2020-05-21T08:37:00-06:00 2019-09-30 990 2018-10-01 381738615 MCKENZIE MEMORIAL HOSPITAL MCKENZIE HEALTH SYSTEM % AMY RUEDISUELI MCKE 8106483770 120 DELAWARE STREET SANDUSKY MI 48471 AMY RUEDISUELI CFO 8106486162 2020-05-21 208.99.236.18 21010520201420619319 2020-05-21 O CD4DB2C882C2D55109A1CD9D9D6F8E20F69FA1D3 2E51A4E308B92B7848342C1302627A70825CA69B 2018 2021-01-29 14:40:06Z MCKENZIE HEALTH SYSTEM STEVE BARNETT 120 DELWARE STREET SANDUSKY MI 48471 24068294 false X WWW.MCKENZIEHEALTH.ORG X 1961 MI FOUNDED AS A COMMUNITY HOSPITAL MCKENZIE MEMORIAL HOSPITAL EXISTS TO PROVIDE EXCELLENT COMPASSIONATE AND ESSENTIAL HEALTHCARE 7 4 316 65 41754 106661 182515 22021651 23692699 27590 67207 59698 73653 22215600 24016074 0 0 13398952 14359367 0 27644 8443988 8906198 21842940 23265565 372660 750509 10088606 11457405 3338113 3956405 6750493 7501000 FOUNDED AS A COMMUNITY HOSPITAL, MCKENZIE MEMORIAL HOSPITAL EXISTS TO PROVIDE EXCELLENT, COMPASSIONATE AND ESSENTIAL HEALTHCARE. false false 23265565 24016073 PROVIDE INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES INPATIENT REGISTRATION = 172 OUTPATIENT REGISTRATION = 23,780 EMERGENCY ROOM = 5681 AMBULANCE RUNS = 2,251 23265565 true true false false false false false false false false true false false false false false true false false false false false false false true false true true false false true false false false false false false true true false false false false false true true true false false true 33 0 true 316 true true true false false false false true true false false false false false false false false false false false X 7 4 false false false false true true true true true false false true true true true true true true true true true X X AMY RUEDISUELI 8106486162 120 DELAWARE STREET SANDUSKY MI 48471 X MICHAEL DREYER Chairperson 1.000 X 0 0 0 LARRY MICHELL Director 1.000 X 0 0 0 JOAN NAGELKIRK ViceChairperson 1.000 X 0 0 0 ORIN CAMPBELL Director 1.000 X 0 0 0 STEVE BARNETT CEOPresident 40.00 X X 217149 0 26445 AMY RUEDISUELI CFO 40.00 X 149419 0 7887 MICHAEL MERKLER Physician 40.00 X 267379 0 9358 JAMES SAMS Director 40.00 X 203686 0 11770 MATTHEW GORMLEY Chief of Staff 40.00 X 194579 0 28065 MARK ENGLISH Physician 40.00 X 171393 0 28109 GINA PATTERSON Director of Pharmacy 32.00 8.000 X 134789 16389 26493 BILLI JO HENNIKA COO 40.00 X 144196 0 24841 JAMES KOSIUR Physician 40.00 X 352037 0 20325 JAY SMITH Director of Radiology 40.00 X 137349 0 13136 1971976 16389 196429 10 false true true Michigan Emergency PHYS L PO Box 674579 Detroit MI 482674579 ER Doctors 1447344 EVIDENT PO Box 850309 Mobile AL 366850309 IT and Data Services 301518 MCKESSON 38220 Plymouth Road Livonia MI 48150 Drugs 297916 OWENS & MINOR 12199 Collections Center Drive Chicago IL 60693 Medical Supplies 243074 Integrated Systems Consult 3333 Cass Road Ste Suite A Traverse City MI 49684 IT services 223372 13 182515 182515 Other Income 900099 1860759 1860759 Inpatient Outpatient 621400 34247394 34247394 Provider Offices 621110 4354303 4354303 RHC Revenue 621110 1230507 1230507 Contractual Adjust 621400 -16891676 -16891676 -1108588 -1108588 23692699 22207 22207 41754 41754 41754 41754 45000 45000 45000 45000 84119 31899 52220 31899 31899 24016074 23759906 41754 31899 X 626749 626749 11336485 8909321 2408623 18541 320805 100404 220401 1282827 258328 1024499 792501 608395 182786 1320 2974458 2546416 428042 84274 84274 54980 54980 96744 96744 110101 28275 79211 2615 369218 163853 203597 1768 342587 47954 294633 246785 239238 7547 52495 21399 27966 3130 73817 47441 26376 47171 44178 2993 808066 662053 146013 243378 174595 68783 Medical Supplies 1228117 1228117 Drugs 766071 766071 Repairs & Maintenance 676197 596214 79983 Taxes & Licenses 488813 48280 440533 242926 132768 109888 270 23265565 16623300 6614621 27644 200481 179513 1993389 2391989 3162991 3558877 463727 428108 298643 354332 18762512 14217926 3969375 4544586 10088606 11457405 1943286 2423405 1023859 815617 370968 717383 3338113 3956405 X 6700016 7450322 50477 50678 6750493 7501000 10088606 11457405 X 750509 -2 X true X true X true false X 0 0.00000 