTE OR CONSENT OF THE SHAREHOLDERS OF THE CORPORATION REQUIRED BY THE ACT, UNLESS AUTHORIZED BY A UNANIMOUS VOTE OF THE SHAREHOLDERS, THE CORPORATION SHALL NOT ENTER INTO ANY COMMITMENT TO: (I) PAY DIVIDENDS OR DISTRIBUTE INCOME OR PROFIT TO THE SHAREHOLDERS; (II) REQUIRE A CAPITAL CONTRIBUTION BY THE SHAREHOLDERS TO THE CORPORATION; (III) ADOPT, AMEND, MODIFY, REPEAL, OR WAIVE THESE ARTICLES OF INCORPORATION OR THE CORPORATION'S BYLAWS; (IV) (A) MAKE ANY MATERIAL CHANGE TO THE NATURE OF THE BUSINESS CONDUCTED BY THE CORPORATION OR (B) ENTER INTO ANY BUSINESS OTHER THAN THE BUSINESS; (V) (A) ISSUE OR SELL ADDITIONAL SHARES OR OTHER EQUITY SECURITIES OF THE CORPORATION TO ANY PERSON OR ENTITY OR (B) ENTER INTO OR EFFECT ANY TRANSACTION OR SERIES OF RELATED TRANSACTIONS INVOLVING THE REPURCHASE, REDEMPTION OR OTHER ACQUISITION OF SHARES; (VI) (A) INCUR ANY LONG OR SHORT TERM INDEBTEDNESS IN EXCESS OF $25,000.00; (B) PLEDGE OR GRANT ANY MORTGAGE, PLEDGE, SECURITY INTEREST, OPTION, RIGHT OF FIRST OFFER, ENCUMBRANCE OR OTHER RESTRICTION OR LIMITATION OF ANY NATURE WHATSOEVER ("LIENS") ON ANY ASSETS; OR (C) GUARANTEE, ASSUME, ENDORSE OR OTHERWISE BECOME RESPONSIBLE FOR THE OBLIGATIONS OF ANY OTHER PERSON OR ENTITY; (VII) MAKE ANY LOAN, ADVANCE OR CAPITAL CONTRIBUTION TO ANY PERSON OR ENTITY; (VIII) DISSOLVE, WIND-UP OR LIQUIDATE THE CORPORATION OR INITIATE A BANKRUPTCY PROCEEDING INVOLVING THE CORPORATION; (IX) ENTER INTO OR EFFECT ANY TRANSACTION OR SERIES OF RELATED TRANSACTIONS INVOLVING THE PURCHASE, LEASE, LICENSE, EXCHANGE OR OTHER ACQUISITION (INCLUDING BY MERGER, CONSOLIDATION, ACQUISITION OF STOCK OR ACQUISITION OF ASSETS) BY THE CORPORATION OF ANY ASSETS AND/OR EQUITY INTERESTS OF ANY PERSON WITH A VALUE IN EXCESS OF $25,000, OTHER THAN IN THE ORDINARY COURSE OF BUSINESS CONSISTENT WITH PAST PRACTICE; (X) ENTER INTO OR EFFECT ANY TRANSACTION OR SERIES OF RELATED TRANSACTIONS INVOLVING THE SALE, LEASE, LICENSE, EXCHANGE OR OTHER DISPOSITION (INCLUDING BY MERGER, CONSOLIDATION, SALE OF STOCK OR SALE OF ASSETS) BY THE CORPORATION OF ANY ASSETS WITH A VALUE IN EXCESS OF $25,000, OTHER THAN SALES OF INVENTORY IN THE ORDINARY COURSE OF BUSINESS CONSISTENT WITH PAST PRACTICE; (XI) ESTABLISH A SUBSIDIARY OR ENTER INTO ANY JOINT VENTURE OR SIMILAR BUSINESS ARRANGEMENT; (XII) MAKE ANY INVESTMENTS IN ANY OTHER ENTITY; OR (XIII) CHANGE THE NUMBER OR THE MANNER OF APPOINTMENT OF THE DIRECTORS OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B THE FULL FORM 990 WILL BE REVIEWED BY THE VP OF FINANCE AND THEN THE FULL BOARD BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C MFB SAR ADOPTS THE TRINITY CORPORATE COMPLIANCE PROGRAM. EACH MEMBER OF THE BOARD IS GIVEN THE CONFLICT OF INTEREST POLICY AND SURVEY ANNUALLY. WHEN THE BOARD IS VOTING ON SPECIFIC ISSUES WHERE A PARTICULAR MEMBER MIGHT HAVE A CONFLICT OF INTEREST, THE MEMBER EXCUSES THEMSELVES FROM VOTING. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENT, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 2,249,869. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,249,869. HOUSEKEEPING SUPPLIES: PROGRAM SERVICE EXPENSES 367,516. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 367,516. QAAP TAXES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 18,117. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,117. PURCHASED SERVICES DIETARY: PROGRAM SERVICE EXPENSES 493,461. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 493,461. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 15,764. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,764. LICENSE AND FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 219. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 219. FINES AND PENALTIES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 12. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12. TRAVEL TRANSPORTATION: PROGRAM SERVICE EXPENSES 56,695. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 56,695.