2017-05-15T11:33:00-05:00 2016-06-30 381357951 PLANTE & MORAN PLLC 750 TRADE CENTRE WAY STE 300 PORTAGE MI 49002 990 2015-07-01 455553307 MARYWOOD HEALTH CORPORATION MARY 6169494975 111 LAKESIDE DRIVE GRAND RAPIDS MI 49503 RYAN WILTZER ADMINISTRATOR 6169494975 2017-05-15 1 CAROL LALONDE CPA P00181637 2695674500 2017-05-15 2015 2021-01-29 14:40:06Z MAUREEN GEARY 2025 FULTON ST E GRAND RAPIDS MI 49503 7755861 0 X HTTP://MARYWOODCIRCLE.ORG X 2012 MI RESTORING OPTIMUM HEALTH THROUGH HOLISTIC REHABILITATION IN A HEALING, INCLUSIVE ENVIRONMENT. 6 6 262 14 0 0 651533 281495 2379286 6536465 3 0 27872 934006 3058694 7751966 0 43499 0 0 1280408 4136377 0 0 0 1491422 3801678 2771830 7981554 286864 -229588 2303634 2419347 1541901 3608714 761733 -1189367 RESTORING OPTIMUM HEALTH THROUGH HOLISTIC REHABILITATION IN A HEALING, INCLUSIVE ENVIRONMENT. 0 0 6887779 43499 7441874 PROVIDING PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY AND SPIRITUAL CARE DURING THE REHABILITATION PROCESS FOLLOWING INJURY OR ILLNESS. 6887779 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 262 1 0 0 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 1 1 1 1 0 0 0 0 1 1 1 1 1 1 0 0 MI X CRAIG VANDENBOS 6169541799 4450 CASCADE ROAD SE GRAND RAPIDS MI 49546 MAUREEN GEARY DIRECTOR - CHAIR 1.00 0.00 X X 0 0 0 LARRY YACHCIK DIRECTOR - ASST CHAIR 1.00 0.00 X X 0 0 0 REED VANDERSLIK DIRECTOR - TREASURER 1.00 0.00 X X 0 0 0 SANDRA DELGADO DIRECTOR - SECRETARY 1.00 0.00 X X 0 0 0 MARY BARRETT DIRECTOR 1.00 0.00 X 0 0 0 RHONDA DORNBOS DIRECTOR 1.00 0.00 X 0 0 0 INGRID WEAVER DIRECTOR - PART YEAR 1.00 0.00 X 0 0 0 LISA MCMICHAEL EXECUTIVE DIRECTOR 45.00 0.00 X 114664 0 11738 114664 0 11738 1 0 0 0 FUNCTIONAL PATHWAYS 10133 SHERRILL BLVD SUITE 200 KNOXVILLE TN 37932 CONTRACT THERAPY SERVICES 1203978 1 281436 59 281436 281495 MEDICARE REVENUE 623000 5683553 5683553 MEDICAID REVENUE 623000 394672 394672 PACE REVENUE 623000 269115 269115 PRIVATE PAY REVENUE 623000 189125 189125 6536465 7228 3895 3333 3333 AQUINATA HALL MANAGEME 900099 905409 905409 GUEST MEALS 900099 24053 24053 MISCELLANEOUS REVENUE` 900099 1211 1211 930673 7751966 7441874 0 28597 X 43499 43499 126682 126682 3421162 3131416 289746 386192 350206 35986 202341 179072 23269 378144 378144 8115 7182 933 1337034 1337034 425 376 49 173998 153988 20010 10736 9501 1235 832689 736930 95759 2440 2159 281 163 144 19 113941 100838 13103 34748 30752 3996 PHARMACEUTICALS 417087 369122 47965 FOOD 141478 125208 16270 DIAGNOSTICS & OTHER 128808 113995 14813 MEDICAID BED TAX 55551 49163 6388 166321 147194 19127 7981554 6887779 1093775 0 74939 137302 1241209 1103268 16861 7002 692736 200542 291044 492194 679581 679581 2303634 2419347 1268871 697061 273030 2911653 1541901 3608714 X 761733 -1189367 761733 -1189367 2303634 2419347 X -229588 -1721512 X X 0 1 X 1 0 X 651533 281495 933028 2379286 7441874 9821160 3030819 7723369 10754188 0 0 0 10754188 3 3 3 3 29580 32492 62072 3060402 7755861 10816263 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: GROSS SALES OF INVENTORY - 2014 AMOUNT: $ 3,280. 2015 AMOUNT: $ 7,228. MISCELLANEOUS REVENUE - 2014 AMOUNT: $ 26,300. 2015 AMOUNT: $ 25,264. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 54378 12074 42304 638358 188468 449890 492194 PHPV NOTE PAYABLE 900000 MINISTRY VENTURES NOTE PAYABLE 900000 ACCOUNTS PAYABLE - MINISTRY VENTURES 624274 ACCOUNTS PAYABLE - PHPV 377616 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 109763 2911653 7755861 0 7755861 -3895 -3895 7751966 7985449 3895 3895 7981554 0 7981554 PART XI, LINE 4B - OTHER ADJUSTMENTS: COST OF GOODS SOLD -3,895. PART XII, LINE 2D - OTHER ADJUSTMENTS: COST OF GOODS SOLD 3,895. 0 PORTER HILLS PRESBYTERIAN VILLAGE 4450 CASCADE ROAD GRAND RAPIDS MI 49546 386141735 501(C)(3) 43499 GENERAL SUPPORT 1 0 X BUILDING EQUIPMENT 1 154787 NBV OF DOMINICAN BOO X FURNITURE AND FIXTURES 1 71485 NBV OF DOMINICAN BOO X BUILDING RENOVATION 1 35195 NBV OF DOMINICAN BOO X PHONE SYSTEM 1 19969 NBV OF DOMINICAN BOO 0 1 0 FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS TWO MEMBERS: PORTER HILLS PRESBYTERIAN VILLAGE AND MINISTRY VENTURES. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS 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 11 A COPY OF THE 990 WILL BE REVIEWED AT THE BOARD MEETING PRIOR TO THE FORM 990 FILING. 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. FORM 990, PART VI, SECTION B, LINE 15A FOR EXECUTIVE COMPENSATION A MINIMUM OF THREE SOURCES ARE USED. EACH SOURCE IS A THIRD PARTY ORGANIZATION SPECIALIZING IN COMPENSATION IN THE WEST MICHIGAN AREA. THE INFORMATION IS THEN COMPILED BY THE HR DEPARTMENT AND USED TO MAKE A RECOMMENDATION ON THE SALARY FOR EACH PERSON. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 1,337,034. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,337,034. FORM 990, PART XI, LINE 9: RECLASSIFIED NOTE PAYABLE TO MEMBERS -1,721,512. FORM 990, PART XII, LINE 2C: THERE WAS NO CHANGE IN PROCESS FROM THE PRIOR YEAR.