MARY FREE BED REHABILITATION HOSPITAL: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- MARY FREE BED REHABILITATION HOSPITAL (EIN 38-1359265)
- Tax period
- 2011-04-01 to 2012-03-31
- Filed
- 2012-11-15
- IRS object ID
- 201223209349304677
- Schema version
- 2011v1.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-11-15T12:45:03-06:00 | Timestamp |
| Tax Period End Date | 2012-03-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 381357951 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLANTE & MORAN PLLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 750 TRADE CENTRE WAY STE 300 | AddressLine1 |
| City | PORTAGE | City |
| State | MI | State |
| ZIP Code | 49002 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-04-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 381359265 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARY FREE BED HOSPITAL & REHABILITATION CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MARY | NameControl |
| Phone | 6162420300 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 235 WEALTHY ST SE | AddressLine1 |
| City | GRAND RAPIDS | City |
| State | MI | State |
| ZIP Code | 495035247 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | RANDALL L DENEFF | Name |
| Title | VICE PRESIDENT - FINANCE | Title |
| Phone | 6162420300 | Phone |
| Date Signed | 2012-11-15 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CAROL LALONDE CPA | Name |
| PTIN | P00181637 | PTIN |
| Phone | 2695674500 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARY FREE BED REHABILITATION HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | RANDALL L DENEFF | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 235 WEALTHY ST SE | AddressLine1 |
| City | GRAND RAPIDS | City |
| State | MI | State |
| ZIP Code | 495035247 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 65628152 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.MARYFREEBED.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1913 | YearFormation |
| State Legal Domicile | MI | StateLegalDomicile |
| Activity Or Mission Description | HELPING PEOPLE WITH DISABILITIES ACHIEVE INDEPENDENCE THROUGH REHABILITATION SERVICES. EDUCATING THE COMMUNITY ON DISABLING DISEASES AND INJURY PREVENTION. CARRYING OUT MEDICAL AND SCIENTIFIC RESEARCH TO IMPROVE THE CARE AND OUTCOMES FOR PEOPLE WITH DISABILITIES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 24 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 22 | NbrIndependentVotingMembers |
| Total Nbr Employees | 831 | TotalNbrEmployees |
| Total Nbr Volunteers | 161 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1542786 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1411165 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 43465027 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 51665206 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 909513 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1787108 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 529581 | OtherRevenuePriorYear |
| Other Revenue Current Year | 547680 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 46446907 | TotalRevenuePriorYear |
| Total Revenue Current Year | 55411159 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 2200000 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 1040000 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 31842046 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 36425393 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 10939754 | OtherExpensePriorYear |
| Other Expenses Current Year | 13196991 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 44981800 | TotalExpensesPriorYear |
| Total Expenses Current Year | 50662384 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1465107 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 4748775 | RevenuesLessExpensesCY |
| Total Assets BOY | 73999442 | TotalAssetsBOY |
| Total Assets EOY | 73913775 | TotalAssetsEOY |
| Total Liabilities BOY | 7768833 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 9436790 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 66230609 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 64476985 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | RESTORING HOPE AND FREEDOM THROUGH REHABILITATION. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 8368262 | Expense |
