MARLETTE REGIONAL HOSPITAL: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- MARLETTE REGIONAL HOSPITAL (EIN 38-1507302)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-02-17
- IRS object ID
- 201420489349301502
- Schema version
- 2012v2.3
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-02-17T14:11:08-06:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANDERSON TUCKEY BERNHARDT & DORAN PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 715 E FRANK STREET | AddressLine1 |
| City | CARO | City |
| State | MI | State |
| ZIP Code | 48723 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 381507302 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARLETTE REGIONAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MARL | NameControl |
| Phone | 9896354000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2770 MAIN STREET PO BOX 307 | AddressLine1 |
| City | MARLETTE | City |
| State | MI | State |
| ZIP Code | 484530307 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DAN BABCOCK CPA | Name |
| Title | CEO | Title |
| Phone | 9896354000 | Phone |
| Date Signed | 2014-02-11 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JERRY BERNHARDT | Name |
| Phone | 9896733137 | Phone |
| Date Prepared | 2014-02-17 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | DAN BABOCK CEO | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2770 MAIN STREET PO BOX 307 | AddressLine1 |
| City | MARLETTE | City |
| State | MI | State |
| ZIP Code | 484530307 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 33762533 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.MARLETTEREGIONALHOSPITAL.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1951 | YearFormation |
| State Legal Domicile | MI | StateLegalDomicile |
| Activity Or Mission Description | 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 496 | TotalNbrEmployees |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 194901 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 283919 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 33426157 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 32540844 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 48841 | InvestmentIncomePriorYear |
| Investment Income Current Year | -6549 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 537028 | OtherRevenuePriorYear |
| Other Revenue Current Year | 228769 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 34206927 | TotalRevenuePriorYear |
| Total Revenue Current Year | 33046983 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 19545195 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 19560801 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 141106 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 15048164 | OtherExpensePriorYear |
| Other Expenses Current Year | 14541531 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 34593359 | TotalExpensesPriorYear |
| Total Expenses Current Year | 34102332 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -386432 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -1055349 | RevenuesLessExpensesCY |
| Total Assets BOY | 38667755 | TotalAssetsBOY |
| Total Assets EOY | 35455417 | TotalAssetsEOY |
| Total Liabilities BOY | 17757413 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 15629948 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 20910342 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 19825469 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 29042678 | Expense |
| Revenue | 32540844 | Revenue |
| Description | DURING FISCAL YEAR 2012-2013 MARLETTE REGIONAL HOSPITAL SERVED 756 INPATIENTS, PROVIDED CARE TO 44,547 OUTPATIENTS, INCLUDING 8,180 EMERGENCY DEPARTMENT PATIENTS, AND SERVED 25,411 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 17,712,455 REPRESENTING A WRITE-DOWN OF 33.83 PERCENT OF THE HOSPITAL'S CHARGES, INCLUDING CHARITY CARE EXPENSES OF 149,384. 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, 2013 AND 2012 AMOUNTED TO 2,224,877 AND 2,112,499, 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 "RESOURCE LIBRARY "SCHOOL HEALTH PROGRAMS "SPEAKERS BUREAU "SUPPORT GROUPS FOR PATIENTS, THEIR FAMILIES AND THE COMMUNITY "TRAINING OF PUBLIC HEALTH AND SAFETY PERSONNEL "SAFE DRIVING PROGRAMS FOR ELDERLY DRIVERS 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 "HOME SAFETY AND FIRST AID "NUTRITION AND WEIGHT CONTROL "RURAL HEALTH OUTREACH SERVICES "SMOKING CESSATION CLINICS "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. | Description |
| Total Program Service Expense | 29042678 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | true | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | false | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 36 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 496 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | true | QuidProQuoContributions |
