MARLETTE REGIONAL HOSPITAL: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
MARLETTE REGIONAL HOSPITAL (EIN 38-1507302)
Tax period
2017-07-01 to 2018-06-30
Filed
2019-04-15
IRS object ID
201921079349300202
Schema version
2017v2.3
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)
Return2019-04-15T07:46:44-05:00ReturnTs
Tax Period End2018-06-30TaxPeriodEndDt

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 Begin2017-07-01TaxPeriodBeginDt

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
Signature2018-02-28SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTIMOTHY D FRANZELPreparerPersonNm
PTINP00851336PTIN
Phone9896733137PhoneNum
Preparation2019-04-15PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address192.30.157.226IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-04-15IPDt
IP Tm07:46:44IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id8016260A2E36C637A12C2718B0CDD68A63B2CD91AtSubmissionCreationDeviceId
At Submission Filing Device Id4206662FA05B9FBD858AABFBA5EF6244A4A5A889AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDAN BABCOCKPrincipalOfficerNm
Gross Receipts$32,190,956GrossReceiptsAmt
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 Employee511TotalEmployeeCnt
Total Volunteers150TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$276,787PYContributionsGrantsAmt
CY Contributions Grants$348,908CYContributionsGrantsAmt
PY Program Service Revenue$31,233,902PYProgramServiceRevenueAmt
CY Program Service Revenue$30,485,672CYProgramServiceRevenueAmt
PY Investment Income$133,109PYInvestmentIncomeAmt
CY Investment Income$198,079CYInvestmentIncomeAmt
PY Other Revenue$450,188PYOtherRevenueAmt
CY Other Revenue$539,147CYOtherRevenueAmt
PY Total Revenue$32,093,986PYTotalRevenueAmt
CY Total Revenue$31,571,806CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$19,395,989PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$19,229,134CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$12,395,979PYOtherExpensesAmt
CY Other Expenses$12,278,576CYOtherExpensesAmt
PY Total Expenses$31,791,968PYTotalExpensesAmt
CY Total Expenses$31,507,710CYTotalExpensesAmt
PY Revenues Less Expenses$302,018PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$64,096CYRevenuesLessExpensesAmt
Total Assets BOY$31,116,730TotalAssetsBOYAmt
Total Assets EOY$23,491,145TotalAssetsEOYAmt
Total Liabilities BOY$11,469,733TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,780,052TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$19,646,997NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$19,711,093NetAssetsOrFundBalancesEOYAmt
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$26,840,228ExpenseAmt
Revenue$30,485,672RevenueAmt
DescDURING FISCAL YEAR 2017-2018 MARLETTE REGIONAL HOSPITAL SERVED 392 ACUTE AND 73 SWINGBED INPATIENTS, PROVIDED CARE TO 40,240 OUTPATIENTS, INCLUDING 8,396 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 20,868,955 REPRESENTING A WRITE-DOWN OF 39.9 PERCENT OF THE HOSPITAL'S CHARGES, INCLUDING CHARITY CARE EXPENSES OF 6,830. 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, 2018 AND 2017 AMOUNTED TO 989,653 AND 858,523, 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$26,840,228TotalProgramServiceExpensesAmt
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 Document62IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee511EmployeeCnt
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