| Revenue | 11652125 | Revenue |
| Description | PROVIDE THERAPY AND OTHER MEDICAL SERVICES FOR 19,486 PATIENT DAYS. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 9796267 | Expense |
| Revenue | 11255205 | Revenue |
| Description | PROVIDE OUTPATIENT REHABILITATION AND CLINIC SERVICES FOR APPROXIMATELY 62,822 PATIENT VISITS. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 7212978 | Expense |
| Revenue | 15006872 | Revenue |
| Description | PROVIDE NURSING SERVICES AND INFECTION CONTROL FOR 19,486 PATIENT DAYS. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 17187189 | Expense |
| Grants | 1040000 | Grants |
| Revenue | 13751004 | Revenue |
| Description | 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. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 17187189 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 1040000 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 13751004 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 42564696 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 29 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 831 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 24 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 22 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 0 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RANDALL DENEFF | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6162420403 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 235 WEALTHY ST SE | AddressLine1 |
| City | GRAND RAPIDS | City |
| State | MI | State |
| ZIP Code | 49503 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (34 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| WILLIAM H BLESSING | |||||||
| PRESIDENT - THROUGH 6/30 | 45.00 | X | X | 303055 | 0 | 27526 | |
| JOHN F BUTZER MD | |||||||
| MEDICAL DIRECTOR | 50.00 | X | X | 453345 | 0 | 29050 | |
| KENT RIDDLE | |||||||
| INTERIM PRESIDENT AS OF 6/30 | 45.00 | X | X | 368232 | 0 | 22470 | |
| JULIE RIDENOUR | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| MARIANNE DELAVAN | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| STEPHEN DREW | |||||||
| DIRECTOR - THROUGH 8/11 | 1.00 | X | 0 | 0 | 0 | ||
| DOUG KINDSCHI | |||||||
| VICE CHAIRMAN - THROUGH 8/11 | 1.00 | X | X | 0 | 0 | 0 | |
| MOLLY KRAUSS | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| DAVID MUIR | |||||||
| VICE CHAIRMAN | 1.00 | X | X | 0 | 0 | 0 | |
| ELLEN NELSON | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| JUDY PALMER | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| LINDA PATTERSON | |||||||
| CHAIRMAN | 1.00 | X | X | 0 | 0 | 0 | |
| SUSAN STEKETEE | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| DAN VAUGHAN | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| SHELLY MISHLER | |||||||
| SECRETARY | 1.00 | X | X | 0 | 0 | 0 | |
| KIM RIDINGS | |||||||
| ASSISTANT TREASURER | 1.00 | X | X | 0 | 0 | 0 | |
| NANCY ALBERS | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| STEPHEN BLOOM DO | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| SUSAN BLOSS | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| CHAD BUSH | |||||||
| TREASURER | 1.00 | X | X | 0 | 0 | 0 | |
| CHARLES DUBOSE JR MD | |||||||
| DIRECTOR - THROUGH 8/11 | 1.00 | X | 0 | 0 | 0 | ||
| JOAN KULLGREN | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| JAN LIPPERT | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| JENNIFER TAYLOR | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| GREG CONWAY | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| JAMES MOYER | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| TERRENCE O'ROURKE | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| MIKE WILLIAMS | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| RANDALL DENEFF | |||||||
| VP OF FINANCE | 45.00 | X | 176079 | 0 | 29561 | ||
| BRUCE BRASSER | |||||||
| VP OF CLINICAL OPERATIONS | 45.00 | 157006 | 0 | 24154 | X | ||
| WILLIAM SONDAY | |||||||
| DIRECTOR OF IN-PATIENT PRO | 45.00 | 129366 | 0 | 8902 | X | ||
| FRANCES DIETRICH | |||||||
| DIRECTOR OF OUT-PATIENT PR | 45.00 | 123033 | 0 | 13729 | X | ||
| KEVIN ARNOLD | |||||||
| DIR. OF PROFESSIONAL SERVICES | 45.00 | 122069 | 0 | 25198 | X | ||
| JACOBUS DONDERS | |||||||
