MARLETTE REGIONAL HOSPITAL: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
MARLETTE REGIONAL HOSPITAL (EIN 38-1507302)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-03-28
IRS object ID
201210889349300031
Schema version
2010v3.7
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

FieldValueIRS element (for citing)
Timestamp2012-03-28T13:41:55-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ANDERSON TUCKEY BERNHARDT & DORAN PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1715 E FRANK STREETAddressLine1
CityCAROCity
StateMIState
ZIP Code48723ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN381507302EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MARLETTE REGIONAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMARLNameControl
Phone9896354000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12770 MAIN STREET PO BOX 307AddressLine1
CityMARLETTECity
StateMIState
ZIP Code484530307ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDAN BABCOCK CPAName
TitleCEOTitle
Phone9896354000Phone
Date Signed2012-03-23DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJERRY BERNHARDTName
Phone9896733137Phone
Date Prepared2012-03-28DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDAN BABOCK CEONameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12770 MAIN STREET PO BOX 307AddressLine1
CityMARLETTECity
StateMIState
ZIP Code484530307ZIPCode
FieldValueIRS element (for citing)
Gross Receipts34033163GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.MARLETTEREGIONALHOSPITAL.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1951YearFormation
State Legal DomicileMIStateLegalDomicile
Activity Or Mission DescriptionTO 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 Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees511TotalNbrEmployees
Total Nbr Volunteers200TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year223962ContributionsGrantsPriorYear
Contributions Grants Current Year399032ContributionsGrantsCurrentYear
Program Service Revenue Prior Year32450043ProgramServiceRevenuePriorYear
Program Service Revenue CY32560940ProgramServiceRevenueCY
Investment Income Prior Year1442372InvestmentIncomePriorYear
Investment Income Current Year84173InvestmentIncomeCurrentYear
Other Revenue Prior Year390016OtherRevenuePriorYear
Other Revenue Current Year296959OtherRevenueCurrentYear
Total Revenue Prior Year34506393TotalRevenuePriorYear
Total Revenue Current Year33341104TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year19843836SalariesEtcPriorYear
Salaries Etc Current Year19374795SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year134272TotalFundrsngExpCurrentYear
Other Expense Prior Year13805816OtherExpensePriorYear
Other Expenses Current Year13288528OtherExpensesCurrentYear
Total Expenses Prior Year33649652TotalExpensesPriorYear
Total Expenses Current Year32663323TotalExpensesCurrentYear
Revenues Less Expenses Prior Year856741RevenuesLessExpensesPriorYear
Revenues Less Expenses CY677781RevenuesLessExpensesCY
Total Assets BOY38989044TotalAssetsBOY
Total Assets EOY39425284TotalAssetsEOY
Total Liabilities BOY18353751TotalLiabilitiesBOY
Total Liabilities EOY18145165TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY20635293NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY21280119NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO 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 ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense28440215Expense
Revenue33308148Revenue
DescriptionDURING FISCAL YEAR 2010-2011 MARLETTE REGIONAL HOSPITAL SERVED 869 INPATIENTS, PROVIDED CARE TO 45,740 OUTPATIENTS, INCLUDING 8,198 EMERGENCY DEPARTMENT PATIENTS, AND SERVED 28,295 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 20,774,975 REPRESENTING A WRITE-DOWN OF 37.51 PERCENT OF THE HOSPITAL'S CHARGES, INCLUDING CHARITY CARE EXPENSES OF 296,811. ADDITIONALLY, THE HOSPITAL'S ALLOWANCE FOR UNCOLLECTABLE ACCOUNTS TOTALED OVER 2,150,290 IN FY 11. 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 "CRISIS INTERVENTION "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 "MENTAL HEALTH CENTERS "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 Expense28440215TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109650NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees511NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementfalseRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJIM SINGLES CFONamePerson
Telephone Number9896354000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12770 MAIN STREETAddressLine1
CityMARLETTECity
StateMIState
ZIP Code48453ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerAverage Hours Per WeekAverageHoursPerWeekHighest Compensated EmployeeHighestCompensatedEmployee
MEREDITH LYONS
TRUSTEEX000
RALPH DESHETSKY
TRUSTEEX000
DORIS HUNTOON
SEC/TREASUREX000X
DONALD ROBBINS
TRUSTEEX000
LES PHILLIPS
CHAIRMANX000X
CHRIS CLARK
TRUSTEEX000
SCOTT ORR
TRUSTEEX000
SUE COOK
VICE-CHAIRMAX000X
DAN BABCOCK
CEO21800108944X40.00
LAWRENCE HOLEN
DOCTOR35869401726040.00X
DR MORGAN
OR DOCTOR35342201193540.00X
MICHAEL OGBOH
CLINIC PHYSI26341301866340.00X
DR GALARNEAU
DOCTOR26030401897140.00X
JODY BOVENSCHE
CRNA23987301807240.00X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1693707TotalReportableCompFromOrg
Total Other Compensation93845TotalOtherCompensation
Number Individuals GT100 K12NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
PHARMACY SYSTEMS INC
PO BOX 71-0716COLUMBUSOH43271PHARMACY MGT415501
DR LISA LEWIS
29746 BRIARTON STREETFARMINGTON HILLSMI483312248ER DOCTOR186975
AUTUMNWOOD OF DECKERVILLE
3387 ELLA STREETDECKERVILLEMI48427LONG TERM CARE164487
DR JEFFERY SMARSE
81 AVERY STREETMT CLEMENSMI48443ER DOCTOR140714
FieldValueIRS element (for citing)
Number Of Contractors GT100 K50NumberOfContractorsGT100K
Government Grants37460GovernmentGrants
All Other Contributions361572AllOtherContributions
Noncash Contributions195896NoncashContributions
Total Contributions399032TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
PATIENT SERVICE REVENUE55382757$55,382,757
CHARITY CARE & BAD DEBT-2046842-$2,046,842
CONTRACTUAL ADJUSTMENTS-20774975-$20,774,975
FieldValueIRS element (for citing)
Total Program Service Revenue32560940TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column71241TotalRevenueColumn
Exclusion$71,241ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real684356Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real685683Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-1327Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-1327TotalRevenueColumn
Exclusion-$1,327ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities12932Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities12932Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column12932TotalRevenueColumn
Related Or Exempt Function Income12932RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Gross Income Fundraising Events19855GrossIncomeFundraisingEvents
Fundraising Direct Expenses6376FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column13479TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
MEALS SERVED124119$124,119
MISCELLANEOUS75724$75,724
PURCHASE DISCOUNTS72876$72,876