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 (18 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)$185,272$0$19,569
CHRIS CLARK
CHAIRMANYes (X)Yes (X)$0$0$0
MIKE DREYER
V. CHAIRMANYes (X)Yes (X)$0$0$0
ORIN CAMPBELL
TRUSTEEYes (X)$0$0$0
STEVE BARNETT
MHS, CEOYes (X)Yes (X)$0$0$0
LORRAINE REISH
TRUSTEEYes (X)$0$0$0
JOAN NAGELKIRK
TRUSTEEYes (X)$0$0$0
LARRY MITCHELL
TRUSTEEYes (X)$0$0$0
SUE COOK
SECRETARYYes (X)Yes (X)$0$0$0
GLEN KAMPMAN
TRUSTEEYes (X)$0$0$0
SCOTT ORR
TRUSTEEYes (X)$0$0$0
GAIL DENTON
TRUSTEEYes (X)$0$0$0
JAMES SINGLES
CFO40.00Yes (X)$123,522$0$5,167
DR AKHTAR
DOCTOR40.00$322,930$0$20,966Yes (X)
DR ALBERS
DOCTOR40.00$292,405$0$9,910Yes (X)
DR KITTO
DOCTOR40.00$275,421$0$9,642Yes (X)
DR KULICK
DOCTOR40.00$252,636$0$20,413Yes (X)
DR STARBIRD
DOCTOR40.00$248,981$0$20,892Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,701,167TotalReportableCompFromOrgAmt
Total Other Compensation$106,559TotalOtherCompensationAmt
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/ZIPCdCompensationCompensationAmtServicesServicesDesc
MCKENZIE HEALTH SYSTEM
120 N DELAWARE STREETSANDUSKYMI48471$275,819
DR LISA LEWIS
29746 BRIARTON STREETFARMINGTON HILLSMI483312248$262,640ER DOCTOR
DR NITIN GOLECHHA
2734 MAIN STMARLETTEMI48453$204,679HOSPITALIST
LABCORP
PO BOX 12140BURLINGTONNC27216$168,771LAB
SANILAC MEDICAL CARE
137 NORTH ELKSANDUSKYMI48471$153,669LONG TERM CARE
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K8CntrctRcvdGreaterThan100KCnt
All Other Contributions$348,908AllOtherContributionsAmt
Total Contributions$348,908TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
PATIENT SERVICE REVENUE$52,276,913$52,276,913
BAD DEBT-$922,286-$922,286
CONTRACTUAL ADJUSTMENTS-$20,868,955-$20,868,955
FieldValueIRS element (for citing)
Total Program Service Revenue$30,485,672TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$195,259TotalRevenueColumnAmt
Exclusion$195,259ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$700,365RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$619,150RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$81,215RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$81,215TotalRevenueColumnAmt
Exclusion$81,215ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$2,820OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$2,820OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,820TotalRevenueColumnAmt
Related Or Exempt Func Income$2,820RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
340B PHARMACY PROGRAM$296,822$296,822
MEALS SERVED$128,891$128,891
RECORDS LIBRARIAN$13,278$13,278

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$18,941TotalRevenueColumnAmt
Exclusion$18,941ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$457,932OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$31,571,806TotalRevenueColumnAmt
Related Or Exempt Func Income$2,820RelatedOrExemptFuncIncomeAmt
Exclusion$31,220,078ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$16,335,975TotalAmt
Program Services$14,638,683ProgramServicesAmt
Management And General$1,697,292ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$200,121TotalAmt
Program Services$179,329ProgramServicesAmt
Management And General$20,792ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,571,777TotalAmt
Program Services$1,383,430ProgramServicesAmt
Management And General$188,347ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,121,261TotalAmt
Program Services$1,002,936ProgramServicesAmt
Management And General$118,325ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$38,234TotalAmt
