MARLETTE REGIONAL HOSPITAL: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
MARLETTE REGIONAL HOSPITAL (EIN 38-1507302)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-05-07
IRS object ID
202011289349300216
Schema version
2018v3.2
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 ReturnHeader

FieldValueIRS element (for citing)
Return2020-05-07T08:46:27-05:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN382475073PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ANDERSON TUCKEY BERNHARDT & DORAN PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1715 E FRANK STREETAddressLine1Txt
CityCAROCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48723ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN381507302EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARLETTE REGIONAL HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMARLBusinessNameControlTxt
Phone9896354000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12770 MAIN STREET PO BOX 307AddressLine1Txt
CityMARLETTECityNm
State AbbreviationMIStateAbbreviationCd
ZIP484530307ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDAN BABCOCKPersonNm
Person TitleMRH, CEOPersonTitleTxt
Phone9896354237PhoneNum
Signature2020-04-23SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonVALERIE J HARTEL CPAPreparerPersonNm
PTINP00020904PTIN
Phone9896733137PhoneNum
Preparation2020-05-07PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address192.30.157.226IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-05-07IPDt
IP Tm08:46:27IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id4206662FA05B9FBD858AABFBA5EF6244A4A5A889AtSubmissionCreationDeviceId
At Submission Filing Device Id4206662FA05B9FBD858AABFBA5EF6244A4A5A889AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-09-23 17:36:50ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDAN BABCOCKPrincipalOfficerNm
Gross Receipts$32,073,964GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MARLETTEREGIONALHOSPITAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1951FormationYr
Legal Domicile StateMILegalDomicileStateCd
Activity Or MissionTO 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.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee534TotalEmployeeCnt
Total Volunteers150TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$348,908PYContributionsGrantsAmt
CY Contributions Grants$347,487CYContributionsGrantsAmt
PY Program Service Revenue$30,485,672PYProgramServiceRevenueAmt
CY Program Service Revenue$30,452,800CYProgramServiceRevenueAmt
PY Investment Income$198,079PYInvestmentIncomeAmt
CY Investment Income$39,590CYInvestmentIncomeAmt
PY Other Revenue$539,147PYOtherRevenueAmt
CY Other Revenue$720,481CYOtherRevenueAmt
PY Total Revenue$31,571,806PYTotalRevenueAmt
CY Total Revenue$31,560,358CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$19,229,134PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$19,803,032CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$12,278,576PYOtherExpensesAmt
CY Other Expenses$11,967,788CYOtherExpensesAmt
PY Total Expenses$31,507,710PYTotalExpensesAmt
CY Total Expenses$31,770,820CYTotalExpensesAmt
PY Revenues Less Expenses$64,096PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$210,462CYRevenuesLessExpensesAmt
Total Assets BOY$23,491,145TotalAssetsBOYAmt
Total Assets EOY$23,439,313TotalAssetsEOYAmt
Total Liabilities BOY$3,780,052TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,938,682TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$19,711,093NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$19,500,631NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO 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.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$26,938,092ExpenseAmt
DescDURING FISCAL YEAR 2018-2019 MARLETTE REGIONAL HOSPITAL SERVED 281 ACUTE AND 89 SWINGBED INPATIENTS, PROVIDED CARE TO 38,837 OUTPATIENTS, INCLUDING 8,072 EMERGENCY DEPARTMENT PATIENTS, AND SERVED 28,842 PATIENTS IN ITS OWNED MEDICAL AND RURAL 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 19,840,578 REPRESENTING A WRITE-DOWN OF 35.9 PERCENT OF THE HOSPITAL'S CHARGES, INCLUDING CHARITY CARE EXPENSES OF 34,630. 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, 2019 AND 2018 AMOUNTED TO 1,079,402 AND 989,653, 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 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 "RADIATION AND CHEMOTHERAPY SERVICES PROVIDED BY ST. MARYS ON CAMPUS "VISITING MEDICAL AND SURGICAL SPECIALISTS TO COMPLEMENT PRIMARY CARE PHYSICIANS' CARE "SUPPORT FOR BLOOD DRIVES "DONATION OF USED EQUIPMENT TO OTHER PROVIDERS "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.Desc
Total Program Service Expenses$26,938,092TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemYes (true)BusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document66IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee534EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedurefalseWrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJIM SINGLES CFOPersonNm
Phone9896354000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12770 MAIN STREETAddressLine1Txt
CityMARLETTECityNm
State AbbreviationMIStateAbbreviationCd
ZIP48453ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
