2017-05-12T14:40:00-06:00 2016-09-30 990 2015-10-01 381738615 MCKENZIE MEMORIAL HOSPITAL MCKENZIE HEALTH SYSTEM % STEVE BARNETT MCKE 8106483770 120 DELWARE STREET SANDUSKY MI 48471 STEVE BARNETT PRESIDENTCEO 8106486171 2017-04-21 2015 2021-01-29 14:40:06Z MCKENZIE HEALTH SYSTEM STEVE BARNETT 120 DELWARE STREET SANDUSKY MI 48471 20983705 false X WWW.MCKENZIEHEALTH.ORG X 1961 MI FOUNDED AS A COMMUNITY HOSPITAL MCKENZIE MEMORIAL HOSPITAL EXISTS TO PROVIDE EXCELLENT COMPASSIONATE AND ESSENTIAL HEALTHCARE 13 12 279 35 39713 44215 35373 20316098 21076383 4111 -132080 85063 -37386 20449487 20942290 0 0 11195653 12085316 0 22020 8425864 8360447 19621517 20445763 827970 496527 9660200 10254065 4366227 4463565 5293973 5790500 FOUNDED AS A COMMUNITY HOSPITAL, MCKENZIE MEMORIAL HOSPITAL EXISTS TO PROVIDE EXCELLENT, COMPASSIONATE AND ESSENTIAL HEALTHCARE. false false 20445763 20942290 PROVIDE INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES INPATIENT REGISTRATION = 194 OUTPATIENT REGISTRATION = 21,318 EMERGENCY ROOM = 6,082 AMBULANCE RUNS = 21,318 20445763 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 false true false false false true 39 0 true 279 true true true false false false false false X 13 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 STEVE BARNETT CEOPRESIDENT 40.00 X X 216390 0 0 AMY RUEDISUELI VP OF FINANCE 40.00 X 117361 0 0 MICHAEL MERKLER CHIEF OF STAFF 40.00 X 262728 0 0 JAMES SAMS PHYSICIAN 40.00 X 235369 0 0 MATTHEW GORMLEY PHYSICIAN 40.00 X 224627 0 0 MARK ENGLISH PHYSICIAN 40.00 X 205024 0 0 ALFREDO DOMINGO PHYSICIAN 40.00 X 368690 0 0 GINA PATTERSON DIRECTOR OF PHARMACY 32.00 8.000 X 142352 27198 0 ROGER LODING CHAIRPERSON X 0 0 0 CHRIS CLARK VICE CHAIRPERSON X 0 0 0 SUE COOK SECRETARY X 0 0 0 GAIL DENTON BOARD MEMBER X 0 0 0 JUDITH FERGUSON BOARDMEMBER X 0 0 0 MICHAEL DREYER TREASURER X 0 0 0 GLEN KAMPMAN BOARDMEMBER X 0 0 0 DANIEL BABCOCK MARLETTE CEO X 0 0 0 LARRY MITCHELL BOARDMEMBER X 0 0 0 SCOTT ORR BOARDMEMBER X 0 0 0 LORAINE REISH BOARDMEMBER X 0 0 0 AL STOUTENBURG BOARDMEMBER X 0 0 0 1772541 27198 8 false true false MICHGIAN EMERGENCY PHYSICI PRO BOX 674579 DETROIT MI 48267 ER COVERAGE 1481358 JOHNSON & JOHNSON HEALTHCA 5972 COLLECTIONS CENTER LOCK BOX 12 CHICAGO IL 60693 217364 CPSI 36695 WALL STREET MOBILE AL 36695 COMPUTER TECH 186196 FISCHER HEALTHCARE 13551 COLLECTION CTR DR CHICAGO IL 60693 SERVICE EQUIPMENT 145387 BIOMET 75 REMITTANCE DRIVE SUITE 3283 CHICAGO IL 606753283 SERVICE EQUIPMENT 119325 7 35373 35373 INPATIENT OUTPATIENT 31536096 31536096 PROVIDER OFFICE REVENU 3753242 3753242 RHC REVENUE 606567 606567 CONTRACTUAL ADJUST -15628446 -15628446 BAD DEBT CHARITY CAR -433191 -433191 1242115 1242115 21076383 -132080 -132080 39713 39713 39713 39713 40568 41415 -847 -847 LOSS-DISPOSE OF ASSETS -76252 -76252 LOSS-DISPOSE OF ASSETS -76252 -76252 LOSS-DISPOSE OF ASSETS -76252 -76252 -76252 20942290 20868051 39713 -847 X 379573 379573 9504963 7269677 2223217 12069 291905 216843 75062 1167187 806042 361145 741688 561668 179184 836 80032 80032 38366 38366 3364246 2844976 519270 66014 20280 37836 7898 1003020 795493 206883 644 290828 31364 259292 172 338587 331419 7168 117770 94591 22877 302 