2025-05-13T12:19:38-05:00 2024-06-30 410746749 CLIFTONLARSONALLEN LLP 220 S 6TH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2023-07-01 381507302 MARLETTE REGIONAL HOSPITAL MARL 9896354230 2770 MAIN STREET PO BOX 307 MARLETTE MI 48453 ANGELA MCCONNACHIE CEO 9896354230 2025-05-12 1 0 TYLER JOHNSON P01604007 6123764500 2025-05-05 2023 2025-03-06 01:10:19Z ANGELA MCCONNACHIE 2770 MAIN STREET PO BOX 307 MARLETTE MI 48453 46721503 0 X WWW.ASPIRERHS.ORG X 1951 MI PROVIDING EXCEPTIONAL CARE CLOSE TO HOME AS THE LEADING RURAL HEALTHCARE ORGANIZATION. 11 11 479 53 0 0 1804435 726082 37216879 44763322 363266 481320 668778 571345 40053358 46542069 23418 17135 0 0 23297878 26942540 0 0 0 15768234 18275028 39089530 45234703 963828 1307366 34270756 36247043 2699936 4017703 31570820 32229340 X PROVIDING EXCEPTIONAL CARE CLOSE TO HOME AS THE LEADING RURAL HEALTHCARE ORGANIZATION. 0 0 37566725 17135 44763322 DURING FISCAL YEAR 2023-2024 MARLETTE REGIONAL HOSPITAL SERVED 824 ACUTE AND 686 SWING BED INPATIENT DAYS, PROVIDED CARE TO 47,622 OUTPATIENT VISITS, 9,856 EMERGENCY DEPARTMENT VISITS, AND SERVED 35,740 VISITS IN ITS FAMILY HEALTH PRACTICES.RECOGNIZING ITS MISSION TO THE COMMUNITY, THE HOSPITAL PARTICIPATES IN THE FEDERAL GOVERNMENT'S MEDICARE PROGRAM AND NUMEROUS MEDICAID HEALTH PLANS, OFTEN PROVIDING CHARITY CARE OR SERVICE AT RATES OF REIMBURSEMENT THAT ARE BELOW THE HOSPITAL'S ACTUAL COST. IN THE LAST FISCAL YEAR, THE HOSPITAL HAD CHARITY CARE EXPENSES OF $24,297. ADDITIONALLY, THE HOSPITAL'S ALLOWANCE FOR UNCOLLECTABLE BAD DEBTS ARE ESTIMATED BY THE USE OF THE ALLOWANCE METHOD. BAD DEBTS FOR THE YEARS ENDING JUNE 30, 2024, AND 2023 AMOUNTED TO $1,126,379 AND $1,046,034 RESPECTIVELY. OTHER COMMUNITY BENEFITS ARE PROVIDED THROUGH MANY REDUCED-PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR BASED ON ACTIVITIES AND SERVICES THAT MRH BELIEVES WILL SERVE A BONA FIDE COMMUNITY HEALTH NEED. A SAMPLING OF THESE COMMUNITY BENEFITS IS PROVIDED BELOW:EDUCATIONAL SERVICES/PROGRAMS:- ABUSE AND NEGLECT RECOGNITION TRAINING FOR HOSPITAL STAFF- CAREER GUIDANCE FOR AREA SCHOOL STUDENTS- COOPERATIVE PROFESSIONAL TRAINING WITH LOCAL COLLEGES- DISEASE/CONDITION-SPECIFIC EDUCATION, E.G., DIABETES- EDUCATION/COUNSELING FOR FAMILIES OF PATIENTS- EDUCATION/COUNSELING FOR PATIENTS- EDUCATIONAL PROGRAMS FOR EMPLOYEES (ADULT EDUCATION)- ORGAN DONATION INFORMATION CAMPAIGNS- SUPPORT GROUPS FOR PATIENTS, THEIR FAMILIES AND THE COMMUNITY- TRAINING OF PUBLIC HEALTH AND SAFETY PERSONNELCOMMUNITY WELLNESS CAMPAIGNS/PROGRAMS:- HEALTH PROMOTION AND PREVENTIONS ACTIVITIES- BLOOD PRESSURE CLINICS- DISCHARGE PLANNING WITH FOLLOW-UP SUPPORT PROGRAMS- HEALTH PROMOTION/WELLNESS PROGRAMS- HEALTH SCREENING/HEALTH FAIRS- NUTRITION AND WEIGHT CONTROL- RURAL HEALTH OUTREACH SERVICES- STRESS MANAGEMENT- WORK SITE HEALTH PROMOTION SERVICE- KNOW YOUR NUMBERS LOW-COST SCREENING, MARLETTE REGIONAL HOSPITAL OFFERED A REDUCED RATE HEALTH SCREENING INCLUDING ACHILLES BONE DENSITY, BASIC METABOLIC PANEL, COMPLETE BLOOD COUNT, GLUCOSE, HBA1C, LIPID PROFILE, LIVER PANEL, POTASSIUM, PROSTATE-SPECIFIC ANTIGEN (PSA), MICROALBUMIN, SPIROMETRY, THYROID-STIMULATING HORMONE (TSH), AND VITAMIN D. LAB RATES RANGE FROM $8 TO $40. - B.C.U.P.S. (THE BREAST CANCER UNDERSTANDING PREVENTION AND SCREENING) PROGRAM IS IN PLACE TO FINANCIALLY ASSIST PATIENTS IN ACQUIRING IMPORTANT SCREENING MAMMOGRAMS AND DIAGNOSTIC TESTING SERVICES.- $10 SPORTS PHYSICALS IN JUNE, JULY & AUGUST. MARLETTE REGIONAL HOSPITAL'S FAMILY HEALTHCARE OFFICES WILL OFFER REDUCED-PRICE SPORTS PHYSICALS TO AREA ATHLETES FOR A COST OF TEN DOLLARS IN THE MONTHS OF JUNE, JULY AND AUGUST, AND HALF OF THE PROCEEDS WILL BE DONATED BACK TO LOCAL SCHOOLS' ATHLETIC PROGRAMS.- MARLETTE REGIONAL HOSPITAL HOSTS BLOOD DRIVES THROUGHOUT THE YEAR AND PROVIDES FOOD FOR DONORS AND PARTICIPANTS.MRH SERVICES/PROGRAMS:- EMERGENCY SERVICES DEPARTMENT- ADVANCED LIFE SUPPORT AMBULANCE SERVICE- FIRE AND POLICE ASSISTANCE- HELICOPTER TRANSFER ASSISTANCE- CLINICAL SERVICES- CERTIFIED RURAL HEALTH CLINICS- CHILDHOOD & ADULT IMMUNIZATIONS- TELE-STROKE VIRTUAL MEDICINE- PRIMARY CARE SERVICES- ACUTE MEDICAL AND SURGICAL SERVICES- RESIDENTIAL AND HOME-BASED HOSPICE SERVICES- UNIQUELY-ACCREDITED HOSPITAL, LABORATORY, CARDIOPULMONARY, HOSPICE AND LONG-TERM CARE SERVICES- MOBILE PET AND BONE DENSITY TESTING TECHNOLOGY- COORDINATION OF PATIENT CARE SERVICES IN HOSPITAL- FREE OR LOW-COST SERVICES TO LOW-INCOME FAMILIES- GENERAL HEALTH SCREENING CLINICS- RESPIRATORY/PULMONARY DISEASE SERVICES- SCHOOL SPORTS PHYSICALS- SKILLED NURSING SERVICES/INTERMEDIATE CARE FACILITY- WOUND CARE CLINIC- PEDIATRIC SERVICES- CRTN CANCER CENTER SERVICES - NON-CLINICAL HOSPITAL SERVICES- ADVOCACY ON BEHALF OF SPECIFIC PATIENTS NEEDING INTERVENTION WITH PUBLIC AGENCIES (SOCIAL SERVICES)- GUIDANCE AND REFERRAL TO COMMUNITY SERVICES AND PUBLIC ASSISTANCE PROGRAMS, INCLUDING MEDICAID- TRANSLATION OR INTERPRETER SERVICES FOR NON-ENGLISH-SPEAKING PATIENTS- SUPPORT FOR OTHER HEALTH CARE PROVIDERS- VISITING MEDICAL AND SURGICAL SPECIALISTS TO COMPLEMENT PRIMARY CARE- TRANSITIONS PROGRAM THIS IS A FREE SERVICE RAN THROUGH HOSPICE.