2019-04-15T07:46:44-05:00 2018-06-30 382475073 ANDERSON TUCKEY BERNHARDT & DORAN PC 715 E FRANK STREET CARO MI 48723 990 2017-07-01 381507302 MARLETTE REGIONAL HOSPITAL MARL 9896354000 2770 MAIN STREET PO BOX 307 MARLETTE MI 484530307 DAN BABCOCK MRH, CEO 9896354237 2018-02-28 true TIMOTHY D FRANZEL P00851336 9896733137 2019-04-15 192.30.157.226 2019-04-15 07:46:44 CD P 8016260A2E36C637A12C2718B0CDD68A63B2CD91 4206662FA05B9FBD858AABFBA5EF6244A4A5A889 2017 2019-02-21 02:37:17Z DAN BABCOCK 32190956 false X WWW.MARLETTEREGIONALHOSPITAL.ORG X 1951 MI TO PROVIDE MEDICAL AND SURGICAL CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF MRH, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. THEREFORE, IN KEEPING WITH THIS HOSPITAL'S COMMITMENT TO SERVE ALL MEMBERS OF ITS COMMUNITY, FREE CARE AND/OR SUBSIDIZED CARE, CARE PROVIDED TO PERSONS COVERED BY GOVERNMENT PROGRAMS BELOW COST, AND HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY'S HEALTH STATUS WILL BE CONSIDERED WHERE THE NEED AND/OR THE INDIVIDUAL'S INABILITY TO PAY CO-EXIST. THESE ACTIVITIES INCLUDE ACUTE, EMERGENCY AND OUTPATIENT SERVICES IN ADDITION TO WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, AND SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED, MEDICALLY UNDER-SERVED, AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. 12 10 511 150 0 276787 348908 31233902 30485672 133109 198079 450188 539147 32093986 31571806 0 0 19395989 19229134 0 0 12395979 12278576 31791968 31507710 302018 64096 31116730 23491145 11469733 3780052 19646997 19711093 X TO PROVIDE MEDICAL AND SURGICAL CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF MRH, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. THEREFORE, IN KEEPING WITH THIS HOSPITAL'S COMMITMENT TO SERVE ALL MEMBERS OF ITS COMMUNITY, FREE CARE AND/OR SUBSIDIZED CARE, CARE PROVIDED TO PERSONS COVERED BY GOVERNMENT PROGRAMS BELOW COST, AND HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY'S HEALTH STATUS WILL BE CONSIDERED WHERE THE NEED AND/OR THE INDIVIDUAL'S INABILITY TO PAY CO-EXIST. THESE ACTIVITIES INCLUDE ACUTE, EMERGENCY AND OUTPATIENT SERVICES IN ADDITION TO WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, AND SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED, MEDICALLY UNDER-SERVED, AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. false false 26840228 30485672 DURING 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. 26840228 true true false false false false false false false false true false false false true false true false false false false false false false false false true true false false true false false false false false true false true false false false false false true false false false true 62 0 true 511 true false false false false false true true false false false false X 12 10 false false false false false false false true true false false true true true true true true true true true false X JIM SINGLES CFO 9896354000 2770 MAIN STREET MARLETTE MI 48453 DAN BABCOCK MRH, CEO 40.00 X X 185272 0 19569 CHRIS CLARK CHAIRMAN X X 0 0 0 MIKE DREYER V. CHAIRMAN X X 0 0 0 ORIN CAMPBELL TRUSTEE X 0 0 0 STEVE BARNETT