MARLETTE REGIONAL HOSPITAL: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- MARLETTE REGIONAL HOSPITAL (EIN 38-1507302)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-03-20
- IRS object ID
- 202340799349301054
- Schema version
- 2021v4.2
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-03-20T12:05:34-05:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390758449 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WIPFLI LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1502 LONDON ROAD SUITE 200 | AddressLine1Txt |
| City | DULUTH | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55812 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 381507302 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARLETTE REGIONAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MARL | BusinessNameControlTxt |
| Phone | 9896354230 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2770 MAIN STREET PO BOX 307 | AddressLine1Txt |
| City | MARLETTE | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48453 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ANGELA MCCONNACHIE | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 9896354230 | PhoneNum |
| Signature | 2023-03-17 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | ANGELA | PersonFirstNm |
| Person Last | MCCONNACHIE | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MICHAEL J PETERSON CPA | PreparerPersonNm |
| PTIN | P01833529 | PTIN |
| Phone | 2187224705 | PhoneNum |
| Preparation | 2023-03-17 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ANGELA MCCONNACHIE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2770 MAIN STREET PO BOX 307 | AddressLine1Txt |
| City | MARLETTE | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48453 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $39,213,883 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MARLETTEREGIONALHOSPTIAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1951 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE HIGH QUALITY AND COST-EFFECTIVE HEALTH CARE SERVICES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 515 | TotalEmployeeCnt |
| Total Volunteers | 105 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $7,642,357 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,876,991 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $36,453,827 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $36,663,398 | CYProgramServiceRevenueAmt |
| PY Investment Income | $20,340 | PYInvestmentIncomeAmt |
| CY Investment Income | $23,958 | CYInvestmentIncomeAmt |
| PY Other Revenue | $613,066 | PYOtherRevenueAmt |
| CY Other Revenue | $429,188 | CYOtherRevenueAmt |
| PY Total Revenue | $44,729,590 | PYTotalRevenueAmt |
| CY Total Revenue | $38,993,535 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $27,429 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $34,482 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $21,495,068 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $22,892,141 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $13,720,179 | PYOtherExpensesAmt |
| CY Other Expenses | $14,391,599 | CYOtherExpensesAmt |
| PY Total Expenses | $35,242,676 | PYTotalExpensesAmt |
| CY Total Expenses | $37,318,222 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $9,486,914 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,675,313 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $36,354,245 | TotalAssetsBOYAmt |
| Total Assets EOY | $35,817,565 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $6,671,269 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $5,501,462 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $29,682,976 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $30,316,103 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| 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. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $31,967,954 | ExpenseAmt |
| Grant | $34,482 | GrantAmt |
| Revenue | $36,771,532 | RevenueAmt |
| Desc | DURING FISCAL YEAR 2021-2022 MARLETTE REGIONAL HOSPITAL SERVED 855 ACUTE AND 507 SWING BED INPATIENT DAYS, PROVIDED CARE TO 44,178 OUTPATIENT VISITS, 9,278 EMERGENCY DEPARTMENT VISITS, AND SERVED 27,874 VISITS IN ITS FAMILY 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 HOSPITAL HAD CHARITY CARE EXPENSES OF $19,482. 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, 2022, AND 2021 AMOUNTED TO $1,072,075 AND $1,082,031, RESPECTIVELY. 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-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-SUPPORT GROUPS FOR PATIENTS, THEIR FAMILIES AND THE COMMUNITY-TRAINING OF PUBLIC HEALTH AND SAFETY PERSONNELCOMMUNITY WELLNESS CAMPAIGNS/PROGRAMS: -HEALTH PROMOTION AND PREVENTIONS ACTIVITIES-BLOOD PRESSURE CLINICS-DISCHARGE PLANNING WITH FOLLOW-UP SUPPORT PROGRAMS-HEALTH PROMOTION/WELLNESS PROGRAMS-HEALTH SCREENING/HEALTH FAIRS-NUTRITION AND WEIGHT CONTROL-RURAL HEALTH OUTREACH SERVICES-STRESS MANAGEMENT-WORK SITE HEALTH PROMOTION SERVICE-KNOW YOUR NUMBERS LOW-COST SCREENING ON THE FIRST MONDAY OF EVERY MONTH (EXCEPT FOR HOLIDAYS), MARLETTE REGIONAL HOSPITAL OFFERS REDUCED RATE HEALTH SCREENINGS INCLUDING ACHILLES BONE DENSITY, BASIC METABOLIC PANEL, COMPLETE BLOOD COUNT, GLUCOSE, HBA1C, LIPID PROFILE, LIVER PANEL, POTASSIUM, PROSTATE-SPECIFIC ANTIGEN (PSA), MICROALBUMIN, SPIROMETRY, THYROID-STIMULATING HORMONE (TSH), AND VITAMIN D. LAB RATES RANGE FROM $8 TO $40. -BCUPS (THE BREAST CANCER UNDERSTANDING PREVENTION AND SCREENING (B.C.U.P.S.) PROGRAM IS IN PLACE TO FINANCIALLY ASSIST PATIENTS IN ACQUIRING IMPORTANT SCREENING MAMMOGRAMS AND DIAGNOSTIC TESTING SERVICES.)