- PHYSICIANS' CARE- WORK IN PARTNERSHIP CARING HEART HEALTH CLINIC- SUPPORT FOR BLOOD DRIVES- PHYSICIAN REFERRAL SERVICES- PARTNER IN REGIONAL RURAL HEALTH NETWORKS- WORKING RELATIONSHIPS WITH OTHERS- COMMUNITY-BASED BUSINESS GROUPS SUCH AS CHAMBERS OF COMMERCE- ECONOMIC DEVELOPMENT AGENCIES- HOME HEALTH AGENCIES- HOSPICES- LOCAL SCHOOLS AND COLLEGES- NURSING HOMES- SENIOR CITIZENS - FREE MATTER OF BALANCE PROGRAM- STATE AND LOCAL AGENCIES AND ORGANIZATIONS- CENTRAL MICHIGAN UNIVERSITY COLLEGE OF MEDICINE- COVENANT REGIONAL THUMB NETWORK (CRTN)- DECKERVILLE COMMUNITY HOSPITAL- THE HEARTLANDS, INDEPENDENT LIVING, MEMORY CARE AND ASSISTED LIVING - MICHIGAN CENTER FOR RURAL HEALTH- SANILAC COUNTY HEALTH DEPARTMENT- THUMB COMMUNITY HEALTH PARTNERSHIP (TCHP)- THUMB OPIOID RESPONSE CONSORTIUM (TORC)- HILLS & DALES HEALTHCARE- AFTER HOURS CARE (MARLETTE QUICK CARE)- PODIATRY- ORTHOPEDICSHELP US HELP OUR OWN: THIS IS A PROGRAM THAT THE FOUNDATION RUNS WHERE THE PROCEEDS GO TO A FUND THAT SUPPORT ASPIRE EMPLOYEES IN NEED. A REQUEST CAN BE SUBMITTED TO THE FOUNDATION BOARD ON BEHALF OF AN EMPLOYEE WHO IS IN NEED DUE TO A TRAUMATIC EVENT WHETHER IT IS THEIR HEALTH/FAMILY HEALTH/TERRIBLE ACCIDENT, ETC AND THE BOARD CAN APPROVE THE SITUATION AND GIVE XX DOLLARS FROM THIS FUND TO AN EMPLOYEE TO HELP THEM OUT DURING THIS TIME.5TH SATURDAY: THIS IS A PROGRAM WHERE ASPIRE EMPLOYEES VOLUNTEER TO DO A COMMUNITY SERVICE IN ONE OF THE ASPIRE COMMUNITIES.MARLETTE REGIONAL HOSPITAL IS COMMITTED TO SERVING OUR PATIENTS IN WAYS THAT RESPECT THE ORIGINAL VALUES OF OUR COMMUNITY - A COMPASSION FOR OUR NEIGHBORS AND A SENSE OF DUTY TO SERVE THOSE IN NEED. IN RESPECTING THESE VALUES, MARLETTE REGIONAL HOSPITAL ACKNOWLEDGES ITS OBLIGATION TO OFFER SERVICES TO PATIENTS THAT MAY NOT BE ABLE TO FULLY AFFORD THE CARE THEY NEED, WHILE ALSO SERVING THE HEALTH IMPROVEMENT NEEDS OF OUR LARGER COMMUNITY. TO THAT END, THE HOSPITAL HAS ADOPTED POLICIES THAT DESCRIBE HOW. 37566725 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 68 0 479 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X KIM GENTNER CFO 9896354230 2770 MAIN STREET MARLETTE MI 48453 GAIL DENTON VICE-CHAIRMAN 1.00 1.00 X X 0 0 0 JUSTIN FABER FORMER VICE-CHAIRMAN 1.00 1.00 X X 0 0 0 VICTORIA MEIBURG DIRECTOR 1.00 1.00 X X 0 0 0 IRENE COLE DIRECTOR 1.00 1.00 X 0 0 0 SUE COOK DIRECTOR 1.00 1.00 X 0 0 0 STEVE ELLIS DIRECTOR 1.00 1.00 X 0 0 0 CURTIS LANDRITH DIRECTOR 1.00 1.00 X 0 0 0 ALEXANDER MESSING DIRECTOR 1.00 1.00 X 0 0 0 DAVID MESSING SECRETARY/TREASURER 1.00 1.00 X 0 0 0 SCOTT ORR DIRECTOR 1.00 1.00 X 0 0 0 PAUL ROHLING DIRECTOR 1.00 1.00 X 0 0 0 PAT CURTIS CHAIRMAN 1.00 1.00 X X 0 0 0 FAITH FAHRNER DIRECTOR 1.00 1.00 X 0 0 0 JUDY BROWN DIRECTOR 1.00 1.00 X 0 0 0 ERIK TAMLYN DIRECTOR 1.00 1.00 X 0 0 0 CAROL STARLING DIRECTOR 1.00 1.00 X 0 0 0 ANDREW DANIELS CO-CEO 10.00 30.00 X 0 383461 47340 ANGELA MCCONNACHIE CO-CEO 10.00 30.00 X 0 203348 12351 KIM GENTNER CFO 10.00 30.00 X 0 139079 135 MICHAEL KITTO PHYSICIAN 40.00 0.00 X 412860 0 9248 CHRISTOPHER HANCZANUK PHYSICIAN 40.00 0.00 X 106509 0 14722 DANIEL KULICK PHYSICIAN 40.00 0.00 X 377316 0 26969 SARAH ALBERS PHYSICIAN 40.00 0.00 X 372709 0 9248 MICHAEL F MACDONALD PHYSICIAN 40.00 0.00 X 342650 0 20369 1612044 725888 140382 29 0 1 0 MICHIGAN SURGICAL SPECIALISTS 5510 HOSNER ROAD METAMORA MI 48455 SURGERY SPECIALISTS 267000 THUMB COOLING AND HEATING LLC 8430 VAN DYKE ROAD CASS CITY MI 48726 BUILDING MECHANICAL CONTRACTOR 239540 NITIN KG GOLECHHA MD PC 2734 MAIN ST MARLETTE MI 48453 PHYSICIAN 234694 JOSEPH CARLIER DO PLLC 55405 FALLBROOKE RD MACOMB MI 48042 PHYSICAN 179760 NET REVENUE ASSOCIATES LLC 1330 CORPORATE DR STE 100 HUDSON OH 44236 CONSULTING 168244 8 77994 176191 471897 726082 PATIENT SERVICE REVENUE 621400 44355048 44355048 PHARMACY REVENUE 456110 408274 408274 44763322 499340 499340 730334 148013 582321 582321 582321 18020 -18020 -18020 -18020 8594 77994 13401 -4807 -4807 MISCELLANEOUS REVENUE 900099 267970 267970 INVESTMENT IN AFFILIATES 900099 -274139 -274139 -6169 46542069 44763322 0 1052665 X 17135 17135 22509328 19903241 2606087 300396 235249 65147 2552918 1999264 553654 1579898 1237264 342634 368673 368673 96442 96442 121696 121696 7109043 5616308 1492735 130385 79169 51216 232403 141113 91290 543984 431112 112872 131544 79872 51672 4389 4033 356 1686776 1614303 72473 555829 144000 411829 MEDICAL SUPPLIES 3363346 3277245 86101 TAXES AND LICENSES 1581153 960061 621092 BAD DEBT EXPENSE 801738 801738 MINOR EQUIPMENT 587155 356515 230640 960472 669103 291369 45234703 37566725 7667978 0 76731 2191295 11088581 7098594 73809 0 4667286 9440918 275470 271241 342824 203385 41436448 28069302 13199565 13367146 1119944 845805 3426546 2828659 34270756 36247043 2039538 3297611 0 130964 442 0 90335 7093 569621 582035 2699936 4017703 X 30567287 32183619 1003533 45721 31570820 32229340 34270756 36247043 X 1307366 -648846 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1953 1953 0 PART II-B, LINE 1: THE ORGANIZATION PAYS ANNUAL DUES TO AMERICAN HEALTH CARE ASSOCIATION (AHCA), HEALTH CARE ASSOCIATION OF MICHIGAN (HCAM), MICHIGAN HEALTH AND HOSPITAL ASSOCIATION (MHA), LEADING AGE MICHIGAN, LEADING AGE NATIONAL, AND SKILLED NURSING FACILITIES AND A PORTION OF THOSE DUES GOES TOWARD LOBBYING. THE MHA WORKS WITH ITS MEMBER HOSPITAL AND HEALTH SYSTEMS TO INFORM DECISION-MAKERS ABOUT THE IMPACT OF HOSPITALS ON LOCAL HEALTH AND HEALTHCARE DELIVERY, AND ON CREATING THRIVING COMMUNITIES. THEY SPEND TIME IN MICHIGAN AND WASHINGTON DC TO ADVOCATE ON BEHALF OF THE INTERESTS OF ITS MEMBERS. 669923 669923 25390113 17083680 8306433 14785491 10660028 4125463 590921 325594 265327 13367146 RELATED PARTY RECEIVABLE 2828659 2828659 ESTIMATED THIRD-PARTY PAYOR SETTLEMENT 154391 RIGHT-OF-USE LEASE LIABILITIES 146798 DUE TO AFFILIATES 280846 582035 GOLF OUTING 56539 47945 8594 11045 TREE OF SHINING LOVE 30049 30049 2356 86588 77994 8594 13401 13401 -4807 1 1 X 1 X 1 X 1 1 0 1 1 17445 17445 0.00040 10323179 2875594 7447585 0.16760 10340624 2875594 7465030 0.16800 103 1018 95274 22951 72323 0.00160 12 3 7633 7633 0.00020 7 7221382 5269988 1951394 0.04390 27 2505 15075 3630 11445 0.00030 149 3526 7339364 5296569 2042795 0.04600 149 3526 17679988 8172163 9507825 0.21400 12 1200 563 563 0.00000 12 1200 563 563 0.00000 0 801738 0 5734730 6967631 -1232901 X 1 1 1 1 MARLETTE REGIONAL HOSPITAL 2770 MAIN STREET PO BOX 307 MARLETTE MI 48453 WWW.ASPIRERHS.ORG/ 1060000165 X X X RHC(S) MARLETTE REGIONAL HOSPITAL 1 0 0 1 X X X X X X X X X 23 1 1 1 1 X SEE PART V, LINE 7D X 1 23 1 SEE PART V, LINE 7D 0 1 X 100.000000000000 300.000000000000 X X X 1 1 X X X 1 X SEE PART V, LINE 16J X SEE PART V, LINE 16J X SEE PART V, LINE 16J X X X X X X X 1 X 0 X X X X 1 X 0 0 MARLETTE REGIONAL HOSPITAL PART V, SECTION B, LINE 5: A SURVEY WAS SENT OUT TO THE COMMUNITY TO ENSURE COLLECTION OF ADEQUATE HEALTH INDICATORS AND INPUT OF STAKEHOLDERS AND VULNERABLE POPULATIONS. WE CONDUCTED A FOUR-COUNTY REGIONAL ASSESSMENT PROCESS IN PARTNERSHIP WITH THE THUMB COMMUNITY HEALTH PARTNERSHIP ALONG WITH A STAKEHOLDER MEETING. THE SURVEY AND PARTNERSHIP CONSISTED OF HOSPITALS, LOCAL PUBLIC HEALTH DEPARTMENTS, MENTAL HEALTH AGENCIES, COMMUNITY MEMBERS AND OTHER HUMAN SERVICE PROVIDERS IN HURON, LAPEER, SANILAC, AND TUSCOLA COUNTIES. ADDITIONALLY, SOCIAL SERVICE ORGANIZATIONS THAT SERVE VULNERABLE POPULATIONS WERE PROVIDED SURVEYS. AGENCIES INCLUDED HUMAN DEVELOPMENT COMMISSION, MENTAL HEALTH AGENCIES, THE PUBLIC HEALTH AND SOCIAL SERVICES DIVISION OF THE DEPARTMENT OF HEALTH AND HUMAN SERVICES, SOCIAL WORKERS, INTERMEDIATE SCHOOL DISTRICTS, STAFF FROM HEALTH CARE SECTOR WITH FREE OR LOW-COST HEALTH CLINICS, EARLY CHILDHOOD SERVICE PROVIDERS, AND LAW ENFORCEMENT. MARLETTE REGIONAL HOSPITAL PART V, SECTION B, LINE 6A: THERE WERE MULTIPLE HOSPITAL FACILITIES IN THE FOUR COUNTIES OF HURON, LAPEER, SANILAC, AND TUSCOLA THAT RECEIVED SUPPORT FROM THE MICHIGAN CENTER FOR RURAL HEALTH AND MICHIGAN THUMB PUBLIC HEALTH ALLIANCE (HURON, LAPEER, SANILAC, AND TUSCOLA). MARLETTE REGIONAL HOSPITAL PART V, SECTION B, LINE 6B: MARLETTE REGIONAL HOSPITAL WORKS IN PARTNERSHIP WITH A WIDE VARIETY OF HEALTH AND COMMUNITY ORGANIZATIONS TO MEET THE NEEDS OF THE COMMUNITY. THE CHNA PROCESS WAS CONDUCTED WITH THE SAME PRINCIPLES OF COLLABORATION. SPECIFICALLY, MRH UTILIZED ITS MEMBERSHIP IN THE THUMB COMMUNITY HEALTH PARTNERSHIP. THIS PARTNERSHIP ALLOWED US TO SURVEY A GREATER NUMBER OF PEOPLE IN OUR COMMUNITY. THE MOST IMPORTANT PARTNER IN MEETING HEALTH NEEDS OF OUR COMMUNITY IS THE RESIDENTS WE SERVE. MARLETTE REGIONAL HOSPITAL PART V, SECTION B, LINE 7D: HTTPS://ASPIRERHS.ORG/WP-CONTENT/UPLOADS/2024/12/MARLETTE-REGIONAL-HOSPITAL_CHNA-REPORT_2024-FINAL.PDF MARLETTE REGIONAL HOSPITAL PART V, SECTION B, LINE 11: IN REVIEW OF EXISTING EFFORTS, THE TEAM DETERMINED THAT MARLETTE REGIONAL HOSPITAL WOULD HAVE THE GREATEST IMPACT ON COMMUNITY HEALTH BY TARGETING SIX FOCUS AREAS. 