DAN BABCOCK
MRH, CEO40.00Yes (X)Yes (X)$193,963$0$18,917
STEVE BARNETT
MHS, CEOYes (X)Yes (X)$0$0$0
CHRISTOPHER CLARK
CHAIRMANYes (X)Yes (X)$0$0$0
ORIN CAMPBELL
DIRECTORYes (X)$0$0$0
SUE COOK
SECRETARYYes (X)Yes (X)$0$0$0
GAIL DENTON
TRUSTEEYes (X)$0$0$0
MIKE DREYER
V. CHAIRMANYes (X)Yes (X)$0$0$0
GLEN KAMPMAN
DIRECTORYes (X)$0$0$0
LARRY MITCHELL
DIRECTORYes (X)$0$0$0
SCOTT ORR
DIRECTORYes (X)$0$0$0
LORRAINE REISH
DIRECTORYes (X)$0$0$0
ANGELA MCCONNACHIE
DIRECTORYes (X)$0$0$0
DAVID WEST
DIRECTORYes (X)$0$0$0
DAVID MESSING
DIRECTORYes (X)$0$0$0
GERALD KEINATH
DIRECTORYes (X)$0$0$0
IRENE COLE
DIRECTORYes (X)$0$0$0
KAREN BENNETT
DIRECTORYes (X)$0$0$0
JOAN NAGELKIRK
DIRECTORYes (X)$0$0$0
JIM SINGLES
CFO40.00Yes (X)$123,989$0$4,917
DR ALBERS
DOCTOR40.00$337,182$0$8,125Yes (X)
DR KITTO
DOCTOR40.00$290,700$0$8,078Yes (X)
DR KULICK
DOCTOR40.00$277,355$0$20,628Yes (X)
DR AKHTAR
DOCTOR40.00$265,445$0$20,767Yes (X)
DR LIVIERATOS
DOCTOR40.00$242,268$0$7,817Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,730,902TotalReportableCompFromOrgAmt
Total Other Compensation$89,249TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K17IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CERNER
PO BOX 959156ST LOUISMO631959156SOFTWARE$381,395
MCKENZIE HEALTH SYSTEM
120 N DELAWARE STREETSANDUSKYMI48471$296,041
DR LISA LEWIS
29746 BRIARTON STREETFARMINGTON HILLSMI483312248ER DOCTOR$270,384
DR NITIN GOLECHHA
7630 N CENTRAL PARKSHELBY TWPMI48317HOSPITALIST$205,022
SANILAC MEDICAL CARE
137 NORTH ELKSANDUSKYMI48471LONG TERM CARE$188,646
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K12CntrctRcvdGreaterThan100KCnt
All Other Contributions$347,487AllOtherContributionsAmt
Total Contributions$347,487TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
PATIENT SERVICE REVENUE$51,326,646$51,326,646
BAD DEBT-$1,033,268-$1,033,268
CONTRACTUAL ADJUSTMENTS-$19,840,578-$19,840,578
FieldValueIRS element (for citing)
Total Program Service Revenue$30,452,800TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$37,339TotalRevenueColumnAmt
Exclusion$37,339ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$708,022RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$513,606RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$194,416RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$194,416TotalRevenueColumnAmt
Exclusion$194,416ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$2,251OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$2,251OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,251TotalRevenueColumnAmt
Related Or Exempt Func Income$2,251RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
340B PHARMACY PROGRAM$374,001$374,001
MEALS SERVED$120,973$120,973
MISCELLANEOUS$15,914$15,914

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,177TotalRevenueColumnAmt
Exclusion$15,177ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$526,065OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$31,560,358TotalRevenueColumnAmt
Related Or Exempt Func Income$2,251RelatedOrExemptFuncIncomeAmt
Exclusion$31,210,620ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$16,343,443TotalAmt
Program Services$14,695,163ProgramServicesAmt
Management And General$1,648,280ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$193,549TotalAmt
Program Services$174,029ProgramServicesAmt
Management And General$19,520ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,139,637TotalAmt
Program Services$1,863,380ProgramServicesAmt
Management And General$276,257ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,126,403TotalAmt
Program Services$1,010,922ProgramServicesAmt
Management And General$115,481ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$31,140TotalAmt
Management And General$31,140ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$36,225TotalAmt
Management And General$36,225ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$4,290,744TotalAmt
Program Services$3,338,264ProgramServicesAmt
Management And General$952,480ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$107,439TotalAmt
Program Services$9,777ProgramServicesAmt
Management And General$97,662ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,151,452TotalAmt
Program Services$3,073,415ProgramServicesAmt
Management And General$78,037ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$569,295TotalAmt
Program Services$548,590ProgramServicesAmt
Management And General$20,705ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$118,882TotalAmt
Program Services$104,689ProgramServicesAmt
Management And General$14,193ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,190,600TotalAmt
Program Services$955,661ProgramServicesAmt
Management And General$234,939ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$368,697TotalAmt
Program Services$185,552ProgramServicesAmt
Management And General$183,145ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
TAXES & LICENSES$799,557$81,651$717,906
PROFESSIONAL FEES$364,980$342,730$22,250
REPAIRS & MAINTANCE$274,369$267,259$7,110
COLLECTION EXPENSE$189,386$11,668$177,718

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$475,022TotalAmt
Program Services$275,342ProgramServicesAmt
Management And General$199,680ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$31,770,820TotalAmt
