2021-04-27T14:45:00-05:00 2020-06-30 382475073 ANDERSON TUCKEY BERNHARDT & DORAN PC 715 E FRANK STREET CARO MI 48723 990 2019-07-01 381507302 MARLETTE REGIONAL HOSPITAL MARL 9896354000 2770 MAIN STREET PO BOX 307 MARLETTE MI 484530307 DAN BABCOCK MRH, CEO 9896354237 2021-02-15 true ANGELA M BURNETTE CPA P00916895 9896733137 2021-04-20 2019 2022-09-23 18:48:47Z DAN BABCOCK 32452802 false X WWW.MARLETTEREGIONALHOSPITAL.ORG X 1951 MI TO PROVIDE MEDICAL AND SURGICAL CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF MRH, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. THEREFORE, IN KEEPING WITH THIS HOSPITAL'S COMMITMENT TO SERVE ALL MEMBERS OF ITS COMMUNITY, FREE CARE AND/OR SUBSIDIZED CARE, CARE PROVIDED TO PERSONS COVERED BY GOVERNMENT PROGRAMS BELOW COST, AND HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY'S HEALTH STATUS WILL BE CONSIDERED WHERE THE NEED AND/OR THE INDIVIDUAL'S INABILITY TO PAY CO-EXIST. THESE ACTIVITIES INCLUDE ACUTE, EMERGENCY AND OUTPATIENT SERVICES IN ADDITION TO WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, AND SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED, MEDICALLY UNDER-SERVED, AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. 12 11 510 150 0 347487 2694865 30452800 28409606 39590 37627 720481 811480 31560358 31953578 0 0 19803032 19821295 0 33547 11967788 11436852 31770820 31258147 -210462 695431 23439313 35155887 3938682 14959825 19500631 20196062 X TO PROVIDE MEDICAL AND SURGICAL CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF MRH, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. THEREFORE, IN KEEPING WITH THIS HOSPITAL'S COMMITMENT TO SERVE ALL MEMBERS OF ITS COMMUNITY, FREE CARE AND/OR SUBSIDIZED CARE, CARE PROVIDED TO PERSONS COVERED BY GOVERNMENT PROGRAMS BELOW COST, AND HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY'S HEALTH STATUS WILL BE CONSIDERED WHERE THE NEED AND/OR THE INDIVIDUAL'S INABILITY TO PAY CO-EXIST. THESE ACTIVITIES INCLUDE ACUTE, EMERGENCY AND OUTPATIENT SERVICES IN ADDITION TO WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, AND SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED, MEDICALLY UNDER-SERVED, AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. false false 26030728 DURING FISCAL YEAR 2018-2019 MARLETTE REGIONAL HOSPITAL SERVED 637 ACUTE AND 841 SWING BED INPATIENT DAYS, PROVIDED CARE TO 36,522 OUTPATIENT VISITS, 7,378 EMERGENCY DEPARTMENT VISITS, AND SERVED 25,846 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 NON- REIMBURSED VALUE OF PROVIDING CARE TO ALL OF MRH'S PATIENTS WAS APPROXIMATELY 15,263,084 REPRESENTING A WRITE-DOWN OF 34 PERCENT OF THE HOSPITAL'S CHARGES, INCLUDING CHARITY CARE EXPENSES OF 14,318. 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, 2020 AND 2019 AMOUNTED TO 1,411,741 AND 1,079,402, 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 COMMUNITY AND 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 "SCHOOL HEALTH PROGRAMS "SUPPORT GROUPS FOR PATIENTS, THEIR FAMILIES AND THE COMMUNITY "TRAINING OF PUBLIC HEALTH AND SAFETY PERSONNEL 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 EMERGENCY SERVICES/PROGRAMS "EMERGENCY SERVICES DEPARTMENT "ADVANCED LIFE SUPPORT AMBULANCE SERVICE "FIRE AND POLICE ASSISTANCE "HELICOPTER TRANSFER ASSISTANCE CLINICAL SERVICES "CERTIFIED RURAL HEALTH CLINICS "CHILDHOOD IMMUNIZATIONS "PRIMARY CARE SERVICES "ACUTE MEDICAL AND SURGICAL SERVICES "RESIDENTIAL AND