MHS, CEO X X 0 0 0 LORRAINE REISH TRUSTEE X 0 0 0 JOAN NAGELKIRK TRUSTEE X 0 0 0 LARRY MITCHELL TRUSTEE X 0 0 0 SUE COOK SECRETARY X X 0 0 0 GLEN KAMPMAN TRUSTEE X 0 0 0 SCOTT ORR TRUSTEE X 0 0 0 GAIL DENTON TRUSTEE X 0 0 0 JAMES SINGLES CFO 40.00 X 123522 0 5167 DR AKHTAR DOCTOR 40.00 X 322930 0 20966 DR ALBERS DOCTOR 40.00 X 292405 0 9910 DR KITTO DOCTOR 40.00 X 275421 0 9642 DR KULICK DOCTOR 40.00 X 252636 0 20413 DR STARBIRD DOCTOR 40.00 X 248981 0 20892 1701167 106559 17 false true false MCKENZIE HEALTH SYSTEM 120 N DELAWARE STREET SANDUSKY MI 48471 275819 DR LISA LEWIS 29746 BRIARTON STREET FARMINGTON HILLS MI 483312248 ER DOCTOR 262640 DR NITIN GOLECHHA 2734 MAIN ST MARLETTE MI 48453 HOSPITALIST 204679 LABCORP PO BOX 12140 BURLINGTON NC 27216 LAB 168771 SANILAC MEDICAL CARE 137 NORTH ELK SANDUSKY MI 48471 LONG TERM CARE 153669 8 348908 348908 PATIENT SERVICE REVENUE 52276913 52276913 BAD DEBT -922286 -922286 CONTRACTUAL ADJUSTMENTS -20868955 -20868955 30485672 195259 195259 700365 619150 81215 81215 81215 2820 2820 2820 2820 340B PHARMACY PROGRAM 296822 296822 MEALS SERVED 128891 128891 RECORDS LIBRARIAN 13278 13278 18941 18941 457932 31571806 2820 31220078 X 16335975 14638683 1697292 200121 179329 20792 1571777 1383430 188347 1121261 1002936 118325 38234 38234 27690 27690 4292022 3458158 833864 85789 9276 76513 3463805 3366599 97206 609969 557147 52822 86182 68941 17241 113932 51815 62117 1230458 1008928 221530 353285 185948 167337 TAXES & LICENSES 777932 77965 699967 PROFESSIONAL FEES 360491 359831 660 REPAIRS & MAINTANCE 244993 236726 8267 COLLECTION EXPENSE 175610 9809 165801 418184 244707 173477 31507710 26840228 4667482 0 6714773 5320649 3826795 3469974 336012 349487 463177 216812 47263267 33411619 14463131 13851648 5116660 196182 282575 31116730 23491145 735861 294410 1895822 1458503 6845000 1993050 2027139 11469733 3780052 X 18410448 19173850 1190828 491522 45721 45721 19646997 19711093 31116730 23491145 64096 X false true X true false X 624658 624658 24435913 13630072 10805841 967374 891649 75725 21235322 18889898 2345424 13851648 ACCRUED OTHER 935225 ACCRUED PAID HOURS OFF 484032 ACCRUED SALARIES 448978 ACCRUED PAYROLL TAXES 158904 2027139 31571806 31571806 31571806 31507710 31507710 31507710 true true true X true X true true false true true 1 6306 6306 0.00020 1 6418025 4167331 2250694 0.07140 2 6424331 4167331 2257000 0.07160 118 700 39634 6493 33141 0.00110 153 153 33844 33844 0.00110 28842 4346805 3001593 1345212 0.04270 132 2030 28609 2160 26449 0.00080 29245 2883 4448892 3010246 1438646 0.04570 29247 2883 10873223 7177577 3695646 0.11730 16 1240 2261 2261 0.00010 16 1240 2261 2261 0.00010 false 550695 9158263 9250288 -92025 X true true THUMB MRI CENTER LLC MAGNETIC REASONANCE IMAGING (MRI) 0.17000 1 1 MARLETTE REGIONAL HOSPITAL 2770 MAIN ST PO BOX 307 MARLETTE MI 484530307 X X X X MARLETTE REGIONAL HOSPITAL 1 false false true X X X X X X X 16 true true true true X WWW.MARLETTEREGIONALHOSPITAL.ORG X true 16 true WWW.MARLETTEREGIONALHOSPITAL.ORG false false true X 100.000000000000 250.000000000000 X X X X true true X X X true X WWW.MARLETTEREGIONALHOSPITAL.ORG X