| Quid Pro Quo Disclosure | true | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | false | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedure |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | JIM SINGLES CFO | NamePerson |
| Telephone Number | 9896354000 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2770 MAIN STREET | AddressLine1 |
| City | MARLETTE | City |
| State | MI | State |
| ZIP Code | 48453 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (15 entries)
| TitleTitle | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Average Hours Per WeekAverageHoursPerWeek | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| MEREDITH LYONS | |||||||
| TRUSTEE | X | 0 | 0 | 0 | |||
| RALPH DESHETSKY | |||||||
| TRUSTEE | X | 0 | 0 | 0 | |||
| DORIS HUNTOON | |||||||
| SEC/TREASURE | X | 0 | 0 | 0 | X | ||
| DR WILLIAM STARBIRD | |||||||
| TRUSTEE | X | 0 | 0 | 0 | |||
| LES PHILLIPS | |||||||
| CHAIRMAN | X | 0 | 0 | 0 | X | ||
| CHRIS CLARK | |||||||
| TRUSTEE | X | 0 | 0 | 0 | |||
| SCOTT ORR | |||||||
| TRUSTEE | X | 0 | 0 | 0 | |||
| SUE COOK | |||||||
| VICE-CHAIRMA | X | 0 | 0 | 0 | X | ||
| GLEN KAMPMAN | |||||||
| TRUSTEE | X | 0 | 0 | 0 | |||
| DAN BABCOCK | |||||||
| CEO | 184286 | 0 | 1781 | X | 40.00 | ||
| LAWRENCE HOLEN | |||||||
| DOCTOR | 385558 | 0 | 12387 | 40.00 | X | ||
| DR WILLIAM STARBIRD | |||||||
| DOCTOR | 277174 | 0 | 11855 | 40.00 | X | ||
| DR GALARNEAU | |||||||
| DOCTOR | 264690 | 0 | 13505 | 40.00 | X | ||
| DR WILLIAM HALACOGLU | |||||||
| DOCTOR | 232752 | 0 | 13979 | 40.00 | X | ||
| DR MICHAEL SYTSMA | |||||||
| DOCTOR | 230883 | 0 | 11734 | 40.00 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1575343 | TotalReportableCompFromOrg |
| Total Other Compensation | 65241 | TotalOtherCompensation |
| Number Individuals GT100 K | 9 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| ASC | |||||
| 30200 TELEGRAPH RD STE 220 | BINGHAM FARMS | MI | 48025 | ANESTHSIA | 684131 |
| DR LISA LEWIS | |||||
| 29746 BRIARTON STREET | FARMINGTON HILLS | MI | 483312248 | ER DOCTOR | 219071 |
| DR NITIN GOLECHHA | |||||
| 6731 LEXINGTON AVE NORTH | SHELBY TWP | MI | 48317 | HOSPITALIST | 206508 |
| DR WV ZEMNICKAS | |||||
| 844 S MAIN ST | LAPEER | MI | 48446 | OR COVERAGE | 165000 |
| DR RATAN RAJANI | |||||
| 844 S MAIN ST | LAPEER | MI | 48446 | OR COVERAGE | 163600 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 8 | NumberOfContractorsGT100K |
| All Other Contributions | 283919 | AllOtherContributions |
| Total Contributions | 283919 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|
| PATIENT SERVICE REVENUE | 52354709 | $52,354,709 |
| CHARITY CARE & BAD DEBT | -2175048 | -$2,175,048 |
| CONTRACTUAL ADJUSTMENTS | -17638817 | -$17,638,817 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 32540844 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 30167 | TotalRevenueColumn |
| Exclusion | $30,167 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 646819 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 642035 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 4784 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4784 | TotalRevenueColumn |
| Exclusion | $4,784 | ExclusionAmount |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 36716 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -36716 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -36716 | TotalRevenueColumn |
| Related Or Exempt Function Income | -36716 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 84545 | GrossIncomeFundraisingEvents |
| Fundraising Direct Expenses | 36799 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 47746 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|
| MEALS SERVED | 108060 | $108,060 |
| PURCHASE DISCOUNTS | 32606 | $32,606 |
| MISCELLANEOUS | 23915 | $23,915 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 11658 | TotalRevenueColumn |
| Exclusion | $11,658 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 176239 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 33046983 | TotalRevenueColumn |
| Related Or Exempt Function Income | -36716 | RelatedOrExemptFunctionIncome |
| Exclusion | $32,752,034 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15323732 | Total |
| Program Services | 13510719 | ProgramServices |
| Management And General | 1710370 | ManagementAndGeneral |
| Fundraising | 102643 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 75524 | Total |
| Program Services | 66588 | ProgramServices |
| Management And General | 8430 | ManagementAndGeneral |
| Fundraising | 506 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3089723 | Total |
| Program Services | 2675166 | ProgramServices |
| Management And General | 412714 | ManagementAndGeneral |
| Fundraising | 1843 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1071822 | Total |
| Program Services | 945768 | ProgramServices |
| Management And General | 117942 | ManagementAndGeneral |