HOME-BASED HOSPICE SERVICES "UNIQUELY-ACCREDITED HOSPITAL, LABORATORY, CARDIOPULMONARY, 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 HEALTH CLINICS (PRIMARY CARE) "SCHOOL SPORTS PHYSICALS "SKILLED NURSING SERVICES/INTERMEDIATE CARE FACILITY "WOUND CARE CLINIC NON-CLINICAL HOSPITAL SERVICES "ADVOCACY ON BEHALF OF SPECIFIC PATIENTS NEEDING INTERVENTION WITH PUBLIC AGENCIES (SOCIAL SERVICES) "FREE MEETING ROOMS FOR COMMUNITY GROUPS "GUIDANCE AND REFERRAL TO COMMUNITY SERVICES AND PUBLIC ASSISTANCE PROGRAMS, INCLUDING MEDICAID "MEALS FOR FAMILY MEMBERS "TRANSLATION OR INTERPRETER SERVICES FOR NON-ENGLISH SPEAKING PATIENTS SUPPORT FOR OTHER HEALTH CARE PROVIDERS "VISITING MEDICAL AND SURGICAL SPECIALISTS TO COMPLEMENT PRIMARY CARE PHYSICIANS' CARE "SUPPORT FOR BLOOD DRIVES "PHYSICIAN REFERRAL SERVICES "PARTNER IN REGIONAL RURAL HEALTH NETWORKS WORKING RELATIONSHIP WITH OTHERS "CIVIC ORGANIZATIONS SUCH AS LIONS CLUB AND TOYS FOR TOTS "AMERICAN ASSOCIATION OF RETIRED PERSONS "COMMUNITY-BASED BUSINESS GROUPS SUCH AS CHAMBERS OF COMMERCE "ECONOMIC DEVELOPMENT AGENCIES "HOME HEALTH AGENCIES "HOSPICES "LOCAL SCHOOLS AND COLLEGES "NURSING HOMES "SENIOR CITIZENS ORGANIZATIONS "STATE AND LOCAL AGENCIES AND ORGANIZATIONS 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 SERVICES ARE DISCOUNTED AND HOW CHARITY CARE IS DETERMINED AND OFFERED. 26030728 true true false false false false false false false false true false false false true false true false false false false false false false false false true true false false true false false false false false true false true false false false false false true false false false true 58 0 true 510 true false false false false false true true false false false false false false X 12 11 false false false false false false false true true false false true true true true true true true true true true X KIM GENTNER CFO 9896354000 2770 MAIN STREET MARLETTE MI 48453 DAN BABCOCK MRH, CEO 40.00 X X 197925 0 18848 KAREN BENNETT DIRECTOR X 0 0 0 CHRISTOPHER CLARK CHAIRMAN X X 0 0 0 IRENE COLE DIRECTOR X 0 0 0 SUE COOK SECRETARY X X 0 0 0 GAIL DENTON TRUSTEE X 0 0 0 GLEN KAMPMAN DIRECTOR X 0 0 0 GERALD KEINATH DIRECTOR X 0 0 0 DAVID MESSING DIRECTOR X 0 0 0 SCOTT ORR DIRECTOR X 0 0 0 LORRAINE REISH DIRECTOR X 0 0 0 DAVID WEST V. CHAIRMAN X X 0 0 0 DR STARBIRD DOCTOR X 262193 0 18359 DR AKHTAR DOCTOR X 268922 0 20003 DR ALBERS DOCTOR X 322940 0 7887 DR KITTO DOCTOR X 331076 0 7888 DR KULICK DOCTOR X 297064 0 20601 JIM SINGLES CFO X 128054 0 4819 1808174 98405 19 false true false CERNER PO BOX 959156 ST LOUIS MO 631959156 SOFTWARE 449019 DR ZEMNICKAS 5510 HOSNER RD METAMORA MI 48455 MEDICAL 355000 DR NITIN GOLECHHA 7630 N CENTRAL PARK SHELBY TWP MI 48317 HOSPITALIST 250436 HURLEY HEALTH SERVICES 1125 S LINDEN RD STE 210 FLINT MI 48532 MEDLCAL 182000 THUMB COOLING & HEATING 8430 VAN DYKE RD CASS CITY MI 48726 HVAC 119134 8 2694865 2694865 PATIENT SERVICE REVENUE 45035384 45035384 BAD DEBT -1362694 -1362694 CONTRACTUAL ADJUSTMENTS -15263084 -15263084 28409606 22749 22749 675579 499224 176355 176355 176355 14878 14878 14878 14878 340B PHARMACY PROGRAM 456514 456514 MEALS SERVED 106832 106832 MISCELLANEOUS 58930 58930 12849 12849 635125 31953578 14878 29243835 X 16188146 14474199 1713947 214451 193006 21445 2293203 1632199 661004 1125495 1004915 120580 15912 15912 37075 37075 4349093 3296832 1052261 96727 6410 90317 2798342 2703587 94755 534819 517855 