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← MARY FREE BED REHABILITATION HOSPITAL FOUNDATION

Form 990 for tax year 2022

Filed by MARY FREE BED REHABILITATION HOSPITAL FOUNDATION.

Totals

Total revenue
$8,051,286
Total expenses
$3,996,713
Contributions and grants received
$7,592,489
Grants paid
$2,515,982
Program services expenses (Part IX)
$2,515,982
Management and general expenses
$336,921
Fundraising expenses
$1,143,810
Program service expenses (Part III)
$2,515,982

Program services were 63.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • KENT RIDDLE

    PRESIDENT

    Total calculated
    $1,122,383
    From this org
    $0
    From related orgs
    $1,090,250
    Other
    $32,133
    Hours/week
    1 + 56 related

    Schedule J breakdown matched by us

    Base
    $0 + $874,750 related
    Bonus
    $0 + $215,500 related
    Other
    $0
    Deferred
    $0 + $20,900 related
    Nontaxable benefits
    $0 + $11,233 related
    Filer's total
    $0 + $1,122,383 related

  • DR BENJAMIN BRUINSMA

    TRUSTEE

    Total calculated
    $487,522
    From this org
    $0
    From related orgs
    $445,441
    Other
    $42,081
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $436,441 related
    Bonus
    $0 + $9,000 related
    Other
    $0
    Deferred
    $0 + $23,950 related
    Nontaxable benefits
    $0 + $18,131 related
    Filer's total
    $0 + $487,522 related

  • LEE PEREZ

    CHAIRMAN OF THE BOARD

    Total calculated
    $0
    Hours/week
    1

  • LINDSAY BENEDICT

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1

  • BRENT VAN HAREN

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • TIMOTHY ARTER

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • DIANE VANDER MAAS

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • EVA AGUIRRE COOPER

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • GREGORY CONWAY

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • ANNE CHAMBERLIN

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • REVEREND KATHERINE LEE BAKER

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • JACQUES MOSS

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • MARCUS JACKSON

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • AMY STUURSMA

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • JENNIFER TAYLOR

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • DR MICHAEL JAKUBOWSKI

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 54 related

  • WILLIAM C VANDENBERG

    TRUSTEE (THRU 06/2022)

    Total calculated
    $0
    Hours/week
    1

  • SUSAN BLOSS

    TRUSTEE (THRU 06/2022)

    Total calculated
    $0
    Hours/week
    1

  • NATHANIEL GUZMAN

    TREASURER (NON VOTING)

    Total calculated
    $207,778
    From this org
    $0
    From related orgs
    $183,692
    Other
    $24,086
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $167,830 related
    Bonus
    $0 + $15,862 related
    Other
    $0
    Deferred
    $0 + $10,450 related
    Nontaxable benefits
    $0 + $13,636 related
    Filer's total
    $0 + $207,778 related

  • TIMOTHY PIETRYGA

    SECRETARY (NON VOTING)

    Total calculated
    $247,690
    From this org
    $0
    From related orgs
    $219,915
    Other
    $27,775
    Hours/week
    40 + 0.1 related

    Schedule J breakdown matched by us

    Base
    $0 + $179,915 related
    Bonus
    $0 + $40,000 related
    Other
    $0
    Deferred
    $0 + $14,139 related
    Nontaxable benefits
    $0 + $13,636 related
    Filer's total
    $0 + $247,690 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
THE ORGANIZATION'S PRESIDENT, KENT RIDDLE, IS COMPENSATED BY A RELATED PARTY WHO USES A COMPENSATION COMMITTEE, FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE COMPENSATION COMMITTEE TO DETERMINE HIS COMPENSATION.
PART I, LINE 4B
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.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2022
Filed
5 February 2024
IRS schema version
2022v5.0
Source object
202430379349300048

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