WWW.MARLETTEREGIONALHOSPITAL.ORG X WWW.MARLETTEREGIONALHOSPITAL.ORG X X X X X true X false true X false true FACILITY 1, MARLETTE REGIONAL HOSPITAL - PART V, LINE 5 THE 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 6A YES 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 6B YES THE COUNTY HEALTH DEPARTMENT FROM SANILAC, TUSCOLA AND HURON COUNTIES ALSO PARTICIPATED IN THE CHNA SURVEY. FACILITY 1, MARLETTE REGIONAL HOSPITAL - PART V, LINE 11 THE 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 13H NUMBER OF RESIDENTS IN HOUSEHOLD FACILITY 1, MARLETTE REGIONAL HOSPITAL - PART V, LINE 16J THE SOCIAL SERVICES DEPARTMENT WILL REVIEW AND DISCUSS THE FINANCIAL ASSISTANCE PROGRAM WITH UNINSURED PATIENTS THAT ARE ADMITTED TO THE HOSPITAL. FACILITY 1, MARLETTE REGIONAL HOSPITAL - PART V, LINE 24 PATIENTS WHO MAY HAVE QUALIFIED FOR FAP, BUT DID NOT INQUIRE ABOUT THE PROGRAM OR COMPLETE AN APPLICATION WOULD HAVE BEEN CHARGED AND BILLED AT THE GROSS CHARGE LEVEL. PART II - COMMUNITY BUILDING ACTIVITIES MARLETTE REGIONAL HOSPITAL PART II: THE HEALTH OF THE COMMUNITY HAS BEEN PROMOTED BY PROVIDING SPACE FOR LOCAL GROUPS TO MEET AND THROUGH EMPLOYEE SUPPORT OF LOCAL EVENTS. PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY BAD 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 STATEMENTS THE BAD DEBT EXPENSE FOOTNOTE IN THE 6/30/18 AUDIT REPORT IS LOCATED ON PAGE 11. PART III, LINE 8 - MEDICARE EXPLANATION THE HOSPITAL IS DESIGNATED AS A CRITICAL ACCESS HOSPITAL UNDER MEDICARE REGULATIONS. CRITICAL ACCESS HOSPITALS RECEIVE COST REIMBURSEMENT FOR ACUTE-CARE INPATIENT AND SUBSTANTIALLY ALL OUTPATIENT SERVICES. THERE ARE A FEW SERVICES THAT ARE NOT PAID ON A COST REIMBURSEMENT BASIS AND THOSE SERVICES PROVIDED A SHORT FALL OF 92,025. COST REPORT DATA OR THE APPLICABLE COST TO CHARGE RATIO WERE USED TO DETERMINE ALLOWABLE COST. PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION ONCE AN ACCOUNT HAS REACHED THE END OF INTERNAL COLLECTION PROCESS IT IS TURNED OVER TO AN OUTSIDE COLLECTION AGENCY. BAD DEBTS RECOVERIES AMOUNTED TO 67,367 FOR THE YEAR ENDED JUNE 30, 2018 AND 109,795 FOR THE YEAR ENDED JUNE 30, 2017. PART VI, LINE 2 - NEEDS ASSESSMENT PLEASE SEE RESPONSE FOR SCHEDULE H, PART V, LINE 3A-I PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE FOR INPATIENT SERVICES WE SEEK ANY INFORMATION REGARDING INSURANCE COVERAGE. IF NO COVERAGE IS AVAILABLE WE REFER THE PATIENT TO OUR SOCIAL WORKER WHO HELPS THE PATIENT APPLY FOR GOVERNMENT ASSISTANCE IF APPLICABLE AND AVAILABLE, AND IF IT IS NOT, THEN WE HELP THEM COMPLETE THE FINANCIAL ASSISTANCE APPLICATION. FOR OUTPATIENT SERVICES THE BILLING DEPARTMENT ASSISTS THE PATIENT IN APPLYING FOR GOVERNMENTAL ASSISTANCE. IF NOT APPLICABLE OR AVAILABLE, THE PATIENT IS ASSISTED IN COMPLETING THE FINANCIAL ASSISTANCE APPLICATION AND APPLICATIONS TO SPECIAL ORGANIZATIONS THAT MIGHT OFFER ASSISTANCE AS WELL. PART VI, LINE 4 - COMMUNITY INFORMATION MARLETTE REGIONAL HOSPITAL IS A CRITICAL ACCESS HOSPITAL LOCATED IN MARLETTE WITHIN SANILAC COUNTY. AREA OF SERVICE INCLUDES THE SOUTHERN PORTION OF HURON COUNTY, THE EASTERN PORTION OF TUSCOLA COUNTY, THE