16964 111159 99648 11511 12400 12400 1180240 1051937 128303 356519 165412 191107 TAXES & LICENSES 748688 79189 669499 PROFESSIONAL FEES 320040 319498 542 REPAIRS & MAINTANCE 260372 256450 3922 COLLECTION EXPENSE 177133 12586 164547 438333 204605 200181 33547 31258147 26030728 5193872 33547 6043792 17533883 3350074 3412873 267834 239220 174180 66386 49676047 36081529 13321469 13594518 281964 309007 23439313 35155887 833986 3323694 1022936 638480 316995 3545013 2081760 7135643 3938682 14959825 X 18880784 19499208 619847 696854 19500631 20196062 23439313 35155887 695431 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 683619 683619 24668706 15017031 9651675 1107666 934705 172961 22611739 20129793 2481946 604317 604317 13594518 MEDICARE ACCELERATED PAYMENTS 3224575 ACCRUED OTHER 2605897 ACCRUED SALARIES 598786 ACCRUED PAID HOURS OFF 544499 ACCRUED PAYROLL TAXES 161886 7135643 31953578 31953578 31953578 31258147 31258147 31258147 true true true X true X true true false true true 12848 12848 0.00040 1 5737524 4085500 1652024 0.05290 1 5750372 4085500 1664872 0.05330 79 954 73870 28957 44913 0.00140 6 26448 3934995 2782266 1152729 0.03690 115 690 27356 2160 25196 0.00080 200 28092 4036221 2813383 1222838 0.03910 201 28092 9786593 6898883 2887710 0.09240 1 6 818 818 14 1200 900 900 15 1206 1718 1718 0.00010 false 1411744 8344878 8372947 -28069 X true true THUMB MRI CENTER LLC MAGNETIC REASONANCE IMAGING (MRI) 0.17000 1 1 MARLETTE REGIONAL HOSPITAL 2770 MAIN ST PO BOX 307 MARLETTE MI 484530307 X X MARLETTE REGIONAL HOSPITAL 1 false false true X X X X X X X 19 true false true true X WWW.MARLETTEREGIONALHOSPITAL.ORG X true 19 true WWW.MARLETTEREGIONALHOSPITAL.ORG false false true X 100.000000000000 250.000000000000 X X X X true true X X X true X WWW.MARLETTEREGIONALHOSPITAL.ORG X WWW.MARLETTEREGIONALHOSPITAL.ORG X WWW.MARLETTEREGIONALHOSPITAL.ORG X X X X X true X false true X false true FACILITY 1, MARLETTE REGIONAL HOSPITAL - PART V, LINE 5 MARLETTE REGIONAL HOSPITAL - PART V - LINE 5 STAKEHOLDER MEETINGS AND SURVEYS INTENTIONALLY SOUGHT TO INCLUDE VULNERABLE POPULATIONS. THIS WAS ACHIEVED BY DISTRIBUTING SURVEYS TO INDIVIDUALS PARTICIPATING IN SERVICES FOR LOW INCOME POPULATION AND SENIOR CITIZENS. ADDITIONALLY, SOCIAL SERVICE ORGANIZATIONS THAT SERVE VULNERABLE POPULATIONS WERE ENGAGED IN STAKEHOLDER MEETINGS. AGENCIES INCLUDED HUMAN DEVELOPMENT COMMISSION, COUNCIL ON AGING, 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. BOTH THE MICHIGAN THUMB PUBLIC HEALTH ALLIANCE AND MARLETTE REGIONAL HOSPITAL CONDUCTED FOCUS GROUPS AND SURVEYS IN ORDER TO OBTAIN COMMUNITY INPUT FACILITY 1, MARLETTE REGIONAL HOSPITAL - PART V, LINE 6B YES THE COUNTY HEALTH DEPARTMENT FROM SANILAC, TUSCOLA AND HURON COUNTIES ALSO PARTICIPATED IN THE CHNA SURVEY. FACILITY 1, MARLETTE REGIONAL HOSPITAL - PART V, LINE 11 MARLETTE REGIONAL HOSPITAL - PART V - LINE 11: AS INDICATED IN STEP 4 OF THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, PRIORITIES MUST BE SELECTED TO ENSURE THAT LIMITED RESOURCES HAVE THE GREATEST IMPACT. SELECTION OF PRIORITIES WILL OFTEN RESULT IN MORE COMPLEX AND EFFECTIVE IMPLEMENTATION STRATEGIES. IDENTIFYING A LIMITED NUMBER OF PRIORITIES ON WHICH TO FOCUS ALSO ALLOWS COMMUNITY INITIATIVES TO BE DEVELOPED WITH COLLABORATING ORGANIZATIONS. EVALUATION AND PROGRESS CAN BE MORE EFFECTIVELY MANAGED WHEN THE PRIORITIES ARE FEWER IN NUMBER. IN REVIEW OF EXISTING EFFORTS, THE TEAM DETERMINED THAT MARLETTE REGIONAL HOSPITAL WOULD HAVE THE GREATEST IMPACT ON COMMUNITY HEALTH BY TARGETING THE FOLLOWING FOCUS AREAS. 