-MARLETTE REGIONAL HOSPITAL OFFERS $10 SPORTS PHYSICALS IN JUNE, JULY & AUGUST. MARLETTE REGIONAL HOSPITAL'S FAMILY HEALTHCARE OFFICES WILL OFFER REDUCED-PRICE SPORTS PHYSICALS TO AREA ATHLETES FOR A COST OF TEN DOLLARS IN THE MONTHS OF JUNE, JULY AND AUGUST, AND HALF OF THE PROCEEDS WILL BE DONATED BACK TO LOCAL SCHOOLS' ATHLETIC PROGRAMS.-MARLETTE ARC BLOOD DRIVE WE PROVIDE FOOD FOR THE BLOOD DRIVE. BARB PICKS UP THE FOOD FROM THE HOSPITAL AND DROPS IT OFF MONTHLY. WE ALSO HELP COORDINATE THE VOLUNTEERS.MRH SERVICES/PROGRAMS:-EMERGENCY SERVICES DEPARTMENT-ADVANCED LIFE SUPPORT AMBULANCE SERVICE-FIRE AND POLICE ASSISTANCE-HELICOPTER TRANSFER ASSISTANCE-CLINICAL SERVICES-CERTIFIED RURAL HEALTH CLINICS-CHILDHOOD & ADULT IMMUNIZATIONS-TELE-STROKE VIRTUAL MEDICINE-PRIMARY CARE SERVICES-ACUTE MEDICAL AND SURGICAL SERVICES-RESIDENTIAL AND HOME-BASED HOSPICE SERVICES-UNIQUELY-ACCREDITED HOSPITAL, LABORATORY, CARDIOPULMONARY, HOSPICE 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 SPORTS PHYSICALS-SKILLED NURSING SERVICES/INTERMEDIATE CARE FACILITY-WOUND CARE CLINIC-PEDIATRIC SERVICES-NON-CLINICAL HOSPITAL SERVICES-ADVOCACY ON BEHALF OF SPECIFIC PATIENTS NEEDING INTERVENTION WITH PUBLIC AGENCIES (SOCIAL SERVICES)-FREE MEETING ROOMS FOR COMMUNITY GROUPS-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-VISITING MEDICAL AND SURGICAL SPECIALISTS TO COMPLEMENT PRIMARY CARE-BEREAVEMENT GROUP MEETS AT EAST CAMPUS MONTHLY IN THE FOUNDATION CONFERENCE ROOM.-TRANSITIONS PROGRAM THIS IS A FREE SERVICE RAN THROUGH HOSPICE.- PHYSICIANS' CARE- WORK IN PARTNERSHIP CARING HEART HEALTH CLINIC-SUPPORT FOR BLOOD DRIVES-PHYSICIAN REFERRAL SERVICES-PARTNER IN REGIONAL RURAL HEALTH NETWORKS-WORKING RELATIONSHIPS WITH OTHERS-CIVIC ORGANIZATIONS SUCH AS LIONS CLUB, TOYS FOR TOTS, AMERICAN CANCER SOCIETY RESEARCH PROGRAM-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 - FREE MATTER OF BALANCE PROGRAM-STATE AND LOCAL AGENCIES AND ORGANIZATIONS-CENTRAL MICHIGAN UNIVERSITY COLLEGE OF MEDICINE-COVENANT REGIONAL THUMB NETWORK (CRTN)-DECKERVILLE COMMUNITY HOSPITAL- THE HEARTLANDS, INDEPENDENT LIVING, MEMORY CARE AND ASSISTED LIVING -MICHIGAN CENTER FOR RURAL HEALTH-SANILAC COUNTY HEALTH DEPARTMENT-THUMB COMMUNITY HEALTH PARTNERSHIP (TCHP)-THUMB OPIOID RESPONSE CONSORTIUM (TORC)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. | Desc |
| Total Program Service Expenses | $31,967,954 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 43 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 515 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KIM GENTNER CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8103767024 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3559 PINE STREET | AddressLine1Txt |
| City | DECKERVILLE | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 484270126 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| DANIEL BABCOCK | ||||||||
| CEO | 36.00 | 4.00 | Yes (X) | Yes (X) | $211,253 | $0 | $23,440 | |
| DAVID MESSING | ||||||||
| CHAIRMAN | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| GAIL DENTON | ||||||||
| VICE CHAIRMAN | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| IRENE COLE | ||||||||
| SECRETARY | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| CHRISTOPHER CLARK | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| SUE COOK | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JUSTIN FABER | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| GERALD KEINATH | ||||||||
| DIRECTOR (THRU MAY 2022) | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CURTIS LANDRITH | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| VICTORIA MEIBURG | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ALEXANDER MESSING | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| SCOTT ORR | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DAVID WEST | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| KIM GENTNER | ||||||||
| CFO | 36.00 | 4.00 | Yes (X) | $0 | $89,697 | $0 | ||
| DR CHRISTOPHER HANCZARUK | ||||||||
| DOCTOR | 40.00 | $331,545 | $0 | $22,948 | Yes (X) | |||
| DR SARAH ALBERS | ||||||||
| DOCTOR | 40.00 | $347,681 | $0 | $2,605 | Yes (X) | |||
| DR DANIEL KULICK | ||||||||
| DOCTOR | 40.00 | $314,662 | $0 | $11,458 | Yes (X) | |||
| DR MICHAEL KITTO | ||||||||
| DOCTOR | 40.00 | $298,470 | $0 | $49 | Yes (X) | |||
| DR SYLVIA HAMARA | ||||||||
| DOCTOR | 40.00 | $272,752 | $0 | $1,041 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,776,363 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $89,697 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $61,541 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 15 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CERNER CORPORATION | |||||
| PO BOX 959159 | ST LOUIS | MO | 63195 | IT SERVICES | $498,299 |
| THUMB COOLING & HEATING | |||||
| 8430 VAN DYKE RD | CASS CITY | MI | 48726 | MAINTENANCE | $358,274 |
| NITIN G GOLECHHA | |||||
| 7630 N CENTRAL PARK | SHELBY TWP | MI | 48317 | HOSPITALIST | $286,892 |
