2018-04-11T10:24:00-06:00 2017-09-30 990 2016-10-01 381738615 MCKENZIE MEMORIAL HOSPITAL MCKENZIE HEALTH SYSTEM % STEVE BARNETT MCKE 8106483770 120 DELWARE STREET SANDUSKY MI 48471 STEVE BARNETT PRESIDENTCEO 8106486171 2018-04-11 192.30.159.164 21010520181019914396 2018-04-11 O 620F957C4DAE88EA7D0B2BCD00B9DB78168AFEBC 6BC8D78C6B97D019391E92741AD08EBD8A1CCFD6 2016 2021-01-29 14:40:06Z MCKENZIE HEALTH SYSTEM STEVE BARNETT 120 DELWARE STREET SANDUSKY MI 48471 22000308 false X WWW.MCKENZIEHEALTH.ORG X 1961 MI FOUNDED AS A COMMUNITY HOSPITAL MCKENZIE MEMORIAL HOSPITAL EXISTS TO PROVIDE EXCELLENT COMPASSIONATE AND ESSENTIAL HEALTHCARE 14 12 297 14 32339 35373 109431 21076383 21765293 -132080 21925 -37386 40756 20942290 21937405 0 0 12085316 12907378 0 22897 8360447 8442700 20445763 21350078 496527 587327 10254065 9978174 4463565 3600344 5790500 6377830 FOUNDED AS A COMMUNITY HOSPITAL, MCKENZIE MEMORIAL HOSPITAL EXISTS TO PROVIDE EXCELLENT, COMPASSIONATE AND ESSENTIAL HEALTHCARE. false false 21350078 21937405 Provide inpatient, outpatient and emergency care services Intatient registration = 157 Outpatient registration = 22,744 Emergency room = 6,213 Ambulance runs = 2,309 21350078 true true false false false false false false false false true false false false false false true false false false false false false false true false true true false false true false false false false false false true false false false false false true true true true false false true 35 0 true 297 true true true false false false false false X 14 12 false false false false true true false true true false false true true true true true true true true true true X X AMY RUEDISUELI 8106486162 120 DELAWARE STREET SANDUSKY MI 48471 X STEVE BARNETT CEOPRESIDENT 40.00 X X 200412 0 26585 AMY RUEDISUELI VP of Finance 40.00 X 120964 0 7030 MICHAEL MERKLER CHIEF OF STAFF 40.00 X 253788 0 8540 JAMES SAMS CHIEF OF STAFF 40.00 X 206562 0 11500 MATTHEW GORMLEY PHYSICIAN 40.00 X 184418 0 28075 MARK ENGLISH PHYSICIAN 40.00 X 173563 0 28201 ALFRED DOMINGO PHYSICIAN X 368690 0 0 MICHAEL LEWIS NURSE PRACTITIONER 40.00 X 124001 0 4400 GINA PATTERSON DIRECTOR OF PHARMACY 32.00 8.000 X 121381 34302 24873 BILLI JO HENNIKA VP OF OPERATIONS 40.00 X 117644 0 24393 JAY SMITH DIAGNOSTIC IMAGING MGR 40.00 X 115991 0 11401 CHRISTOPHER CLARK CHAIRPERSON X 0 0 0 MICHAEL DREYER VICE CHAIRPERSON X 0 0 0 SUE COOK SECRETARYTREASURER X 0 0 0 DANIEL BABCOCK MARLETTE CEO X 0 0 0 GAIL DENTON Director X 0 0 0 JUDITH FURGUSON Director X 0 0 0 GLEN KAMPMAN Director X 0 0 0 LARRY MITCHELL Director X 0 0 0 JOAN NAGELKIRK Director X 0 0 0 SCOTT ORR Director X 0 0 0 LORAINE REISH Director X 0 0 0 AL STOUTENBURG Director X 0 0 0 1987414 34302 174998 15 true true false Michigan Emergency Physici PO BOX 674579 DETROIT MI 482674579 ER COVERAGE 1524639 EVIDENT PO BOX 850309 MOBILE AL 366850309 SOFTWARE AND SUPPORT 206677 ORTHO-CLINICAL DIAGNOSTICS PO BOX 3655 CAROL STREAM IL 601323655 LAB SUPPLIES 188726 MCKESSON 38220 PLYMOUTH ROAD LIVONIA MI 48150 PHARMACY DRUG PURCHASES 319669 OWENS & MINOR 12199 COLLECTION CENTER DRIVE Ste 1 CHICAGO IL 60693 SUPPLIES 259372 13 109431 109431 Inpatient Outpatient 31539770 31539770 Provider Office 3835326 3835326 RHC Revenue 1097506 1097506 Contractual Adjust -15451487 -15451487 Bad debt Charity -808537 -808537 1552715 1552715 21765293 21925 21925 