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column12088TotalRevenueColumn
Exclusion$12,088ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue284807TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column33341104TotalRevenueColumn
Related Or Exempt Function Income12932RelatedOrExemptFunctionIncome
Exclusion$32,915,661ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total15306386Total
Program Services13796696ProgramServices
Management And General1418922ManagementAndGeneral
Fundraising90768Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total271853Total
Program Services245040ProgramServices
Management And General25201ManagementAndGeneral
Fundraising1612Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2681479Total
Program Services2366086ProgramServices
Management And General309284ManagementAndGeneral
Fundraising6109Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1115077Total
Program Services1008360ProgramServices
Management And General98851ManagementAndGeneral
Fundraising7866Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total7200Total
Management And General7200ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total98656Total
Management And General98656ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total40300Total
Management And General40300ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3181519Total
Program Services2720802ProgramServices
Management And General460237ManagementAndGeneral
Fundraising480Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total183712Total
Program Services28223ProgramServices
Management And General153162ManagementAndGeneral
Fundraising2327Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total4028781Total
Program Services3843553ProgramServices
Management And General168761ManagementAndGeneral
Fundraising16467Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total588273Total
Program Services585366ProgramServices
Management And General2907ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total217906Total
Program Services196225ProgramServices
Management And General21280ManagementAndGeneral
Fundraising401Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total159986Total
Program Services159986ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1770919Total
Program Services1584961ProgramServices
Management And General183847ManagementAndGeneral
Fundraising2111Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total576542Total
Program Services502120ProgramServices
Management And General73266ManagementAndGeneral
Fundraising1156Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
TAXES & LICENSES73391236232697680
REPAIRS & MAINTANCE4438244405683256
FURNITURE & FIXTURES NON-40448636790136445140
OUTSIDE LAB212726212726
PROFESSIONAL FEES156987156987