1.PRIMARY CARE PROVIDER ACCESS RATE IS LOWEST IN THE FOUR COUNTIES. 2.DIABETES CRUDE DEATH RATE IS HIGHEST IN MALES IN FOUR COUNTIES. 3.HEART DISEASE CRUDE DEATH RATE IS HIGHEST IN FEMALES IN FOUR COUNTIES. 4.TOBACCO USE - USE OF VAPING PRODUCTS HIGHEST IN FOUR COUNTIES AMONG 9TH AND 11TH GRADERS. 5.BREAST CANCER SCREENINGS LOWEST IN FOUR COUNTIES. 6.UNINTENTIONAL INJURIES IN 75+ POPULATION HIGHEST IN FOUR COUNTIES. 7.BEHAVIORAL HEALTH- ACCESS TO MENTAL HEALTH SERVICES AND SUBSTANCE USE DISORDERS COMMUNITY FEEDBACK- MARLETTE REGIONAL HOSPITAL IN APRIL 2019, THE PROJECT CONSULTANT CONDUCTED A FOCUS GROUP WITH TEN PARTICIPANTS. PARTICIPANTS INCLUDED ONE MALE AND NINE FEMALES AND REPRESENTED THE SERVICE AREA OF MARLETTE REGIONAL HOSPITAL (MRH). PARTICIPANTS HAD A DIVERSE BACKGROUND INCLUDING RETIRED INDIVIDUALS, EDUCATION, SOCIAL WORK, MEDICAL, AND COMMUNITY DECISION MAKERS. AHEAD OF THE MEETING, PARTICIPANTS WERE SENT A FACT SHEET WITH DATA THAT LED TO THE SIX PRIORITIES IDENTIFIED BY THE MRH CHNA TEAM. PURPOSES OF THE MEETING WAS DESCRIBED AS WANTING TO LEARN MORE ABOUT: 1.THE CONTRIBUTING FACTORS RELATED TO THE SIX PRIORITIES, 2.PERCEPTIONS AND ATTITUDES ABOUT THE HEALTH OF THE COMMUNITY, 3.SUGGESTIONS FOR IMPROVEMENT, AND 4.HOW LOCAL HEALTH SERVICES ARE USED BY PARTICIPANTS AND OTHER RESIDENTS. OVER A TWO WEEK PERIOD IN MAY/JUNE 2019, MRH ALSO CONDUCTED A SURVEY OF RESIDENTS IN THE SERVICE AREA. THE PURPOSE OF THE SURVEY WAS TO OBTAIN FEEDBACK ON THE PRIORITIES, UNMET NEEDS, ACCESS BARRIERS, AND POTENTIAL STRATEGIES FOR THE IMPLEMENTATION PLAN. THE SURVEY WAS DISTRIBUTED ELECTRONICALLY WITH AN ONLINE COLLECTION LINK AND PAPER COPIES WERE MADE AVAILABLE IN HEALTH CARE SETTINGS. ONE HUNDRED SIXTY-FOUR INDIVIDUALS PARTICIPATED IN THE SURVEY INCLUDING RESIDENTS FROM ALL THREE COUNTIES OF THE HOSPITAL SERVICE AREA. THE SAMPLE INCLUDED 28% PEOPLE AGE 19-40, 53% AGE 41-64, AND 19% OVER AGE 65. THE CHNA TEAM REVIEWED INPUT FROM THE COMMUNITY AND ADJUSTED THEIR PRIORITIES TO INCLUDE BEHAVIORAL HEALTH WITH SUBTOPICS OF ACCESS TO MENTAL HEALTH SERVICES AND SUBSTANCE USE DISORDERS. SUGGESTIONS AND INPUT ON STRATEGIES WERE ALSO INCORPORATED INTO THE 2019 CHNA IMPLEMENTATION PLAN. RESOURCE ASSESSMENT DURING THE DEVELOPMENT OF THE IMPLEMENTATION PLANS, A RESOURCE ASSESSMENT WAS CONDUCTED TO REDUCE DUPLICATION OF EFFORTS, IDENTIFY GAPS, LEVERAGE EXISTING EFFORTS IN THE COMMUNITY, AND DEVELOP STRATEGIES THAT WOULD HAVE THE GREATEST IMPACT. NEEDS: 1.PRIMARY CARE PROVIDER ACCESS: CURRENT MARLETTE REGIONAL HOSPITAL EFFORTS - (A) "HIRED A FAMILY PRACTICE PHYSICIAN FOR MARLETTE'S CLINIC WHICH WILL INCREASE ACCESS BY TWO DAYS PER WEEK. (B)"EXPANDED HOURS OF OPERATIONS AT MANY CLINICS. (C) "CARE COORDINATORS PROMOTE WELLNESS SCREENINGS AND ASSIST WITH REMOVING BARRIERS TO ACCESS CARE SUCH AS COST, NAVIGATING INSURANCE, AND TRANSPORTATION. CURRENT COMMUNITY EFFORTS - CARING HEART HEALTH CLINIC. 