2023-03-20T12:05:34-05:00 2022-06-30 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2021-07-01 381507302 MARLETTE REGIONAL HOSPITAL MARL 9896354230 2770 MAIN STREET PO BOX 307 MARLETTE MI 48453 ANGELA MCCONNACHIE CEO 9896354230 2023-03-17 1 ANGELA MCCONNACHIE XXX-XX-XXXX MICHAEL J PETERSON CPA P01833529 2187224705 2023-03-17 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z ANGELA MCCONNACHIE 2770 MAIN STREET PO BOX 307 MARLETTE MI 48453 39213883 0 X WWW.MARLETTEREGIONALHOSPTIAL.ORG X 1951 MI TO PROVIDE HIGH QUALITY AND COST-EFFECTIVE HEALTH CARE SERVICES. 12 11 515 105 0 0 7642357 1876991 36453827 36663398 20340 23958 613066 429188 44729590 38993535 27429 34482 0 0 21495068 22892141 0 0 0 13720179 14391599 35242676 37318222 9486914 1675313 36354245 35817565 6671269 5501462 29682976 30316103 X TO PROVIDE MEDICAL AND SURGICAL CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF MRH, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. THEREFORE, IN KEEPING WITH THIS HOSPITAL'S COMMITMENT TO SERVE ALL MEMBERS OF ITS COMMUNITY, FREE CARE AND/OR SUBSIDIZED CARE, CARE PROVIDED TO PERSONS COVERED BY GOVERNMENT PROGRAMS BELOW COST, AND HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY'S HEALTH STATUS WILL BE CONSIDERED WHERE THE NEED AND/OR THE INDIVIDUAL'S INABILITY TO PAY CO-EXIST. THESE ACTIVITIES INCLUDE ACUTE, EMERGENCY AND OUTPATIENT SERVICES IN ADDITION TO WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, AND SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED, MEDICALLY UNDER-SERVED, AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. 0 0 31967954 34482 36771532 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. 31967954 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 43 0 515 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 11 0 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X KIM GENTNER CFO 8103767024 3559 PINE STREET DECKERVILLE MI 484270126 DANIEL BABCOCK CEO 36.00 4.00 X X 211253 0 23440 DAVID MESSING CHAIRMAN 1.00 1.00 X X 0 0 0 GAIL DENTON VICE CHAIRMAN 1.00 1.00 X X 0 0 0 IRENE COLE SECRETARY 1.00 1.00 X X 0 0 0 CHRISTOPHER CLARK DIRECTOR 1.00 1.00 X 0 0 0 SUE COOK DIRECTOR 1.00 1.00 X 0 0 0 JUSTIN FABER DIRECTOR 1.00 1.00 X 0 0 0 GERALD KEINATH DIRECTOR (THRU MAY 2022) 1.00 1.00 X 0 0 0 CURTIS LANDRITH DIRECTOR 1.00 1.00 X 0 0 0 VICTORIA MEIBURG DIRECTOR 1.00 1.00 X 0 0 0 ALEXANDER MESSING DIRECTOR 1.00 1.00 X 0 0 0 SCOTT ORR DIRECTOR 1.00 1.00 X 0 0 0 DAVID WEST DIRECTOR 1.00 1.00 X 0 0 0 KIM GENTNER CFO 36.00 4.00 X 0 89697 0 DR CHRISTOPHER HANCZARUK DOCTOR 40.00 X 331545 0 22948 DR SARAH ALBERS DOCTOR 40.00 X 347681 0 2605 DR DANIEL KULICK DOCTOR 40.00 X 314662 0 11458 DR MICHAEL KITTO DOCTOR 40.00 X 298470 0 49 DR SYLVIA HAMARA DOCTOR 40.00 X 272752 0 1041 1776363 89697 61541 15 0 1 0 CERNER CORPORATION PO BOX 959159 ST LOUIS MO 63195 IT SERVICES 498299 THUMB COOLING & HEATING 8430 VAN DYKE RD CASS CITY MI 48726 MAINTENANCE 358274 NITIN G GOLECHHA 7630 N CENTRAL PARK SHELBY TWP MI 48317 HOSPITALIST 286892 MICHIGAN SURGICAL SPECIALISTS PC 5510 HOSNER RD METAMORA MI 48455 SURGICAL SERVICES 269000 MICROSOFT LICENSING GP LOCKBOX - DEPT 842467- 1960 N STEMM DALLAS TX 75207 SOFTWARE/SERVICES 185973 24 1609678 267313 1876991 NET I/O PATIENT SERVICE REVENUE 621500 26951469 26951469 CLINIC SERVICE REVENUE 621110 5648662 5648662 NURSING FACILITY REVENUE 623000 3545056 3545056 340 B PROGRAM 446110 200415 200415 317796 317796 36663398 23958 23958 517074 220348 296726 296726 296726 132462 108134 24328 