2020-07-15T12:39:42-05:00 2019-06-30 381357951 PLANTE & MORAN PLLC 750 TRADE CENTRE WAY STE 300 PORTAGE MI 49002 990 2018-07-01 455553307 MARYWOOD HEALTH CORPORATION MARY 6165881645 111 LAKESIDE DRIVE GRAND RAPIDS MI 49503 SANDRA DELGADO TREASURER 6165881645 2020-07-14 1 LISA FORT P00223532 2695674500 2020-07-14 23.122.254.12 2020-07-14 10:58:48 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 58F74DC53CB874483B207ADF23CD6921384352E9 2018 2021-01-29 14:40:06Z MARYWOOD HEALTH CENTER MAUREEN GEARY 2025 FULTON ST E GRAND RAPIDS MI 49503 6828656 0 X WWW.GRDOMINICANS.ORG X 2012 MI RESTORING OPTIMUM HEALTH THROUGH HOLISTIC REHABILITATION IN A HEALING, INCLUSIVE ENVIRONMENT. 4 4 162 14 0 0 686 0 6961583 6613099 0 0 22032 215092 6984301 6828191 0 0 0 0 4118840 3645298 0 0 0 3924350 4253603 8043190 7898901 -1058889 -1070710 2332419 1970903 1438596 1784295 893823 186608 RESTORING OPTIMUM HEALTH THROUGH HOLISTIC REHABILITATION IN A HEALING, INCLUSIVE ENVIRONMENT. 0 0 7126626 6613099 PROVIDING PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY AND SPIRITUAL CARE DURING THE REHABILITATION PROCESS FOLLOWING INJURY OR ILLNESS. 7126626 1 0 0 0 0 0 0 0 0 0 1 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 1 0 0 0 1 18 0 1 162 1 0 0 0 0 0 0 0 0 0 0 0 0 X 4 4 0 1 0 0 1 1 1 1 0 0 0 0 1 1 1 1 1 0 0 0 MI X SHARON BAYLISS DIRECTOR OF FINANCE - TSSM 7343436600 17410 COLLEGE PKWY SUITE 200 LIVONIA MI 48152 X MAUREEN GEARY DIRECTOR - CHAIR/PRESIDENT 1.00 0.00 X X 0 0 0 JOAN WILLIAMS DIRECTOR - VICE PRESIDENT 1.00 0.00 X X 0 0 0 SANDRA DELGADO DIRECTOR - TREASURER 1.00 0.00 X X 0 0 0 MEGAN MCELROY DIRECTOR - SECRETARY 1.00 0.00 X X 0 0 0 0 0 0 0 0 0 0 FUNCTIONAL PATHWAYS 10133 SHERRILL BLVD SUITE 200 KNOXVILLE TN 37932 CONTRACT THERAPY SERVICES 708684 1 MEDICARE REVENUE 623000 5622905 5622905 MEDICAID REVENUE 623000 632484 632484 PRIVATE PAY REVENUE 623000 296816 296816 PACE REVENUE 623000 60894 60894 6613099 465 -465 -465 MISCELLANEOUS REVENUE 900099 185000 185000 GUEST MEALS 900099 23456 23456 SUPPLY REBATES 900099 7101 7101 215557 6828191 6613099 0 215092 X 2929088 2633679 295409 37438 33662 3776 458252 412036 46216 220520 198280 22240 178332 178332 766 766 26200 26200 1973440 1973440 513 461 52 224321 201697 22624 195510 175792 19718 598093 537773 60320 12688 11408 1280 6633 5964 669 105588 94939 10649 32107 28869 3238 PHARMACEUTICALS 426894 383840 43054 MEDICAID BED TAX 150975 150975 FOOD 142625 128241 14384 REPAIRS & MAINTENANCE 80901 72742 8159 98017 82828 15189 7898901 7126626 772275 0 297869 230710 1148844 939711 17493 37858 723780 640737 188632 83043 679581 679581 2332419 1970903 984562 1151295 454034 633000 1438596 1784295 X 893823 186608 893823 186608 2332419 1970903 X -1070710 363495 X X 0 1 X 1 0 X 651533 281495 1450 686 935164 2379286 7441874 7711824 6961583 6613099 31107666 3030819 7723369 7713274 6962269 6613099 32042830 0 126278 126278 126278 126278 31916552 3 3 3 3 29580 32492 29954 25308 215557 332891 3060402 7755861 7743228 6987577 6828656 32375724 0.98580 0.00000 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: GROSS SALES OF INVENTORY - 2014 AMOUNT: $ 3,280. 2015 AMOUNT: $ 7,228. 2016 AMOUNT: $ 6,679. 2017 AMOUNT: $ 3,654. 2018 AMOUNT: $ 0. MISCELLANEOUS REVENUE - 2014 AMOUNT: $ 26,300. 2015 AMOUNT: $ 25,264. 2016 AMOUNT: $ 23,275. 2017 AMOUNT: $ 21,654. 2018 AMOUNT: $ 215,557. 