2. CHRONIC DISEASE(DIABETES, HEART DISEASE, OBESITY, PHYSICAL ACTIVTY): CURRENT MARLETTE REGIONAL HOSPITAL EFFORTS - (A) DIABETIC EDUCATION CLASSES EXPANDED TO DECKERVILLE. (B) "OFFER PERIODIC LOW-COST HEART DISEASE SCREENINGS. (C) "OFFER COMMUNITY GARDEN PLOTS AND PLANTS FREE OF CHARGE @ MRH. (D)"WALKING TRAIL SUPPORTER. (E)"OFFER FREE OR LOW COST EXERCISE CLASSES @ MRH SEVERAL TIMES PER WEEK. (F)"MRH COORDINATES A 5K IN BROWN CITY. (G)"EMERGENCY TELEHEALTH SERVICES FOR POSSIBLE STROKE PATIENTS BEGAN IN 2016. (H)"SPECIALTY SERVICES ADDED INCLUDE OUTPATIENT CLINIC SERVICES INCLUDING TELE-PSYCHIATRY, CARDIOLOGY, ENT, ORTHOPEDICS, NEPHROLOGY, AND VASCULAR MEDICINE. CURRENT COMMUNITY EFFORTS - (A) "THE MARLETTE DDA FACILITATES A WEEKLY FARMERS MARKET WITH FRESH PRODUCE OPTIONS. AS DOES THE MARLETTE STOCKYARDS. (B)"MSU EXTENSION NUTRITION AND COOKING CLASSES. 3. TOBACCO USE - USE OF VAPING PRODUCTS: CURRENT MARLETTE REGIONAL HOSPITAL EFFORTS - (A) "MRH HOSTED THE SANILAC COUNTY DRUG TASK FORCE AND AN ADDITIONAL SPEAKER ON THIS TOPIC ACROSS SEVERAL SPEAKING ENGAGEMENTS FOR THE COMMUNITY. (B) "COMMUNITY LUNCH & LEARNS. (C)"SPORTS SUMMIT. CURRENT COMMUNITY EFFORTS - (A) "THE LOCAL SCHOOLS OFFER ALCOHOL, TOBACCO, AND DRUG CLASSROOM EDUCATION AND STUDENT ASSEMBLIES. (B) "MICHIGAN QUIT LINE SERVICES. 4. BREAST CANCER SCREENING: CURRENT MARLETTE REGIONAL HOSPITAL EFFORTS - (A) MRH PROVIDES FINANCIAL ASSISTANCE FOR MAMMOGRAMS AND DIAGNOSTIC TESTING SERVICES THROUGH THE B.C.U.P.S. PROGRAM. CURRENT COMMUNITY EFFORTS - (A) "THE HEALTH DEPARTMENT HAS A BREAST CANCER AND CERVICAL CANCER SCREENING PROGRAM. (B) "OTHER HOSPITALS HAVE OR ARE STARTING WOMEN'S HEALTH FUNDS TO HELP WITH SCREENING COSTS. 5. UNINTENTIONAL INJURIES IN 75+ POPULATION: CURRENT MARLETTE REGIONAL HOSPITAL EFFORTS - (A) "MRH OFFERS FREE MATTER OF BALANCE CLASSES AND SENIOR STRETCH CLASSES TO IMPROVE FLEXIBILITY AND BALANCE. (B) "THE HOSPITAL IS ALSO PLANNING DEVELOPMENT OF AN ASSISTED LIVING COMMUNITY. (C) "FALL RISK ASSESSMENTS ARE CONDUCTED IN PRIMARY CARE WELLNESS VISITS FOR SENIORS. (D) "WE REDUCE FALL RISKS BY ASSISTING PATIENTS WITH ACCESSING MEDICATIONS THAT COULD REDUCE WEAKNESS AND VULNERABILITY TO FALLING (340B AND PHARMACY ASSISTANCE). (E) "SWING BED SERVICES. CURRENT COMMUNITY EFFORTS - (A) "OTHER HOSPITALS OFFER MATTER OF BALANCE CLASSES FOR SENIORS. (B)"HUMAN DEVELOPMENT COMMISSION OFFERS HOME ASSESSMENTS FOR FALL RISKS, HAS SOME FUNDING TO HELP WITH SUPPORTS SUCH AS HANDRAILS, AND OTHER SENIOR SUPPORT SERVICES THAT REDUCE INJURIES. (C) "COUNCIL ON AGING FUNDS PROGRAMS TO SUPPORT SENIORS AND HEALTHY LIVING. (D) "INCREASING TRANSPORTATION SERVICES CAN HELP REDUCE SENIOR AUTO ACCIDENTS. NON-EMERGENCY MEDICAL TRANSPORTATION ORGANIZER (NEMO) AND RISING TIDE PROGRAM. 6. BEHAVIORAL HEALTH (INCLUDES MENTAL HEALTH AND SUBSTANCE USE DISORDERS: CURRENT MARLETTE REGIONAL HOSPITAL EFFORTS - (A) "MRH HOSTS THE MONTHLY FAN FORUM AND IS A PARTICIPATING MEMBER. (B)"MRH IS A PARTICIPANT IN THE TRHN OPIOID GRANT. (C)"MRH HAD PREVIOUSLY OFFERED TELEPSYCHIATRY THROUGH ST. JOHN'S HOSPITAL. (D) "PHYSICIAN OFFICES AND OUR EMERGENCY DEPARTMENT CONTINUE TO ABIDE BY STRICT GUIDELINES IN THE PRESCRIBING AND ADMINISTRATION OF OPIOIDS AND NARCOTICS. (E) "EXPLORING PSYCHOLOGICAL AND COUNSELING HELP BY EXPANDING OUR SOCIAL WORKER SERVICES AND WORKING WITH WARRIORS HOPE VETERANS SERVICES. CURRENT COMMUNITY EFFORTS - (A)"FAN- FAMILIES AGAINST NARCOTICS FOR SANILAC COUNTY. MEETS MONTHLY AND OFFERS COMMUNITY EDUCATION. (B) "ST. JOHN'S HOSPITAL WILL BE OPERATING OUT OF SANDUSKY TO OFFER TELEPSYCHIATRY. (C) "COMMUNITY MENTAL HEALTH OFFERS RESOURCES AND HELP TO THE COMMUNITY. (D) "SANILAC COUNTY HEALTH DEPARTMENT OFFERS ALCOHOL AND DRUG COUNSELING PROGRAMS. (E) "NUMEROUS MENTAL HEALTH PROVIDERS IN THE COUNTY. (F) "SELF-HELP GROUPS MOSTLY FOR ALCOHOL ADDICTION. SECONDARY PRIORITIES: 1. STROKE: CURRENT MARLETTE REGIONAL HOSPITAL EFFORTS - (A) WE OFFER TELESTROKE SERVICES THROUGH ASCENSION. CURRENT COMMUNITY EFFORTS - (A) OTHER HOSPITALS ALSO OFFER TELESTROKE SERVICES. 