| CHIEF PSYCHOLOGIST | 45.00 | 121093 | 0 | 25230 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1953278 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 205820 | TotalOtherCompensation |
| Number Individuals GT100 K | 13 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| ST MARY'S LABORATORY | |||||
| 300 LAFAYETTE STREET | GRAND RAPIDS | MI | 49503 | LAB/PHARMACY SERVICES | 1545940 |
| CERNER CORPORATION | |||||
| 2800 ROCK CREEK PARKWAY | KANSAS CITY | MO | 64117 | SOFTWARE | 1415625 |
| ICOMM | |||||
| 3129 CHICAGO DR SW | GRANDVILLE | MI | 49418 | COMMUNICATIONS | 326458 |
| QUADRAMED | |||||
| 12110 SUNSET HILLS STE 600 | RESTON | VA | 20190 | SOFTWARE | 278696 |
| DATA STRATEGY | |||||
| 4020 E BELTLINE STE 201 | GRAND RAPIDS | MI | 49525 | SOFTWARE | 225146 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 12 | NumberOfContractorsGT100K |
| Related Organizations | 616210 | RelatedOrganizations |
| Government Grants | 224255 | GovernmentGrants |
| All Other Contributions | 570700 | AllOtherContributions |
| Total Contributions | 1411165 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT SERVICE REVENU | 621400 | 45046655 | 45046655 |
| CONTRACT SERVICE REVEN | 621400 | 6126831 | 6126831 |
| PROGRAM EXPENSE REIMBU | 621400 | 491720 | 491720 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 51665206 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1364464 | TotalRevenueColumn |
| Exclusion | $1,364,464 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 493572 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 493572 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 493572 | TotalRevenueColumn |
| Exclusion | $493,572 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 10614516 | Securities |
| Other | 25121 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 10216993 | Securities |
| Other | 0 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 397523 | Securities |
| Other | 25121 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 422644 | TotalRevenueColumn |
| Exclusion | $422,644 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| COMPUTER/SYSTEM SUPPOR | 541519 | 45708 | $45,708 |
| DONATION PROCESSING SU | 541900 | 8400 | $8,400 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 54108 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 55411159 | TotalRevenueColumn |
| Related Or Exempt Function Income | 51665206 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $2,334,788 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1040000 | Total |
| Program Services | 1040000 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1380006 | Total |
| Management And General | 1380006 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28109203 | Total |
| Program Services | 25249608 | ProgramServices |
| Management And General | 2859595 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1237469 | Total |
| Program Services | 1118309 | ProgramServices |
| Management And General | 119160 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3387406 | Total |
| Program Services | 2999431 | ProgramServices |
| Management And General | 387975 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2311309 | Total |
| Program Services | 2010649 | ProgramServices |
| Management And General | 300660 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 107136 | Total |
| Program Services | 27619 | ProgramServices |
| Management And General | 79517 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 38850 | Total |
| Management And General | 38850 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7105 | Total |
| Management And General | 7105 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 923104 | Total |
| Program Services | 816189 | ProgramServices |
| Management And General | 106915 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1221831 | Total |
| Management And General | 1221831 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 62208 | Total |
| Program Services | 52703 | ProgramServices |
| Management And General | 9505 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 174050 | Total |
| Program Services | 143719 | ProgramServices |
| Management And General | 30331 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1774105 | Total |
| Program Services | 1543325 | ProgramServices |
| Management And General | 230780 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 229140 | Total |