| MICHIGAN SURGICAL SPECIALISTS PC | |||||
| 5510 HOSNER RD | METAMORA | MI | 48455 | SURGICAL SERVICES | $269,000 |
| MICROSOFT LICENSING GP | |||||
| LOCKBOX - DEPT 842467- 1960 N STEMM | DALLAS | TX | 75207 | SOFTWARE/SERVICES | $185,973 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 24 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,609,678 | GovernmentGrantsAmt |
| All Other Contributions | $267,313 | AllOtherContributionsAmt |
| Total Contributions | $1,876,991 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET I/O PATIENT SERVICE REVENUE | 621500 | $26,951,469 | $26,951,469 |
| CLINIC SERVICE REVENUE | 621110 | $5,648,662 | $5,648,662 |
| NURSING FACILITY REVENUE | 623000 | $3,545,056 | $3,545,056 |
| 340 B PROGRAM | 446110 | $200,415 | $200,415 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $317,796 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $317,796 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $36,663,398 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $23,958 | TotalRevenueColumnAmt |
| Exclusion | $23,958 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $517,074 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $220,348 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $296,726 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $296,726 | TotalRevenueColumnAmt |
| Exclusion | $296,726 | ExclusionAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $132,462 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $108,134 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $24,328 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $132,462 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $38,993,535 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $36,771,532 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $345,012 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,482 | TotalAmt |
| Program Services | $34,482 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $234,694 | TotalAmt |
| Management And General | $234,694 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,547,674 | TotalAmt |
| Program Services | $17,052,072 | ProgramServicesAmt |
| Management And General | $1,495,602 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $406,249 | TotalAmt |
| Management And General | $406,249 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,352,848 | TotalAmt |
| Program Services | $1,989,348 | ProgramServicesAmt |
| Management And General | $363,500 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,350,676 | TotalAmt |
| Program Services | $1,177,949 | ProgramServicesAmt |
| Management And General | $172,727 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,071 | TotalAmt |
| Management And General | $52,071 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,255 | TotalAmt |
| Management And General | $55,255 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,931 | TotalAmt |
| Management And General | $78,931 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,802,573 | TotalAmt |
| Program Services | $3,407,686 | ProgramServicesAmt |
| Management And General | $1,394,887 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,473 | TotalAmt |
| Program Services | $8,377 | ProgramServicesAmt |
| Management And General | $73,096 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $68,653 | TotalAmt |
| Program Services | $9,665 | ProgramServicesAmt |
| Management And General | $58,988 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $115,540 | TotalAmt |
| Program Services | $107,148 | ProgramServicesAmt |
| Management And General | $8,392 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,565 | TotalAmt |
| Program Services | $10,671 | ProgramServicesAmt |
| Management And General | $6,894 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,408,819 | TotalAmt |
| Program Services | $1,283,461 | ProgramServicesAmt |
| Management And General | $125,358 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $480,536 | TotalAmt |
| Program Services | $118,589 | ProgramServicesAmt |
| Management And General | $361,947 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLILES | $3,768,308 | $3,699,810 | $68,498 |
| LAB EXPENSES | $1,192,514 | $1,192,514 | |
| BAD DEBT | $1,010,564 | $1,010,564 | |
| REPAIRS & MAINTENANCE | $372,853 | $365,843 | $7,010 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $885,944 | TotalAmt |
| Program Services | $499,775 | ProgramServicesAmt |
| Management And General | $386,169 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,318,222 | TotalAmt |
| Program Services | $31,967,954 | ProgramServicesAmt |
| Management And General | $5,350,268 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $496,853 | BOYAmt |
| EOY | $577,026 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,888,351 | BOYAmt |
| EOY | $15,057,257 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,315,749 | BOYAmt |
| EOY | $4,113,585 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $379,490 | BOYAmt |
| EOY | $334,205 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $405,204 | BOYAmt |
| EOY | $613,724 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $52,533,450 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $39,029,752 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,174,988 | BOYAmt |