2. BREASTFEEDING: CURRENT MARLETTE REGIONAL HOSPITAL EFFORTS - (A) OB-GYN CLINIC CONSULTATIONS. CURRENT COMMUNITY EFFORTS - (A) HEALTH DEPARTMENTS OFFER PEER COACHING AND CONSULTATION FROM CERTIFIED LACTATION CONSULTANTS. 3. PRENATAL CARE: CURRENT MARLETTE REGIONAL HOSPITAL EFFORTS - (A) "OB-GYN CLINIC CONSULTATIONS (B) "OUR HEALTH CARE PROVIDERS CONTINUE TO DELIVER VARIOUS SEX EDUCATION AND TEEN PREGNANCY CLASSES TO LOCAL COMMUNITY SCHOOL SYSTEMS TO EDUCATE OUR YOUTH. CURRENT COMMUNITY EFFORTS - (A) "SUPPORT SERVICES PROVIDED BY HEALTH DEPARTMENTS. (B) "REGIONAL PERINATAL COLLABORATIVE WORKING TO IMPROVE PERINATAL HEALTH OUTCOMES. 4. ALCOHOL IMPAIRED ACCIDENTS: CURRENT COMMUNITY EFFORTS - (A) SHERRIFF'S OFFICE DOES EDUCATION IN SCHOOLS AND IN COMMUNITY MEDIA OUTLETS. 5. CHILDHOOD LEAD TESTING: CURRENT MARLETTE REGIONAL HOSPITAL EFFORTS - (A) PRIMARY CARE MAKES REFERRALS FOR TESTING WHEN RISKS ARE IDENTIFIED. CURRENT COMMUNITY EFFORTS - (B) HEALTH DEPARTMENTS PROVIDE AWARENESS AND TESTING FOR LEAD EXPOSURE. 6. ORAL HEALTH: CURRENT MARLETTE REGIONAL HOSPITAL EFFORTS - (A) MRH ER AND PRIMARY CARE PROVIDE PAIN MANAGEMENT/REFERRALS CURRENT COMMUNITY EFFORTS - (A) MY COMMUNITY DENTAL CARE CLINIC - SANDUSKY FACILITY 1, MARLETTE REGIONAL HOSPITAL - PART V, LINE 13H NUMBER OF RESIDENTS IN HOUSEHOLD FACILITY 1, MARLETTE REGIONAL HOSPITAL - PART V, LINE 16J THE SOCIAL SERVICES DEPARTMENT WILL REVIEW AND DISCUSS THE FINANCIAL ASSISTANCE PROGRAM WITH UNINSURED PATIENTS THAT ARE ADMITTED TO THE HOSPITAL. FACILITY 1, MARLETTE REGIONAL HOSPITAL - PART V, LINE 24 PATIENTS WHO MAY HAVE QUALIFIED FOR FAP, BUT DID NOT INQUIRE ABOUT THE PROGRAM OR COMPLETE AN APPLICATION WOULD HAVE BEEN CHARGED AND BILLED AT THE GROSS CHARGE LEVEL. SCHEDULE H, PART II MARLETTE REGIONAL HOSPITAL PART II: THE HEALTH OF THE COMMUNITY HAS BEEN PROMOTED BY PROVIDING SPACE FOR LOCAL GROUPS TO MEET AND THROUGH EMPLOYEE SUPPORT OF LOCAL EVENTS. SCHEDULE H, PART III, LINE 2 BAD DEBTS ARE ESTIMATED BY THE USE OF THE ALLOWANCE METHOD. BAD DEBTS FOR THE YEARS ENDED JUNE 30, 2020 AND 2019, AMOUNTED TO 1,411,741 AND 1,079,402, RESPECTIVELY. THE BAD DEBT EXPENSE ON LINE 2 OF SECTION A IS DETERMINED USING COST BASED UPON THE COST TO CHARGE THAT IS DEVELOPED IN SCHEDULE H. RATIONALE FOR INCLUDING A PORTION OF BAD DEBT EXPENSE AS A COMMUNITY BENEFIT: PART III LINE 3: - A PORTION OF THE ACCOUNTS WRITTEN OFF AS BAD DEBTS WOULD HAVE QUALIFIED FOR FINANCIAL ASSISTANCE IF AN APPLICATION HAD BEEN COMPLETED AND ACCEPTED BY THE FACILITY. - EMERGENCY SERVICES (WHICH REPRESENTS A SIGNIFICANT PORTION OF THE BAD DEBTS) ARE RENDERED WITHOUT THE CONSIDERATION OF THE PATIENTS ABILITY TO PAY. AS A RESULT, THESE BAD DEBTS SHOULD BE CONSIDERED A PART OF PROVIDING COMMUNITY BENEFIT. SCHEDULE H, PART III, LINE 4 THE ACCOUNTS RECEIVBLE/BAD DEBT EXPENSE FOOTNOTE IN THE 6/30/20 AUDIT REPORT IS LOCATED ON PAGE 13. SCHEDULE H, PART III, LINE 8 THE HOSPITAL IS DESIGNATED AS A CRITICAL ACCESS HOSPITAL UNDER MEDICARE REGULATIONS. CRITICAL ACCESS HOSPITALS RECEIVE COST REIMBURSEMENT FOR ACUTE-CARE INPATIENT AND SUBSTANTIALLY ALL OUTPATIENT SERVICES. THERE ARE A FEW SERVICES THAT ARE NOT PAID ON A COST REIMBURSEMENT