Management And General$38,234ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$27,690TotalAmt
Management And General$27,690ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$4,292,022TotalAmt
Program Services$3,458,158ProgramServicesAmt
Management And General$833,864ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$85,789TotalAmt
Program Services$9,276ProgramServicesAmt
Management And General$76,513ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,463,805TotalAmt
Program Services$3,366,599ProgramServicesAmt
Management And General$97,206ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$609,969TotalAmt
Program Services$557,147ProgramServicesAmt
Management And General$52,822ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$86,182TotalAmt
Program Services$68,941ProgramServicesAmt
Management And General$17,241ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$113,932TotalAmt
Program Services$51,815ProgramServicesAmt
Management And General$62,117ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,230,458TotalAmt
Program Services$1,008,928ProgramServicesAmt
Management And General$221,530ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$353,285TotalAmt
Program Services$185,948ProgramServicesAmt
Management And General$167,337ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
TAXES & LICENSES$777,932$77,965$699,967
PROFESSIONAL FEES$360,491$359,831$660
REPAIRS & MAINTANCE$244,993$236,726$8,267
COLLECTION EXPENSE$175,610$9,809$165,801

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$418,184TotalAmt
Program Services$244,707ProgramServicesAmt
Management And General$173,477ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$31,507,710TotalAmt
Program Services$26,840,228ProgramServicesAmt
Management And General$4,667,482ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$6,714,773BOYAmt
EOY$5,320,649EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,826,795BOYAmt
EOY$3,469,974EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$336,012BOYAmt
EOY$349,487EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$463,177BOYAmt
EOY$216,812EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$47,263,267LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$33,411,619LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$14,463,131BOYAmt
EOY$13,851,648EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$5,116,660BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$196,182BOYAmt
EOY$282,575EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$31,116,730BOYAmt
EOY$23,491,145EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$735,861BOYAmt
EOY$294,410EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$1,895,822BOYAmt
EOY$1,458,503EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$6,845,000BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,993,050BOYAmt
EOY$2,027,139EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$11,469,733BOYAmt
EOY$3,780,052EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$18,410,448BOYAmt
EOY$19,173,850EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,190,828BOYAmt
EOY$491,522EOYAmt

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$19,646,997BOYAmt
EOY$19,711,093EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$31,116,730BOYAmt
EOY$23,491,145EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$64,096ReconcilationRevenueExpnssAmt
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