| EOY | $13,503,698 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,693,610 | BOYAmt |
| EOY | $1,618,070 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,354,245 | BOYAmt |
| EOY | $35,817,565 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,445,246 | BOYAmt |
| EOY | $1,614,886 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $255,823 | BOYAmt |
| EOY | $90 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $245,101 | BOYAmt |
| EOY | $169,608 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,725,099 | BOYAmt |
| EOY | $3,716,878 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,671,269 | BOYAmt |
| EOY | $5,501,462 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,951,816 | BOYAmt |
| EOY | $29,482,589 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $731,160 | BOYAmt |
| EOY | $833,514 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,682,976 | BOYAmt |
| EOY | $30,316,103 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,354,245 | BOYAmt |
| EOY | $35,817,565 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,675,313 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$1,042,186 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $405 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $405 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION PAYS ANNUAL DUES TO HEALTH CARE ASSOCIATION OF MICHIGAN (HCAM) MICHIGAN HEALTH AND HOSPITAL ASSOCIATION (MHA) AND A PORTION OF THOSE DUES GOES TOWARD LOBBYING. THE MHA WORKS WITH ITS MEMBER HOSPITAL AND HEALTH SYSTEMS TO INFORM DECISION-MAKERS ABOUT THE IMPACT OF HOSPITALS ON LOCAL HEALTH AND HEALTHCARE DELIVERY, AND ON CREATING THRIVING COMMUNITIES. THEY SPEND TIME IN MICHIGAN AND WASHINGTON DC TO ADVOCATE ON BEHALF OF THE INTERESTS OF ITS MEMBERS. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $62,626 | OtherCostOrOtherBasisAmt |
| Book Value | $62,626 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $24,919,773 | OtherCostOrOtherBasisAmt |
| Depreciation | $16,395,063 | DepreciationAmt |
| Book Value | $8,524,710 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $25,098,624 | OtherCostOrOtherBasisAmt |
| Depreciation | $21,092,002 | DepreciationAmt |
| Book Value | $4,006,622 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,452,427 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,542,687 | DepreciationAmt |
| Book Value | $909,740 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $13,503,698 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| HHS PROVIDER RELIEF FUND REFUNDABLE ADVANCES | $844,094 |
| MEDICARE ACCERLERATED PAYMENTS | $1,610,797 |
| ESTIMATED THIRD PARTY PAYOR LIABILITY | $1,261,987 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,716,878 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $38,203,319 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $38,203,319 | RevenueSubtotalAmt |
| Other Revenues Not Included | $790,216 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $790,216 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $38,993,535 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $36,528,006 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $36,528,006 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $790,216 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $790,216 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $37,318,222 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE 1,010,564. RENT EXPENSES -220,348. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE 1,010,564. RENTAL EXPENSES -220,348. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent250 | Yes (X) | Percent250Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,873 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $9,873 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $6,699,545 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,020,791 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,678,754 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.12890 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $6,709,418 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,020,791 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,688,627 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.12920 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 105 | ActivitiesOrProgramsCnt |
| Persons Served | 1134 | PersonsServedCnt |
| Total Community Benefit Expns | $107,883 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $33,439 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $74,444 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00210 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 11 | ActivitiesOrProgramsCnt |
| Persons Served | 11 | PersonsServedCnt |
| Total Community Benefit Expns | $15,268 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $15,268 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 7 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $4,525,043 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,523,698 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,001,345 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02760 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 30 | ActivitiesOrProgramsCnt |
| Persons Served | 600 | PersonsServedCnt |