| Fundraising | 8112 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 98722 | Total |
| Management And General | 98722 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 76285 | Total |
| Management And General | 76285 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4559909 | Total |
| Program Services | 3888446 | ProgramServices |
| Management And General | 654812 | ManagementAndGeneral |
| Fundraising | 16651 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 129662 | Total |
| Program Services | 12141 | ProgramServices |
| Management And General | 117062 | ManagementAndGeneral |
| Fundraising | 459 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3989487 | Total |
| Program Services | 3833243 | ProgramServices |
| Management And General | 153991 | ManagementAndGeneral |
| Fundraising | 2253 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 637532 | Total |
| Program Services | 634682 | ProgramServices |
| Management And General | 2850 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 189696 | Total |
| Program Services | 160968 | ProgramServices |
| Management And General | 23289 | ManagementAndGeneral |
| Fundraising | 5439 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 141297 | Total |
| Program Services | 141297 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2130074 | Total |
| Program Services | 1554469 | ProgramServices |
| Management And General | 573662 | ManagementAndGeneral |
| Fundraising | 1943 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 526576 | Total |
| Program Services | 420569 | ProgramServices |
| Management And General | 104868 | ManagementAndGeneral |
| Fundraising | 1139 | Fundraising |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| TAXES & LICENSES | 715042 | 62024 | 653018 |
| REPAIRS & MAINTANCE | 294156 | 286651 | 7505 |
| OUTSIDE LAB | 280429 | 280429 | |
| LEASE EQUIPMENT | 251970 | 245216 | 6754 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 520694 | Total |
| Program Services | 324302 | ProgramServices |
| Management And General | 196274 | ManagementAndGeneral |
| Fundraising | 118 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34102332 | Total |
| Program Services | 29042678 | ProgramServices |
| Management And General | 4918548 | ManagementAndGeneral |
| Fundraising | 141106 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4509058 | BOY |
| EOY | 5502000 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9258848 | BOY |
| EOY | 6921835 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 305442 | BOY |
| EOY | 322563 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 204600 | BOY |
| EOY | 215555 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 43376941 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 24352569 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20656912 | BOY |
| EOY | 19024372 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3538978 | BOY |
| EOY | 3202090 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 193917 | BOY |
| EOY | 267002 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38667755 | BOY |
| EOY | 35455417 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1681267 | BOY |
| EOY | 1100819 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4619027 | BOY |
| EOY | 4001164 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9500000 | BOY |
| EOY | 9020000 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1957119 | BOY |
| EOY | 1507965 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17757413 | BOY |
| EOY | 15629948 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19567693 | BOY |
| EOY | 18599545 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1296928 | BOY |
| EOY | 1180203 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 45721 | BOY |
| EOY | 45721 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20910342 | BOY |
| EOY | 19825469 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38667755 | BOY |
| EOY | 35455417 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -1055349 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | -29524 | ReconciliationUnrealizedInvest |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 599658 | InvestmentCostOrOtherBasis |
| Book Value | 599658 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 23836683 | InvestmentCostOrOtherBasis |
| Depreciation | 9959685 | Depreciation |
| Book Value | 13876998 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 838820 | InvestmentCostOrOtherBasis |
| Depreciation | 697307 | Depreciation |
| Book Value | 141513 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 17970869 | InvestmentCostOrOtherBasis |
| Depreciation | 13695577 | Depreciation |
| Book Value | 4275292 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 130911 | InvestmentCostOrOtherBasis |
| Book Value | 130911 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 19024372 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ACCRUED OTHER | $580,169 |
