2014-02-17T14:11:08-06:00 2013-06-30 ANDERSON TUCKEY BERNHARDT & DORAN PC 715 E FRANK STREET CARO MI 48723 990 2012-07-01 381507302 MARLETTE REGIONAL HOSPITAL MARL 9896354000 2770 MAIN STREET PO BOX 307 MARLETTE MI 484530307 DAN BABCOCK CPA 9896354000 2014-02-11 true JERRY BERNHARDT 9896733137 2014-02-17 2012 2015-11-30 17:44:51Z DAN BABOCK CEO 2770 MAIN STREET PO BOX 307 MARLETTE MI 484530307 33762533 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. 9 9 496 0 194901 283919 33426157 32540844 48841 -6549 537028 228769 34206927 33046983 0 0 19545195 19560801 0 141106 15048164 14541531 34593359 34102332 -386432 -1055349 38667755 35455417 17757413 15629948 20910342 19825469 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 29042678 32540844 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. 29042678 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 false false false false true 36 0 true 496 true false false false false false true true false false false false X 9 9 false false false false false true true 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 MEREDITH LYONS X 0 0 0 RALPH DESHETSKY X 0 0 0 DORIS HUNTOON X X 0 0 0 DR WILLIAM STARBIRD X 0 0 0 LES PHILLIPS X X 0 0 0 CHRIS CLARK X 0 0 0 SCOTT ORR X 0 0 0 SUE COOK X X 0 0 0 GLEN KAMPMAN X 0 0 0 DAN BABCOCK 40.00 X 184286 0 1781 LAWRENCE HOLEN 40.00 X 385558 0 12387 DR WILLIAM STARBIRD 40.00 X 277174 0 11855 DR GALARNEAU 40.00 X 264690 0 13505 DR WILLIAM HALACOGLU 40.00 X 232752 0 13979 DR MICHAEL SYTSMA 40.00 X 230883 0 11734 1575343 65241 9 false true false 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 8 283919 283919 PATIENT SERVICE REVENUE 52354709 52354709 CHARITY CARE & BAD DEBT -2175048 -2175048 CONTRACTUAL ADJUSTMENTS -17638817 -17638817 32540844 30167 30167 646819 642035 4784 4784 4784 36716 -36716 -36716 -36716 84545 36799 47746 MEALS SERVED 108060 108060 PURCHASE DISCOUNTS 32606 32606 MISCELLANEOUS 23915 23915 11658 11658 176239 33046983 -36716 32752034 X 15323732 13510719 1710370 102643 75524 66588 8430 506 3089723 2675166 412714 1843 1071822 945768 117942 8112 98722 98722 76285 76285 4559909 3888446 654812 16651 129662 12141 117062 459 3989487 3833243 153991 2253 637532 634682 2850 189696 160968 23289 5439 141297 141297 2130074 1554469 573662 1943 526576 420569 104868 1139 TAXES & LICENSES 715042 62024 653018 REPAIRS & MAINTANCE 294156 286651 7505 OUTSIDE LAB 280429 280429 LEASE EQUIPMENT 251970 245216 6754 520694 324302 196274 118 34102332 29042678 4918548 141106 4509058 5502000 9258848 6921835 305442 322563 204600 215555 43376941 24352569 20656912 19024372 3538978 3202090 193917 267002 38667755 35455417 1681267 1100819 4619027 4001164 9500000 9020000 1957119 1507965 17757413 15629948 X 19567693 18599545 1296928 1180203 45721 45721 20910342 19825469 38667755 35455417 -1055349 -29524 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 599658 599658 23836683 9959685 13876998 838820 697307 141513 17970869 13695577 4275292 130911 130911 19024372 ACCRUED OTHER 580169 ACCRUED PAID HOURS OFF 397603 ACCRUED SALARIES 346705 ACCRUED PAYROLL TAXES 183488 1507965 35043123 -29524 2025664 1996140 33046983 33046983 36127996 2025664 2025664 34102332 34102332 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 HUNTING FOR HEA 44665 44665 25662 MRH GOLF OUTING 24570 24570 100 500 1425 2100 3920 1 15310 15310 3092 84545 84545 100 500 1425 2100 3920 28754 36799 47746 MI true true true X true X true true false true false 1 89609 89609 0.00260 1 6040751 4000639 2040112 0.05980 2 6130360 4000639 2129721 0.06250 843 26781 110015 6795 103220 0.00300 33 56 8647 8647 0.00030 8 25410 3537989 2174503 1363486 0.04000 32 900 2427 2427 0.00010 916 53147 3659078 2181298 1477780 0.04330 918 53147 9789438 6181937 3607501 0.10580 64 1238 4920 4920 0.00010 64 1238 4920 4920 0.00010 false 1334601 10797305 10970863 -173558 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 X X X X false false true true 100.0 true 200.0 true X X X X true true X X true X X X true X X X X X X true X false true 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 X X X false false false false false false false false false DAN BABCOCK 183261 1025 1781 186067 LAWRENCE HOLEN 384533 1025 12387 397945 DR WILLIAM STARBIRD 276149 1025 11855 289029 DR GALARNEAU 263665 1025 13505 278195 DR WILLIAM HALACOGLU 231727 1025 13979 246731 DR MICHAEL SYTSMA 229858 1025 11734 242617 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