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total482799Total
Program Services188383ProgramServices
Management And General289581ManagementAndGeneral
Fundraising4835Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total32663323Total
Program Services28440215ProgramServices
Management And General4088836ManagementAndGeneral
Fundraising134272Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY6916651BOY
EOY6822665EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY6312476BOY
EOY6712663EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY290947BOY
EOY292503EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY268717BOY
EOY295344EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis41750985LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec19875688LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY21023573BOY
EOY21875297EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY3976362BOY
EOY3229994EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY200318BOY
EOY196818EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY38989044BOY
EOY39425284EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY668803BOY
EOY1054305EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY4467052BOY
EOY4084162EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY10385000BOY
EOY9955000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2832896BOY
EOY3051698EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY18353751BOY
EOY18145165EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY19836544BOY
EOY19976951EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY753028BOY
EOY1257447EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY45721BOY
EOY45721EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY20635293BOY
EOY21280119EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY38989044BOY
EOY39425284EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses677781ReconcilationRevenueExpenses
Reconcilation Other Changes-32955ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis599658InvestmentCostOrOtherBasis
Book Value599658BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis23607211InvestmentCostOrOtherBasis
Depreciation8477985Depreciation
Book Value15129226BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis833131InvestmentCostOrOtherBasis
Depreciation616965Depreciation
Book Value216166BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis16690905InvestmentCostOrOtherBasis
Depreciation10780738Depreciation
Book Value5910167BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis20080InvestmentCostOrOtherBasis
Book Value20080BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings21875297TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
ACCRUED OTHER$1,763,284
ACCRUED SALARIES$800,702
ACCRUED PAID HOURS OFF$400,561
ACCRUED PAYROLL TAXES$87,151
FieldValueIRS element (for citing)
Total Of Amounts3051698TotalOfAmounts
Total Revenue33341104TotalRevenue
Total Expenses32663323TotalExpenses
Excess Or Deficit For Year677781ExcessOrDeficitForYear
Net Unrealized GL On Investments-32955NetUnrealizedGLOnInvestments
Total Adjustments-32955TotalAdjustments
Excess Or Deficit Per FS644826ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt35058180TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-32955NetUnrealizedGainsInvestments
Other Revenues1750031OtherRevenues
Revenue Not Rptd F9901717076RevenueNotRptdF990
Revenue Subtotal33341104RevenueSubtotal
Total Revenue Per Form99033341104TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt34413354TotExpensesEtcAuditedFinclStmt
Other Expenses Included1750031OtherExpensesIncluded
Expenses Not Rptd F9901750031ExpensesNotRptdF990
Expenses Subtotal32663323ExpensesSubtotal
Total Expenses Per Form99032663323TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
RECONCILIATION OF CHANGES - OTHERSCHEDULE D, PAGE 4, PART XI, LINE 8PROVISION FOR BAD DEBTS 1,750,031 BAD DEBTS (NETTED WITH REVENUE) -1,750,031
REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XII, LINE 2DPROVISION FOR BAD DEBTS 1,750,031
EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XIII, LINE 2DBAD DEBTS (NETTED WITH REVENUE) 1,750,031

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1MRH GOLF OUTINGNameOfEvent1
Gross Receipts Event119855GrossReceiptsEvent1
Gross Revenue Event119855GrossRevenueEvent1
Cash Prizes Event1100CashPrizesEvent1
Rent Facility Costs Event12439RentFacilityCostsEvent1
Food And Beverage Event11947FoodAndBeverageEvent1
Entertainment Event11890EntertainmentEvent1
Gross Receipts Total19855GrossReceiptsTotal
Gross Revenue Total Events19855GrossRevenueTotalEvents
Cash Prizes Total Events100CashPrizesTotalEvents
Rent Facility Costs Total Events2439RentFacilityCostsTotalEvents
Food And Beverage Total Events1947FoodAndBeverageTotalEvents
Entertainment Total Events1890EntertainmentTotalEvents
Direct Expense Summary Events6376DirectExpenseSummaryEvents
Net Income Summary13479NetIncomeSummary
FieldValueIRS element (for citing)
States Where Gaming ConductedMIStatesWhereGamingConducted