32339 32339 32339 32339 71320 62903 8417 8417 21937405 21787218 32339 8417 X 397287 397287 10299906 7920998 2366279 12629 279612 73462 206150 1159263 190302 968961 771310 533436 236988 886 115653 115653 49869 49869 3393903 2953700 440203 92499 25882 59524 7093 1257860 1030314 225683 1863 304526 36385 268141 332523 325018 7505 124430 100391 23638 401 45136 19987 25149 11899 6735 5164 751257 618850 132407 129651 116130 13521 Rx 730271 730271 Implant/Blood 261054 240433 20621 Tax/Licenses 272979 272979 Food/Laundry 400574 35165 365409 168616 28467 140124 25 21350078 15258905 6068276 22897 102046 264346 2193100 2274949 3131057 2697098 464564 488893 239478 260122 17226698 13233932 4123820 3992766 10254065 9978174 2588244 1958631 1459538 1236022 415783 405691 4463565 3600344 X 5716567 6303648 73933 74182 5790500 6377830 10254065 9978174 X 587327 3 X true X true X true false X 0 0.00000 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false 133080 133080 7666691 5323249 2343442 138279 127262 11017 9279314 7783421 1495893 9334 9334 3992766 21797632 21797632 139773 139773 21937405 21350078 21350078 21350078 P11, Ln 4b INTEREST INCOME $21,906; CONTRIBUTIONS NET OF P11, Ln 4b FUNDRAISING $48,647; CONT OF PROP & EQUIP $68,719 P11, Ln 4b NET ASSETS RELEASED FROM RESTRICT $253; INCREASE IN TEMP P11, Ln 4b TEMP RESTRICTED ASSETS $248 HOSP AUXILA 43273 43273 49282 43273 43273 49282 49282 -6009 true true X true X true X true true false false false false 1 13 20019 20019 0.0009 1 4575 4469721 2593731 1875990 0.0879 2 4588 4489740 2593731 1896009 0.0888 119 5915 103853 29887 73965 0.0035 1 37 14902 14902 0.0007 1 -4490 -4490 0.0000 4 202 5822 1896 3926 0.0002 125 6154 120087 31783 88303 0.0042 127 10742 4609827 2625514 1984312 0.0930 1 473 473 0.0000 8 950 2488 2488 0.0001 1 40 187 187 0.0000 1 700 2088 2088 0.0001 11 1690 5236 5236 0.0002 true 783526 32302 6128250 6229273 -101023 X true true 1 1 MCKENZIE HEALTH SYSTEM 120 DELAWARE STREET SANDUSKY MI 48471 www.mckenziehealth.org 760030 X false false true X X X X X X X X X X 15 true true true true X www.mckenziehealth.org X X true 16 true www.mckenziehealth.org/wp-content/uploads/2016/12/2 false false false true X 100.000000000000 250.000000000000 X X X true true X X X X true X www.mckenziehealth.org/patien X www.mckenziehealth.o X www.mckenzieh X X X X X X true X false X X X X true X false false 3J Describes prioritized ID needs. CHNA implements ID plan & strategy 5 Hospital focus groups include reps from Sandusky City Council, Thumb Elite 5 athletics, Sandusky Arts Council, City Police Dept., parents, educational 5 Professionals & Churches. Key stakeholders interviewed with a rep from MI 5 Dept of health & human services, Sanilac County Mental Health & Sanilac Int 5 School District. 6a Marlette Regional Hospital, Scheurer Hospital, Deckerville Hospital, Caro 6a Community Hospital, Huron Medical Center & Hills & Dales Hospital. 