| Total Community Benefit Expns | $25,135 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,160 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $22,975 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 153 | ActivitiesOrProgramsCnt |
| Persons Served | 1745 | PersonsServedCnt |
| Total Community Benefit Expns | $4,673,329 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,559,297 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,114,032 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03070 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 154 | ActivitiesOrProgramsCnt |
| Persons Served | 1745 | PersonsServedCnt |
| Total Community Benefit Expns | $11,382,747 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,580,088 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,802,659 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.15990 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $605,980 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $4,899,596 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $4,929,614 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$30,018 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARLETTE REGIONAL HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2770 MAIN ST PO BOX 307 | AddressLine1Txt |
| City | MARLETTE | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48453 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | HTTPS://MARLETTEREGIONALHOSPITAL.ORG/ | WebsiteAddressTxt |
| State License | 1060000165 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | RHC(S) | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARLETTE REGIONAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 21 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTPS://MARLETTEREGIONALHOSPITAL.ORG/ACCREDITATIONS-DESIGNATIONS-ASSESSMENT | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 21 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTPS://MARLETTEREGIONALHOSPITAL.ORG/ACCREDITATIONS-DESIGNATIONS-ASSESSMENT | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 250.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTPS://MARLETTEREGIONALHOSPITAL.ORG/FINANCIAL-ASSISTANCE-POLICY/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTPS://MARLETTEREGIONALHOSPITAL.ORG/FINANCIAL-ASSISTANCE-POLICY/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://MARLETTEREGIONALHOSPITAL.ORG/FINANCIAL-ASSISTANCE-POLICY/ | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| MARLETTE REGIONAL HOSPITAL | PART V, SECTION B, LINE 5: STAKEHOLDER MEETINGS AND SURVEYS INTENTIONALLY SOUGHT TO INCLUDE VULNERABLE POPULATIONS. THIS WAS ACHIEVED BY DISTRIBUTING SURVEYS TO INDIVIDUALS PARTICIPATING IN SERVICES FOR LOW-INCOME POPULATION AND SENIOR CITIZENS. ADDITIONALLY, SOCIAL SERVICE ORGANIZATIONS THAT SERVE VULNERABLE POPULATIONS WERE PROVIDED SURVEYS. AGENCIES INCLUDED HUMAN DEVELOPMENT COMMISSION, MENTAL HEALTH AGENCIES, THE PUBLIC HEALTH AND SOCIAL SERVICES DIVISION OF THE DEPARTMENT OF HEALTH AND HUMAN SERVICES, SOCIAL WORKERS, INTERMEDIATE SCHOOL DISTRICTS, STAFF FROM HEALTH CARE SECTOR WITH FREE OR LOW COST HEALTH CLINICS, EARLY CHILDHOOD SERVICE PROVIDERS, AND LAW ENFORCEMENT |
| MARLETTE REGIONAL HOSPITAL | PART V, SECTION B, LINE 6B: DECKERVILLE COMMUNITY HOSPITAL |
| MARLETTE REGIONAL HOSPITAL | PART V, SECTION B, LINE 11: SELECTION OF PRIORITIES WILL OFTEN RESULT IN MORE COMPLEX AND EFFECTIVE IMPLEMENTATION STRATEGIES. IDENTIFYING A LIMITED NUMBER OF PRIORITIES ON WHICH TO FOCUS ALSO ALLOWS COMMUNITY INITIATIVES TO BE DEVELOPED WITH COLLABORATING ORGANIZATIONS. EVALUATION AND PROGRESS CAN BE MORE EFFECTIVELY MANAGED WHEN THE PRIORITIES ARE FEWER IN NUMBER. IN REVIEW OF EXISTING EFFORTS, THE TEAM DETERMINED THAT MARLETTE REGIONAL HOSPITAL WOULD HAVE THE GREATEST IMPACT ON COMMUNITY HEALTH BY TARGETING SIX FOCUS AREAS. DATA THAT LED TO THESE PRIORITIES IS INCLUDED IN THE FOLLOWING SECTION. 1. ACCESS TO HEALTH INSURANCE - CARE COORDINATORS PROMOTE WELLNESS SCREENINGS AND ASSIST WITH REMOVING BARRIERS TO ACCESS CARE SUCH AS COST, NAVIGATING INSURANCE, AND TRANSPORTATION. REMOVING BARRIERS TO HEALTH INSURANCE INCLUDE KNOW YOUR NUMBERS, LOW COST SCREENINGS, BCUPS, AND $10 SPORTS PHYSICALS. OFFER A POINT OF CONTACT FOR PATIENTS TO CALL WITH QUESTIONS, CONCERNS AND FEEDBACK IN REGARDS TO HEALTH INSURANCE. EXPANDING ACCESS BY INCREASING TELEHEALTH SERVICES INCLUDING INPATIENT CARE COVERAGE AND SPECIALTY CONSULTATIONS.2. SERVICE AWARENESS - PROVIDER DIRECTORY AND SERVICES OFFERED ARE POSTED ON THE MARLETTE REGIONAL HOSPITAL WEBSITE AND ALL MARLETTE REGIONAL HOSPITAL FAMILY HEALTH CARE OFFICES. SERVICE AREAS ARE HIGHLIGHTED ON SOCIAL MEDIA. MRH HAS SENT OUT A EVERY DOOR DIRECT MAILING. MRH CREATES AN ANNUAL REPORT THAT INCLUDES SERVICES OFFERED. WITH PATIENT CONSENT, MRH PROVIDES PATIENT TESTIMONIALS. WORK IN PARTNERSHIP WITH THE CRTN. THIS NETWORK ENHANCES AND STRENGTHENS HIGH-QUALITY HEALTHCARE PROVIDED BY YOUR COMMUNITY HOSPITAL WITH IMPROVED ACCESS TO MORE RESOURCES WHEN ADDITIONAL SPECIALIZED SUPPORT IS NEEDED. - PROVIDES MORE BOARD-CERTIFIED SPECIALIST COVERAGE AND SPECIALTY CLINICS RIGHT IN YOUR COMMUNITY - ENHANCES HOSPITAL ALIGNMENT WITH PROCESSES IN PLACE TO EXPEDITE PATIENT TRANSFERS WHEN NEEDED - INCREASES LOCAL ACCESS TO CARE, WHILE IMPROVING THE AFFORDABILITY OF QUALITY HEALTHCARE IN THE REGION - PRESERVES COMPLETE INDEPENDENCE OF LOCAL COMMUNITY HOSPITALS IN THE NETWORK.3. HEART