1. ACCESS TO HEALTH INSURANCE2. SERVICE AWARENESS3. HEART DISEASE4. TOBACCO USE AND VAPING5. CANCER6. BEHAVIORAL HEALTH1. ACCESS TO HEALTH INSURANCE- CARE COORDINATORS PROMOTE WELLNESS SCREENINGS AND ASSIST WITH REMOVING BARRIERS TO ACCESS CARE SUCH AS COST, NAVIGATING INSURANCE, AND TRANSPORTATION. REMOVING BARRIERS TO HEALTH INSURANCE INCLUDE KNOW YOUR NUMBERS, LOW COST SCREENINGS, BCUPS, AND $10 SPORTS PHYSICALS.- OFFER A POINT OF CONTACT FOR PATIENTS TO CALL WITH QUESTIONS, CONCERNS AND FEEDBACK IN REGARDS TO HEALTH INSURANCE.- EXPANDING ACCESS BY INCREASING TELEHEALTH SERVICES INCLUDING INPATIENT CARE COVERAGE AND SPECIALTY CONSULTATIONS.- OFFER HELP US HELP OUR OWN FUND AT ASPIRE FOUNDATION, WHICH PROVIDES FINANCIAL ASSISTANCE TO ASPIRE EMPLOYEES IN THE WAKE OF A CHANGE IN HEALTH OR OTHER EMERGENT NEED.- EXPANDED RESOURCES INCLUDING INSURANCE EDUCATION, AND HUMAN RESOURCES SUPPORT TEAMS TO PROVIDE GUIDANCE IN THE INSURANCE PROCESS.- REGULARLY UPDATE ACCEPTED INSURANCES ON ASPIRE WEBSITE.2. SERVICE AWARENESS- PROVIDER DIRECTORY AND SERVICES OFFERED ARE POSTED ON THE MARLETTE REGIONAL HOSPITAL WEBSITE AND ALL MARLETTE REGIONAL HOSPITAL FAMILY HEALTH CARE OFFICES.- SERVICE AREAS ARE HIGHLIGHTED ON SOCIAL MEDIA- MRH HAS SENT OUT AN EVERY DOOR DIRECT MAILING.- MRH CREATES AN ANNUAL REPORT THAT INCLUDES SERVICES OFFERED.- WITH PATIENT CONSENT, MRH PROVIDES PATIENT TESTIMONIALS.- WORK IN PARTNERSHIP WITH THE CRTN. THIS NETWORK ENHANCES AND STRENGTHENS HIGH-QUALITY HEALTHCARE PROVIDED BY YOUR COMMUNITY HOSPITAL WITH IMPROVED ACCESS TO MORE RESOURCES WHEN ADDITIONAL SPECIALIZED SUPPORT IS NEEDED.- PROVIDES MORE BOARD-CERTIFIED SPECIALIST COVERAGE AND SPECIALTY CLINICS RIGHT IN YOUR COMMUNITY.- ENHANCES HOSPITAL ALIGNMENT WITH PROCESSES IN PLACE TO EXPEDITE PATIENT TRANSFERS WHEN NEEDED- INCREASES LOCAL ACCESS TO CARE, WHILE IMPROVING THE AFFORDABILITY OF QUALITY HEALTHCARE IN THE REGION- PRESERVES COMPLETE INDEPENDENCE OF LOCAL COMMUNITY HOSPITALS IN THE NETWORK STREAMLINING COMMUNICATION, ENSURING THAT ALL UPDATES, NEWS, AND RESOURCES ARE SHARED IN ONE PLACE. BY FOCUSING ON A SINGLE ACCOUNT, WE CAN BETTER ENGAGE WITH OUR COMMUNITY, PROVIDE MORE CONSISTENT AND TIMELY INFORMATION, AND STRENGTHEN OUR ONLINE PRESENCE.- BEGAN ASPIRE-WIDE EMAIL NEWSLETTER TO IMPROVE AWARENESS OF SERVICES.- THROUGH OUR THUMB MRI PARTNERSHIP, MRH HAS EXPANDED THE AWARENESS OF RADIOLOGY SERVICES AT MRH AND WITHIN ASPIRE.- UPDATED MRH'S PROFILE ON 2-1-1, ONLINE STATE RESOURCE FOR TELEPHONE AND ONLINE RESOURCES.- START RADIO CAMPAIGN ON LOCAL RADIO STATION TO HIGHLIGHT MRH AND OTHER ASPIRE SERVICES.3. HEART DISEASE- DIABETIC EDUCATION CLASSES EXTENDED HOURS.- DIABETIC EDUCATION APPOINTMENTS AND CLASSES EXPANDED INTO TELEHEALTH OPTIONS.- OFFER COMMUNITY GARDEN PLOTS AND PLANTS FREE OF CHARGE AT MRH.- DEVELOPMENT OF THE HEARTLANDS SENIOR LIVING INCLUDES EXERCISE CLASSES, A FITNESS CENTER, AND A WALKING TRAIL NEARBY.- WALKING TRAIL SUPPORTER.- OFFER FREE OR LOW-COST EXERCISE CLASSES @ MRH- MRH HELPS COORDINATE A 5K IN BROWN CITY .- EMERGENCY TELEHEALTH SERVICES FOR POSSIBLE STROKE PATIENTS BEGAN IN 2016.- SPECIALTY SERVICES ADDED INCLUDE OUTPATIENT CLINIC SERVICES INCLUDING TELE-PSYCHIATRY, CARDIOLOGY, ENT, ORTHOPEDICS, NEPHROLOGY, AND VASCULAR MEDICINE.- CAMPAIGNING FOR AMERICAN HEART MONTH IN FEBRUARY.4. TOBACCO USE AND VAPING- MRH DISTRIBUTES LUNG SCREENING CARDS AT COMMUNITY EVENTS AND HEALTH CARE OFFICES.- SHARE RESOURCES TOBACCO USE OF VAPING PRODUCTS WITH THE COMMUNITY FROM MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES.- LUNG CANCER SCREENING CAMPAIGN IN JUNE HIGHLIGHTS TOBACCO USE OF VAPING PRODUCTS.- EXPAND PARTNERSHIP(S) WITH SCHOOLS TO SPREAD AWARENESS OF NEGATIVE EFFECTS OF TOBACCO AND VAPING PRODUCTS.5. CANCER- MRH PROVIDES FINANCIAL ASSISTANCE FOR MAMMOGRAMS AND DIAGNOSTIC TESTING SERVICES THROUGH THE B.C.U.P.S. PROGRAM, HOUSED WITHIN THE ASPIRE RURAL HEALTH SYSTEM FOUNDATION.