2015-02-11T07:12:03-06:00 2014-06-30 382475073 ANDERSON TUCKEY BERNHARDT & DORAN PC 715 E FRANK STREET CARO MI 48723 990 2013-07-01 381507302 MARLETTE REGIONAL HOSPITAL MARL 9896354000 2770 MAIN STREET PO BOX 307 MARLETTE MI 484530307 DAN BABCOCK CPA CEO 9896354000 2015-01-27 true TIMOTHY D FRANZEL P00851336 9896733137 2015-01-29 2013 2016-02-25 16:41:14Z DAN BABCOCK CEO 2770 MAIN STREET PO BOX 307 MARLETTE MI 484530307 33441686 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. 16 14 495 200 0 283919 257271 32540844 31584345 -6549 496808 228769 408425 33046983 32746849 0 0 19560801 19354834 0 150023 14541531 13727142 34102332 33081976 -1055349 -335127 35455417 34065149 15629948 14587200 19825469 19477949 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 28042325 31584345 DURING FISCAL YEAR 2013-2014 MARLETTE REGIONAL HOSPITAL SERVED 631 INPATIENTS, PROVIDED CARE TO 44,942 OUTPATIENTS, INCLUDING 7,926 EMERGENCY DEPARTMENT PATIENTS, AND SERVED 28,116 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 19,261,678 REPRESENTING A WRITE-DOWN OF 36.3 PERCENT OF THE HOSPITAL'S CHARGES, INCLUDING CHARITY CARE EXPENSES OF 3,924. 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, 2014 AND 2013 AMOUNTED TO 2,270,857 AND 2,224,877, RESPECTIVELY. THE BAD DEBT EXPENSE ON LINE 2 OF SECTION A IS DETERMINED USING THE COST BASED UPON THE COST TO CHARGE RATIO THAT IS DEVELOPED IN SCHEDULE H. 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 "CPR TRAINING FOR THE COMMUNITY AND PUBLIC SAFETY AGENCIES "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 "SPEAKERS BUREAU "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 "DRUG REVIEW FOR SENIOR CITIZENS "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 "FREE OR LOW COST MEALS "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 "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. 28042325 true true false false false false false false false false true false false false true false true false false false false false false false true false true true false false true false false false false false false false false false false false false false true false false false true 36 0 true 495 true false false false false false true true false false false false X 16 14 false false false false false false false true true false false true true true false true true true true true false X JIM SINGLES CFO 9896354000 2770 MAIN STREET MARLETTE MI 48453 STEVE BARNETT CEO X 0 0 0 RALPH DESHETSKY TRUSTEE X 0 0 0 JOAN NAGELKIRK SECRETARY X X 0 0 0 DR MARK ENGLISH TRUSTEE X 0 0 0 ROGER LODING CHAIRMAN X X 0 0 0 CHRIS CLARK V. CHAIRMAN X X 0 0 0 JUDITH FERGUSON TRUSTEE X 0 0 0 SUE COOK TRUSTEE X 0 0 0 GLEN KAMPMAN TRUSTEE X 0 0 0 SCOTT ORR TRUSTEE X 0 0 0 MEREDITH LYONS TRUSTEE X 0 0 0 WILLIAM STARBIRD MD TRUSTEE X 0 0 0 LARRY MITCHELL TRUSTEE X 0 0 0 AL STOUTENBURG TRUSTEE X 0 0 0 MICHAEL DREYER TREASURER X X 0 0 0 DAN BABCOCK CEO 40.00 X 184422 0 17500 LAWRENCE HOLEN DOCTOR 40.00 X 379102 0 32359 DR WILLIAM HALACOGLU DOCTOR 40.00 X 282792 0 