| Program Services | 199333 | ProgramServices |
| Management And General | 29807 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PURCH - LAB & PHARMACY | 4125498 | 3315130 | 810368 |
| QAAP | 1333733 | 1333733 | |
| SUPPLIES | 1165834 | 1086230 | 79604 |
| UTILITIES | 599444 | 499469 | 99975 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1434953 | Total |
| Program Services | 1129249 | ProgramServices |
| Management And General | 305704 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 50662384 | Total |
| Program Services | 42564696 | ProgramServices |
| Management And General | 8097688 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 500 | BOY |
| EOY | 500 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8871154 | BOY |
| EOY | 5055028 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6077825 | BOY |
| EOY | 7528986 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 118202 | BOY |
| EOY | 122690 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 450144 | BOY |
| EOY | 462121 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 29626358 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 19896451 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8733803 | BOY |
| EOY | 9729907 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 46255767 | BOY |
| EOY | 47138242 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 625936 | BOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2866111 | BOY |
| EOY | 3876301 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 73999442 | BOY |
| EOY | 73913775 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7768833 | BOY |
| EOY | 9436790 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7768833 | BOY |
| EOY | 9436790 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 65361140 | BOY |
| EOY | 63364453 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 869469 | BOY |
| EOY | 1112532 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 66230609 | BOY |
| EOY | 64476985 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 73999442 | BOY |
| EOY | 73913775 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 4748775 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -6502399 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $7,105 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 7105 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | PORTION OF MEMBERSHIP FEES IDENTIFIED BY THE AMERICAN HOSPITAL ASSOCIATION, MICHIGAN HEALTH & HOSPITAL ASSOCIATION, AND THE AMERICAN MEDICAL REHABILITATION PROVIDERS ASSOCIATION. CONTACTS WITH STATE AND FEDERAL LEGISLATORS THROUGH E-MAIL. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1102670 | OtherCostOrOtherBasis |
| Book Value | 1102670 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 13829182 | OtherCostOrOtherBasis |
| Depreciation | 9222326 | Depreciation |
| Book Value | 4606856 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 432123 | OtherCostOrOtherBasis |
| Depreciation | 340482 | Depreciation |
| Book Value | 91641 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 12301825 | OtherCostOrOtherBasis |
| Depreciation | 9972704 | Depreciation |
| Book Value | 2329121 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1960558 | OtherCostOrOtherBasis |
| Depreciation | 360939 | Depreciation |
| Book Value | 1599619 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 9729907 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| INVESTMENT IN JOINT VENTURE - REHABILITATION SERVICES | 185321 |
| OTHER RECEIVABLES | 2067211 |
| ESTIMATED THIRD PARTY PAYER SETTLEMENTS | 1051981 |
| DUE FROM MARY FREE BED MEDICAL GROUP | 571788 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 3876301 | TotalBookValueOtherAssets |
| Total Revenue | 55411159 | TotalRevenue |
| Total Expenses | 50662384 | TotalExpenses |
| Excess Or Deficit For Year | 4748775 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -637001 | NetUnrealizedGLOnInvestments |
| Other | -$5,865,398 | OtherAmount |
| Total Adjustments | -6502399 | TotalAdjustments |