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CaretrueUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailablefalseReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Benefit Expense170521TotalCommunityBenefitExpense
Net Community Benefit Expense170521NetCommunityBenefitExpense
Percent Of Total Expense0.00500PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Benefit Expense5815988TotalCommunityBenefitExpense
Direct Offsetting Revenue3644272DirectOffsettingRevenue
Net Community Benefit Expense2171716NetCommunityBenefitExpense
Percent Of Total Expense0.06310PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Total Community Benefit Expense5986509TotalCommunityBenefitExpense
Direct Offsetting Revenue3644272DirectOffsettingRevenue
Net Community Benefit Expense2342237NetCommunityBenefitExpense
Percent Of Total Expense0.06810PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs454NumberOfActivitiesOrPrograms
Persons Served26659PersonsServed
Total Community Benefit Expense93037TotalCommunityBenefitExpense
Direct Offsetting Revenue5387DirectOffsettingRevenue
Net Community Benefit Expense87650NetCommunityBenefitExpense
Percent Of Total Expense0.00250PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs34NumberOfActivitiesOrPrograms
Persons Served34PersonsServed
Total Community Benefit Expense8556TotalCommunityBenefitExpense
Net Community Benefit Expense8556NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs7NumberOfActivitiesOrPrograms
Persons Served28295PersonsServed
Total Community Benefit Expense3559802TotalCommunityBenefitExpense
Direct Offsetting Revenue2413559DirectOffsettingRevenue
Net Community Benefit Expense1146243NetCommunityBenefitExpense
Percent Of Total Expense0.03330PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs56NumberOfActivitiesOrPrograms
Persons Served1418PersonsServed
Total Community Benefit Expense4127TotalCommunityBenefitExpense
Net Community Benefit Expense4127NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs551NumberOfActivitiesOrPrograms
Persons Served56406PersonsServed
Total Community Benefit Expense3665522TotalCommunityBenefitExpense
Direct Offsetting Revenue2418946DirectOffsettingRevenue
Net Community Benefit Expense1246576NetCommunityBenefitExpense
Percent Of Total Expense0.03610PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs553NumberOfActivitiesOrPrograms
Persons Served56406PersonsServed
Total Community Benefit Expense9652031TotalCommunityBenefitExpense
Direct Offsetting Revenue6063218DirectOffsettingRevenue
Net Community Benefit Expense3588813NetCommunityBenefitExpense
Percent Of Total Expense0.10420PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Persons Served670PersonsServed
Total Community Building Expense2046TotalCommunityBuildingExpense
Net Community Building Expense2046NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs26NumberOfActivitiesOrPrograms
Persons Served95PersonsServed
Total Community Building Expense1984TotalCommunityBuildingExpense
Net Community Building Expense1984NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs29NumberOfActivitiesOrPrograms
Persons Served765PersonsServed
Total Community Building Expense4030TotalCommunityBuildingExpense
Net Community Building Expense4030NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$1,017,409BadDebtExpenseAmount
Amount Reimbursed By Medicare9210836AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare9232062CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-21226MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost Accounting SystemXCostAccountingSystem
FieldValueIRS element (for citing)
Written Debt Collection PolicyfalseWrittenDebtCollectionPolicy