33651 DR GALARNEAU DOCTOR 40.00 X 253901 0 33451 DR WILLIAM STARBIRD DOCTOR 40.00 X 241925 0 32190 DR DANIEL KULICK DOCTOR 40.00 X 234001 0 28023 1576143 177174 14 false true false DR LISA LEWIS 29746 BRIARTON STREET FARMINGTON HILLS MI 483312248 ER DOCTOR 275111 MCKENZIE HEALTH SYSTEMS 120 DELAWARE STREET SANDUSKY MI 48471 223167 DR NITIN GOLECHHA 6731 LEXINGTON AVE NORTH SHELBY TWP MI 48317 HOSPITALIST 211644 DR W ZEMNICKAS 844 S MAIN ST LAPEER MI 48446 OR COVERAGE 187000 DR RATAN RAJANI 844 S MAIN ST LAPEER MI 48446 OR COVERAGE 178000 6 257271 257271 PATIENT SERVICE REVENUE 52980995 52980995 CHARITY CARE & BAD DEBT -2138896 -2138896 CONTRACTUAL ADJUSTMENTS -19257754 -19257754 31584345 136576 136576 647133 653804 -6671 -6671 -6671 360984 752 360984 -752 360232 360232 84644 40281 44363 ELECTRONIC HEALTH RECORDS 234973 234973 MEALS SERVED 116669 116669 RECORDS LIBRARIAN 11943 11943 7148 7148 370733 32746849 360232 32084983 X 15395341 13588833 1715956 90552 193667 170942 21586 1139 2655165 2330039 324130 996 1110661 977990 118824 13847 93245 93245 36912 36912 3862105 3182709 663359 16037 125787 -4405 129044 1148 4123230 3945271 168158 9801 615852 605218 10634 154486 130316 17643 6527 175188 175188 2075313 1521310 552144 1859 411292 364281 46310 701 TAXES & LICENSES 805020 38275 766745 OUTSIDE LAB 285034 285034 REPAIRS & MAINTANCE 239399 234340 5004 55 LEASE EQUIPMENT 194478 187784 6694 529801 309200 213240 7361 33081976 28042325 4889628 150023 5502000 6794168 6921835 5317004 322563 323197 215555 522133 44548416 26615752 19024372 17932664 3202090 2932941 267002 243042 35455417 34065149 1100819 1248406 4001164 3383390 9020000 8515000 1507965 1440404 15629948 14587200 X 18599545 18416007 1180203 1016221 45721 45721 19825469 19477949 35455417 34065149 -335127 -12393 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 599658 599658 24000564 10709250 13291314 905974 741392 164582 18987325 15165110 3822215 54895 54895 17932664 ACCRUED OTHER 654441 ACCRUED PAID HOURS OFF 388681 ACCRUED SALARIES 372561 ACCRUED PAYROLL TAXES 24721 1440404 32734456 -12393 -12393 32746849 32746849 33081976 33081976 33081976 HUNTING FOR HEA 58071 58071 33121 MRH GOLF OUTING 26573 26573 100 580 6480 84644 84644 100 580 6480 33121 40281 44363 MI true true true X true X true true false true false 1 2122 2122 0.00010 1 5391185 4372006 1019179 0.03080 2 5393307 4372006 1021301 0.03090 732 1266 73873 73873 0.00220 7 7 7280 7280 0.00020 8 28852 3566086 2580790 985296 0.02980 12 120 200 200 759 30245 3647439 2580790 1066649 0.03220 761 30245 9040746 6952796 2087950 0.06310 1 40 397 397 30 1100 2656 2656 0.00010 173 133 5919 5919 0.00020 204 1273 8972 8972 0.00030 false 2270857 10745504 10874551 -129047 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 true X X X X X X X X X X 12 true false true X WWW.MARLETTEREGIONALHOSPITAL.ORG X X X X false false true true 100.000000000000 true 250.000000000000 true X X X X X true true X X true X X X true X X X X X X true X false true FACILITY 1, MARLETTE REGIONAL HOSPITAL - PART