BASIS AND THOSE SERVICES PROVIDED A SHORT FALL OF 28,069. COST REPORT DATA OR THE APPLICABLE COST TO CHARGE RATIO WERE USED TO DETERMINE ALLOWABLE COST. SCHEDULE H, PART III, LINE 9B ONCE AN ACCOUNT HAS REACHED THE END OF INTERNAL COLLECTION PROCESS IT IS TURNED OVER TO AN OUTSIDE COLLECTION AGENCY. BAD DEBTS RECOVERIES AMOUNTED TO 49,050 FOR THE YEAR ENDED JUNE 30, 2020 AND 46,134 FOR THE YEAR ENDED JUNE 30, 2019. SCHEDULE H, PART VI, LINE 2 PLEASE SEE RESPONSE FOR SCHEDULE H, PART V, LINE 3A-I SCHEDULE H, 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 BILLING DEPARTMENT ASSISTS THE PATIENT IN APPLYING FOR GOVERNMENTAL ASSISTANCE. IF NOT APPLICABLE OR AVAILABLE, THE PATIENT IS ASSISTED IN COMPLETING THE FINANCIAL ASSISTANCE APPLICATION AND APPLICATIONS TO SPECIAL ORGANIZATIONS THAT MIGHT OFFER ASSISTANCE AS WELL. SCHEDULE H, PART VI, LINE 4 MARLETTE REGIONAL HOSPITAL IS A CRITICAL ACCESS HOSPITAL LOCATED IN MARLETTE WITHIN SANILAC COUNTY. AREA OF SERVICE INCLUDES THE SOUTHERN PORTION OF HURON COUNTY, THE EASTERN PORTION OF TUSCOLA COUNTY, THE NORTHERN PORTION OF LAPEER COUNTY, AND SANILAC COUNTY. THE TOTAL POPULATION FOR THESE COUNTIES WAS APPROXIMATELY 213,919 IN 2017. UNEMPLOYMENT FOR THESE COUNTIES RANGED AT 4.4% TO 5.2% IN 2018 AND THE MEDIAN HOUSEHOLD INCOME FOR THIS AREA IN 2018 RANGED BETWEEN 46,627 AND 57,621. SCHEDULE H, 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. SCHEDULE H, PART VI, LINE 6 THE ORGANIZATION IS WORKING WITH DECKERVILLE COMMUNITY HOSPITAL AND THE COVENANT REGIONAL THUMB NETWORK TO BETTER SERVE THE NEEDS OF THE COMMUNITY. SCHEDULE H, PART VI PART VI LINE 7 - N/A X X X false false false false false false false false false DAN BABCOCK MRH, CEO 197925 3847 15001 216773 DR STARBIRD DOCTOR 262193 5600 12759 280552 DR AKHTAR DOCTOR 268922 5002 15001 288925 DR ALBERS DOCTOR 322940 5600 2287 330827 DR KITTO DOCTOR 331076 5600 2288 338964 DR KULICK DOCTOR 297064 5600 15001 317665 GLEN KAMPMAN DIRECTOR LEGAL SERVICES false SCHEDULE L, PART V GLEN KAMPMAN, MARLETTE REGIONAL HOSPITAL DIRECTOR: PROVIDES LEGAL AND COLLECTION SERVICES TO MARLETTE REGIONAL HOSPITAL. FORM 990 - ORGANIZATION'S MISSION TO PROVIDE MEDICAL AND SURGICAL CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF MRH, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. THEREFORE, IN KEEPING WITH THIS HOSPITAL'S COMMITMENT TO SERVE ALL MEMBERS OF ITS COMMUNITY, FREE CARE AND/OR SUBSIDIZED CARE, CARE PROVIDED TO PERSONS COVERED BY GOVERNMENT PROGRAMS BELOW COST, AND HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY'S HEALTH STATUS WILL BE CONSIDERED WHERE THE NEED AND/OR THE INDIVIDUAL'S INABILITY TO PAY CO-EXIST. THESE ACTIVITIES INCLUDE ACUTE, EMERGENCY AND OUTPATIENT SERVICES IN ADDITION TO WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, AND SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED, MEDICALLY UNDER-SERVED, AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. FORM 990, PAGE 2, PART III, LINE 4A DURING FISCAL YEAR 2018-2019 MARLETTE REGIONAL HOSPITAL SERVED 637 ACUTE AND 841 SWING BED INPATIENT DAYS, PROVIDED CARE TO 36,522 OUTPATIENT VISITS, 7,378 EMERGENCY DEPARTMENT VISITS, AND SERVED 25,846 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 NON- REIMBURSED VALUE OF PROVIDING CARE TO ALL OF MRH'S PATIENTS WAS APPROXIMATELY 15,263,084 REPRESENTING A WRITE-DOWN OF 34 PERCENT OF THE HOSPITAL'S CHARGES, INCLUDING CHARITY CARE EXPENSES OF 14,318. 