| ACCRUED PAID HOURS OFF | $397,603 |
| ACCRUED SALARIES | $346,705 |
| ACCRUED PAYROLL TAXES | $183,488 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 1507965 | TotalOfAmounts |
| Tot Revenue Etc Audited Fincl Stmt | 35043123 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -29524 | NetUnrealizedGainsInvestments |
| Other Revenues | 2025664 | OtherRevenues |
| Revenue Not Rptd F990 | 1996140 | RevenueNotRptdF990 |
| Revenue Subtotal | 33046983 | RevenueSubtotal |
| Total Revenue Per Form990 | 33046983 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 36127996 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 2025664 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 2025664 | ExpensesNotRptdF990 |
| Expenses Subtotal | 34102332 | ExpensesSubtotal |
| Total Expenses Per Form990 | 34102332 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER | SCHEDULE D, PAGE 4, PART XI, LINE 2D | PROVISION FOR BAD DEBTS 2,025,664 |
| EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHER | SCHEDULE D, PAGE 4, PART XII, LINE 2D | BAD DEBTS (NETTED WITH REVENUE) 2,025,664 |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | HUNTING FOR HEA | NameOfEvent1 |
| Gross Receipts Event1 | 44665 | GrossReceiptsEvent1 |
| Gross Revenue Event1 | 44665 | GrossRevenueEvent1 |
| Other Direct Expenses Event1 | 25662 | OtherDirectExpensesEvent1 |
| Name Of Event2 | MRH GOLF OUTING | NameOfEvent2 |
| Gross Receipts Event2 | 24570 | GrossReceiptsEvent2 |
| Gross Revenue Event2 | 24570 | GrossRevenueEvent2 |
| Cash Prizes Event2 | 100 | CashPrizesEvent2 |
| Non Cash Prizes Event2 | 500 | NonCashPrizesEvent2 |
| Rent Facility Costs Event2 | 1425 | RentFacilityCostsEvent2 |
| Food And Beverage Event2 | 2100 | FoodAndBeverageEvent2 |
| Entertainment Event2 | 3920 | EntertainmentEvent2 |
| Total Number Of Other Events | 1 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 15310 | GrossReceiptsOtherEvents |
| Gross Revenue Other Events | 15310 | GrossRevenueOtherEvents |
| Other Direct Expenses Other Events | 3092 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 84545 | GrossReceiptsTotal |
| Gross Revenue Total Events | 84545 | GrossRevenueTotalEvents |
| Cash Prizes Total Events | 100 | CashPrizesTotalEvents |
| Non Cash Prizes Total Events | 500 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 1425 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 2100 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 3920 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 28754 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 36799 | DirectExpenseSummaryEvents |
| Net Income Summary | 47746 | NetIncomeSummary |
| Field | Value | IRS element (for citing) |
|---|---|---|
| States Where Gaming Conducted | MI | StatesWhereGamingConducted |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent200 D | X | Pcent200D |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | false | ExpensesExceededBudget |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | false | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 89609 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 89609 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00260 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 6040751 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4000639 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2040112 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05980 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 6130360 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4000639 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2129721 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06250 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 843 | NumberOfActivitiesOrPrograms |
| Persons Served | 26781 | PersonsServed |
| Total Community Benefit Expense | 110015 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6795 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 103220 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00300 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 33 | NumberOfActivitiesOrPrograms |
| Persons Served | 56 | PersonsServed |
| Total Community Benefit Expense | 8647 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 8647 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 8 | NumberOfActivitiesOrPrograms |
| Persons Served | 25410 | PersonsServed |
| Total Community Benefit Expense | 3537989 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2174503 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1363486 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04000 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 32 | NumberOfActivitiesOrPrograms |
| Persons Served | 900 | PersonsServed |
| Total Community Benefit Expense | 2427 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2427 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 916 | NumberOfActivitiesOrPrograms |