V, LINE 3 SCOPE OF THE STUDY THE PURPOSE OF THE 2013 MARLETTE REGIONAL HOSPITAL COMMUNITY HEALTH ASSESSMENT IS TO COLLECT DATA ON SPECIFIC INFORMATION REGARDING COMMUNITY PERCEPTION OF THE USE OF HEALTH INSURANCE. ADDITIONALLY, DATA WAS COLLECTED REGARDING THE DEMOGRAPHICS OF THE SURVEY RESPONDERS. THE DATA WAS PRESENTED IN A FORMAT THAT CAN BE USEFUL TO MARLETTE REGIONAL HOSPITAL ADMINISTRATION, HEALTH CARE PROVIDERS AND COMMUNITY. METHODOLOGY A COMPREHENSIVE SIX-PAGE SURVEY WAS DEVELOPED BY THE NATIONAL CENTER FOR RURAL HEALTH WORKS AND MODIFIED FOR THIS STUDY. MARLETTE CEO DANIEL BABCOCK APPROVED THE SURVEY DESIGN AND CONTENT. A SURVEY COVER LETTER WAS SENT TO 1,000 RANDOM COMMUNITY MEMBERS IN THE MARLETTE SERVICE AREAS. A COMPANY NAMED ACCULEADS PROVIDED RANDOMIZED MAILING ADDRESSES FOR THE CITIES OF MARLETTE, SILVERWOOD, IMLAY CITY, NORTH BRANCH, BROWN CITY, CLIFFORD, MAYVILLE, KINGSTON, SNOVER, AND SANDUSKY. THE SURVEY WAS SENT ON OCTOBER 4, 2012; A FOLLOW UP SURVEY WAS MAILED TO ALL NON-RESPONDERS. ALTOGETHER, 200 COMPLETED SURVEYS WERE RETURNED (20%). THE DATA WAS ENTERED INTO A SURVEY MONKEY DATABASE AND ARE PRESENTED IN THE SURVEY RESULTS SECTION OF THIS REPORT. FACILITY 1, MARLETTE REGIONAL HOSPITAL - PART V, LINE 7 IN TAX YEAR 2012, NOT ALL OF THE CHNA IDENTIFIED NEEDS WERE ADDRESSED DUE TO A VARIETY OF FACTORS; HOWEVER, THE IDENTIFIED NEEDS WERE PRIORITIZED AND THE TOP ITEMS WERE RESOLVED AS FOLLOWS: THE SURVEY RESULTS OF THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) GENERATED THE FOLLOWING INFORMATION: FINDING: THE TOP THREE REASONS FOR NOT RECEIVING HEALTH CARE SERVICES ARE: 1) ACCESS LIMITATIONS 2) TOO COSTLY AND 3) LACK OF INSURANCE COVERAGE. RESPONSE: ACCESS LIMITATIONS: ACCESS LIMITATIONS ARE BEING ADDRESSED ON TWO FRONTS. FIRST, WE ARE EXPANDING THE NUMBER OF INSURANCE PLANS WITH WHICH WE PARTICIPATE. THIS EXPANDED PARTICIPATION WILL ALLOW OUR HOSPITAL AND PHYSICIANS TO SERVE MORE PATIENTS. THE SECOND STRATEGY FOR IMPROVING ACCESS FOR OUR PATIENTS IS THROUGH PHYSICIAN RECRUITMENT. WE HAVE SUCCESSFULLY RECRUITED ANOTHER FAMILY PRACTICE PHYSICIAN WHO WILL BE WORKING OUT OF OUR MARLETTE MEDICAL OFFICE BUILDING. SHE IS EXPECTED TO START HER PRACTICE IN JULY 2014. TOO COSTLY: WE HAVE PARTNERED WITH CARING HEART HEALTH CLINIC, A FREE CLINIC IN MARLETTE SERVING THE ENTIRE COUNTY, TO OFFER FREE OR REDUCED SERVICES TO PATIENTS REFERRED TO THE HOSPITAL FROM THE CLINIC. WE ALSO HAVE POLICIES TO OFFER PATIENTS PAYMENT PLANS AND PROMPT PAY DISCOUNTS FOR SERVICES FOR WHICH THEY ARE RESPONSIBLE. WE HAVE ALSO EXPANDED THE NUMBER OF INSURANCE PLANS WE PARTICIPATE WITH WHICH WILL LOWER THE PORTION OF HEALTHCARE BILL FOR WHICH THE PATIENT IS RESPONSIBLE. LACK OF INSURANCE COVERAGE: WE ARE PARTNERING WITH LOCAL NAVIGATORS AND OTHER INSURANCE EXCHANGE PERSONNEL TO BRING EDUCATION TO OUR COMMUNITIES ABOUT INSURANCE PROGRAMS AVAILABLE TO THEM. IN ADDITION TO THIS EDUCATION ACTUAL HELP TO SIGN UP ON THE EXCHANGES IS BEING OFFERED AS WELL. FINDING: THE TOP ADDITIONAL HEALTH