49488 18266 31222 15766 11923 3843 785044 637681 147363 132440 118927 13513 RX 705549 705549 IMPLANT/BLOOD 220771 211648 9123 TAX/LICENSES 531792 531792 FOOD/LAUNDRY/MISC 620734 143542 477093 99 20445763 15731254 4692489 22020 X 403224 102046 2139326 2193100 1721648 3131057 474099 464564 229586 239478 16648757 12524937 4542453 4123820 149864 9660200 10254065 2130814 2588244 1688200 1459538 547213 415783 4366227 4463565 X 5220399 5716567 73574 73933 5293973 5790500 9660200 10254065 496527 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 7674204 5131793 2542411 138279 125586 12693 8699494 7267558 1431936 3700 3700 4123820 21116096 173806 173806 20942290 20942290 20522011 76252 -4 76248 20445763 20445763 P11, Ln 4b 17,764 Interest; (149,864) Consolidated Affiliate; 34,189 Contribution P11, Ln 4b 336 RESTRICTED CONTRIBUTION; 21 RESTRICTED INTEREST P12, Ln 2d 4 ROUNDING Hosp Auxil 38268 38268 40235 38268 38268 40235 40235 -1967 true true X true X true X true true false false true true 1 8 69487 69487 0.00340 1 4215 3782228 2587742 1194485 0.05840 2 4223 3851715 2587742 1263972 0.06180 73 3824 90853 47209 43644 0.00210 15166 15166 0.00074 1 4966 4966 0.00020 2 200 200 200 76 4024 111185 47209 63976 0.00304 78 8247 3962900 2634951 1327948 0.06484 1 439 439 0.00002 16 1210 2265 2265 0.00011 1 60 185 185 0.00001 18 1270 2889 2889 0.00014 true 391774 7181 6687311 6796463 -109152 X true true 1 1 MCKENZIE HEALTH SYSTEM 120 DELAWARE STREET WWWMCKENZIEHEALTHORG MI 48466 760030 X MCKENZIE MEMORIAL HOSPITAL 1 false false true X X X X X X X X X 15 true true true true X www.mckenziehealth.org/wp-content/uploa X X true 15 true http://www.mckenziehealth.org/wp-content/uploads/ false false false true X 100.000000000000 250.000000000000 X X X true true X X X X true X http://www.mckenziehealth.org X http://www.mckenzieh X http://www.mc X X X X X true X false X X X X true X false false 3j DESCRIBES HOW ID NEEDS WERE PRIORITIZED. CHNA CONTAINS IMPLENT PLAN & STRAT 5 HOSPITAL HELD A FOCUS GROUP WHICH INCLUDED REPS FROM SANDUSKY CITY COUNCIL, 5 THUMB ELITE ATHLETICS, SANDUSKY ARTS COUNCIL, SANDUSKY POLICE DEPARTMENT, 5 LOCAL PARENTS, EDUCATION PROFESSIONALS, CHURCHES. THE HOSPITAL HELD KEY 5 STAKEHOLDER INTERVIEWS WITH A REP FROM THE MICHIGAN DEPARTMENT OF HEALTH & 5 HUMAN SERVICES, SANILAC COUNTY MENTAL HEALTH & THE SANILAC INTERMEDIATE SCH 6a MARLETTE REGIONAL HOSPITAL, SCHEURER HOSPITAL, DECKERVILLE HOSPITAL, CARO 6a COMMUNITY HOSPITAL, HURON MEDICAL CENTER & HILLS AND DALES HOSPITAL. 6b SANILAC COUNTY HEALTH DEPT, TUSCOLA HEALTH DEPT & HURON COUNTY HEALTH DEPT. 7d THE CHNA REPORT IS BEING DISTRIBUTED TO COMMUNITY MEMBERS, INCLUDING THE 7d LIONS CLUB, COMMUNITY COLLABORATIVE COMMITTEE & MCKENZIE'S BOARD OF DIRECT 7d COMMUNITY COLLABORATIVE CONSISTS OF SANILAC COUNTY COMMUNITY MENTAL HEALTH, 7d SANILAC TRANSPORTATION, SANILAC COUNTY DEPT OF HEALTH & HUMAN SERVICES, 7d GREAT START COLLABORATIVE, BLUE WATER CENTER FOR RURAL LIVING, SANILAC 7d LITERACY, SANILAC PROBATION & SANILAC COUNTY SHERIFFS DEPT 11 COMMITTES WERE FORMED TO ADDRESS SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA. 11 THE FOLLOWING NEEDS WERE IDENTIFIED FROM THE CHNA: NOT ENOUGH PROVIDER 11 EVENING & WEEKEND HOURS, NOT ENOUGH SPECIALIST, LACK OF HEALTH INSURANCE, 11 LACK OF AWARENESS OF LOCAL HEALTH RESOURCES & SERVICES, LACK OF JOBS WITH 11 LIVEABLE WAGE, AVAILABILITY OF MENTAL HEALTH SERVICES, CONCERNS ABOUT CRIME 11 & SAFETY, COST OF INSURANCE, YOUTH OBESITY, YOUTH DRUG ABUSE, LACK OF 11 RESOURCES FOR FRIENDS & FAMILY CARING FOR ELDERY & THE ABILITY TO KEEP 11 ELDERLY IN THEIR HOME, NOT ENOUGH PUBLIC TRANSPORTATION & ADULT OBESITY. 