| Excess Or Deficit Per FS | -1753624 | ExcessOrDeficitPerFS |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | THE HOSPITAL IS A NONPROFIT, TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND, ACCORDINGLY, NO TAX PROVISION IS REFLECTED IN THE FINANCIAL STATEMENTS. WITH FEW EXCEPTIONS, THE HOSPITAL'S TAX RETURNS ARE NOT SUBJECT TO EXAMINATION FOR YEARS BEGINNING PRIOR TO MARCH 31, 2009. THE HOSPITAL HAS ADOPTED ACCOUNTING STANDARDS RELATED TO UNCERTAIN TAX POSIITIONS AND, ACCORDINGLY, REVIEWED ALL TAX POSITIONS. THE EVALUATED POTENTIAL EXPOSURE RELATED TO UNCERTAIN TAX POSITIONS WAS FOUND TO BE IMMATERIAL. |
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | PENSION RELATED CHANGES -5,821,959. DECREASE IN EQUITY JOINT VENTURE -43,439. TOTAL TO SCHEDULE D, PART XI, LINE 8: -5,865,398. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 145.000000000000 | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent250 | X | Pcent250 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 0 | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 644229 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 644229 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01280 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8449306 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6139289 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2310017 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04590 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 18201 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5044 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 13157 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 9111736 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6144333 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2967403 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05900 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 24169 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 24169 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00050 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 65618 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 65618 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00130 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1050794 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1050794 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02090 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1140581 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1140581 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02270 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10252317 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6144333 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4107984 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08170 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $350,421 | BadDebtExpenseAmount |
| Amount Attributable To | 20000 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 8459552 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 8960445 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -500893 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARY FREE BED HOSPITAL & REHABILITATION | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 235 WEALTHY ST SE | AddressLine1 |
| City | GRAND RAPIDS | City |
| State | MI | State |
| ZIP Code | 495035247 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARY FREE BED HOSPITAL & REHABILITATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 145.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 250.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Medical Indigency | X | MedicalIndigency |
| Uninsured Discount | X | UninsuredDiscount |
| Other Factors | X | OtherFactors |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Nondiscrim Emergency Care Policy | 0 | NondiscrimEmergencyCarePolicy |
| No Emergency Care | X | NoEmergencyCare |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 1 | NumberOfOtherFacilities |
Other Facilities OtherFacilities
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARY FREE BED MEDICAL GROUP | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 235 WEALTHY ST SE | AddressLine1 |
| City | GRAND RAPIDS | City |
| State | MI | State |
| ZIP Code | 49503 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Type | CLINIC | FacilityType |
Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)
| ExplanationExplanation | IdentifierIdentifier |
|---|---|
| PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 350421. | |