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false 133080 133080 7972532 5822694 2149838 148698 131317 17381 10508202 8263915 2244287 4544586 23734455 23734455 281619 281619 24016074 23265565 23265565 23265565 P11, Ln 4b INTEREST INCOME; $21,808, GAIN ON SALE OF ASSETS; $45,000 P11, Ln 4b CONTRIB NET OF FUNDRAISING; $175,077, CONTRIB OF PP&E; $39,337 P11, Ln 4b INTEREST; $399, MISC ADJUSTMENT; ($2). HOSP AUXILI 44352 44352 40833 BNFT DINNER 37417 37417 7682 81769 81769 48515 48515 33254 true true X true X true X true true false false true true 1 26 13517 13517 0.0006 1 4768 4398496 2245880 2152616 0.0925 1 63058 60443 2615 0.0001 3 4794 4475071 2306323 2168748 0.0932 106 4487 65252 36088 29164 0.0013 1 103 32313 32313 0.0014 5 108 12585 3002 9583 0.0004 112 4698 110150 39090 71060 0.0031 115 9492 4585221 2345413 2239808 0.0963 true 1069824 5984339 6082446 -98107 X true true 1 1 MCKENZIE HEALTH SYSTEM 120 DELAWARE STREET Sandusky MI 48471 www.mckenziehealth.org X MCKENZIE HEALTH SYSTEM 1 true false true X X X X X X X X X 18 true false true true X www.mckenziehealth.org X X true 19 true www.mckenziehealth.org/wp-content/uploads/2016/12/2 false false true X 100.000000000000 250.000000000000 X X X true true X X X X true X www.mckenziehealth.org/patien X www.mckenziehealth.o X www.mckenzieh X X X X X X true X false X X X X true X false false 3J None 5 Stakeholders were defined as agency and community leaders that have a wide 5 knowledge base of the region and including human service 5 agencies, behavioral health agencies, Great Start 5 Collaboratives, education, government, law enforcement and MSU 5 Extension. 484 survey participants from four counties. 6a None 6b Michigan Thumb Public Alliance 7d CHNA was distributed to Lions Club, MHS BOD, Sanilac County Mental Health, 7d Sanilac County Transportation, Sanilac County Dept of Health & Human Serv. 7d Great Start Collaborative, Blue water Center for Rural Living, Sanilac Lit. 7d Sanilac probation & Sanilac County Sherif's Dept. 11 Committies address significant needs identified by the CHNA, including; 11 Access to Care, Behavioral Health & Chronic Disease. 11 Continue community presentations & use a variety of methods to reach 11 audiences of all ages. Continue to grow Chronic Care Management. 11 Explore community paramedicine and continue to 11 promote annual wellness visits. Explore behavioral health 11 integration with primary care clinics. 11 Open Medication Assisted Treatment in primary care clinics. 11 Emergency Department tele-psychiatry and social work consults. Part V Section B Line 6b Michigan Thumb Alliance 38-1738615 3J 8 MCKENZIE HEALTH & WELLNESS 170 W ARGYLE STREET Sandusky MI 48471 PROVIDER OFFICE MCKENZIE RURAL HEALTH CLIN 75 DAWSON STREET Sandusky MI 48471 PROVIDER OFFICE MCKENZIE FAMILY HEALTHCARE 109 N DELAWARE STREET Sandusky MI 48471 PROVIDER OFFICE LAKESHORE INTERNAL MEDICIN 7307 CHERRY STREET Port Sanilac MI 48469 PROVIDER OFFICE CROSWELL CLINIC N HOWARD STREET Croswell MI 48422 PROVIDER OFFICE PECK MEDICAL CLINIC 251 E PECK ROAD Peck MI 48466 PROVIDER OFFICE MCKENZIE AFTER-HOURS CLINI 115 DELAWARE STREET Sandusky MI 48471 PROVIDER OFFICE MCKENZIE ORTHOPEDICS 100 W ARGYLE STREET Sandusky MI 48471 PROVIDER OFFICE/RENTAL Part I Line 6a A community benefit report was prepared during the 2018 tax year. Part I Line 7 Schedule H worksheets were used to prepare the cost to charge ratio. Part II McKenzie promoted Community health through various activities, such as; Part II Senior fair, school tours, County 4-H Fair, & various showcases. Part III Line 2 Bad debts are est. by the allowance method & indp. audited annually; listed Part III Line 2 net of discounts and payments rec'd on account post bad debt determination. Part III Line 4 See attached audited Financial Statements, page 10, Note 1. Part III Line 8 Mckenzie is a critical access Hospital under medicare reg., reimbursed Part III Line 8 based on cost. Part III Line 8 The shortfall of $98,107 consists of 2% sequestration. Part III Line 8 medicare cost report data was used to calculate these figures. Part III Line 9b Collection