55568 52736 2832 668212 588001 80211 83043 MINISTRY VENTURES NOTE PAYABLE 600000 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 33000 633000 FORM 990, PART VI, SECTION A, LINE 3 MARYWOOD HEALTH CORPORATION HAS A CONTRACT WITH TRINITY SENIOR SERVICES MANAGEMENT (TSSM) TO PROVIDE MANAGEMENT SERVICES. THIS CONTRACT BECAME EFFECTIVE ON FEBRUARY 15, 2018. FORM 990, PART VI, SECTION A, LINE 6 MINISTRY VENTURES IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBER OF THE CORPORATION SHALL ELECT OR APPOINT THE BOARD OF DIRECTORS OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING CORPORATE ACTIONS MUST BE APPROVED BY THE UNANIMOUS VOTE OF THE MEMBERS OF THE CORPORATION: A. THE AMENDMENT OR RESTATEMENT OF THE CORPORATION'S ARTICLES OF INCORPORATION OR BYLAWS. B. ELECTION OR REMOVAL OF MEMBERS OF THE BOARD OF DIRECTORS OF THE CORPORATION AS PROVIDED IN THE BYLAWS OR ANY OTHER CHANGE TO THE COMPOSITION, NUMBER, AUTHORITY, VOTING REQUIREMENTS AND QUORUM REQUIREMENTS OF THE BOARD OF DIRECTORS. C. ANY MERGER OR CONSOLIDATION OF THE CORPORATION WITH ANOTHER ENTITY. D. ADMISSION OR SUBSCRIPTION OF ADDITIONAL MEMBERS OF THE CORPORATION. E. TERMINATION OF THE LEASE FOR THE PREMISES LOCATED AT 111 LAKESIDE DRIVE NE, GRAND RAPIDS, MICHIGAN 49503, WHERE THE NURSING HOME OPERATIONS OF THE CORPORATION ARE CONDUCTED. F. ACQUISITION OF ANY REAL PROPERTY BY THE CORPORATION AND FOR THE DISPOSITION OF ANY PROPERTY WITH A BOOK VALUE IN EXCESS OF $10,000 FOR LESS THAN FAIR MARKET VALUE. G. THE SALE OR TRANSFER OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATION'S ASSETS. H. THE DISSOLUTION OF THE CORPORATION. I. ALL BORROWINGS FOR CAPITAL OR OPERATING PURPOSES AND ALL GUARANTEES, INCLUDING BOTH SECURED AND UNSECURED BORROWINGS AND GUARANTEES, AND THE APPROVAL OF ALL MORTGAGES OF REAL ESTATE IN EXCESS OF $10,000. J. ANNUAL CAPITAL AND OPERATING BUDGETS OF THE CORPORATION AND ANY MATERIAL AMENDMENTS TO SUCH BUDGETS. K. ALL CAPITAL EXPENDITURES IN EXCESS OF $10,000 NOT REFLECTED IN A BUDGET PREVIOUSLY APPROVED BY THE MEMBERS. L. CHANGING THE CORPORATION'S NAME OR CONDUCTING BUSINESS OF THE CORPORATION UNDER AN ASSUMED NAME. M. REQUIRING THE MEMBERS TO CONTRIBUTE ADDITIONAL CAPITAL TO THE CORPORATION UNLESS SUCH CONTRIBUTION IS REQUIRED BY FEDERAL OR STATE LAW OR REGULATION. N. ANY OTHER ACTION WHERE APPROVAL OF THE MEMBERS IS REQUIRED BY LAW. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WILL BE REVIEWED AT A BOARD MEETING AFTER FILING THE RETURN WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY THE BOARD MEMBERS ARE REQUIRED TO SIGN A DOCUMENT INDICATING THEY DON'T HAVE A CONFLICT OF INTEREST. POTENTIAL CONFLICTS IDENTIFIED ARE REVIEWED BY THE CHAIR OF THE BOARD, OR THE OTHER BOARD MEMBERS IF RELATED TO THE CHAIR. IF A MEMBER WERE DETERMINED TO HAVE A CONFLICT OF INTEREST, THE BOARD WOULD MAKE A DETERMINATION IF THAT MEMBER SHOULD BE EXCLUDED FROM VOTING ON MATTERS PERTAINING TO THE PARTICULAR CONFLICT IDENTIFIED. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 1,973,440. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,973,440. FORM 990, PART XI, LINE 9: FORGIVENESS OF DEBT 363,495. FORM 990, PART XII, LINE 2C: THERE WAS NO CHANGE IN PROCESS FROM THE PRIOR YEAR. SISTERS OF THE ORDER OF ST DOMINIC OF GRAND RAPIDS 2025 E FULTON STREET GRAND RAPIDS MI 49503 381360581 CHURCH MI 501(C)(3) LINE 1 N/A 0 MINISTRY VENTURES 2025 E FULTON STREET GRAND RAPIDS MI 49503 383510348 CHURCH MI 501(C)(3) LINE 1 SISTERS OF THE ORDER OF ST DOMINIC OF GRAND RAPIDS 1 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 1 0 1 SISTERS OF THE ORDER OF ST DOMINIC OF GRAND RAPIDS E 600000 ACTUAL AMOUNT SISTERS OF THE ORDER OF ST DOMINIC OF GRAND RAPIDS M ACTUAL AMOUNT SISTERS OF THE ORDER OF ST DOMINIC OF GRAND RAPIDS Q 396828 ACTUAL AMOUNT SISTERS OF THE ORDER OF ST DOMINIC OF GRAND RAPIDS S 363495 ACTUAL AMOUNT