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$24,435,913InvestmentCostOrOtherBasisAmt
Depreciation$13,630,072DepreciationAmt
Book Value$10,805,841BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$967,374InvestmentCostOrOtherBasisAmt
Depreciation$891,649DepreciationAmt
Book Value$75,725BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$21,235,322InvestmentCostOrOtherBasisAmt
Depreciation$18,889,898DepreciationAmt
Book Value$2,345,424BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$13,851,648TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
ACCRUED OTHER$935,225
ACCRUED PAID HOURS OFF$484,032
ACCRUED SALARIES$448,978
ACCRUED PAYROLL TAXES$158,904
FieldValueIRS element (for citing)
Total Liability$2,027,139TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$31,571,806TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$31,571,806RevenueSubtotalAmt
Total Revenue Per Form990$31,571,806TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$31,507,710TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$31,507,710ExpensesSubtotalAmt
Total Expenses Per Form990$31,507,710TotalExpensesPerForm990Amt

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 BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$6,306TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,306NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$6,418,025TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,167,331DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,250,694NetCommunityBenefitExpnsAmt
Total Expense0.07140TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Total Community Benefit Expns$6,424,331TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,167,331DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,257,000NetCommunityBenefitExpnsAmt
Total Expense0.07160TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs118ActivitiesOrProgramsCnt
Persons Served700PersonsServedCnt
Total Community Benefit Expns$39,634TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,493DirectOffsettingRevenueAmt
Net Community Benefit Expns$33,141NetCommunityBenefitExpnsAmt
Total Expense0.00110TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs153ActivitiesOrProgramsCnt
Persons Served153PersonsServedCnt
Total Community Benefit Expns$33,844TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$33,844NetCommunityBenefitExpnsAmt
Total Expense0.00110TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs28842ActivitiesOrProgramsCnt
Total Community Benefit Expns$4,346,805TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,001,593DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,345,212NetCommunityBenefitExpnsAmt
Total Expense0.04270TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs132ActivitiesOrProgramsCnt
Persons Served2030PersonsServedCnt
Total Community Benefit Expns$28,609TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,160DirectOffsettingRevenueAmt
Net Community Benefit Expns$26,449NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs29245ActivitiesOrProgramsCnt
Persons Served2883PersonsServedCnt
Total Community Benefit Expns$4,448,892TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,010,246DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,438,646NetCommunityBenefitExpnsAmt
Total Expense0.04570TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs29247ActivitiesOrProgramsCnt
Persons Served2883PersonsServedCnt