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

FieldValueIRS element (for citing)
Business Name Line1THUMB MRI CENTER LLCBusinessNameLine1
FieldValueIRS element (for citing)
Description Ent Primary ActivityMAGNETIC REASONANCE IMAGING (MRI)DescriptionEntPrimaryActivity
Organization Profit Or Ownership0.10000OrganizationProfitOrOwnership
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1MARLETTE REGIONAL HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line12770 MAIN ST PO BOX 307AddressLine1
CityMARLETTECity
StateMIState
ZIP Code484530307ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Critical Access HospitalXCriticalAccessHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1MARLETTE REGIONAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedfalseCHNAConducted
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent100.0FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent200.0FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Other FactorsXOtherFactors
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On NonpaymentfalseActionsOnNonpayment
Collection ActivitiestrueCollectionActivities
Report To Credit AgencyXReportToCreditAgency
LawsuitXLawsuit
Lien On ResidenceXLienOnResidence
Notify Upon AdmissionXNotifyUponAdmission
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargestrueGrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
BAD DEBT EXPENSE EXPLANATIONPART III LINE 4BAD DEBTS ARE ESTIMATED BY THE USE OF THE ALLOWANCE METHOD BAD DEBTS FOR THE YEARS ENDED JUNE 30 2011 AND 2010 AMOUNTED TO 2150290 AND 2349317 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 EXPLANATIONPART III LINE 8THE 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 21226
COLLECTION PRACTICES EXPLANATIONPART III LINE 9BONCE AN ACCOUNT HAS REACHED THE END OF INTERNAL COLLECTION PROCESS IT IS TURNED OVER TO AN OUTSIDE COLLECTION AGENCY BAD DEBTS RECOVERIES AMOUNTED TO 400259 FOR THE YEAR ENDED JUNE 30 2011 AND 304047 FOR THE YEAR ENDED JUNE 30 2010
NEEDS ASSESSMENTPART VIIN THE SPRING OF 2010 QHR CONDUCTED A COMMUNITYWIDE SURVEY THAT WE USED IN STRATEGIC PLANNING PHYSICIANS EMPLOYEES VOLUNTEERS AND THE GENERAL PUBLIC WERE ALL PROVIDED AN OPPORTUNITY TO RESPOND IN ADDITION TO THIS WE HOLD ONE TO TWO MEETINGS EVERY YEAR WITH OUR CORPORATE BOARD THAT IS COMPRISED OF OVER 100 MEMBERS FROM ALL COMMUNITIES WE SERVE THESE MEETINGS ALLOW THE COMMUNITY TO GIVE THEIR INPUT FOR SERVICE EXPANSIONS AND IDENTIFICATION OF HEALTH NEEDS
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEPART VIFOR 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 INFORMATIONPART VIMARLETTE 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 222919 IN 2009 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 RANGED BETWEEN 38521 AND 54243
HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSEPART VITHE 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 11HPART V LINE 11HNUMBER OF RESIDENTS IN HOUSEHOLD
MARLETTE REGIONAL HOSPITAL LINE NUMBER 1 PART V LINE 13GPART V LINE 13GTHE 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 19DPART V LINE 19DINDIVIDUALS WHO DID NOT HAVE INSURANCE COVERING EMERGENCY OR OTHER MEDICALLY NECESSARY CARE WERE BILLED AT STANDARD HOSPITAL RATES FOR THE SERVICES PROVIDED
MARLETTE REGIONAL HOSPITAL LINE NUMBER 1 PART V LINE 21PART V LINE 21ALL PATIENT SERVICES ARE CHARGED AND BILLED AT THE GROSS CHARGE LEVEL

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
DAN BABCOCK
208179982231395805226945
LAWRENCE HOLEN
357704990532511935375954
DR MORGAN
346539688311935365357
MICHAEL OGBOH
25330610107445514208282076
DR GALARNEAU
24915911145476314208279275
JODY BOVENSCHE
2344555418461413458257945

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F990195896NoncashContribsRptdF990
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSIONFORM 990 - ORGANIZATION'S MISSIONTO 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 ACHIEVEMENT DESCRIPTIONFORM 990, PAGE 2, PART III, LINE 4AACCOUNTS TOTALED OVER 2,150,290 IN FY 11. 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 "CRISIS INTERVENTION "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 "MENTAL HEALTH CENTERS "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.
CLASSES OF MEMBERS OR STOCKHOLDERSFORM 990, PAGE 6, PART VI, LINE 6MEMBERS
ELECTION OF MEMBERS AND THEIR RIGHTSFORM 990, PAGE 6, PART VI, LINE 7AMEMBERS 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 MEMBERSFORM 990, PAGE 6, PART VI, LINE 7BEACH 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 990FORM 990, PAGE 6, PART VI, LINE 11BTHE 990 WILL BE REVIEWED AND APPROVED AT A REGULAR BOARD MEETING.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ACOMPENSATION 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 OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BTHE COMPENSATION OF OTHER TOP OFFICIALS ARE BASED UPON APPLICABLE STATEWIDE COMPENSATION SURVEYS.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19THE GOVERNING DOCUMENTS, ADMINISTRATIVE POLICIES, AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE GENERAL PUBLIC.
OTHER CHANGES IN NET ASSETS EXPLANATIONFORM 990, PART XI, LINE 5NET UNREALIZED GAINS ON INVESTMENTS

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