NORTHERN PORTION OF LAPEER COUNTY, AND SANILAC COUNTY. THE TOTAL POPULATION FOR THESE COUNTIES WAS APPROXIMATELY 213,919 IN 2017. UNEMPLOYMENT FOR THESE COUNTIES RANGED AT 4.4% TO 5.2% IN 2018 AND THE MEDIAN HOUSEHOLD INCOME FOR THIS AREA IN 2018 RANGED BETWEEN 46,627 AND 57,621. PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH THE HOSPITAL IS GOVERNED BY A COMMUNITY BOARD AND HAS AN OPEN MEDICAL STAFF. IT ALSO PARTICIPATES IN FREE OR REDUCED HEALTH SCREENINGS AND FAIRS THAT ARE AVAILABLE TO THE GENERAL PUBLIC. PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM N/A X X X false false false false false false false false false DAN BABCOCK MRH, CEO 185272 19569 204841 DR AKHTAR DOCTOR 322930 20966 343896 DR ALBERS DOCTOR 292405 9910 302315 DR KITTO DOCTOR 275421 9642 285063 DR KULICK DOCTOR 252636 20413 273049 DR STARBIRD DOCTOR 248981 20892 269873 GLENN KAMPMAN DIRECTOR LEGAL SERVICES false STEVE BARNETT DIRECTOR HEALTH SERVICES false SCHEDULE L, PART V GLENN 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. FORM 990 - ORGANIZATION'S MISSION TO PROVIDE MEDICAL AND SURGICAL CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF MRH, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. THEREFORE, IN KEEPING WITH THIS HOSPITAL'S COMMITMENT TO SERVE ALL MEMBERS OF ITS COMMUNITY, FREE CARE AND/OR SUBSIDIZED CARE, CARE PROVIDED TO PERSONS COVERED BY GOVERNMENT PROGRAMS BELOW COST, AND HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY'S HEALTH STATUS WILL BE CONSIDERED WHERE THE NEED AND/OR THE INDIVIDUAL'S INABILITY TO PAY CO-EXIST. THESE ACTIVITIES INCLUDE ACUTE, EMERGENCY AND OUTPATIENT SERVICES IN ADDITION TO WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, AND SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED, MEDICALLY UNDER-SERVED, AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. FORM 990, PAGE 2, PART III, LINE 4A 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. FORM 990, PART VI QUESTION 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 11B THE 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 12C THE 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 15A COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL IS BASED UPON APPLICABLE STATEWIDE COMPENSATION SURVEYS. IN ADDITION THE COMPENSATION IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS ANNUALLY. FORM 990, PAGE 6, PART VI, LINE 15B THE COMPENSATION OF OTHER TOP OFFICIALS ARE BASED UPON APPLICABLE STATEWIDE COMPENSATION SURVEYS. FORM 990, PAGE 6, PART VI, LINE 19 THE GOVERNING DOCUMENTS, ADMINISTRATIVE POLICIES, AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE GENERAL PUBLIC. FORM 990, PART IX, LINE 11G CONTRACT SERVICES 3,458,158 833,864 0 MCKENZIE HEALTH SYSTEM 120 N DELAWARE ST SANDUSKY MI 48471 HOSPITAL MI 501C 3 N/A false BLUEWATER HEALTHCARE NETWORK 120 N DELAWARE ST SANDUSKY MI 48471 PARENT MI 501C 3 N/A false false false false false false false false false false false false false false false true true true false false MCKENZIE HEALTH SYSTEM O 217403 ACTUAL COSTS MCKENZIE HEALTH SYSTEM P 30446 ACTUAL COSTS MCKENZIE HEALTH SYSTEM Q 95721 ACTUAL COSTS