Program Services$26,938,092ProgramServicesAmt
Management And General$4,832,728ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$5,320,649BOYAmt
EOY$6,043,792EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,469,974BOYAmt
EOY$3,350,074EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$349,487BOYAmt
EOY$267,834EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$216,812BOYAmt
EOY$174,180EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$48,077,561LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$34,756,092LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$13,851,648BOYAmt
EOY$13,321,469EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$282,575BOYAmt
EOY$281,964EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$23,491,145BOYAmt
EOY$23,439,313EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$294,410BOYAmt
EOY$833,986EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$1,458,503BOYAmt
EOY$1,022,936EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,027,139BOYAmt
EOY$2,081,760EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,780,052BOYAmt
EOY$3,938,682EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$19,173,850BOYAmt
EOY$18,880,784EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$491,522BOYAmt
EOY$574,126EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$45,721BOYAmt
EOY$45,721EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$19,711,093BOYAmt
EOY$19,500,631EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$23,491,145BOYAmt
EOY$23,439,313EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$210,462ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$624,658InvestmentCostOrOtherBasisAmt
Book Value$624,658BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$24,485,430InvestmentCostOrOtherBasisAmt
Depreciation$14,327,846DepreciationAmt
Book Value$10,157,584BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$1,034,293InvestmentCostOrOtherBasisAmt
Depreciation$913,106DepreciationAmt
Book Value$121,187BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$21,907,030InvestmentCostOrOtherBasisAmt
Depreciation$19,515,140DepreciationAmt
Book Value$2,391,890BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$26,150InvestmentCostOrOtherBasisAmt
Book Value$26,150BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$13,321,469TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
ACCRUED OTHER$963,254
ACCRUED SALARIES$481,275
ACCRUED PAID HOURS OFF$477,190
ACCRUED PAYROLL TAXES$160,041
FieldValueIRS element (for citing)
Total Liability$2,081,760TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$31,560,358TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$31,560,358RevenueSubtotalAmt
Total Revenue Per Form990$31,560,358TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$31,770,820TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$31,770,820ExpensesSubtotalAmt
Total Expenses Per Form990$31,770,820TotalExpensesPerForm990Amt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent250Yes (X)Percent250Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served31PersonsServedCnt
Total Community Benefit Expns$31,723TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$31,723NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$6,707,822TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,165,120DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,542,702NetCommunityBenefitExpnsAmt
Total Expense0.08000TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served31PersonsServedCnt
Total Community Benefit Expns$6,739,545TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,165,120DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,574,425NetCommunityBenefitExpnsAmt
Total Expense0.08100TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs386ActivitiesOrProgramsCnt
Persons Served1126PersonsServedCnt
Total Community Benefit Expns$70,353TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$21,155DirectOffsettingRevenueAmt
Net Community Benefit Expns$49,198NetCommunityBenefitExpnsAmt
Total Expense0.00150TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs56ActivitiesOrProgramsCnt
Persons Served56PersonsServedCnt
Total Community Benefit Expns$26,735TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$26,735NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs6ActivitiesOrProgramsCnt
Persons Served28734PersonsServedCnt
Total Community Benefit Expns$4,154,187TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,938,184DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,216,003NetCommunityBenefitExpnsAmt
Total Expense0.03830TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs148ActivitiesOrProgramsCnt
Persons Served2855PersonsServedCnt
Total Community Benefit Expns$30,581TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,160DirectOffsettingRevenueAmt
Net Community Benefit Expns$28,421NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs596ActivitiesOrProgramsCnt
Persons Served32771PersonsServedCnt
Total Community Benefit Expns$4,281,856TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,961,499DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,320,357NetCommunityBenefitExpnsAmt
Total Expense0.04160TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs598ActivitiesOrProgramsCnt
Persons Served32802PersonsServedCnt