CARE SERVICE THAT WOULD BE USED IF AVAILABLE LOCALLY IS URGENT CARE. RESPONSE: THE EVALUATION OF THE FINANCIAL VIABILITY OF AN URGENT CARE CLINIC IS BEING EVALUATED. THE PRIMARY HURDLE IN OPERATING A LOCAL URGENT CARE CLINIC IS THE AVAILABILITY OF HEALTH CARE PROVIDERS TO STAFF THE CLINIC IN AN AFFORDABLE MANNER. FINDING: THE TOP THREE RESPONSES TO WHAT WOULD IMPROVE YOUR COMMUNITY'S ACCESS TO HEALTH CARE ARE: 1) MORE PRIMARY CARE PHYSICIANS 2) LONGER HOURS AT CLINICS AND 3) MORE SPECIALISTS. RESPONSE: AS MENTIONED ABOVE WE ARE CURRENTLY RECRUITING MORE PRIMARY CARE PHYSICIANS FOR OUR SERVICE AREA. THIS WILL HELP IN NOT ONLY THE NUMBER OF PHYSICIANS AVAILABLE, BUT IN STRUCTURING SCHEDULED CLINIC HOURS ACROSS THE SYSTEM TO BETTER MATCH PATIENTS' SCHEDULES AND NEEDS FOR SERVICES. FINDING: TOP THREE MOST SERIOUS HEALTH CONCERNS IN YOUR COMMUNITY ARE: 1) ALCOHOL/SUBSTANCE ABUSE 2) CANCER AND 3) CHILD ABUSE/NEGLECT. RESPONSE: ALCOHOL, SUBSTANCE AND CHILD ABUSES ARE BETTER HANDLED THROUGH THE COMMUNITY MENTAL HEALTH SERVICES IN OUR AREAS. WE PARTNER WITH THESE SERVICES TO ENSURE PATIENTS WITH THESE CONDITIONS ARE RECEIVING APPROPRIATE CARE. REGARDING CANCER, WE HAVE PARTNERED WITH LOCAL VOLUNTEERS TO ESTABLISH PROSTATE AND BREAST CANCER PROGRAMS THAT OFFER FREE OR REDUCED CANCER SCREENINGS, EDUCATION, AND OTHER PREVENTATIVE SERVICES. SETON CANCER INSTITUTE, OPERATED BY ST. MARY'S OF MICHIGAN, IS LOCATED ON OUR CAMPUS AND PROVIDES RADIATION AND CHEMOTHERAPY SERVICES. THE FOLLOWING COMMON INFORMATION REGARDING THE TOP COMMUNITY NEEDS WAS GENERATED FROM THE COMMUNITY MEETINGS: FINDING: LOCAL AFTER HOUR WALK-IN-CLINIC. RESPONSE: PLEASE SEE THE RESPONSE ABOVE FOR URGENT CARE. FINDING: WELLNESS EDUCATION FOR PRIMARY AND SECONDARY STUDENTS, INCLUDING FIRST AID, NUTRITION, AND CHILD CARE. RESPONSE: WE CURRENTLY OFFER EDUCATION TO STUDENTS REGARDING DIABETES, NUTRITION, AND OTHER HEALTH ISSUES. CONCLUSION: MARLETTE REGIONAL HOSPITAL IS COMMITTED TO CONTINUOUSLY IMPROVING THE HEALTH IN COMMUNITIES WE SERVE. WHILE WE RECOGNIZE OUR LIMITATIONS IN MEETING THE NEEDS OF ALL OF OUR COMMUNITY MEMBERS, WE COMMIT TO DELIVERING EXCELLENT HEALTH CARE TO THOSE WE CAN SERVE HERE, AND WE COMMIT TO PARTNERING WITH OTHER HEALTHCARE PROVIDERS AND SERVICES TO ENSURE OUR COMMUNITY HAS THE ACCESS TO THE HEALTH CARE SERVICES WE CANNOT PROVIDE. FACILITY 1, MARLETTE REGIONAL HOSPITAL - PART V, LINE 12I NUMBER OF RESIDENTS IN HOUSEHOLD FACILITY 1, MARLETTE REGIONAL HOSPITAL - PART V, LINE 14G 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 20D INDIVIDUALS WHO DID NOT HAVE INSURANCE COVERING EMERGENCY SERVICES WERE BILLED AT THE AVERAGE PAYMENT RATE OF THE 3 LARGEST VOLUME COMMERCIAL CARRIERS. FACILITY 1, MARLETTE REGIONAL HOSPITAL - PART V, LINE 22 FAP-ELIGIBLE PATIENTS WHO HAD SERVICES OUTSIDE OF THE EMERGENCY ROOM AND DID NOT COMPLETE A FINANCIAL ASSISTANCE 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 EDUCATION FORUMS AND SUPPORTING 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, 2014 AND 2013, AMOUNTED TO 2,270,857 AND 2,224,877, 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: - A PORTION OF THE ACCOUNTS WRITTEN OFF AS BAD DEBTS WOULD HAVE QUALIFIED FOR CHARITY CARE 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. CHARITY CARE: THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS FINANCIAL ASSISTANCE POLICY WITHOUT A CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS NET PATIENT SERVICE REVENUE. 