- ASPIRE RURAL HEALTH SYSTEM FOUNDATION IS HOME TO THE P.C.U.P.S. FOUNDATION TO RAISE FUNDS AND CREATE A HIGHER AWARENESS IN THE FIGHT AGAINST PROSTATE CANCER. P.C.U.P.S. STANDS FOR PROSTATE CANCER UNDERSTANDING, PREVENTION AND SCREENINGS.- MARLETTE REGIONAL HOSPITAL REOPENED THE COVENANT CANCER CARE AT ASPIRE MARLETTE IN FALL 2023 WITH COVENANT.- CAMPAIGN FOR BREAST CANCER AWARENESS MONTH IN OCTOBER.6. BEHAVIORAL HEALTH- PHYSICIAN OFFICES AND EMERGENCY DEPARTMENT CONTINUE TO ABIDE BY STRICT GUIDELINES IN THE PRESCRIBING AND ADMINISTRATION OF OPIOIDS AND NARCOTICS.- MEMBER OF THUMB OPIOID RESPONSE CONSORTIUM (TORC) TO REDUCE THE HARM OF SUBSTANCE USE DISORDERS BY WORKING TOGETHER AS A REGION (HURON, SANILAC, TUSCOLA AND THE RURAL TRACKS OF LAPEER COUNTY) TO ENSURE THAT PREVENTION, TREATMENT, AND RECOVERY SERVICES ARE ALIGNED WITH THE NEEDS OF THE COMMUNITY.- PREVIOUSLY COMPLETED SBIRT TRAINING THROUGH THE TORC.- MEMBER OF THUMB COMMUNITY HEALTH PARTNERSHIP TO PROVIDE MAN THERAPY. MARLETTE REGIONAL HOSPITAL PART V, SECTION B, LINE 16J: THE FINANCIAL ASSISTANCE POLICY, APPLICATION, AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE ATHTTPS://ASPIRERHS.ORG/BILLING/ 16 1 - MARLETTE WOUND CARE CLINIC 2750 MAIN STREET SUITE 4 MARLETTE MI 48423 WOUND CARE CLINIC 2 - MARLETTE FAMILY HEALTHCARE 2750 MAIN STREET SUITE 2 MARLETTE MI 48453 RURAL HEALTH CLINIC 3 - UNITED HOSPICE SERVICE RESIDENCE 2770 MAIN ST MARLETTE MI 48453 HOSPICE CLINIC 4 - FAMILY HEALTHCARE OF BROWN CITY 4472 MAIN STREET BROWN CITY MI 48416 RURAL HEALTH CLINIC 5 - MAYVILLE FAMILY HEALTHCARE 2180 OHMER ROAD MAYVILLE MI 48744 RURAL HEALTH CLINIC 6 - NORTH BRANCH FAMILY HEALTHCARE 4000 HURON ST PO BOX 180 NORTH BRANCH MI 48461 RURAL HEALTH CLINIC 7 - MARLETTE SURGICAL SERVICES CLINIC 2750 MAIN STREET SUITE 7/8 MARLETTE MI 48453 GENERAL MEDICAL & SURGICIAL CLINIC 8 - PORT SANILAC HEALTHCARE 245 S RIDGE STREET PORT SANILAC MI 48469 RURAL HEALTH CLINIC 9 - UHP QUICK CARE 2771 ANGLE STREET MARLETTE MI 48453 URGENT CARE 10 - ASPIRE MARLETTE PAIN CLINIC 2750 MAIN STREET SUITE 5 MARLETTE MI 48453 PAIN CLINIC 11 - ASPIRE SPINE CLINIC 2770 MAIN ST MARLETTE MI 48453 SPINE CLINIC 12 - MARLETTE GENERAL SURGERY CLINIC 2770 MAIN ST MARLETTE MI 48453 GENERAL SURGICAL CLINIC 13 - MARLETTE ORTHOPEDIC CLINIC 2770 MAIN ST MARLETTE MI 48453 ORTHOPEDIC CLINIC 14 - HOSPITAL HEALTH SERVICES 3006 MAIN ST MARLETTE MI 48453 HEALTH CLINIC 15 - MARLETTE SPECIALITY CLINIC 2734 MAIN ST MARLETTE MI 48453 SPECIALITY CLINIC 16 - MARLETTE THERAPY SERVICES 2770 MAIN ST MARLETTE MI 48453 THERAPY CLINIC PART I, LINE 3C: ELIGIBILITY FOR ASSISTANCE WILL BE CONSIDERED FOR THOSE INDIVIDUALS WHO ARE UNINSURED, UNDER INSURED, INELIGIBLE FOR ANY GOVERNMENT HEALTH CARE BENEFIT PROGRAM, AND WHO ARE UNABLE TO PAY FOR THEIR CARE, BASED UPON A DETERMINATION OF FINANCIAL NEED IN ACCORDANCE WITH THE FINANCIAL ASSISTANCE POLICY. AN INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE IF THEY (A) RECEIVE MEDICALLY NECESSARY CARE AT MARLETTE REGIONAL HOSPITAL, (B) COMPLETE THE FINANCIAL ASSISTANCE APPLICATION, INCLUDING REQUIRED SUPPORTING DOCUMENTS, AND (C) HAVE FAMILY INCOME BELOW 100% OF FEDERAL POVERTY LEVELS (FOR FREE CARE) OR 300% (FOR DISCOUNTED CARE). PART I, LINE 7: THE ORGANIZATION USES THE COST TO CHARGE RATIO RECOMMENDED BY WORKSHEET 2 OF THE IRS FORM 990, SCHEDULE H INSTRUCTIONS. PART I, LINE 7G: THE ORGANIZATION IS REPORTING THE FOLLOWING SERVICE LINES FROM THEIR CLINICS UNDER THE SUBSIDIZED HEALTH SERVICES. 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 $ 801,738. PART II, COMMUNITY BUILDING ACTIVITIES: THE ORGANIZATION WILL SEND REPRESENTATIVES TO LOCAL CHAMBER OF COMMERCE MEETINGS TO IDENTIFY OTHER AREAS OF NEED WITHIN THE COMMUNITY. THAT REPRESENTATIVE WILL ALSO ASSIST IN COMMUNITY EVENTS FROM TIME TO TIME AND DEVOTES 1-2 HOURS PER MONTH SUPPORTING THE CHAMBER/COMMUNITY. PART III, LINE 2: THE COSTING METHODOLOGY USED ON FORM 990 IS BASED ON A COST-TO-CHARGE RATIO, WHICH IS DEVELOPED BASED ON THE HOSPITAL'S TOTAL OPERATING EXPENSES EXCLUDING THE PROVISION FOR BAD DEBT, DIVIDED BY GROSS PATIENT SERVICE REVENUE. THIS COST-TO-CHARGE RATIO IS APPLIED AGAINST THE TOTAL CHARGES THAT ARE WRITTEN OFF DURING THE YEAR TO ESTIMATE THE COST OF CARE OF PATIENTS WHO HAVE ACCOUNTS THAT ARE DEEMED TO BE BAD DEBTS TO THE HOSPITAL. THE HOSPITAL ALSO RECOGNIZES THAT IT ALSO PROVIDES A DISCOUNT TO SELF-PAY OR UNINSURED PATIENTS. THESE AMOUNTS ARE EXCLUDED FROM GROSS PATIENT SERVICE REVENUE ON THE FINANCIAL STATEMENTS AND ARE NOT INCLUDED IN THE RATIO AS DESCRIBED ABOVE AND APPROVED BY THE IRS FOR USE ON FORM 990. IF