Total Community Benefit Expns$10,873,223TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,177,577DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,695,646NetCommunityBenefitExpnsAmt
Total Expense0.11730TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs16ActivitiesOrProgramsCnt
Persons Served1240PersonsServedCnt
Total Community Benefit Expns$2,261TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,261NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs16ActivitiesOrProgramsCnt
Persons Served1240PersonsServedCnt
Total Community Benefit Expns$2,261TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,261NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$550,695BadDebtExpenseAmt
Reimbursed By Medicare$9,158,263ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$9,250,288CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$92,025MedicareSurplusOrShortfallAmt

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 Conducted16CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
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 Adpt16ImplementationStrategyAdptYr
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 (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FACILITY 1, MARLETTE REGIONAL HOSPITAL - PART V, LINE 5THE HOSPITAL REQUESTED INPUT FROM KEY STAKEHOLDERS THROUGH AN IN PERSON INTERVIEW. THE PURPOSE OF THE INTERVIEW SAS TO: 1. LEARN ABOUT THE GOOD THINGS IN THE COMMUNITY AS WELL AS CONCERNS IN THE COMMUNITY. 2. ASSESS COMMUNITY AWARENESS AND USE OF HEALTH CARE SERVICES. 3. ASSESS AVAILABILITY OF AND NEED FOR HEALTH CARE SERVICES. 4. ESTIMATE COLLABORATION AMOUNG HEALTH ORGANIZATIONS AND PROVIDERS. 5. GATHER SUGGESTIONS FOR IMPROVING HEALTH CARE AND REMOVING BARRIERS. THE INTERVIEWEES, THEIR TITLES AND ORGANIZATIONAL AFFILIATIONS ARE LISTED BELOW: 1. MICHIGAN DEPT. OF HEALTH AND HUMAN SERVICES - ST. CLAIR/SANILAC COUNTY WILLIAM WESTON, DIRECTOR 2. MICHIGAN DEPT. OF HEALTH AND HUMAN SERVICES - SANILAC COUNTY - JAMIE REINKE, SANILAC COUNTY PROGRAM MANAGER 3. SANILAC COUNTY COMMUNITY MENTAL HEALTH - JIM JOHNSON, EXECUTIVE DIRECTOR 4. SANILAC INTERMEDIATE SCHOOL DISTRICT - DUANE LANGE, SUPERINTENDENT
FACILITY 1, MARLETTE REGIONAL HOSPITAL - PART V, LINE 6AYES ALL 8 HOSPITALS IN THE THUMB: 1. CARO COMMUNITY HOSPITAL 2. DECKERVILLE COMMUNITY HOSPITAL 3. HARBOR BEACH COMMUNITY HOSPITAL 4. HILLS AND DALES HOSPITAL 5. HURON MEDICAL CENTER 6. MARLETTE REGIONAL HOSPITAL 7. MCKENZIE HEALTH SYSTEM 8. SCHEURER HOSPITAL
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 11THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT CONTAINED THREE MAIN AREAS. THE FIRST WAS A SURVEY OF 563 INDIVIDUALS WHO LIVE IN THE THIRTEEN ZIP CODES SERVED BY MARLETTE REGIONAL HOSPITAL. THE SECOND AREA INVOLVED CONDUCTING FOCUS GROUPS OF COMMUNITY MEMBERS. THE THIRD AREA WAS THE INTERVIEW OF STAKEHOLDERS FROM THE SANILAC COUNTY BRANCH OF THE MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES, SANILAC COUNTY COMMUNITY MENTAL HEALTH, AND SANILAC INTERMEDIATE SCHOOL DISTRICT. THE SURVEY RESULTS OF THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) GENERATED THE FOLLOWING INFORMATION: FINDING: THERE WERE NO MAJOR PROBLEM AREAS IDENTIFIED THAT WOULD PREVENT ACCESS TO HEALTH CARE AND NO MAJOR PROBLEM AREAS IDENTIFIED REGARDING THE CONCERNS OF VULNERABLE GROUPS, LIKE SENIORS. FOUR LOW-MODERATE OR HIGH- MINOR PROBLEMS WERE IDENTIFIED: NOT ENOUGH EVENING OR WEEKEND HOURS, NOT ENOUGH SPECIALISTS, NOT ABLE TO GET APPOINTMENT/LIMITED HOURS, AND NOT ENOUGH DOCTORS. RESPONSE: NOT ENOUGH EVENING OR WEEKEND HOURS: RECENTLY, WE HAVE EXPANDED HOURS OF OPERATIONS AT MANY OF OUR OUTPATIENT CLINICS. MANY CLINICS HAVE REGULAR HOURS OF OPERATION UNTIL 6:30 OR 7 P.M. MANY OTHERS BEGIN SEEING PATIENTS AS EARLY AS 7 A.M. NOT ENOUGH SPECIALISTS: RECRUITING SPECIALISTS TO RURAL AREAS IS A GREAT CHALLENGE. AS THE CONSULTANTS TO OUR COMMUNITY HEALTH NEEDS ASSESSMENT STATE IN THE REPORT THESE TYPES OF ISSUES "ALL REFER TO THE SUPPLY OF PHYSICIANS WHICH IS HIGHLY DEPENDENT ON THE RATIO OF PHYSICIAN PER 100,000 POPULATION AND IS ENDEMIC IN RURAL AND SEMI-RURAL COUNTIES. SANILAC COUNTY, IN WHICH MARLETTE REGIONAL HOSPITAL IS LOCATED, HAD A POPULATION OF 43,114 IN 2010." REGARDLESS OF THIS GREAT CHALLENGE, WE HAVE ADDED NEW SPECIALTY SERVICES. EMERGENCY TELEHEALTH SERVICES FOR POSSIBLE STROKE PATIENTS WILL BEGIN IN JUNE 2016. THIS WILL BE SHORTLY FOLLOWED BY OUTPATIENT CLINIC SERVICES, LIKE TELE-PSYCHIATRY, WHICH WILL BRING SPECIALTY PHYSICIANS TO OUR LOCAL HOSPITAL. IN JULY 2016 WE WILL EXPAND THE AVAILABILITY OF UROLOGY SERVICES, AND WE HAVE CONTINUED TO BRING ADDITIONAL GENERAL AND ORTHOPEDIC SERVICES TO OUR HOSPITAL. NOT ABLE TO GET APPOINTMENTS/LIMITED HOURS: DURING THIS PAST YEAR WE HAVE CONVERTED ONE OF OUR PHYSICIAN CLINICS TO RURAL HEALTH CLINIC STATUS. THIS STATUS REQUIRES THAT WE KEEP A FAIRLY LARGE PERCENTAGE OF OUR CLINIC SCHEDULE OPEN EVERY DAY FOR URGENT, ACUTE SERVICES. THIS NOW BRINGS OUR TOTAL OF RURAL HEALTH CLINICS, LOCATED IN BROWN CITY, MAYVILLE, KINGSTON AND MARLETTE, TO FOUR. IN ADDITION, OUR KINGSTON CLINIC ACCEPTS WALK-IN PATIENTS AND MOST OF OUR OTHER CLINICS ACCEPT SAME -DAY APPOINTMENTS. NOT ENOUGH DOCTORS: BALANCING THE DESIRED NUMBER OF DOCTORS WITH THE LIMITED RESOURCES AVAILABLE TO PAY FOR THOSE DOCTORS REMAINS A SIGNIFICANT CHALLENGE FOR US. WE FEEL OUR CURRENT ROSTER OF PRIMARY CARE PROVIDERS IS SUFFICIENT TO MEET THE NEEDS OF OUR COMMUNITY. WE WILL CONTINUE TO WORK ON INCREASING THE AVAILABILITY OF SPECIALTY SERVICES IN OUR COMMUNITY SO OUR PATIENTS CAN GET TIMELY, COMPETENT CARE CLOSE TO HOME. FINDING: THE TOP AND ONLY SIGNIFICANT REASON FOR A COST CONSIDERATION PREVENTING INDIVIDUALS FROM RECEIVING HEALTH SERVICES WAS HIGH DEDUCTIBLES OR COPAYS. RESPONSE: THE CONSULTANTS OF OUR COMMUNITY HEALTH NEEDS ASSESSMENT POINT OUT IN THE REPORT, "THAT RESPONDENTS PICKED HIGH DEDUCTIBLES AND COPAYS, IS NOT SURPRISING- AND "ALTHOUGH HOSPITALS AND HEALTH DEPARTMENTS MAY ADJUST THEIR OWN COPAYS, THEY HAVE ALMOST NO ABILITY TO CHANGE INSURANCE DEDUCTIBLES." EVERY PATIENT IS A CONSUMER AND WILL MAKE DECISIONS THAT BALANCE RISKS WITH COSTS WHEN THEY PURCHASE HEALTH INSURANCE PLANS. WHILE WE HAVE NO ABILITY TO INFLUENCE OUR PATIENTS' HEALTH INSURANCE PLANS' DEDUCTIBLES AND COPAYS, WE HAVE BEGUN WORKING ON TREATING OUR PATIENTS IN THE MOST COST EFFECTIVE MANNER POSSIBLE. AS OF JANUARY 2016, WE BEGAN PARTICIPATION IN A RURAL ACCOUNTABLE CARE ORGANIZATION WHICH SEEKS TO LOWER THE COSTS OF PROVIDING CARE TO OUR MEDICARE PATIENTS WHILE MAINTAINING AND OFTEN TIMES IMPROVING THEIR HEALTH OUTCOMES. THIS IS ACCOMPLISHED THROUGH ACTIVE CARE MANAGEMENT FOR OUR PATIENTS WITH A FOCUS ON WELLNESS AND PREVENTATIVE HEALTH SERVICES. LOWERING THE COST OF CARE AND PREVENTING SICKNESS LEAD TO LOWER OUT-OF-POCKET EXPENSES FOR OUR PATIENTS. THIS APPROACH HAS BEEN EXPANDED TO PATIENTS COVERED UNDER ALL INSURANCE PLANS. IN ADDITION, WE OFFER CHARITY CARE DISCOUNTS TO PATIENTS WHO MEET FINANCIAL QUALIFICATIONS. THIS