| PART II: TWO SISTER CORPORATIONS TO THE MARY FREE BED HOSPITAL & REHABILITATION CENTER, THE MARY FREE BED FUND AND MARY FREE BED BRACE & CORSET SHOP ALSO PROVIDE COMMUNITY BENEFITS. IN ADDITION TO SUPPORTING THE MARY FREE BED HOSPITAL & REHABILITATION CENTER, MARY FREE BED BRACE & CORSET SHOP AND THE MARY FREE BED MEDICAL GROUP, THE MARY FREE BED FUND PROVIDED $294,571 OF SPECIFIC ASSISTANCE TO FAMILIES AND DISABLED FAMILY MEMBERS TO HELP COVER COSTS OF EQUIPMENT, MEDICAL CARE, ORTHOTIC AND PROSTHETIC DEVICES, SEATING SYSTEMS, RECREATION, LODGING SUBSIDIES FOR OUT-OF-TOWN FAMILIES, ADAPTIVE BICYCLES, AND SCHOLARSHIPS TO MINORITY STUDENTS. MARY FREE BED BRACE & CORSET SHOP PROVIDED APPROXIMATELY $533,000 OF COMMUNITY BENEFITS TO ITS PATIENTS. THIS AMOUNT INCLUDES $433,000 OF UNPAID COSTS OF MEDICAID PATIENTS AND UNCOLLECTIBLE ACCOUNTS. | |
| PART III, LINE 4: ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES. AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ESTABLISHED ON AN AGGREGATE BASIS BY USING HISTORICAL WRITE-OFF RATE FACTORS APPLIED TO UNPAID ACCOUNTS BASED ON AGING. LOSS RATE FACTORS ARE BASED ON HISTORICAL LOSS EXPERIENCE AND ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE HOSPITAL'S ABILITY TO COLLECT OUTSTANDING AMOUNTS. UNCOLLECTIBLE AMOUNTS ARE WRITTEN OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE. AN ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS AND INTERIM PAYMENT ADVANCES IS BASED ON EXPECTED PAYMENT RATES FROM PAYORS BASED ON CURRENT REIMBURSEMENT METHODOLOGIES. THIS AMOUNT ALSO INCLUES AMOUNTS RECEIVED AS INTERIM PAYMENTS AGAINST UNPAID CLAIMS BY CERTAIN PAYORS. THE COST TO CHARGE RATIO IS USED TO DETERMINE THE PORTION OF BAD DEBT AMOUNTS AS COMMUNITY BENEFIT. | |
| PART III, LINE 8: (1) ALL OF THE MEDICARE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT BECAUSE SERVICES WERE PROVIDED AT LESS THAN OUR COSTS. (2) HOSPITAL COSTS ARE REPORTED USING THE ACCRUAL METHOD TO BETTER MATCH EXPENSES WITH REVENUES. (3) MEDICARE COSTS WERE DETERMINED BY TAKING ALL MEDICARE PROGRAM CHARGES FOR THE YEAR AND MULTIPLYING BY A COST TO CHARGE RATIO PULLED FROM THE MEDICARE COST REPORT. | |
| PART III, LINE 9B: ALL PATIENTS RECEIVING CHARITY CARE HAVE A UNIQUE FINANCIAL CLASS ASSIGNED TO THEM. ALL CHARITY CARE ACCOUNTS ARE EXCLUDED FROM ACCOUNTS BEING SENT TO THE COLLECTION AGENCY. | |
| PART V, SECTION B, LINE 4: METROHEALTH HOSPITAL, SPECTRUM HEALTH, SAINT MARY'S HEALTHCARE, AND PINE REST CHRISTIAN MENTAL HEALTH SERVICES - ALL LOCATED IN GRAND RAPIDS, MICHIGAN, KENT COUNTY | MARY FREE BED HOSPITAL & REHABILITATION |
| PART V, SECTION B, LINE 11H: SELF PAY PATIENTS CHARGE AMOUNTS WERE BASED ON THE OVERALL AVERAGE OF NET COLLECTIONS AND CONSIDERED CHARITY, BAD DEBTS, MEDCIARE, MEDICAID, AND ALL OTHER PAYERS. | MARY FREE BED HOSPITAL & REHABILITATION |
| PART V, SECTION B, LINE 19D: AMOUNTS WERE CALCULATED USING THE AVERAGE PAYMENT RATE OF ALL PAYERS. | MARY FREE BED HOSPITAL & REHABILITATION |
| PART VI, LINE 2: 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. INPUTS 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. | |
| PART VI, LINE 3: 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 PARTIALLY COVERED, PATIENTS ARE CONTACTED AND CHARITY 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. | |
| PART VI, LINE 4: THE HOSPITAL PRIMARILY SERVES KENT COUNTY IN WESTERN MICHIGAN AND 12 OR SO SURROUNDING COUNTIES. KENT COUNTY HAD 602,600 PEOPLE IN 2010. APROXIMATELY 75% OF THE RESIDENTS WERE WHITE, AND ABOUT 10% BLACK/AFRICAN AMERICAN. ABOUT 10% OF THE POPULATION HAS NO HIGH SCHOOL DIPLOMA AND 50% HAVE A HIGH SCHOOL DIPLOMA OR GED EQUIVALENT. IN 2009, 14.5% OF ITS RESIDENTS LIVED BELOW THE POVERTY LEVEL. | |
| PART VI, LINE 5: 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. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 0 | RecordsMaintained |
Recipient Table RecipientTable (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Method Of ValuationMethodOfValuation | Description Of Non Cash AssistanceDescriptionOfNonCashAssistance | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|---|---|
| MARY FREE BED FUND | |||||||||
| 235 WEALTHY ST SE | GRAND RAPIDS | MI | 49503 | 382643392 | 501(C)(3) | 1000000 | N/A | N/A | GENERAL PROGRAM SUPPORT |
| MICHIGAN REHABILITATION SERVICES CO UNITED WAY | |||||||||