CONSIDERED, THESE ADDITIONAL WRITE-OFF AMOUNTS TO UNINSURED ACCOUNTS WOULD ALSO INCREASE THE ESTIMATED BAD DEBT EXPENSE AMOUNT ASSOCIATED WITH THESE UNCOLLECTIBLE ACCOUNTS TO THE HOSPITAL. PART III, LINE 3: $0 IS REPORTED IN LINE 3 BECAUSE MARLETTE REGIONAL HOSPITAL DOES NOT HAVE A METHOD OF ACCURATELY CALCULATING THE PORTION OF OUR BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WHO WOULD QUALIFY FOR FINANCIAL ASSISTANCE BUT FAILED TO COMPLETE AN APPLICATION. PART III, LINE 4: FOR INFORMATION ABOUT BAD DEBT EXPENSE, SEE THE "PATIENT SERVICE REVENUE" SECTION OF NOTE 1 PAGES 10-15 OF THE ATTACHED FINANCIAL STATEMENTS. PART III, LINE 8: THE AMOUNT OF MEDICARE ALLOWABLE COST WAS TAKEN DIRECTLY FROM THE MEDICARE COST REPORT. WHETHER THERE IS A SHORTFALL OR SURPLUS ON SERVICES TO MEDICARE BENEFICIARIES, THESE PATIENTS, WHO ARE TYPICALLY ELDERLY MEMBERS OF THE COMMUNITY, ARE AN UNDERSERVED POPULATION WHO EXPERIENCE ISSUES WITH ACCESS TO HEALTHCARE SERVICES. WITHOUT TAX-EXEMPT HOSPITALS PROVIDING MEDICARE PATIENT SERVICES, THE CENTERS FOR MEDICARE AND MEDICAID (CMS) WOULD BEAR THE BURDEN OF DIRECTLY PROVIDING SERVICES TO THE ELDERLY AND DISABLED MEMBERS OF THE COMMUNITY.THE TOTAL MEDICARE REVENUE SHOWN ON SCHEDULE H IS BASED ON THE IRS 990 INSTRUCTIONS AND INCLUDES ONLY THE CHARGES FROM MEDICARE PROGRAM BENEFICIARIES THAT ARE REPORTED ON THE HOSPITAL'S MEDICARE COST REPORT. THE AMOUNT LISTED FOR MEDICARE REVENUE DOES NOT INCLUDE PHYSICIAN SERVICES PROVIDED AT THE HOSPITAL'S OUTLYING CLINIC LOCATIONS. PHYSICIAN COVERAGE IS REIMBURSED PRIMARILY ON A FEE SCHEDULE REIMBURSEMENT AT RATES THAT ARE OFTEN BELOW THE COSTS OF CARE FOR PATIENTS. PHYSICIAN SERVICES PROVIDED TO MEDICARE PATIENTS ARE VITAL TO THE WELL-BEING OF THE COMMUNITY AND AS SUCH THESE COSTS AND SHORTFALLS SHOULD ALSO BE CONSIDERED AN ADDITIONAL COMMUNITY BENEFIT THE HOSPITAL PROVIDES TO THE COMMUNITY AND SURROUNDING AREA. THE COST METHOD USED ABOVE FOR IRS 990 COMPLIANCES REPORTING IS BASED ON THE OVERALL AVERAGE COST TO CHARGE RATIO AND DOES NOT CONSIDER MEDICARE NON-ALLOWABLE EXPENSES AS IT IS BASED ON TOTAL OPERATING EXPENSES LESS THE PROVISION FOR BAD DEBT EXPENSE DIVIDED BY THE HOSPITAL PATIENT SERVICE REVENUE (IGNORING CONTRACTUAL ADJUSTMENTS ON FEE SCHEDULE REIMBURSED ITEMS AND NON-ALLOWABLE MEDICARE EXPENSES AS NOTED ABOVE). THIS RATIO IS THEN MULTIPLIED BY THE TOTAL MEDICARE SERVICES, WHICH ARE REIMBURSED BASED ON MEDICARE REGULATIONS. INCLUDING THE FEE SCHEDULE ITEMS, SUCH AS PHYSICIAN SERVICES, WOULD PRODUCE A LOSS OR SHORTFALL ON THESE SERVICES TO BE REPORTED ON THE FORM 990 IN ANY GIVEN YEAR. PART III, LINE 9B: DURING THE UP FRONT COLLECTION PROCESS PATIENTS ARE SCREENED FOR PRESUMPTIVE ELIGIBILITY OF FINANCIAL ASSISTANCE IF THEY ARE UNABLE TO PAY FOR THE REQUIRED DEPOSIT AMOUNT FOR OUTPATIENT TESTING. THE STAFF MEMBERS THAT ESTIMATE THE ELIGIBILITY OF FINANCIAL ASSISTANCE EXTEND THE APPLICATION AND PLAIN LANGUAGE SUMMARY TO THE PATIENT IF THEY ARE SCREEN AS PRESUMPTIVELY ELIGIBLE PRIOR TO THE OUTPATIENT SERVICES BEING RENDERED TO THE PATIENTS. ALL UNINSURED PATIENTS THAT PRESENT TO THE ER ARE CALLED BY THE BUSINESS OFFICE TO EXTEND FINANCIAL ASSISTANCE ELIGIBILITY INFORMATION OR ACQUIRE INSURANCE INFORMATION. ALL PATIENT STATEMENTS CONTAIN WORDING REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE. THE PRE-COLLECT AGENCY IS AWARE OF THE FINANCIAL ASSISTANCE AVAILABILITY WHEN THEY ARE PERFORMING OUTREACH ACTION TO PATIENTS PRIOR TO EXTRAORDINARY COLLECTION ACTION. PART VI, LINE 2: THE HOSPITAL HAS PARTNERED WITH PRESS GANEY WHICH IS A COMPANY THAT HELPS US DO SURVEYS FOR PATIENT SATISFACTION. WE USE FEEDBACK FROM THOSE SURVEYS TO BETTER UNDERSTAND THE NEEDS OF OUR PATIENTS. ALSO, WITH WORKING CLOSELY WITH DCH AND HDGH WE GAIN A BETTER UNDERSTANDING OF THE NEEDS OF OUR PATIENTS IN OUR COUNTY BY ANALYZING DATA AT BOTH FACILITIES FOR POTENTIAL NEEDS. THE HOSPITAL ALSO UTILIZES THE RELATIONSHIP WITH THE CRTN GROUP TO GATHER INFORMATION ON WHAT SERVICES WE MAY NEED IN OUR COMMUNITIES. PART VI, LINE 3: FOR INPATIENT SERVICES, WE SEEK ANY INFORMATION REGARDING INSURANCE COVERAGE. IF NO COVERAGE IS AVAILABLE, WE REFER THE PATIENT TO OUR SOCIAL WORKER WHO HELPS THE PATIENT APPLY FOR GOVERNMENT ASSISTANCE IF APPLICABLE AND AVAILABLE, AND IF IT IS NOT, THEN WE HELP THEM COMPLETE THE FINANCIAL ASSISTANCE APPLICATION. FOR OUTPATIENT SERVICES, THE REGISTRATION STAFF OFFER FINANCIAL ASSISTANCE APPLICATIONS TO PATIENTS WHO CANNOT PAY THEIR UPFRONT COLLECTIONS. THE BILLING DEPARTMENT ALSO ASSISTS