| Persons Served | 53147 | PersonsServed |
| Total Community Benefit Expense | 3659078 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2181298 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1477780 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04330 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 918 | NumberOfActivitiesOrPrograms |
| Persons Served | 53147 | PersonsServed |
| Total Community Benefit Expense | 9789438 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6181937 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3607501 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.10580 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 64 | NumberOfActivitiesOrPrograms |
| Persons Served | 1238 | PersonsServed |
| Total Community Building Expense | 4920 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 4920 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 64 | NumberOfActivitiesOrPrograms |
| Persons Served | 1238 | PersonsServed |
| Total Community Building Expense | 4920 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 4920 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $1,334,601 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 10797305 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 10970863 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -173558 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THUMB MRI CENTER LLC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Ent Primary Activity | MAGNETIC REASONANCE IMAGING (MRI) | DescriptionEntPrimaryActivity |
| Organization Profit Or Ownership | 0.17000 | OrganizationProfitOrOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARLETTE REGIONAL HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2770 MAIN ST PO BOX 307 | AddressLine1 |
| City | MARLETTE | City |
| State | MI | State |
| ZIP Code | 484530307 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Critical Access Hospital | X | CriticalAccessHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARLETTE REGIONAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | true | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Information Gaps | X | InformationGaps |
| Other | X | Other |
| Needs Assessment Conducted | 12 | NeedsAssessmentConducted |
| Take Into Account | true | TakeIntoAccount |
| Other Facilities | false | OtherFacilities |
| CHNA Widely Available | true | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Develop Community Plan | X | DevelopCommunityPlan |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | false | AllNeedsAddressed |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 100.0 | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 200.0 | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Other Factors | X | OtherFactors |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Available On Request | X | AvailableOnRequest |
| Other Publicity | X | OtherPublicity |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Permit Report To Credit Agency | X | PermitReportToCreditAgency |
| Permit Lawsuit | X | PermitLawsuit |
| Permit Lien On Residence | X | PermitLienOnResidence |
| Collection Activities | true | CollectionActivities |
| Report To Credit Agency | X | ReportToCreditAgency |
| Lawsuit | X | Lawsuit |
| Lien On Residence | X | LienOnResidence |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | true | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| COMMUNITY BUILDING ACTIVITIES | PART II | MARLETTE REGIONAL HOSPITAL PART II THE HEALTH OF THE COMMUNITY HAS BEEN PROMOTED BY PROVIDING SPACE FOR EDUCATION FORUMS AND SUPPORTING LOCAL EVENTS |
| BAD DEBT EXPENSE EXPLANATION | PART III LINE 4 | BAD DEBTS ARE ESTIMATED BY THE USE OF THE ALLOWANCE METHOD BAD DEBTS FOR THE YEARS ENDED JUNE 30 2013 AND 2012 AMOUNTED TO 2224877 AND 2112499 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 CHARITY CARE 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 |
| MEDICARE EXPLANATION | PART III LINE 8 | THE HOSPITAL IS DESIGNATED AS A CRITICAL ACCESS HOSPITAL UNDER MEDICARE REGULATIONS CRITICAL ACCESS HOSPITALS RECEIVE COST REIMBURSEMENT FOR ACUTECARE 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 173358 COST REPORT DATA OR THE APPLICABLE COST TO CHARGE RATIO WERE USED TO DETERMINE ALLOWABLE COST |
| COLLECTION PRACTICES EXPLANATION | PART III LINE 9B | 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 199213 FOR THE YEAR ENDED JUNE 30 2013 AND 289134 FOR THE YEAR ENDED JUNE 30 2012 |
| NEEDS ASSESSMENT | PART VI | PLEASE SEE RESPONSE FOR SCHEDULE H PART V LINE 3 |
| PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | PART VI | 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 |
| COMMUNITY INFORMATION | PART VI | 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 220227 IN 2010 UNEMPLOYMENT FOR THESE COUNTIES RANGED AT 132 TO 190 IN 2009 AND THE PERCENTAGE OF UNINSURED IN THESE COUNTIES RANGED AT 163 TO 181 IN SEPT 2009 MEDIAN HOUSEHOLD INCOME FOR THIS AREA IN 2008 TO 2012 RANGED BETWEEN 40019 AND 52369 |
| HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE | PART VI | 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 |
| MARLETTE REGIONAL HOSPITAL LINE NUMBER 1 PART V LINE 3 | 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 SIXPAGE 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 1000 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 NONRESPONDERS 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 |
| MARLETTE REGIONAL HOSPITAL LINE NUMBER 1 PART V LINE 7 | 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 COMMUNITYS 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 ALCOHOLSUBSTANCE ABUSE 2 CANCER AND 3 CHILD ABUSENEGLECT 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 MARYS 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 WALKINCLINIC 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 |
| MARLETTE REGIONAL HOSPITAL LINE NUMBER 1 PART V LINE 12H | PART V LINE 12H | NUMBER OF RESIDENTS IN HOUSEHOLD |
| MARLETTE REGIONAL HOSPITAL LINE NUMBER 1 PART V LINE 14G | PART V LINE 14G | THE SOCIAL SERVICES DEPARTMENT WILL REVIEW AND DISCUSS THE CHARITY CARE PROGRAM WITH UNINSURED PATIENTS THAT ARE ADMITTED TO THE HOSPITAL |
| MARLETTE REGIONAL HOSPITAL LINE NUMBER 1 PART V LINE 20D | 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 |
| MARLETTE REGIONAL HOSPITAL LINE NUMBER 1 PART V LINE 22 | PART V LINE 22 | FAPELIGIBLE PATIENTS WHO HAD SERVICES OUTSIDE OF THE EMERGENCY ROOM AND DID NOT COMPLETE A CHARITY APPLICATION WOULD HAVE BEEN CHARGED AND BILLED AT THE GROSS CHARGE LEVEL |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg |
|---|---|---|---|---|
| DAN BABCOCK | ||||
| CEO | 183261 | 1025 | 1781 | 186067 |
| LAWRENCE HOLEN | ||||
| DOCTOR | 384533 | 1025 | 12387 | 397945 |
| DR WILLIAM STARBIRD | ||||
| DOCTOR | 276149 | 1025 | 11855 | 289029 |
| DR GALARNEAU | ||||
| DOCTOR | 263665 | 1025 | 13505 | 278195 |
| DR WILLIAM HALACOGLU | ||||
| DOCTOR | 231727 | 1025 | 13979 | 246731 |
| DR MICHAEL SYTSMA | ||||
| DOCTOR | 229858 | 1025 | 11734 | 242617 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATION'S MISSION | 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. |
| FIRST ACCOMPLISHMENT DESCRIPTION | 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, 2013 AND 2012 AMOUNTED TO 2,224,877 AND 2,112,499, 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 "RESOURCE LIBRARY "SCHOOL HEALTH PROGRAMS "SPEAKERS BUREAU "SUPPORT GROUPS FOR PATIENTS, THEIR FAMILIES AND THE COMMUNITY "TRAINING OF PUBLIC HEALTH AND SAFETY PERSONNEL "SAFE DRIVING PROGRAMS FOR ELDERLY DRIVERS 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 "HOME SAFETY AND FIRST AID "NUTRITION AND WEIGHT CONTROL "RURAL HEALTH OUTREACH SERVICES "SMOKING CESSATION CLINICS "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. |
| ELECTION OF MEMBERS AND THEIR RIGHTS | FORM 990, PAGE 6, PART VI, LINE 7A | MEMBERS MAY BE NOMINATED AT THE ANNUAL MEETING OF MEMBERS EITHER BY THE BOARD OF TRUSTEES OR BY ANY INDIVIDUAL MEMBER. MEMBERS SHALL BE ELECTED TO THREE-YEAR TERMS. THE MEMBERS' TERMS SHALL BE ARRANGED (AS NEAR AS POSSIBLE) SO THAT THE TERMS OF ONE-THIRD OF THE CORPORATION'S MEMBERS SHALL EXPIRE IMMEDIATELY FOLLOWING EACH ANNUAL MEETING OF THE CORPORATION'S MEMBERS. AT EACH ANNUAL MEETING, THE MEMBERS THEN IN OFFICE SHALL RE-ELECT MEMBERS WHOSE TERMS ARE EXPIRING AND/OR ELECT NEW MEMBERS TO THE CORPORATION. |
| DECISIONS SUBJECT TO APPROVAL OF MEMBERS | FORM 990, PAGE 6, PART VI, LINE 7B | EACH MEMBER OF THE CORPORATION IN GOOD STANDING SHALL BE QUALIFIED TO CAST ONE VOTE ON ANY ISSUE THAT MAY PROPERLY COME BEFORE ANY MEETING OF THE CORPORATION'S MEMBERS. VOTING BY PROXY OR ABSENTEE BALLOT SHALL NOT BE PERMITTED UNLESS IS SPECIFICALLY AUTHORIZED BY A MAJORITY VOTE OF THE MEMBERS PRESENT AT THE MEETING. |
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | 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 2/14/14 AND REVIEWED IN DETAIL AT THE 2/27/14 FINANCE COMMITTEE MEETING. |
| COMPENSATION PROCESS FOR TOP OFFICIAL | 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. |
| COMPENSATION PROCESS FOR OFFICERS | FORM 990, PAGE 6, PART VI, LINE 15B | THE COMPENSATION OF OTHER TOP OFFICIALS ARE BASED UPON APPLICABLE STATEWIDE COMPENSATION SURVEYS. |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | FORM 990, PAGE 6, PART VI, LINE 19 | THE GOVERNING DOCUMENTS, ADMINISTRATIVE POLICIES, AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE GENERAL PUBLIC. |
| OTHER FEES FOR SERVICES | FORM 990, PART IX, LINE 11G | CONTRACT SERVICES 3,888,446 654,812 16,651 |
| RECONCILIATION OF CHANGES - OTHER | FORM 990, PART XI, LINE 9 | PROVISION FOR BAD DEBTS 2,025,664 BAD DEBTS (NETTED WITH REVENUE) -2,025,664 |
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