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 129,047. 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 145,763 FOR THE YEAR ENDED JUNE 30, 2014 AND 199,213 FOR THE YEAR ENDED JUNE 30, 2013. PART VI, LINE 2 - NEEDS ASSESSMENT PLEASE SEE RESPONSE FOR SCHEDULE H, PART V, LINE 3 PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE FOR INPATIENT ADMISSIONS 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 CHARITY CARE APPLICATION. FOR OUTPATIENT SERVICES THE BILLING DEPARTMENT COUNSELS AND ASSISTS THE PATIENT IN APPLYING FOR GOVERNMENTAL ASSISTANCE. IF NOT APPLICABLE OR AVAILABLE, THE PATIENT IS ASSISTED IN COMPLETING THE CHARITY CARE 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 220,227 IN 2010. UNEMPLOYMENT FOR THESE COUNTIES RANGED AT 13.2% TO 19.0% IN 2009 AND THE PERCENTAGE OF UNINSURED IN THESE COUNTIES RANGED AT 16.3% TO 18.1% IN SEPT. 2009. MEDIAN HOUSEHOLD INCOME FOR THIS AREA IN 2008 TO 2012 RANGED BETWEEN 40,019 AND 52,369. 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, REGARDLESS IF THE PATIENT IS A PATIENT IN OUR HEALTH SYSTEM. X X X false false false false false false false false false DAN BABCOCK CEO 184422 17500 201922 LAWRENCE HOLEN DOCTOR 379102 32359 411461 DR WILLIAM HALACOGLU DOCTOR 282792 33651 316443 DR GALARNEAU DOCTOR 253901 33451 287352 DR WILLIAM STARBIRD DOCTOR 241925 32190 274115 DR DANIEL KULICK DOCTOR 234001 28023 262024 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 BAD DEBTS ARE ESTIMATED BY THE USE OF THE ALLOWANCE METHOD. BAD DEBTS FOR THE YEARS ENDING JUNE 30, 2014 AND 2013 AMOUNTED TO 2,270,857 AND 2,224,877, RESPECTIVELY. THE BAD DEBT EXPENSE ON LINE 2 OF SECTION A IS DETERMINED USING THE COST BASED UPON THE COST TO CHARGE RATIO THAT IS DEVELOPED IN SCHEDULE H. 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 "CPR TRAINING FOR THE COMMUNITY AND PUBLIC SAFETY AGENCIES "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 "SPEAKERS BUREAU "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 "DRUG REVIEW FOR SENIOR CITIZENS "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 "FREE OR LOW COST MEALS "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 "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, 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 RETUN WAS SENT TO THE FINANCE COMMITTEE ON 1/27/15 AND REVIEWED IN DETAIL AT THE 1/29/15 FINANCE COMMITTEE MEETING. 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 3,182,709 663,359 16,037 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 false false false false MCKENZIE HEALTH SYSTEM O 223247 ACTUAL COSTS