THE PATIENT IN APPLYING FOR GOVERNMENTAL ASSISTANCE. IF NOT APPLICABLE OR AVAILABLE, THE PATIENT IS ASSISTED IN COMPLETING THE FINANCIAL ASSISTANCE APPLICATION AND MARLETTE REGIONAL HOSPITAL APPLICATIONS TO SPECIAL ORGANIZATIONS THAT MIGHT OFFER ASSISTANCE AS WELL. NOTICES OF AVAILABILITY OF FINANCIAL ASSISTANCE ARE ALSO POSTED IN THE HOSPITAL LOBBY. PART VI, LINE 4: MARLETTE REGIONAL HOSPITAL SERVES RURAL COMMUNITIES IN SANILAC COUNTY AND PORTIONS OF LAPEER AND TUSCOLA COUNTIES. THE HOSPITAL'S SERVICE AREA INCLUDES NUMEROUS MUNICIPALITIES: BROWN CITY, DECKER, DEFORD, MARLETTE, MELVIN, PECK, SANDUSKY, SNOVER, FOSTORIA, KINGSTON, MAYVILLE, NORTH BRANCH, CLIFFORD, YALE, AND SILVERWOOD. BASED ON CENSUS DATA FOR MUNICIPALITIES, APPROXIMATELY 40,368 PEOPLE LIVE IN THE SERVICE AREA. THE HOSPITAL PROVIDES SERVICE TO COMMUNITIES IN WHICH THERE ARE A WIDE RANGE OF NEEDS (CENSUS-AMERICAN COMMUNITY SURVEY 5 YEAR AVERAGE (2020). 23.8% OF THE POPULATION IS OVER THE AGE OF 65 AND ONLY 20.7% ARE UNDER AGE 18. THE POPULATION HAS LIMITED RACIAL DIVERSITY WITH 96.8% OF THE POPULATION WHITE. THE SERVICE AREA HAS A COLLEGE DEGREE RATE OF 25.3% COMPARED TO MICHIGAN'S 33.1% AND UNITED STATES 40.9%. AVERAGE HOUSEHOLD INCOME IN THE SERVICE AREA IS $63,527 AS COMPARED TO MICHIGAN'S AVERAGE INCOME OF $74,523 AND THE UNITED STATES AVERAGE INCOME OF $69,434. UNEMPLOYMENT IN THE SERVICE AREA HAS AN AVERAGE OF 4.8% COMPARED TO MICHIGAN AT 3.9% AND THE U.S. AT 3.6%. OF THE CIVILIAN NONINSTITUTIONALIZED POPULATION - 7.2% HAVE NO HEALTH INSURANCE COVERAGE COMPARED TO MICHIGAN AT 6.0% AND THE U.S. AT 11.5%. THE PERCENTAGE OF PEOPLE WHO HAD INCOMES BELOW POVERTY IN THE PAST 12 MONTHS WAS 13.3%. PART VI, LINE 5: THE HOSPITAL IS GOVERNED BY A COMMUNITY BOARD AND HAS AN OPEN MEDICAL STAFF. IT ALSO PARTICIPATES IN FREE OR REDUCED HEALTH SCREENINGS AND FAIRS THAT ARE AVAILABLE TO THE GENERAL PUBLIC. AT THE END OF FY2022 THE HOSPTIAL PARTIALLY OPENED UP ITS SENIOR LIVING COMMUNITY, THE HEARTLANDS, WHICH ENCOMPASSES 20 INDEPENDENT VILLAS, 20 ASSITED LIVING, AND 12 MEMORY CARE ROOMS AND A COMMUNITY CENTER. WE HAD A HANDFUL OF INDEPENDENT VILLA RESIDENTS MOVE IN AT THE END OF THE FISCAL YEAR AND AT THE END OF FY2023 WE HAD OUR ASSISTED LIVING AND MEMORY CARE ROOMS AVAILABLE AS WELL AS OUR COMMUNITY CENTER. AT THE COMMUNITY CENTER A COMMUNITY MEMBER HOSTS FREE WORKOUT CLASSES FOR THE REIDENTS. IN FY23 WE BECAME OFFICIAL PARTNERS WITH THE CRTN CANCER CENTER TO OFFER CANCER TREATMENTS LOCALLY. DURING THE END OF FY23 WE BEGAN WORKING TO OPEN A QUICK CARE FOR OUR PATIENTS WHICH WILL OPEN IN FY24. PART VI, LINE 6: IN AN EFFORT TO CONTINUE MEETING THE EVER-CHANGING NEEDS OF THE COMMUNITY, MARLETTE REGIONAL HOSPITAL MADE THE DECISION EARLIER THIS YEAR TO JOIN TWO OTHER RURAL HEALTHCARE PROVIDERS (DECKERVILLE COMMUNITY HOSPITAL AND HILLS AND DALES HEALTHCARE) TO FORM THE ASPIRE RURAL HEALTH SYSTEM. THE GOALS OF ASPIRE RURAL HEALTH SYSTEM INCLUDE: -ENSURING HIGH-QUALITY HEALTHCARE CONTINUES FOR ALL PATIENTS ACROSS THE THUMB.- MAINTAINING AND ENHANCING THE IMMEDIATE AND LONG-TERM VIABILITY OF THE COMBINED HEALTH SYSTEM. - UPDATING AND EXPANDING EXISTING FACILITIES AND INVESTING TO BUILD NEW ONES.- RETAINING AN EXPERT TEAM OF CLINICIANS AND RECRUITING ADDITIONAL PROVIDERS TO ENSURE HIGH-QUALITY CARE REMAINS NEARBY.- PRESERVING ITS CHARITABLE, NOT-FOR-PROFIT MISSIONS TO SERVE, AND TO CONTINUE OFFERING CHARITY CARE AND SERVICES TO ALL MEMBERS OF THE COMMUNITY, INCLUDING THE UNDERSERVED.- BROADENING AND DEEPENING COMMUNITY SUPPORT AND ENGAGEMENT ACROSS THE THUMB. PART VI, LINE 7, REPORTS FILED WITH STATES MI 1 PATIENT SUPPORT - WOMEN UNDERGOING BREAST CANCER TREATMENT 31 15500 MEDICATION CONNECTION 24 1635 PART I, LINE 2: GRANTS ARE MADE TO LOCAL RECIPIENTS SELECTED BY MARLETTE REGIONAL HOSPITAL FROM APPLICANTS WHO MEET A SPECIFIC SET OF REQUIREMENTS, AND WE TRUST THE PATIENTS TO USE THE FUNDS AT THEIR OWN DISCRETION TO RELIEVE THE BURDEN OF COSTS ASSOCIATED WITH TREATMENT, TRAVEL, FAMILY CARE, AND LOST WAGES. 