6b Sanilac County HD, Tuscola County HD, Huron County HD 7d CHNA was distributed to Lions club, MHS BOD, Sanilac County Mental Health, 7d Sanilac County transportation, Sanilac County Dept of Health & Human Serv. 7d Great Start collaborative, Blue Water Center for Rural Living, Sanilac Lit. 7d Sanilac probabtion & Sanilac County Sherif's Dept. 11 Committees address significant needs identified by the CHNA, Including; 11 more evening & weekend provider hours, more specialists, lack of health ins 11 awareness of health resources and services, jobs with liveable wages, avail 11 of mental health services, crime & safety, cost of ins. youth/adult obesity 11 Committees work with local organizations, such as; law enforcement, mental 11 health, schools, Sanilac transportation, specialty practices in surrounding 11 areas, telehealth options, nurse hotlines and local media to advertise serv 11 and programs. 11 SEE ATTACHED FOR ADDITIONAL INFORMATION. 38-1738615 3J 7 McKenzie Health & Wellness 170 W ARGYLE ST SANDUSKY MI 48471 PROVIDER OFFICE MCKENZIE RURAL HEALTH CLIN 75 DAWSON ST SANDUSKY MI 48471 PROVIDER OFFICE MCKENZIE FAMILY HEALTHCARE 109 N DELAWARE ST SANDUSKY MI 48471 PROVIDER OFFICE LAKESHORE INTERNAL MEDICIN 7307 CHERRY ST PORT SANILAC MI 48469 PROVIDER OFFICE CROSWELL CLINIC 8 N HOWARD ST CROSWELL MI 48422 PROVIDER OFFICE PECK MEDICAL CLINIC 251 E PECK RD PECK MI 48466 PROVIDER OFFICE SANILAC MEDICAL PLAZA 100 W ARGYLE ST SANDUSKY MI 48471 PROVIDER OFFICE/RENTAL Part I line 6a A community benefit report was prepared during the 2015 tax year. Part I line 7 Schedule H worksheets were used to prepare the cost to charge ratio. Part II McKenzie promoted Community health through various activities, such as; Part II Senior fair, school tours, County 4-H fair, & various showcases. Part III line 2 Bad debts are est by the allowance method & indp. audited annually, listed Part III line 2 net of discounts and payments rec'd on account post bad debt determination. Part III line 3 Cost to charge ratio was used for denied FAP applications. Part III line 4 See attached audited Financial Statements, page 13 & 14 note 1 Part III line 8 McKenzie is a critical access hospital under medicare reg., reimbursed Part III line 8 based on costs. Some necessary serv are not reimburable costs. Part III line 8 The shortfall of $101,023 consists of these services plus 2% sequestration. Part III line 8 Medicare cost report data was used to calculate these figures. Part III line 9b Collection policy references the FAP for those patients that are eligable Part III line 9b are eligable for assistence as a method of payment for Hospital accounts. Part VI -2 In addition to items in SCH H part V sec B, CNHA describes how identified Part VI -2 needs were prioritized & strategy was implemented. MHS also continuously Part VI -2 monitors quality scores and patient satisfaction surveys. MHS leadership Part VI -2 is in constant contact with other healthcare agencies in the community and Part VI -2 accesses any findings identified through collaboration. Part VI -3 Uninsured patients receive a Financial policy brochure from staff. Dir. of Part VI -3 Human Services then follows up with the patient to help apply for medicare/ Part VI -3 medicaid and apply of FAP program. This info is also available in brochure Part VI -3 website, patient statement, hospital lobby, ER & patient fin. services. Part VI -4 MHS is a critical access hosp. located in Sanilac County; population 41,587 Part VI -4 1600 sq miles and 90% rural. 52% of population has some college, median Part VI -4 income is $42,100. 