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, 2020 AND 2019 AMOUNTED TO 1,411,741 AND 1,079,402, 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 COMMUNITY AND 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 "SCHOOL HEALTH PROGRAMS "SUPPORT GROUPS FOR PATIENTS, THEIR FAMILIES AND THE COMMUNITY "TRAINING OF PUBLIC HEALTH AND SAFETY PERSONNEL 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 EMERGENCY SERVICES/PROGRAMS "EMERGENCY SERVICES DEPARTMENT "ADVANCED LIFE SUPPORT AMBULANCE SERVICE "FIRE AND POLICE ASSISTANCE "HELICOPTER TRANSFER ASSISTANCE CLINICAL SERVICES "CERTIFIED RURAL HEALTH CLINICS "CHILDHOOD IMMUNIZATIONS "PRIMARY CARE SERVICES "ACUTE MEDICAL AND SURGICAL SERVICES "RESIDENTIAL AND HOME-BASED HOSPICE SERVICES "UNIQUELY-ACCREDITED HOSPITAL, LABORATORY, CARDIOPULMONARY, 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 HEALTH CLINICS (PRIMARY CARE) "SCHOOL SPORTS PHYSICALS "SKILLED NURSING SERVICES/INTERMEDIATE CARE FACILITY "WOUND CARE CLINIC NON-CLINICAL HOSPITAL SERVICES "ADVOCACY ON BEHALF OF SPECIFIC PATIENTS NEEDING INTERVENTION WITH PUBLIC AGENCIES (SOCIAL SERVICES) "FREE MEETING ROOMS FOR COMMUNITY GROUPS "GUIDANCE AND REFERRAL TO COMMUNITY SERVICES AND PUBLIC ASSISTANCE PROGRAMS, INCLUDING MEDICAID "MEALS FOR FAMILY MEMBERS "TRANSLATION OR INTERPRETER SERVICES FOR NON-ENGLISH SPEAKING PATIENTS SUPPORT FOR OTHER HEALTH CARE PROVIDERS "VISITING MEDICAL AND SURGICAL SPECIALISTS TO COMPLEMENT PRIMARY CARE PHYSICIANS' CARE "SUPPORT FOR BLOOD DRIVES "PHYSICIAN REFERRAL SERVICES "PARTNER IN REGIONAL RURAL HEALTH NETWORKS WORKING RELATIONSHIP WITH OTHERS "CIVIC ORGANIZATIONS SUCH AS LIONS CLUB AND TOYS FOR TOTS "AMERICAN ASSOCIATION OF RETIRED PERSONS "COMMUNITY-BASED BUSINESS GROUPS SUCH AS CHAMBERS OF COMMERCE "ECONOMIC DEVELOPMENT AGENCIES "HOME HEALTH AGENCIES "HOSPICES "LOCAL SCHOOLS AND COLLEGES "NURSING HOMES "SENIOR CITIZENS ORGANIZATIONS "STATE AND LOCAL AGENCIES AND ORGANIZATIONS 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 SERVICES ARE DISCOUNTED AND HOW CHARITY CARE IS DETERMINED AND OFFERED. FORM 990, PAGE 6, PART VI, LINE 11B THE 990 IS REVIEWED BY THE BOARD, AT THE MARCH 2021 BOARD MEETING. FORM 990, PAGE 6, PART VI, LINE 12C THE DIRECTORS COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT EACH YEAR. THE FORM IS RETURNED TO THE COMPLIANCE OFFICE WHERE FORMS ARE HOUSED, FINDINGS ARE DISCLOSED TO THE CHAIRMAN OF THE BOARD FOR REVIEW. FORM 990, PAGE 6, PART VI, LINE 15A 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. FORM 990, PAGE 6, PART VI, LINE 15B THE COMPENSATION OF OTHER TOP OFFICIALS ARE BASED UPON APPLICABLE STATEWIDE COMPENSATION SURVEYS. FORM 990, PAGE 6, PART VI, LINE 19 THE GOVERNING DOCUMENTS, ADMINISTRATIVE POLICIES, AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE GENERAL PUBLIC. FORM 990, PART IX, LINE 11G CONTRACT SERVICES 3,296,832 1,052,261 0 BLUEWATER HEALTHCARE NETWORK 120 N DELAWARE ST SANDUSKY MI 48471 PARENT MI 501C 3 N/A false DECKERVILLE COMMUNITY HOSPITAL 3559 PINE ST DECKERVILLE MI 48427 HOSPITAL MI 501C 3 NA false THUMB MRI LLC 6320 VAN DYKE RD CASS CITY MI 48726 364107673 IMAGING MI N/A RELATED 9860 79959 false true 0.16670 THUMB MRI PROPERTY HOLDING CO LLC 6320 VAN DYKE RD CAS CITY MI 48726 270668404 RENTAL MI N/A RELATED 1686 65926 false true 0.16670 false false false true false false false false false false false false false false true true true false false