0 0 0 0 0 0 0 0 0 ANDREW DANIELS CO-CEO 0 383461 0 0 0 0 0 0 0 47340 0 430801 0 0 MICHAEL KITTO PHYSICIAN 412860 0 0 0 0 0 6600 0 2648 0 422108 0 0 0 DANIEL KULICK PHYSICIAN 377316 0 0 0 0 0 6600 0 20369 0 404285 0 0 0 SARAH ALBERS PHYSICIAN 372709 0 0 0 0 0 6600 0 2648 0 381957 0 0 0 MICHAEL F MACDONALD PHYSICIAN 342650 0 0 0 0 0 0 0 20369 0 363019 0 0 0 ANGELA MCCONNACHIE CO-CEO 0 203212 0 0 0 136 0 0 0 12351 0 215699 0 0 PART I, LINE 3 THE COMPENSATION OF THE OFFICERS IS PAID BY A RELATED ORGANIZATION. THAT ORGANIZATION USES SOME OF THE METHODS IN LINE 3 TO ESTABLISH COMPENSATION. FORM 990, PART VI, SECTION A, LINE 4 IN JANUARY 2024, THE GOVERNANCE DOCUMENTS OF MARLETTE REGIONAL HOSPITAL WERE AMENDED TO REFLECT ITS INTEGRATION INTO THE BLUEWATER HEALTHCARE NETWORK, A CORPORATION. FORM 990, PART VI, SECTION A, LINE 6 BLUEWATER HEALTHCARE NETWORK IS THE SOLE MEMBER OF MARLETTE REGIONAL HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7A BLUEWATER HEALTHCARE NETWORK, THE SOLE MEMBER, MAY APPOINT ONE OR MORE MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B THE SINGLE MEMBER HAS THE RIGHT TO APPOINT AN OFFICER OR DIRECTOR OR ANYONE ELSE TO ACT ON ITS BEHALF IN THE CAPACITY OF THE MEMBER. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICES. FORM 990, PART VI, SECTION B, LINE 12C THE HOSPITAL'S CONFLICT OF INTEREST POLICY COVERS THE BOARD OF DIRECTORS, MEDICAL STAFF, MANAGERS AND EMPLOYEES OF THE HOSPITAL. THE POLICY DEFINES A CONFLICT OF INTEREST AND THE PROCEDURE TO FOLLOW IN ANY CIRCUMSTANCE WHERE A REAL OR PERCEIVED CONFLICT EXISTS. BOARD OF DIRECTORS - PERSONS WITH ACTUAL OR POTENTIAL CONFLICTS OF INTEREST SHALL FILE FORMAL STATEMENTS DISCLOSING ACTUAL OR POTENTIAL CONFLICTS WHENEVER AN ACTUAL OR POTENTIAL CONFLICT ARISES; BEFORE ANY TRANSACTIONS CONSTITUTING A CONFLICT OR POTENTIAL CONFLICT IS CONSUMMATED; AND ONCE EACH CALENDAR YEAR SO LONG AS THE CONFLICT OR POTENTIAL CONFLICT CONTINUES TO EXIST. THE DISCLOSURE STATEMENT SHALL INCLUDE A DESCRIPTION OF THE RELATIONSHIP OR INTEREST CAUSING THE CONFLICT OR POTENTIAL CONFLICT, THE ROLE IN THE RELATIONSHIP OR TRANSACTION PLAYED BY THE PERSON HAVING THE CONFLICT, AND THE BENEFITS AND DETERMENTS ACCRUING TO THE HOSPITAL AND TO THE PERSON HAVING THE CONFLICT AS A RESULT OF THE CONTRACT, TRANSACTION, OR RELATIONSHIP. ANY MEMBER OF THE BOARD OF DIRECTORS HAVING AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST ON ANY MATTER SHALL NOT VOTE OR USE HIS/HER PERSONAL INFLUENCE ON THE MATTER CONSTITUTING A CONFLICT. THE INTERESTED DIRECTOR MAY, HOWEVER, BE COUNTED FOR THE PURPOSE OF DETERMINING WHETHER A QUORUM OF THE BOARD, OR OF A COMMITTEE OF THE BOARD, EXISTS. THE MATTER CONSTITUTING THE CONFLICT SHALL BE APPROVED IF IT IS APPROVED BY A MAJORITY OF DISINTERESTED DIRECTORS VOTING ON THE MATTER. THE CONFLICT OF INTEREST POLICY SHALL BE REVIEWED ANNUALLY FOR THE INFORMATION AND GUIDANCE OF THE BOARD OF DIRECTORS AND THAT ANY NEW MEMBERS OF THE SAID BOARD OF DIRECTORS BE ADVISED OF THE POLICY UPON ENTERING ON THE DUTIES OF HIS/HER OFFICE. IN ADDITION TO THE BOARD OF DIRECTORS BEING HELD TO THE CONFLICT OF INTEREST POLICY, COPIES OF THE POLICY ARE AVAILABLE TO ALL MANAGEMENT EMPLOYEES. CONFLICT OF INTEREST DISCLOSURE FORMS ARE COMPLETED ANNUALLY BY ALL DIRECTORS, OFFICERS, MANAGING EMPLOYEES, AND EMPLOYED MEDICAL STAFF. THE COMPLETED FORMS ARE KEPT ON FILE BY THE HOSPITAL'S COMPLIANCE OFFICER. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION FOR OFFICERS IS PAID BY A RELATED ORGANIZATION. COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL IS BASED UPON APPLICABLE STATEWIDE COMPENSATION SURVEYS. IN ADDITION, THE COMPENSATION IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS ANNUALLY. THE COMPENSATION OF OTHER TOP OFFICIALS ARE BASED UPON APPLICABLE STATEWIDE COMPENSATION SURVEYS. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2023. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND OTHER ORGANIZING DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 14,290. MANAGEMENT AND GENERAL EXPENSES 4,981. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,271. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 5,602,018. MANAGEMENT AND GENERAL EXPENSES 1,487,754. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,089,772. FORM 990, PART XI, LINE 9: EQUITY TRANSFER TO AFFILIATES -648,846. BLUEWATER HEALTHCARE NETWORK 2770 MAIN STREET MARLETTE MI 48453 465444203 PARENT MI 501(C)(3) LINE 12B, II N/A 0 DECKERVILLE COMMUNITY HOSPITAL 3559 PINE STREET DECKERVILLE MI 48427 381415390 HOSPITAL MI 501(C)(3) LINE 3 BLUEWATER HEALTHCARE NETWORK 0 MARLETTE SENIOR LIVING 6305 BLUEWATER COURT MARLETTE MI 48453 843210271 SENIOR LIVING MI 501(C)(3) LINE 10 BLUEWATER HEALTHCARE NETWORK 0 HILLS & DALES GENERAL HOSPITAL 4675 HILL STREET CASS CITY MI 48726 381619577 HOSPITAL MI 501(C)(3) LINE 3 BLUEWATER HEALTHCARE NETWORK 0 THUMB MRI LLC 4675 HILL STREET CASS CITY MI 48726 364107673 IMAGING MI N/A RELATED 73840 1063129 0 1 0.33330 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0