CAN RESULT IN A PORTION OF THEIR BALANCE BEING WRITTEN OFF TO THE ENTIRE BALANCE BEING WRITTEN OFF. WE ARE ALSO ABLE TO MAKE INSTALLMENT PAYMENT ARRANGEMENTS WHEN NEEDED. FINDING: THE TOP THREE CONCERNS FOR PHYSICAL HEALTH IN YOUR COMMUNITY FOR YOUTH: YOUTH OBESITY, YOUTH HUNGER AND POOR NUTRITION, AND TEEN PREGNANCY. RESPONSE: WE INCENTIVIZE OUR HEALTH CARE PROVIDERS TO PARTNER WITH LOCAL COMMUNITY SCHOOL SYSTEMS TO EDUCATE OUR YOUTH. OUR PROVIDERS HAVE PRESENTED VARIOUS SEX EDUCATION SESSIONS AMONG OTHER TOPICS. WE WILL ENCOURAGE OUR PROVIDERS TO DEVELOP EDUCATIONAL TOPICS FOR NUTRITION TO HELP COMBAT YOUTH OBESITY AND HUNGER. FINDING: THE TOP THREE CONCERNS FOR MENTAL HEALTH SUBSTANCE ABUSE IN YOUR COMMUNITY FOR YOUTH: YOUTH DRUG USE AND ABUSE, YOUTH BULLYING, AND YOUTH ALCOHOL USE AND ABUSE. RESPONSE: WE WILL ADDRESS THESE ISSUES SIMILAR TO HOW WE PLAN TO ADDRESS PHYSICAL HEALTH CONCERNS WITH OUR YOUTH. WE WILL ENCOURAGE OUR PROVIDERS TO DEVELOP AND PRESENT TO OUR LOCAL COMMUNITY SCHOOLS EDUCATIONAL SESSIONS ON DRUG AND ALCOHOL USE AND ABUSE AND BULLYING. FINDING: THE TOP THREE CONCERNS ABOUT SENIOR POPULATION IN YOUR COMMUNITY: COST OF MEDICATIONS, AVAILABILITY OF RESOURCES TO HELP THE ELDERLY STAY IN THEIR HOMES, AND ASSISTED LIVING OPTIONS. RESPONSE: WE WILL CONTINUE TO ADDRESS THE COST OF MEDICATIONS THROUGH A PARTNERSHIP WITH OUR LOCAL RETAIL PHARMACY. IT HAS DEVELOPED A FUND TO HELP THOSE WHO CANNOT AFFORD THEIR PRESCRIPTIONS. THE LOCAL PHARMACY RAISES FUNDS THROUGH VARIOUS EVENTS, AND THE HOSPITAL HELPS TO ADMINISTER THE PROGRAM TO QUALIFIED INDIVIDUALS. REGARDING HELPING THE ELDERLY STAY IN THEIR HOMES AND ASSISTED LIVING OPTIONS, WE DO NOT HAVE A HOME HEALTH AGENCY OR AN ASSISTED LIVING FACILITY. HOWEVER, WE DO OPERATE A HOSPICE SERVICE THAT HELPS HOSPICE PATIENTS STAY IN THEIR OWN HOME AS LONG AS POSSIBLE. WE ALSO OFFER SWING BED SERVICES TO PATIENTS WHO HAVE BEEN DISCHARGED FROM A HOSPITAL BUT AREN'T QUITE READY TO BE HOME. SWING BED SERVICES ARE DESIGNED TO REHABILITATE THE PATIENT SO HE CAN RETURN TO HIS OWN HOME. THE FOLLOWING INFORMATION WAS DISCOVERED IN THE FOCUS GROUP MEETINGS: FINDING: THE TOP FIVE CONCERNS INDICATED BY THE FOCUS GROUPS WERE: DRUG USE AND ABUSE, OBESITY/OVERWEIGHT, EXTRA HOURS FOR APPOINTMENTS SUCH AS EVENINGS AND WEEKENDS, AVAILABILITY OF MENTAL HEALTH SERVICES, AND AVAILABILITY OF SUBSTANCE ABUSE/TREATMENT SERVICES. RESPONSE: DRUG USE AND ABUSE MUST BE ADDRESSED THROUGH SEVERAL SOCIETAL CHANNELS OF WHICH HEALTH CARE IS ONE. OUR PHYSICIAN OFFICES AND OUR EMERGENCY DEPARTMENT HAVE STRICT GUIDELINES IN THE PRESCRIBING AND ADMINISTRATION OF OPIOIDS AND NARCOTICS. THESE GUIDELINES ARE IN PLACE TO RESTRICT AND REPLACE NARCOTIC AND OPIOID USAGE AND REPLACE THEM WITH SAFER YET EFFECTIVE ALTERNATIVES. WE WILL WORK TO DEVELOP AND COMMUNICATE DRUG USE AND ABUSE AWARENESS INFORMATION FOR OUR COMMUNITIES. THIS CAN BE DONE IN PARTNERSHIP WITH OUR LOCAL LAW ENFORCEMENT AGENCIES, SCHOOL SYSTEMS, AND OTHER COMMUNITY ORGANIZATIONS. REGARDING THE HEALTH ISSUE OF OBESITY, WE WILL CONTINUE TO WORK WITH OUR LOCAL COMMUNITIES IN DEVELOPING PROGRAMS TO COMBAT THIS ISSUE, SUCH AS OUR COMMUNITY WALKING PROGRAMS. WE WILL ALSO LOOK TO DEVELOP HEALTHY EATING EDUCATION SESSIONS UTILIZING OUR DIETICIANS AND DIABETES EDUCATION PROFESSIONALS. WE HAVE PREVIOUSLY IN THIS REPORT ADDRESSED THE EVENING AND WEEKEND AVAILABILITY OF OUR HEALTH CARE PROVIDERS. WE HAVE ALSO PREVIOUSLY REPORTED THE NEW TELEHEALTH