11 COMMITTES WILL WORK WITH LOCAL ORGANIZATIONS TO ADDRESS NEEDS OUTLINED BY 11 THE CHNA, INCLUDING, LAW ENFORCEMENT, MENTAL HEALTH, SCHOOLS, SANILAC 11 TRANSPORTATION, SPECIALTY PRACTICES IN THE SURRONDING AREAS, TELEHEALTH 11 OPTIONS, NURSE HOTLINES & LOCAL MEDIA FOR INCREASED ADV OF SERIVCES & PROGR 22d MEDICARE & CONTRACTED COMMERICAL CARRIER RATES WERE USED 38-1738615 3j 8 MCKENZIE HEALTH AND WELLNE 170 W ARGYLE STREET SANDUSKY MI 48471 PROVIDER OFFICE MCKENZIE RURAL HEALTH CLIN 75 DAWSON STREET SANDUSKY MI 48471 PROVIDER OFFICE MAIN STREET HEALTH CENTER 74 SOUTH ELK STREET SANDUSKY MI 48471 ORTHOPEDIC OFFICES MCKENZIE FAMILY HEALTHCARE 109 N DELAWARE STREET SANDUSKY MI 48471 PROVIDER OFFICE LAKESHORE INTERNAL MEDICIN 7307 CHERRY STREET PORT SANILAC MI 48469 PROVIDER OFFICE CROSWELL CLINIC 8 N HOWARD STREET CROSWELL MI 48422 PROVIDER OFFICE PECK MEDICAL CENTER 251 E PECK ROAD PECK MI 48466 PROVIDER OFFICE SANILAC MEDICAL PLAZA 100 W ARGYLE STREET 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 MCKENZIE USES SCHEDULE H WORKSHEETS TO PREPARE THE COST TO CHARGE RATIO PART II MCKENZIE COMMUNITY BUILDING ACTIVITIES PROMOTED THE HEALTH OF THE COMMUNITY PART II BY SUPPORTING THE LOCAL COMMUNITY THROUGH VARIOUS ACTIVITES. EXAMPLES: PART II COMMUNITY SENIOR FAIR, SCHOOL TOURS, SANILAC 4-H FAIR & VARIOUS SHOWCASES PART III LINE 2 BAD DEBTS ARE ESTIMATED USING THE ALLOWANCE METHOD. THE BAD DEBT EXPENSE PART III LINE 2 COST DETRIMINED BASED UPON THE COST TO CHARGE RATIO PER SCH H WORKSHEET PART III LINE 3 COST OF BAD DEBT EXPENSES ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE PART III LINE 3 ANALYZED FAP APPLICATIONS THAT WERE DENIED DUE INCOMPLETE DOCUMENTATION PART III LINE 3 APPLIED COST TO CHARGE RATIO DEVELOPED IN SCHEDULE H. THIS EXPENSE IS PART III LINE 3 INCLUDED AS IT IS OUR COMMUNITY THAT CAN NOT AFFORD TO PAY THEIR BILL PART III LINE 4 FOOTNOTE INCLUDED IN ATTACHED AUDITED FINANCIAL STATEMENTS, PG 11&14, NOTE1 PART III LINE 8 THE HOSPITAL IS DESIGNATED A CRITICAL ACCESS HOSPITAL UNDER MEDICARE REGS. PART III LINE 8 MOST SERVICES OF CAH'S ARE COST REIMBURSED;THERE ARE CERTAIN NECESSARY SERV PART III LINE 8 THAT ARE NOT. THE SHORTFALL OF $109,152 IS DERIVED FROM THOSE TYPES OF SERV PART III LINE 8 THE MEDICARE COST REPORT DATA WAS USED TO CALCULATE THESE FIGURES. PART III LINE 9b COLLECTION POLICY REFERENCES THE FAP FOR THOSE PATIENTS THAT ARE ELIGIBLE PART III LINE 9b FOR ASSISTANCE AS A METHOD OF PAYMENT/COLLECTIONS FOR HOSPITAL ACCOUNTS. PART VI 2 REPORT DESCRIBES HOW IDENTIFIED NEEDS WERE PRIORITIZED & IMPLEMENATION PART VI 2 STRATEGY. LEADERSHIP CONTINUES TO WORK WITH HEALTHCARE ORG THROUGH COMM. PART VI 3 ALL PATIENTS WHO ARE UNINSURED ARE GIVEN A