DISEASE - DIABETIC EDUCATION CLASSES EXPANDED TO DECKERVILLE AND EXTENDED HOURS. OFFER COMMUNITY GARDEN PLOTS AND PLANTS FREE OF CHARGE @ MRH. DEVELOPMENT OF THE HEARTLANDS SENIOR LIVING INCLUDES EXERCISE CLASSES, FITNESS CENTER, AND WALKING TRAIL NEARBY. WALKING TRAIL SUPPORTER. OFFER 40 MILE WALK CHALLENGE. OFFER FREE OR LOW-COST EXERCISE CLASSES @ MRH. MRH HELPS COORDINATE A 5K IN BROWN CITY. EMERGENCY TELEHEALTH SERVICES FOR POSSIBLE STROKE PATIENTS BEGAN IN 2016. SPECIALTY SERVICES ADDED INCLUDE OUTPATIENT CLINIC SERVICES INCLUDING TELEPSYCHIATRY, CARDIOLOGY, ENT, ORTHOPEDICS, NEPHROLOGY, AND VASCULAR MEDICINE.4. TOBACCO USE AND VAPING - MRH DISTRIBUTES LUNG SCREENING CARDS AT COMMUNITY EVENTS AND HEALTH CARE OFFICES. SHARE RESOURCES ON TOBACCO USE OF VAPING PRODUCTS WITH THE COMMUNITY FROM MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES. LUNG CANCER SCREENING CAMPAIGN IN JUNE HIGHLIGHTS TOBACCO USE OF VAPING PRODUCTS.5. CANCER - MRH PROVIDES FINANCIAL ASSISTANCE FOR MAMMOGRAMS AND DIAGNOSTIC TESTING SERVICES THROUGH THE B.C.U.P.S. PROGRAM. MRH PARTNERS WITH P.C.U.P.S. FOUNDATION.TO RAISE FUNDS AND CREATE A HIGHER AWARENESS IN THE FIGHT AGAINST PROSTATE CANCER. FROM THIS MEETING, THE P.C.U.P.S PROGRAM WAS CREATED. P.C.U.P.S. STANDS FOR PROSTATE CANCER UNDERSTANDING, PREVENTION AND SCREENINGS. MARLETTE REGIONAL HOSPITAL CANCER CENTER DEVELOPMENT WITH COVENANT. 6. BEHAVIORAL HEALTH- PHYSICIAN OFFICES AND EMERGENCY DEPARTMENT CONTINUE TO ABIDE BY STRICT GUIDELINES IN THE PRESCRIBING AND ADMINISTRATION OF OPIOIDS AND NARCOTICS. MEMBER OF THUMB OPIOID RESPONSE CONSORTIUM (TORC) TO REDUCE THE HARM OF SUBSTANCE USE DISORDERS BY WORKING TOGETHER AS A REGION (HURON, SANILAC, TUSCOLA AND THE RURAL TRACKS OF LAPEER COUNTY) TO ENSURE THAT PREVENTION, TREATMENT, AND RECOVERY SERVICES ARE ALIGNED WITH THE NEEDS OF THE COMMUNITY. PREVIOUSLY COMPLETED SBIRT TRAINING THROUGH THE TORC. MEMBER OF THUMB COMMUNITY HEALTH PARTNERSHIP TO PROVIDE MAN THERAPY.SECONDARY PRIORITIES1. COVID 19- NOTIFY THE COMMUNITY WITH COVID-19 UPDATES. OFFERED 100 FREE COVID-19 ANTIBODY TESTS CURRENTLY OFFER $25 COVID-19 ANTIBODY TESTS. SEND OUT COMMUNICATION WITH VACCINATION AND TESTING LOCATIONS. OFFER TESTING IN THE EMERGENCY DEPARTMENT. ENFORCE RESTRICTIONS IN ALL MARLETTE REGIONAL HOSPITAL FACILITIES.2. DIABETES- POST DIABETES EDUCATION AWARENESS VIDEOS ON SOCIAL MEDIA. OFFERING EVENING CLASSES TO ACCOMMODATE MORE PATIENTS AND THEIR SCHEDULES. WITH PATIENT'S CONSENT CAPTURE TESTIMONIALS TO ENCOURAGE OTHERS IN NEED OF THE SERVICE TO CONTACT MRH. MEMBER OF THUMB COMMUNITY HEALTH PARTNERSHIP WHICH PROVIDES WOMEN TO WOMEN CHRONIC DISEASE HEALTH PROGRAM. |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7, COLUMN (F): | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 1,010,564. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | 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. AT THE END OF FY2022 THE HOSPITAL PARTIALLY OPENED UP IT'S SENIOR LIVING COMMUNITY, THE HEARTLANDS, WHICH ENCOMPASSES 20 INDEPENDENT VILLAS, 20 ASSISTED LIVING, AND 12 MEMORY CARE ROOMS AND A COMMUNITY CENTER. WE HAD A HANDFUL OF INDEPENDENT VILLA RESIDENTS MOVE IN AT THE END OF THE FISCAL YEAR AND IN FY2023 WE ARE HOPING TO HAVE ALL SERVICE LINES UP AND RUNNING TO BETTER SUPPORT THIS PATIENT POPULATION. |
| PART III, LINE 2: | THE COSTING METHODOLOGY USED ON FORM 990 IS BASED ON A COST-TO-CHARGE RATIO, WHICH IS DEVELOPED BASED ON THE HOSPITAL'S TOTAL OPERATING EXPENSES EXCLUDING THE PROVISION FOR BAD DEBT, DIVIDED BY GROSS PATIENT SERVICE REVENUE. THIS COST-TO-CHARGE RATIO IS APPLIED AGAINST THE TOTAL CHARGES THAT ARE WRITTEN OFF DURING THE YEAR TO ESTIMATE THE COST OF CARE OF PATIENTS WHO HAVE ACCOUNTS THAT ARE DEEMED TO BE BAD DEBTS TO THE HOSPITAL. THE HOSPITAL ALSO RECOGNIZES THAT IT ALSO PROVIDES A DISCOUNT TO SELF-PAY OR UNINSURED PATIENTS. THESE AMOUNTS ARE EXCLUDED FROM GROSS PATIENT SERVICE REVENUE ON THE FINANCIAL STATEMENTS AND ARE NOT INCLUDED IN THE RATIO AS DESCRIBED ABOVE AND APPROVED BY THE IRS FOR USE ON FORM 990. IF CONSIDERED, THESE ADDITIONAL WRITE-OFF AMOUNTS TO UNINSURED ACCOUNTS WOULD ALSO INCREASE THE ESTIMATED BAD DEBT EXPENSE AMOUNT ASSOCIATED WITH THESE UNCOLLECTIBLE ACCOUNTS TO THE HOSPITAL. |
| PART III, LINE 4: | THE ORGANIZATION DOES NOT HAVE A SPECIFIC BAD DEBT FOOTNOTE IN THEIR FINANCIAL STATEMENTS. ACCOUNTS RECEIVABLE AND CREDIT POLICY:ACCOUNTS RECEIVABLE ARE REPORTED AT THE AMOUNT THAT REFLECTS THE CONSIDERATION TO WHICH THE HOSPITAL EXPECTS TO BE ENTITLED IN EXCHANGE FOR PROVIDING PATIENT CARE SERVICES. ACCOUNTS RECEIVABLE ARE RECORDED IN THE ACCOMPANYING BALANCE SHEETS NET OF CONTRACTUAL ADJUSTMENTS AND IMPLICIT PRICE CONCESSIONS, WHICH REFLECT MANAGEMENT'S ESTIMATE OF THE TRANSACTION PRICE. THE HOSPITAL ESTIMATES THE TRANSACTION PRICE BASED ON NEGOTIATED CONTRACTUAL AGREEMENTS, HISTORICAL EXPERIENCE, AND CURRENT MARKET CONDITIONS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGE BY ANY CONTRACTUAL ADJUSTMENTS, DISCOUNTS, AND IMPLICIT PRICE CONCESSIONS AND IS RECORDED THROUGH A REDUCTION OF GROSS REVENUE AND A CREDIT TO PATIENT ACCOUNTS RECEIVABLE. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO PATIENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE. THE HOSPITAL DOES NOT HAVE A POLICY TO CHARGE INTEREST ON PAST DUE ACCOUNTS.THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A SEPARATE FOOTNOTE REGARDING BAD DEBT EXPENSE. |