Total Community Benefit Expns$11,021,401TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,126,619DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,894,782NetCommunityBenefitExpnsAmt
Total Expense0.12260TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served45PersonsServedCnt
Total Community Benefit Expns$2,062TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$400DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,662NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs12ActivitiesOrProgramsCnt
Persons Served1200PersonsServedCnt
Total Community Benefit Expns$720TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$720NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Persons Served48PersonsServedCnt
Total Community Benefit Expns$420TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$420NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs18ActivitiesOrProgramsCnt
Persons Served1293PersonsServedCnt
Total Community Benefit Expns$3,202TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$400DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,802NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$615,226BadDebtExpenseAmt
Reimbursed By Medicare$9,263,235ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$9,336,381CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$73,146MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line1THUMB MRI CENTER LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesMAGNETIC REASONANCE IMAGING (MRI)PrimaryActivitiesTxt
Org Profit Or Ownership0.17000OrgProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARLETTE REGIONAL HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12770 MAIN ST PO BOX 307AddressLine1Txt
CityMARLETTECityNm
State AbbreviationMIStateAbbreviationCd
ZIP484530307ZIPCd
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1MARLETTE REGIONAL HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted19CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.MARLETTEREGIONALHOSPITAL.ORGOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLWWW.MARLETTEREGIONALHOSPITAL.ORGStrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care100.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care250.000000000000FPGFamilyIncmLmtDscntCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.MARLETTEREGIONALHOSPITAL.ORGFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.MARLETTEREGIONALHOSPITAL.ORGFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.MARLETTEREGIONALHOSPITAL.ORGFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesYes (true)GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FACILITY 1, MARLETTE REGIONAL HOSPITAL - PART V, LINE 5MARLETTE 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 6BYES THE COUNTY HEALTH DEPARTMENT FROM SANILAC, TUSCOLA AND HURON COUNTIES ALSO PARTICIPATED IN THE CHNA SURVEY.
FACILITY 1, MARLETTE REGIONAL HOSPITAL - PART V, LINE 11MARLETTE 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) "OFFERED AN INSTAPOT CLASS TO THE COMMUNITY. (E)"WALKING TRAIL SUPPORTER. (F)"OFFER FREE OR LOW COST EXERCISE CLASSES @ MRH SEVERAL TIMES PER WEEK. (G)"MRH COORDINATES A 5K IN BROWN CITY. (H)"EMERGENCY TELEHEALTH SERVICES FOR POSSIBLE STROKE PATIENTS BEGAN IN 2016. (I)"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) "SEVERAL COMMUNITY GROUPS SPONSOR 5K RACES THROUGHOUT THE YEAR. ALL COMMUNITIES HAVE FREE COMMUNITY WALKING TRAILS. (C)"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 ST. JOHN'S HOSPITAL. 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 PRIMA
FACILITY 1, MARLETTE REGIONAL HOSPITAL - PART V, LINE 13HNUMBER OF RESIDENTS IN HOUSEHOLD
FACILITY 1, MARLETTE REGIONAL HOSPITAL - PART V, LINE 16JTHE 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 24PATIENTS 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.

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART II - COMMUNITY BUILDING ACTIVITIESMARLETTE 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.
PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGYBAD DEBTS ARE ESTIMATED BY THE USE OF THE ALLOWANCE METHOD. BAD DEBTS FOR THE YEARS ENDED JUNE 30, 2019 AND 2018, AMOUNTED TO 1,079,402 AND 989,653, 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.
BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTSTHE ACCOUNTS RECEIVBLE/BAD DEBT EXPENSE FOOTNOTE IN THE 6/30/19 AUDIT REPORT IS LOCATED ON PAGE 13.
PART III, LINE 8 - MEDICARE EXPLANATIONTHE 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 73,146. COST REPORT DATA OR THE APPLICABLE COST TO CHARGE RATIO WERE USED TO DETERMINE ALLOWABLE COST.
PART III, LINE 9B - COLLECTION PRACTICES EXPLANATIONONCE AN ACCOUNT HAS REACHED THE END OF INTERNAL COLLECTION PROCESS IT IS TURNED OVER TO AN OUTSIDE COLLECTION AGENCY. BAD DEBTS RECOVERIES AMOUNTED TO 46,134 FOR THE YEAR ENDED JUNE 30, 2019 AND 67,367 FOR THE YEAR ENDED JUNE 30, 2018.
PART VI, LINE 2 - NEEDS ASSESSMENTPLEASE SEE RESPONSE FOR SCHEDULE H, PART V, LINE 3A-I
PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEFOR 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.
PART VI, LINE 4 - COMMUNITY INFORMATIONMARLETTE 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.
PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTHTHE 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.
PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEMTHE ORGANIZATION IS WORKING WITH DECKERVILLE COMMUNITY HOSPITAL AND THE COVENANT REGIONAL THUMB NETWORK TO BETTER SERVE THE NEEDS OF THE COMMUNITY.
ADDITIONAL INFORMATIONPART VI LINE 7 - N/A

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
DAN BABCOCK
MRH, CEO$193,963$18,917$212,880
DR ALBERS
DOCTOR$337,182$8,125$345,307
DR KITTO
DOCTOR$290,700$8,078$298,778
DR KULICK
DOCTOR$277,355$20,628$297,983
DR AKHTAR
DOCTOR$265,445$20,767$286,212
DR LIVIERATOS
DOCTOR$242,268$7,817$250,085

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
GLEN KAMPMAN
DIRECTORLEGAL SERVICESfalse
STEVE BARNETT
DIRECTORHEALTH SERVICESfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L, PART VFormAndLineReferenceDesc
ExplanationGLEN KAMPMAN, MARLETTE REGIONAL HOSPITAL DIRECTOR: PROVIDES LEGAL AND COLLECTION SERVICES TO MARLETTE REGIONAL HOSPITAL. STEVE BARNETT, MARLETTE REGIONAL HOSPITAL DIRECTOR: MR. BARNETT IS A MINORITY OWNER OF CARAVAN HEALTH, WHICH PROVIDES SERVICES TO MARLETTE REGIONAL HOSPITAL.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990 - ORGANIZATION'S MISSIONTO 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 4ADURING FISCAL YEAR 2018-2019 MARLETTE REGIONAL HOSPITAL SERVED 281 ACUTE AND 89 SWINGBED INPATIENTS, PROVIDED CARE TO 38,837 OUTPATIENTS, INCLUDING 8,072 EMERGENCY DEPARTMENT PATIENTS, AND SERVED 28,842 PATIENTS IN ITS OWNED MEDICAL AND RURAL 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 19,840,578 REPRESENTING A WRITE-DOWN OF 35.9 PERCENT OF THE HOSPITAL'S CHARGES, INCLUDING CHARITY CARE EXPENSES OF 34,630. 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, 2019 AND 2018 AMOUNTED TO 1,079,402 AND 989,653, 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 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 "RADIATION AND CHEMOTHERAPY SERVICES PROVIDED BY ST. MARYS ON CAMPUS "VISITING MEDICAL AND SURGICAL SPECIALISTS TO COMPLEMENT PRIMARY CARE PHYSICIANS' CARE "SUPPORT FOR BLOOD DRIVES "DONATION OF USED EQUIPMENT TO OTHER PROVIDERS "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 11BTHE 990 WILL BE REVIEWED AT THE FINANCE COMMITTEE BY THE CEO AND CFO AND PRESENTED TO THE FULL BOARD FOR APPROVAL. THE RETURN WAS SENT TO THE FINANCE COMMITTEE AND REVIEWED IN DETAIL AT THE 3/26/20 FINANCE COMMITTEE MEETING.
FORM 990, PAGE 6, PART VI, LINE 12CTHE DIRECTORS COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT EACH YEAR. THE FORM IS RETURNED TO THE CHAIRMAN OF THE BOARD WHO ENSURES COMPLIANCE WITH ANY POTENTIAL CONFLICTS OF INTEREST.
FORM 990, PAGE 6, PART VI, LINE 15ACOMPENSATION 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 15BTHE COMPENSATION OF OTHER TOP OFFICIALS ARE BASED UPON APPLICABLE STATEWIDE COMPENSATION SURVEYS.
FORM 990, PAGE 6, PART VI, LINE 19THE GOVERNING DOCUMENTS, ADMINISTRATIVE POLICIES, AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE GENERAL PUBLIC.
FORM 990, PART IX, LINE 11GCONTRACT SERVICES 3,338,264 952,480 0

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
MCKENZIE HEALTH SYSTEM
120 N DELAWARE STSANDUSKYMI48471HOSPITALMI501C3N/Afalse
BLUEWATER HEALTHCARE NETWORK
120 N DELAWARE STSANDUSKYMI48471PARENTMI501C3N/Afalse
DECKERVILLE COMMUNITY HOSPITAL
3559 PINE STDECKERVILLEMI48427HOSPITALMI501C3falseNA
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgYes (true)AssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
MCKENZIE HEALTH SYSTEM
O$207,471ACTUAL COSTS
MCKENZIE HEALTH SYSTEM
P$3,431ACTUAL COSTS
MCKENZIE HEALTH SYSTEM
Q$51,972ACTUAL COSTS

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