132462 38993535 36771532 0 345012 X 34482 34482 234694 234694 18547674 17052072 1495602 406249 406249 2352848 1989348 363500 1350676 1177949 172727 52071 52071 55255 55255 78931 78931 4802573 3407686 1394887 81473 8377 73096 68653 9665 58988 115540 107148 8392 17565 10671 6894 1408819 1283461 125358 480536 118589 361947 SUPPLILES 3768308 3699810 68498 LAB EXPENSES 1192514 1192514 BAD DEBT 1010564 1010564 REPAIRS & MAINTENANCE 372853 365843 7010 885944 499775 386169 37318222 31967954 5350268 0 496853 577026 15888351 15057257 4315749 4113585 379490 334205 405204 613724 52533450 39029752 12174988 13503698 2693610 1618070 36354245 35817565 2445246 1614886 255823 90 245101 169608 3725099 3716878 6671269 5501462 X 28951816 29482589 731160 833514 29682976 30316103 36354245 35817565 X 1675313 -1042186 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 405 405 0 PART II-B, LINE 1: 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. 62626 62626 24919773 16395063 8524710 25098624 21092002 4006622 2452427 1542687 909740 13503698 HHS PROVIDER RELIEF FUND REFUNDABLE ADVANCES 844094 MEDICARE ACCERLERATED PAYMENTS 1610797 ESTIMATED THIRD PARTY PAYOR LIABILITY 1261987 3716878 38203319 0 38203319 790216 790216 38993535 36528006 0 36528006 790216 790216 37318222 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. 1 1 X 1 X 1 X 1 1 0 1 1 9873 9873 0.00030 1 6699545 2020791 4678754 0.12890 1 6709418 2020791 4688627 0.12920 105 1134 107883 33439 74444 0.00210 11 11 15268 15268 0.00040 7 4525043 3523698 1001345 0.02760 30 600 25135 2160 22975 0.00060 153 1745 4673329 3559297 1114032 0.03070 154 1745 11382747 5580088 5802659 0.15990 0 605980 0 4899596 4929614 -30018 X 1 1 1 1 MARLETTE REGIONAL HOSPITAL 2770 MAIN ST PO BOX 307 MARLETTE MI 48453 HTTPS://MARLETTEREGIONALHOSPITAL.ORG/ 1060000165 X X X RHC(S) MARLETTE REGIONAL HOSPITAL 0 0 1 X X X X X X X X X 21 1 0 1 1 X HTTPS://MARLETTEREGIONALHOSPITAL.ORG/ACCREDITATIONS-DESIGNATIONS-ASSESSMENT X 1 21 1 HTTPS://MARLETTEREGIONALHOSPITAL.ORG/ACCREDITATIONS-DESIGNATIONS-ASSESSMENT 0 1 X 100.000000000000 250.000000000000 X X X X 1 1 X X X X 1 X HTTPS://MARLETTEREGIONALHOSPITAL.ORG/FINANCIAL-ASSISTANCE-POLICY/ X HTTPS://MARLETTEREGIONALHOSPITAL.ORG/FINANCIAL-ASSISTANCE-POLICY/ X HTTPS://MARLETTEREGIONALHOSPITAL.ORG/FINANCIAL-ASSISTANCE-POLICY/ X X X X 1 X 0 X X X X 1 X 0 0 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. 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 X X X 0 0 0 0 0 0 0 0 0 DR CHRISTOPHER HANCZARUK DOCTOR 310856 0 2029 0 18660 0 13272 0 9676 0 354493 0 0 0 DR SARAH ALBERS DOCTOR 311988 0 2084 0 33609 0 0 0 2605 0 350286 0 0 0 DR DANIEL KULICK DOCTOR 291245 0 12002 0 11415 0 0 0 11458 0 326120 0 0 0 DR MICHAEL KITTO DOCTOR 286055 0 2029 0 10386 0 0 0 49 0 298519 0 0 0 DR SYLVIA HAMARA DOCTOR 248952 0 2029 0 21771 0 0 0 1041 0 273793 0 0 0 DANIEL BABCOCK CEO 187356 0 11293 0 12604 0 4227 0 19213 0 234693 0 0 0 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. 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 BLUEWATER HEALTHCARE NETWORK 1 MARLETTE SENIOR LIVING 6305 BLUEWATER COURT MARLETTE MI 48453 843210271 SENIOR LIVING MI 501(C)(3) LINE 10 BLUEWATER HEALTHCARE NETWORK 1 THUMB MRI LLC 6320 VAN DYKE RD CASS CITY MI 48726 364107673 IMAGING MI RELATED 89146 208311 0 1 0.33330 THUMB MRI PROPERTY HOLDING CO LLC 6320 VAN DYKE RD CASS CITY MI 48726 270668404 RENTAL MI RELATED -6903 117632 0 1 0.33330 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 DECKERVILLE COMMUNITY HOSPITAL Q 70080 COST