| PART III, LINE 8: | THE AMOUNT OF MEDICARE ALLOWABLE COST WAS TAKEN DIRECTLY FROM THE MEDICARE COST REPORT. WHETHER THERE IS A SHORTFALL OR SURPLUS ON SERVICES TO MEDICARE BENEFICIARIES, THESE PATIENTS, WHO ARE TYPICALLY ELDERLY MEMBERS OF THE COMMUNITY, ARE AN UNDERSERVED POPULATION WHO EXPERIENCE ISSUES WITH ACCESS TO HEALTHCARE SERVICES. WITHOUT TAX-EXEMPT HOSPITALS PROVIDING MEDICARE PATIENT SERVICES, THE CENTERS FOR MEDICARE AND MEDICAID (CMS) WOULD BEAR THE BURDEN OF DIRECTLY PROVIDING SERVICES TO THE ELDERLY AND DISABLED MEMBERS OF THE COMMUNITY.THE TOTAL MEDICARE REVENUE SHOWN ON SCHEDULE H IS BASED ON THE IRS 990 INSTRUCTIONS AND INCLUDES ONLY THE CHARGES FROM MEDICARE PROGRAM BENEFICIARIES THAT ARE REPORTED ON THE HOSPITAL'S MEDICARE COST REPORT. THE AMOUNT LISTED FOR MEDICARE REVENUE DOES NOT INCLUDE PHYSICIAN SERVICES PROVIDED AT THE HOSPITAL, OUTLYING CLINIC LOCATIONS. PHYSICIAN COVERAGE IS REIMBURSED PRIMARILY ON A FEE SCHEDULE REIMBURSEMENT AT RATES THAT ARE OFTEN BELOW THE COSTS OF CARE FOR PATIENTS. PHYSICIAN SERVICES PROVIDED TO MEDICARE PATIENTS ARE VITAL TO THE WELL-BEING OF THE COMMUNITY AND AS SUCH THESE COSTS AND SHORTFALLS SHOULD ALSO BE CONSIDERED AN ADDITIONAL COMMUNITY BENEFIT THE HOSPITAL PROVIDES TO THE COMMUNITY AND SURROUNDING AREA. THE COST METHOD USED ABOVE FOR IRS 990 COMPLIANCES REPORTING IS BASED ON THE OVERALL AVERAGE COST TO CHARGE RATIO AND DOES NOT CONSIDER MEDICARE NON-ALLOWABLE EXPENSES AS IT IS BASED ON TOTAL OPERATING EXPENSES LESS THE PROVISION FOR BAD DEBT EXPENSE DIVIDED BY THE HOSPITAL PATIENT SERVICE REVENUE (IGNORING CONTRACTUAL ADJUSTMENTS ON FEE SCHEDULE REIMBURSED ITEMS AND NON-ALLOWABLE MEDICARE EXPENSES AS NOTED ABOVE). THIS RATIO IS THEN MULTIPLIED BY THE TOTAL MEDICARE SERVICES, WHICH ARE REIMBURSED BASED ON MEDICARE REGULATIONS. INCLUDING THE FEE SCHEDULE ITEMS, SUCH AS PHYSICIAN SERVICES, WOULD PRODUCE A LOSS OR SHORTFALL ON THESE SERVICES TO BE REPORTED ON THE FORM 990 IN ANY GIVEN YEAR. |
| PART VI, LINE 2: | THE HOSPITAL HAS PARTNERED WITH PRESS GANEY WHICH IS A COMPANY THAT HELPS US DO SURVEYS FOR PATIENT SATISFACTION. WE USE FEEDBACK FROM THOSE SURVEYS TO BETTER UNDERSTAND THE NEEDS OF OUR PATIENTS. ALSO, WITH WORKING CLOSELY WITH DCH WE GAIN A BETTER UNDERSTANDING OF THE NEEDS OF OUR PATIENTS IN OUR COUNTY BY ANALYZING DATA AT BOTH FACILITIES FOR POTENTIAL NEEDS. |
| PART VI, LINE 3: | FOR INPATIENT SERVICES 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 FINANCIAL ASSISTANCE APPLICATION. FOR OUTPATIENT SERVICES THE REGISTRATION STAFF OFFER FINANCIAL ASSISTANCE APPLICATIONS TO PATIENTS WHO CANNOT PAY THEIR UPFRONT COLLECTIONS. THE BILLING DEPARTMENT ALSO ASSISTS THE PATIENT IN APPLYING FOR GOVERNMENTAL ASSISTANCE. IF NOT APPLICABLE OR AVAILABLE, THE PATIENT IS ASSISTED IN COMPLETING THE FINANCIAL ASSISTANCE APPLICATION AND APPLICATIONS TO SPECIAL ORGANIZATIONS THAT MIGHT OFFER ASSISTANCE AS WELL. NOTICES OF AVAILABILITY OF FINANCIAL ASSISTANCE ARE ALSO POSTED IN THE HOSPITAL LOBBY. |
| PART VI, LINE 4: | MARLETTE REGIONAL HOSPITAL SERVES RURAL COMMUNITIES IN SANILAC COUNTY AND PORTIONS OF LAPEER AND TUSCOLA COUNTIES. THE HOSPITAL'S SERVICE AREA INCLUDES NUMEROUS MUNICIPALITIES: BROWN CITY, DECKER, DEFORD, MARLETTE, MELVIN, PECK, SANDUSKY, SNOVER, FOSTORIA, KINGSTON, MAYVILLE, NORTH BRANCH, CLIFFORD, YALE, AND SILVERWOOD. BASED ON CENSUS DATA FOR MUNICIPALITIES, APPROXIMATELY 47,157 PEOPLE LIVE IN THE SERVICE AREA. THE HOSPITAL PROVIDES SERVICE TO COMMUNITIES IN WHICH THERE ARE A WIDE RANGE OF NEEDS (CENSUS-AMERICAN COMMUNITY SURVEY 5 YEAR AVERAGE(2020). EIGHTEEN AND ONE HALF PERCENT OF THE POPULATION IS OVER THE AGE OF 65 AND ONLY 23% ARE UNDER AGE 18. THE POPULATION HAS LIMITED RACIAL DIVERSITY WITH 98.5% OF THE POPULATION WHITE. THE SERVICE AREA HAS A COLLEGE DEGREE RATE OF 11.2% COMPARED TO MICHIGAN'S 30.5% AND UNITED STATES 32.9%. AVERAGE HOUSEHOLD INCOME IN THE SERVICE AREA IS $67,887 AS COMPARED TO MICHIGAN'S AVERAGE INCOME OF $80,803 AND THE UNITED STATES AVERAGE INCOME OF $91,547. UNEMPLOYMENT IN THE SERVICE AREA RANGED FROM 3.9 TO 13.4% COMPARED TO MICHIGAN AT 6% AND THE U.S. AT 5.4%. OF THE CIVILIAN NONINSTITUTIONALIZED POPULATION 8.5% HAVE NO HEALTH INSURANCE COVERAGE COMPARED TO MICHIGAN AT 5.4% AND THE U.S. AT 8.7%. THE PERCENTAGE OF PEOPLE WHO HAD INCOMES BELOW POVERTY IN PAST 12 MONTHS WAS 14.88% BUT RANGED BY MUNICIPALITY FROM 7.8% TO 28.4%. |
| PART VI, LINE 5: | 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. AT THE END OF FY2022 THE HOSPITAL PARTIALLY OPENED UP IT'S SENIOR LIVING COMMUNITY, THE HEARTLANDS, WHICH ENCOMPASSES 20 INDEPENDENT VILLAS, 20 ASSISTED LIVING, AND 12 MEMORY CARE ROOMS AND A COMMUNITY CENTER. WE HAD A HANDFUL OF INDEPENDENT VILLA RESIDENTS MOVE IN AT THE END OF THE FISCAL YEAR AND IN FY2023 WE ARE HOPING TO HAVE ALL SERVICE LINES UP AND RUNNING TO BETTER SUPPORT THIS PATIENT POPULATION. |
| PART VI, LINE 6: | THE ORGANIZATION IS WORKING WITH DECKERVILLE COMMUNITY HOSPITAL, THUMB MRI, AND THE COVENANT REGIONAL THUMB NETWORK TO BETTER SERVE THE NEEDS OF THE COMMUNITY. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | MI |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DR CHRISTOPHER HANCZARUK | ||||||||||||||