FINANCIAL POLICY BROCHURE, THE PART VI 3 DIRECTOR OF HUMAN RESOURCES IS THEN NOTIFIED FOR FOLLOW UP WITH PATIENT PART VI 3 THE FAP IS LOCATED ON PATIENT STATEMENTS, MHS'S WEBSITE & HOSPITAL LOBBIES PART VI 4 MHS IS A CAH IN RURAL SANILAC COUNTY, POPULATION=41,587.UNISUREDPOPULATION PART VI 4 =15% UNEMPLOYMENT=8.4%. CHILDREN LIVE IN POVERTY=23%. MEDIAN INCOME=42,100. PART VI 5 GOVERNED BY COMMUNITY BOARD OF DIRECTORS. SERVICE PROVIDED BASED UPON COMM PART VI 5 NEEDS= GERATRICS PROGRAM, SENIOR FAIR, SPORTS PHYSICALS &IMMUNIZATIONS PART VI 6 & 7 NOT APPLICABLE Part III Line 2 ESTIMATED USING THE ALLOW ANCE METHOD & COST TO CHG Part III Line 3 ANALYZED FAP LOG FOR DENIALS, COST TO CHARGE Part III Line 4 SEE ATTACHED AUDITIED FS PG 11 & 14 NOTE 1 Part III Line 9b THE COLLECTION POLICY REFERENCES THE FAP X X X false false false false false false false false false STEVE BARNETT CEOPRESIDENT 189960 26430 216390 AMY RUEDISUELI VP OF FINANCE 110379 6982 117361 MICHAEL MERKLER CHIEF OF STAFF 253453 9275 262728 JAMES SAMS PHYSICIAN 223555 11814 235369 MATTHEW GORMLEY PHYSICIAN 196506 28121 224627 MARK ENGLISH PHYSICIAN 176627 28397 205024 ALFREDO DOMINGO PHYSICIAN 368690 368690 GINA PATTERSON DIRECTOR OF PHARMACY 117913 27198 24439 142352 27198 ROGER LODING CHAIRPERSON CHRIS CLARK VICE CHAIRPERSON SUE COOK SECRETARY GAIL DENTON BOARD MEMBER JUDITH FERGUSON BOARDMEMBER MICHAEL DREYER TREASURER GLEN KAMPMAN BOARDMEMBER DANIEL BABCOCK MARLETTE CEO LARRY MITCHELL BOARDMEMBER SCOTT ORR BOARDMEMBER LORAINE REISH BOARDMEMBER AL STOUTENBURG BOARDMEMBER 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 1011 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 BLUE WAATER HEALTHCARE Part VI Line 7a NETWORK TO BECOME BOARD MEMBERS. Part VI Line 7b BLUE WATER HEALTHCARE NETWORK MUST APPROVE ANY FINANCIAL TRANSACTIONS ABOVE Part VI Line 7b ONE MILLION DOLLARS BEFORE ANY ACTION CAN BE TAKE BY THE BOD AT MCKENZIE. 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 FULL BOARD. Part VI Line 12c BOARD AND COMMITTEE MEMBERS ARE REQUIRED TO ANNUALLY FILL OUT THE ANNUAL 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 UPON 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/PRESIDENTS Part VI Line 19 OFFICE. Part IX Line 11g MISC Total expenses - $3364246.00 Program service expenses - $2844976.00 Mgmt and general expenses - $519270.00 Fundraising expenses - $0.00 PART X LINE 11 PUBLICLY TRADED SECRUTIES, THIS AMOUNT WAS PREVIOUSLY LISTED UNDER LINE 15. PART X LINE 11 THIS SECRUITY HAS BEEN DEEMED WORTHLESS DURING TAX YEAR 2015. 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 STREET SANDUSKY MI 48471 465444203 HEALTCHARE MI 501 C 3 ITSELF false SANILAC SERVICES 78 S ELK ST SANDUSKY MI 48471 382774983 PHARMACY MI MCKENZIE C false false false false false false false false false false false true false false false true true true false false MARLETTE REGIONAL HOSPITAL O 76997 COST BASIS MARLETTE REGIONAL HOSPITAL P 38541 COST BASIS MARLETTE REGIONAL HOSPITAL Q 39215 COST BASIS UNITED HEALTHCARE PARTNERS UNITED HEALTHCARE PARTNERS UNITED HEALTHCARE PARTNERS SANILAC SERVICES K 15000 FMV SANILAC SERVICES P 12944 COST BASIS SANILAC SERVICES Q 90000 COST BASIS