15% of population in uninsured. unemployment rate is Part VI -4 8.4% and 23% of children live in poverty. Part VI -5 Gov. by Board of Directors, Serv.; Geriatrics, immunization, physicals, etc X X X false false false false false false false false false STEVE BARNETT CEOPRESIDENT 200412 7594 18991 226997 AMY RUEDISUELI VP of Finance 120964 120964 MICHAEL MERKLER CHIEF OF STAFF 253788 8540 262328 JAMES SAMS CHIEF OF STAFF 206562 7245 4255 218062 MATTHEW GORMLEY PHYSICIAN 184418 7219 20856 212493 MARK ENGLISH PHYSICIAN 173563 6556 21645 201764 ALFRED DOMINGO PHYSICIAN 368690 368690 MICHAEL LEWIS NURSE PRACTITIONER 124001 124001 GINA PATTERSON DIRECTOR OF PHARMACY 121381 34302 5430 19443 146254 34302 BILLI JO HENNIKA VP OF OPERATIONS 117644 4514 19879 142037 JAY SMITH DIAGNOSTIC IMAGING MGR 115991 115991 CHRISTOPHER CLARK CHAIRPERSON MICHAEL DREYER VICE CHAIRPERSON SUE COOK SECRETARYTREASURER DANIEL BABCOCK MARLETTE CEO GAIL DENTON Director JUDITH FURGUSON Director GLEN KAMPMAN Director LARRY MITCHELL Director JOAN NAGELKIRK Director SCOTT ORR Director LORAINE REISH Director AL STOUTENBURG Director false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false BARNETT ANESTHESIA CEO's Spouse 102175 CRNA Services false false false false false false false false false false Part VI Line 6 CLASSES OF MEMBERS MAKE UP THE BOARD OF DIRECTORS Part VI Line 7a BOARD MEMBERS MUST BE APPROVED BY THE BOARD OF UNITED HEALTHCARE Part VI Line 7a PARTNERS TO BECOME BOARD MEMBERS. Part VI Line 11b FINANCE COMMITTEE FIRST REVIEWS THE 990 WITH ALL SCHEDULES AND THE 990-T Part VI Line 11b REPORT IS THEN REVIEWED BY THE FULL BOARD. Part VI Line 12c BOARD AND COMMITTEE MEMBERS ARE REQUIRED TO ANNUALLY FILL OUT THE Part VI Line 12c CONFLICT OF INTEREST POLICY AND ABSTAIN FROM ANY CONFLICTING VOTE. Part VI Line 15a or b COMPENSATION IS APPROVED BY THE FULL BOARD, BASED ON RECOMMENDATIONS Part VI Line 15a or b FROM COMPENSATION SURVEYS. Part VI Line 19 ALL DOCUMENTS ARE AVAILABLE FOR INSPECTION AT REQUEST AT THE CEO/PRESIDENT Part VI Line 19 OFFICE. Part VII Compensation is provided for the 2016 tax (calendar) year Part IX Line 11g Other professional fees Total expenses - $3393903.00 Program service expenses - $2953700.00 Mgmt and general expenses - $440203.00 Fundraising expenses - $0.00 Part IX Line 24e Misc. Total expenses - $168616.00 Program service expenses - $28467.00 Mgmt and general expenses - $140124.00 Fundraising expenses - $25.00 Part XI Line 9 CORRECTION FOR ROUNDING TO WHOLE NUMBERS Part VI Line 7b United Healthcare Partners must approve any Financial Transactions above Part VI Line 7b one million dollars prior to being taken to to the BOD at McKenzie. Part IX Line 11g Total Other Professional Fees of $3,393,903 include: Prof. services medical Part IX Line 11g $2,685,451, Prof Service Non-medical $513,981, & Service contracts $194,471 Sanilac Services Inc 78 ELK Street Sandusky MI 48471 382774983 Retail pharmacy MI -29458 960077 McKenzie Memorial Hospita Marlette Regional Hospital 2770 Main Street PO Box 307 Marlette MI 48453 381507302 Healthcare MI 501 C 3 United Healthcare Partner false United Healthcare Partners 120 Delaware St Sandusky MI 48471 465444203 Healthcare MI 501 C 3 ITSELF false false false false false false false false true false false true true false false true true true false true Sanilac Services Inc H 9160 Cost basis K 11250 FMV Sandusky L 90000 Cost basis Q 62441 Cost basis S 250903 Cost basis Marlette Regional Hospital O 224563 Cost basis P 50165 Cost basis Marlette Q 28619 Cost basis