| DOCTOR | $310,856 | $0 | $2,029 | $0 | $18,660 | $0 | $13,272 | $0 | $9,676 | $0 | $354,493 | $0 | $0 | $0 |
| DR SARAH ALBERS | ||||||||||||||
| DOCTOR | $311,988 | $0 | $2,084 | $0 | $33,609 | $0 | $0 | $0 | $2,605 | $0 | $350,286 | $0 | $0 | $0 |
| DR DANIEL KULICK | ||||||||||||||
| DOCTOR | $291,245 | $0 | $12,002 | $0 | $11,415 | $0 | $0 | $0 | $11,458 | $0 | $326,120 | $0 | $0 | $0 |
| DR MICHAEL KITTO | ||||||||||||||
| DOCTOR | $286,055 | $0 | $2,029 | $0 | $10,386 | $0 | $0 | $0 | $49 | $0 | $298,519 | $0 | $0 | $0 |
| DR SYLVIA HAMARA | ||||||||||||||
| DOCTOR | $248,952 | $0 | $2,029 | $0 | $21,771 | $0 | $0 | $0 | $1,041 | $0 | $273,793 | $0 | $0 | $0 |
| DANIEL BABCOCK | ||||||||||||||
| CEO | $187,356 | $0 | $11,293 | $0 | $12,604 | $0 | $4,227 | $0 | $19,213 | $0 | $234,693 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 7A | THE HOSPITAL HAS ONLY 1 MEMBER, WHICH IS BLUEWATER HEALTHCARE NETWORK WHICH MAY APPOINT ONE OR MORE OF THE GOVERNING BODY. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE SINGLE MEMBER HAS THE RIGHT TO APPOINT AN OFFICER OR DIRECTOR OR ANYONE ELSE TO ACT ON ITS BEHALF IN THE CAPACITY OF THE MEMBER. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS REVIEWED AND APPROVED BY THE BOARD PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE HOSPITAL'S CONFLICT OF INTEREST POLICY COVERS THE BOARD OF DIRECTORS, MEDICAL STAFF, MANAGERS AND EMPLOYEES OF THE HOSPITAL. THE POLICY DEFINES A CONFLICT OF INTEREST AND THE PROCEDURE TO FOLLOW IN ANY CIRCUMSTANCE WHERE A REAL OR PERCEIVED CONFLICT EXISTS. BOARD OF DIRECTORS - PERSONS WITH ACTUAL OR POTENTIAL CONFLICTS OF INTEREST SHALL FILE FORMAL STATEMENTS DISCLOSING ACTUAL OR POTENTIAL CONFLICTS WHENEVER AN ACTUAL OR POTENTIAL CONFLICT ARISES; BEFORE ANY TRANSACTIONS CONSTITUTING A CONFLICT OR POTENTIAL CONFLICT IS CONSUMMATED; AND ONCE EACH CALENDAR YEAR SO LONG AS THE CONFLICT OR POTENTIAL CONFLICT CONTINUES TO EXIST. THE DISCLOSURE STATEMENT SHALL INCLUDE A DESCRIPTION OF THE RELATIONSHIP OR INTEREST CAUSING THE CONFLICT OR POTENTIAL CONFLICT, THE ROLE IN THE RELATIONSHIP OR TRANSACTION PLAYED BY THE PERSON HAVING THE CONFLICT, AND THE BENEFITS AND DETERMENTS ACCRUING TO THE HOSPITAL AND TO THE PERSON HAVING THE CONFLICT AS A RESULT OF THE CONTRACT, TRANSACTION, OR RELATIONSHIP. ANY MEMBER OF THE BOARD OF DIRECTORS HAVING AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST ON ANY MATTER SHALL NOT VOTE OR USE HIS/HER PERSONAL INFLUENCE ON THE MATTER CONSTITUTING A CONFLICT. THE INTERESTED DIRECTOR MAY, HOWEVER, BE COUNTED FOR THE PURPOSE OF DETERMINING WHETHER A QUORUM OF THE BOARD, OR OF A COMMITTEE OF THE BOARD, EXISTS. THE MATTER CONSTITUTING THE CONFLICT SHALL BE APPROVED IF IT IS APPROVED BY A MAJORITY OF DISINTERESTED DIRECTORS VOTING ON THE MATTER. THE CONFLICT OF INTEREST POLICY SHALL BE REVIEWED ANNUALLY FOR THE INFORMATION AND GUIDANCE OF THE BOARD OF DIRECTORS AND THAT ANY NEW MEMBERS OF THE SAID BOARD OF DIRECTORS BE ADVISED OF THE POLICY UPON ENTERING ON THE DUTIES OF HIS/HER OFFICE. IN ADDITION TO THE BOARD OF DIRECTORS BEING HELD TO THE CONFLICT OF INTEREST POLICY, COPIES OF THE POLICY ARE AVAILABLE TO ALL MANAGEMENT EMPLOYEES. CONFLICT OF INTEREST DISCLOSURE FORMS ARE COMPLETED ANNUALLY BY ALL DIRECTORS, OFFICERS, MANAGING EMPLOYEES, AND EMPLOYED MEDICAL STAFF. THE COMPLETED FORMS ARE KEPT ON FILE BY THE HOSPITAL'S COMPLIANCE OFFICER. |
| FORM 990, PART VI, SECTION B, LINE 15 | 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. THE COMPENSATION OF OTHER TOP OFFICIALS ARE BASED UPON APPLICABLE STATEWIDE COMPENSATION SURVEYS. |
| FORM 990, PART VI, SECTION C, LINE 18 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND OTHER ORGANIZING DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND OTHER ORGANIZING DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | PROFESSIONAL FEES AND CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 3,407,686. MANAGEMENT AND GENERAL EXPENSES 1,394,887. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,802,573. |
| FORM 990, PART XI, LINE 9: | TRANSFER TO UNITED HEALTHCARE PARTNERS -1,042,186. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| BLUEWATER HEALTHCARE NETWORK | |||||||||||
| 2770 MAIN STREET | MARLETTE | MI | 48453 | 465444203 | PARENT | MI | 501(C)(3) | LINE 12B, II | N/A | 0 | |
| DECKERVILLE COMMUNITY HOSPITAL | |||||||||||
| 3559 PINE ST | DECKERVILLE | MI | 48427 | 381415390 | HOSPITAL | MI | 501(C)(3) | LINE 3 | Yes (1) | BLUEWATER HEALTHCARE NETWORK | |
| MARLETTE SENIOR LIVING | |||||||||||
| 6305 BLUEWATER COURT | MARLETTE | MI | 48453 | 843210271 | SENIOR LIVING | MI | 501(C)(3) | LINE 10 | Yes (1) | BLUEWATER HEALTHCARE NETWORK | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| THUMB MRI LLC | ||||||||||||
| 6320 VAN DYKE RD | CASS CITY | MI | 48726 | 364107673 | IMAGING | MI | RELATED | $89,146 | $208,311 | 0 | Yes (1) | 0.33330 |
| THUMB MRI PROPERTY HOLDING CO LLC | ||||||||||||
| 6320 VAN DYKE RD | CASS CITY | MI | 48726 | 270668404 | RENTAL | MI | RELATED | -$6,903 | $117,632 | 0 | Yes (1) | 0.33330 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DECKERVILLE COMMUNITY HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | Q | TransactionTypeTxt |
| Involved | $70,080 | InvolvedAmt |
| Method Of Amount Determination | COST | MethodOfAmountDeterminationTxt |