| 750 FRONT NW | GRAND RAPIDS | MI | 49504 | 386000134 | GOVERNMENTAL | 40000 | REHABILITATION SERVICES | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 2 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WILLIAM H BLESSING | |||||||||||||
| 238555 | 0 | 64500 | 0 | 0 | 0 | 15000 | 0 | 12526 | 0 | 330581 | 0 | 0 | 0 |
| JOHN F BUTZER MD | |||||||||||||
| 380665 | 0 | 72680 | 0 | 0 | 0 | 15000 | 0 | 14050 | 0 | 482395 | 0 | 0 | 0 |
| KENT RIDDLE | |||||||||||||
| 359527 | 0 | 8705 | 0 | 0 | 0 | 7500 | 0 | 14970 | 0 | 390702 | 0 | 0 | 0 |
| RANDALL DENEFF | |||||||||||||
| 168315 | 0 | 7764 | 0 | 0 | 0 | 10565 | 0 | 18996 | 0 | 205640 | 0 | 0 | 0 |
| BRUCE BRASSER | |||||||||||||
| 150336 | 0 | 6670 | 0 | 0 | 0 | 6280 | 0 | 17874 | 0 | 181160 | 0 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION HAS ONE SHAREHOLDER, MARY FREE BED GUILD, AS DICTATED BY THE BY-LAWS. | |
| FORM 990, PART VI, SECTION A, LINE 7A | THE SOLE SHAREHOLDER, MARY FREE BED GUILD, HOLDS 50% OF THE BOARD POSITIONS WHICH EXERCISE THE RIGHT TO ELECT HOSPITAL BOARD MEMBERS. | |
| FORM 990, PART VI, SECTION A, LINE 7B | THE SOLE SHAREHOLDER MUST APPROVE CERTAIN HOSPITAL BOARD TRANSACTIONS SUCH AS REAL ESTATE TRANSACTIONS. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE VP OF FINANCE REVIEWS THE 990. NO REVIEW WAS OR WILL BE CONDUCTED BY THE GOVERNING BODY PRIOR TO FILING. AFTER COMPLETION OF THE RETURN, RETURN WILL BE POSTED TO INTERNAL WEBSITE PORTAL FOR ALL BOARD MEMBERS. | |
| 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 INTERESTS WOULD BE DISCLOSED TO THE BOARD OF DIRECTORS AND ASSURANCES OBTAINED THAT NO ILLEGAL OR SUBSIDIZED ACTIVITIES ARE OCCURRING. ALL DISCLOSURES 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 B, LINE 15 | THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES DETERMINES THE COMPENSATION FOR THE HOSPITAL'S PRESIDENT AND MEDICAL DIRECTOR. 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 AND THE MEDICAL DIRECTOR. WRITTEN EMPLOYMENT CONTRACTS EXIST ESTABLISHING THE LEVELS OF COMPENSATION. AN INCENTIVE PLAN WITH SPECIFIC MEASURES AND WEIGHTINGS FOR FINANCIAL, QUALITY, CUSTOMER SATISFACTION, AND INDIVIDUAL GOALS IS ALSO IN PLACE FOR THE PRESIDENT AND MEDICAL DIRECTOR. THIS PROCESS WAS MOST RECENTLY UNDERTAKEN IN 2011. | |
| 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 VII: | WILLIAM BLESSING, BRUCE BRASSER, JOHN BUTZER, JAN LIPPERT, JULIE RIDENOUR, AND KENT RIDDLE EACH WORKED AN AVERAGE OF AT LEAST 2 HOURS PER WEEK AT RELATED ORGANIZATIONS. RANDY DENEFF, MOLLY KRAUSS, SHELLEY MISHLER, AND KIM RIDINGS EACH WORKED AN AVERAGE OF AT LEAST 1 HOUR PER WEEK AT RELATED ORGANIZATIONS. | |
| FORM 990, PART XI, LINE 5: | NET UNREALIZED LOSSES ON INVESTMENTS: -637,001. PENSION RELATED CHANGES -5,821,959. DECREASE IN EQUITY JOINT VENTURE -43,439. TOTAL TO FORM 990, PART XI, LINE 5: -6,502,399. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| FORM 990, PART XII, LINE 2C: | THERE HAS BEEN NO CHANGE IN PROCESS FROM PRIOR YEAR. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| MARY FREE BED GUILD OF GRAND RAPIDS | |||||||||||
| 235 WEALTHY STREET SE | GRAND RAPIDS | MI | 49503 | 382649369 | CHARITABLE HEALTHCARE | MI | 501(C)(3) | LINE 7 | N/A | 0 | |
| MARY FREE BED BRACE AND CORSET SHOP | |||||||||||
| 235 WEALTHY STREET SE | GRAND RAPIDS | MI | 49503 | 382643391 | CHARITABLE HEALTHCARE | MI | 501(C)(3) | LINE 9 | 1 | MARY FREE BED GUILD OF GRAND RAPIDS | |
| MARY FREE BED FUND | |||||||||||
| 235 WEALTHY STREET SE | GRAND RAPIDS | MI | 49503 | 382643392 | SUPPORTING ORGANIZATION | MI | 501(C)(3) | LINE 11A, I | 1 | MARY FREE BED GUILD OF GRAND RAPIDS | |
| MARY FREE BED MEDICAL GROUP | |||||||||||
| 235 WEALTHY STREET SE | GRAND RAPIDS | MI | 49503 | 271589392 | CHARITABLE HEALTHCARE | MI | 501(C)(3) | LINE 11A, I | 1 | MARY FREE BED HOPSITAL & REHABILITATION CENTER | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| MARY FREE BED FUND | ||
| B | 1000000 | CASH |
| MARY FREE BED FUND | ||
| C | 616210 | CASH |
| MARY FREE BED MEDICAL GROUP | ||
| P | 1161125 | ACTUAL COSTS INCURRED |
| MARY FREE BED BRACE AND CORSET | ||
| P | 920839 | ACTUAL COSTS INCURRED |
| MARY FREE BED BRACE AND CORSET | ||
| I | 159480 | ACTUAL COSTS INCURRED |
| MARY FREE BED BRACE AND CORSET | ||
| L | 168314 | ACTUAL COSTS INCURRED |