SERVICES WE ARE EXPLORING THAT WILL BRING PSYCHOLOGICAL AND PSYCHIATRIC SERVICES TO OUR COMMUNITIES. THE FOLLOWING INFORMATION WAS IDENTIFIED IN THE STAKEHOLDER INTERVIEWS: FINDING: IN ADDITION TO MANY ITEMS ALREADY MENTIONED IN THE FOCUS GROUP MEETING, STAKEHOLDERS SAW A LACK OF RESOURCES IN OUR RURAL COMMUNITIES FOR THINGS LIKE TRANSPORTATION, PSYCHOLOGICAL SCREENINGS, AND PSYCHIATRIC SERVICES AS TOP CONCERNS. RESPONSE: WE HAVE PARTNERED WITH MANY OTHER HEALTH CARE ORGANIZATIONS IN A SIXTEEN COUNTY REGION TO DEVELOP NON-EMERGENCY MEDICAL TRANSPORTATION ORGANIZER (NEMO). ASKNEMO.ORG IS A WEB-BASED APPLICATION DESIGNED TO BRING TRANSPORTATION PROVIDERS TOGETHER WITH TRANSPORTATION PRESCRIBERS TO ASSIST IN ORGANIZING AND COORDINATING TRAVEL FOR PATIENTS TO GET TO THEIR REQUIRED APPOINTMENTS IN EAST CENTRAL MICHIGAN. IT IS A PROJECT OF HOSPITAL COUNCIL OF EAST CENTRAL MICHIGAN OF WHICH WE ARE A MEMBER. AS ALREADY MENTIONED ABOVE, WE ARE IN THE PROCESS OF DEVELOPING PSYCHOLOGICAL AND PSYCHIATRIC SERVICES THOUGH TELEHEALTH SERVICES WHICH BRING THESE SPECIA
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 (10 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, 2018 AND 2017, AMOUNTED TO 989,653 AND 858,523, 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 BAD DEBT EXPENSE FOOTNOTE IN THE 6/30/18 AUDIT REPORT IS LOCATED ON PAGE 11.
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 92,025. 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 67,367 FOR THE YEAR ENDED JUNE 30, 2018 AND 109,795 FOR THE YEAR ENDED JUNE 30, 2017.
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 SYSTEMN/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$185,272$19,569$204,841
DR AKHTAR
DOCTOR$322,930$20,966$343,896
DR ALBERS
DOCTOR$292,405$9,910$302,315
DR KITTO
DOCTOR$275,421$9,642$285,063
DR KULICK
DOCTOR$252,636$20,413$273,049
DR STARBIRD
DOCTOR$248,981$20,892$269,873

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

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

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L, PART VFormAndLineReferenceDesc
ExplanationGLENN KAMPMAN, MARLETTE REGIONAL HOSPITAL DIRECTOR: PROVIDES LEGAL AND COLLECTION SERVICES TO MARLETTE REIONAL 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 (9 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 4AUNCOLLECTABLE BAD DEBTS ARE ESTIMATED BY THE USE OF THE ALLOWANCE METHOD. BAD DEBTS FOR THE YEARS ENDING JUNE 30, 2018 AND 2017 AMOUNTED TO 989,653 AND 858,523, 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, PART VIQUESTION 16A: MARLETTE REGIONAL HOSPITAL PROVIDED 100,000 OF CONTRIBUTED CAPITAL TO UNITED HEALTHCARE PARTNERS DURING THE FISCAL YEAR THAT ENDED ON 6/30/18. UNITED HEALTHCARE PARTNERS IS THE PARENT COMPANY OF MARLETTE REGIONAL HOSPITAL.
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 4/04/19 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 3,458,158 833,864 0

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
MCKENZIE HEALTH SYSTEM
120 N DELAWARE STSANDUSKYMI48471HOSPITALMI501C3N/Afalse
BLUEWATER HEALTHCARE NETWORK
120 N DELAWARE STSANDUSKYMI48471PARENTMI501C3N/Afalse
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 OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
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$217,403ACTUAL COSTS
MCKENZIE HEALTH SYSTEM
P$30,446ACTUAL COSTS
MCKENZIE HEALTH SYSTEM
Q$95,721ACTUAL COSTS

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