policy references the FAP for those patients that are eligable Part III Line 9b for assistance as a method of payment. Part VI-2 In addition to items in SCH H part V sec B, CNHA describes how identified Part VI-2 needs were prioritized & strategy was implemented. MHS also continuously Part VI-2 monitors quality scores and patient satisfaction surveys. MHS leadership Part VI-2 is in constant contact with other healthcare agencies in the community and Part VI-2 accesses any findings identified through collaboration. Part VI-3 Uninsured patients receive a Financial policy brochure from staff. Dir. of Part VI-3 Human Services then follows up with the patient to help apply for medicare/ Part VI-3 Medicaid and apply for FAP program; this info is also available in brochure Part VI-3 website, patient statement, hospital lobby, ER & patient fin. services. Part VI-4 MHS is a CAH located in Sanilac County; population 41,587, 1,600sq miles. Part VI-4 and 90% rural. 52% of population is uninsured. Unemployment rate is 6.6% Part VI-4 and 23% of children live in poverty. Part VI-5 Gov. by board of directors, Serv.; Geriatrics, immunization, Physicals, etc X X X false false false false false false false false false MICHAEL DREYER Chairperson LARRY MICHELL Director JOAN NAGELKIRK ViceChairperson ORIN CAMPBELL Director STEVE BARNETT CEOPresident 217149 7966 18479 243594 AMY RUEDISUELI CFO 149419 5625 2262 157306 MICHAEL MERKLER Physician 267379 9358 276737 JAMES SAMS Director 203686 7247 4523 215456 MATTHEW GORMLEY Chief of Staff 194579 7300 20765 222644 MARK ENGLISH Physician 171393 6590 21519 199502 GINA PATTERSON Director of Pharmacy 134789 16389 6445 20048 161282 16389 BILLI JO HENNIKA COO 144196 5479 19362 169037 JAMES KOSIUR Physician 352037 9625 10700 372362 JAY SMITH Director of Radiology 137349 4897 3789 146035 false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false BARNETT ANESTHESIA CEO'S SPOUSE 106738 CRNA SERVICES false JOAN NAGELKIRK DIRECTOR 96401 MARKETING SERV & SUPPLIES false false false false false false false false false Part VI Line 11b . Part VI Line 19 . Part XI Line 9 Rounding ($2) Part VI Line 6 Classes of Members make up the Board of Directors. Part VI Line 7a Board members must be approved by the Board of McKenzie Healthcare Corp. Part VI Line 7a to become Board Members. Part VI Line 7b McKenzie Healthcare Corp. must approve any financial transaction above Part VI Line 7b $1 million dollars prior to being taken to MHS Board of Directors. Part VI Line 11b MHS Board of Directors are provide a full copy of the 990 & 990T. Part VI Line 11b MHS CFO reviews and provides a reconciliation of 990 to audited FS. Part VI Line 12c Board and Committee Members are required to annually fill out a conflict of Part VI Line 12c interest policy and abstain from any conflicting vote. Part VI Line 15a or b Compensation is approved by the full MHS Board, based on recommendations Part VI Line 15a or b and recent compensation surveys. Part VI Line 19 All documents are available for review by request at the CEO's office. Part VII Compensation is provided for the 2018 tax (calendar) year. Part IX Line 24e Food, Laundry, & Misc. Total exp. $242,926 Part IX Line 24e Program service; $132,768, Mgmt & General; $109,888, Fundraising; $270. MARLETTE REGIONAL HOSPITAL 2770 MAIN ST PO BOX 307 Marlette MI 48453 381507302 HEALTHCARE MI 501 C 3 UNITED HEALTHCARE PARTNER false UNITED HEALTHCARE PARTNERS 120 DELAWARE ST Sandusky MI 48471 465444203 HEALTHCARE MI 501 C 3 ITSELF false MCKENZIE HEALTHCARE CORPORATION 120 DELAWARE STREET Sandusky MI 48471 382702946 HEALTHCARE MI 501 C 3 ITSELF false SANILAC SERVICES INC 78 ELK ST Sandusky MI 48471 382774983 RETAIL PHARMACY MI MCKENZIE MEMORIAL HOSPITA C CORP -103523 854802 1.00000 true N/A false true false false false false false false false false false false true false false true true true true true MARLETTE REGIONAL HOSPITAL O 105407 COST BASIS P 26297 COST BASIS Marlette Q 14295 COST BASIS SANILAC SERVICES INC L 36050 COST BASIS Q 31438 COST BASIS Sandusky S 254446 COST BASIS A 625 COST BASIS R 10654 COST BASIS