2022-05-12T11:50:05-05:00 2021-06-30 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2020-07-01 381507302 MARLETTE REGIONAL HOSPITAL MARL 9896354000 2770 MAIN STREET PO BOX 307 MARLETTE MI 48453 DAN BABCOCK CEO 9896354000 2022-05-11 1 DAN BABCOCK XXX-XX-XXXX MICHAEL J PETERSON CPA P01833529 2187224705 2022-05-11 0 AAL1 IAL1 2020 2022-09-23 18:48:47Z DAN BABCOCK 2770 MAIN STREET PO BOX 307 MARLETTE MI 48453 44936447 0 X WWW.MARLETTEREGIONALHOSPTIAL.ORG X 1951 MI TO PROVIDE HIGH QUALITY AND COST-EFFECTIVE HEALTH CARE SERVICES. 11 10 520 45 0 0 2694865 7642357 28409606 36453827 37627 20340 811480 613066 31953578 44729590 0 27429 0 0 19821295 21495068 0 0 0 11436852 13720179 31258147 35242676 695431 9486914 34094417 36354245 13898355 6671269 20196062 29682976 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 30034255 27429 36564290 DURING FISCAL YEAR 2020-2021 MARLETTE REGIONAL HOSPITAL SERVED 660 ACUTE AND 938 SWING BED INPATIENT DAYS, PROVIDED CARE TO 48,359 OUTPATIENT VISITS, 7,147 EMERGENCY DEPARTMENT VISITS, AND SERVED 26,777 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 $27,199. 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, 2021 AND 2020 AMOUNTED TO $1,082,031 AND $1,391,851, 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.EMERGENCY SERVICES/PROGRAMS-EMERGENCY SERVICES DEPARTMENT-ADVANCED LIFE SUPPORT AMBULANCE SERVICE-FIRE AND POLICE ASSISTANCE-HELICOPTER TRANSFER ASSISTANCE-CLINICAL SERVICES-CERTIFIED RURAL HEALTH CLINICS-CHILDHOOD & 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-SUPPORT FOR BLOOD DRIVES-PHYSICIAN REFERRAL SERVICES-PARTNER IN REGIONAL RURAL HEALTH NETWORKS-WORKING RELATIONSHIP WITH OTHERS-CIVIC ORGANIZATIONS SUCH AS LIONS CLUB AND TOYS FOR TOTS-AMERICAN ASSOCIATION OF RETIRED PERSONS-COMMUNITY-BASED BUSINESS GROUPS SUCH AS CHAMBERS OF COMMERCE-ECONOMIC DEVELOPMENT AGENCIES-HOME HEALTH AGENCIES-HOSPICES-LOCAL SCHOOLS AND COLLEGES-NURSING HOMES-SENIOR CITIZENS ORGANIZATIONS-STATE AND LOCAL AGENCIES AND ORGANIZATIONS-CENTRAL MICHIGAN UNIVERSITY COLLEGE OF MEDICINE-COVENANT REGIONAL THUMB NETWORK (CRTN)-DECKERVILLE COMMUNITY HOSPITAL-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. 30034255 1 1 0 1 0 0 0 0 0 0 1 0 0 1 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 56 0 520 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 10 0 0 1 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X KIM GENTNER CFO 9896354000 2770 MAIN STREET PO BOX 307 MARLETTE MI 48453 DANIEL BABCOCK CEO 36.00 4.00 X X 192863 0 28051 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 CURT LANDRITH DIRECTOR 1.00 1.00 X 0 0 0 DAVID WEST DIRECTOR 1.00 1.00 X 0 0 0 GERALD KEINATH DIRECTOR 1.00 1.00 X 0 0 0 GLEN KAMPMAN DIRECTOR (THRU MAY 2021) 1.00 1.00 X 0 0 0 JUSTIN FABER DIRECTOR 1.00 1.00 X 0 0 0 SCOTT ORR DIRECTOR 1.00 1.00 X 0 0 0 SUE COOK DIRECTOR 1.00 1.00 X 0 0 0 JAMES SINGLES CFO (RETIRED JUNE 2020) 40.00 X 78472 0 1656 KIM GENTNER CFO 36.00 4.00 X 0 81276 0 DR JABIR AKHTAR DOCTOR 40.00 X 265183 0 28174 DR SARAH ALBERS DOCTOR 40.00 X 368883 0 8368 DR MICHAEL KITTO DOCTOR 40.00 X 334943 0 5778 DR DANIEL KULICK DOCTOR 40.00 X 305852 0 40505 DR WILLIAM STARBIRD DOCTOR 40.00 X 252840 0 32184 1799036 81276 144716 6 0 1 0 CERNER CORPORATION PO BOX 959159 ST LOUIS MO 631959156 IT SERVICES 449019 MICHIGAN SURGICAL SPECIALISTS PC 5510 HOSNER RD METAMORA MI 48455 SURGICAL SERVICES 355000 NITIN G GOLECHHA 7630 N CENTRAL PARK SHELBY TWP MI 48317 HOSPITALIST 209434 MICROSOFT LICENSING GP LOCKBOX - DEPT 842467- 1960 N STEMM DALLAS TX 75207 SOFTWARE/SERVICES 200861 HURKEY HEALTH SERVICES 1125 S LINDEN RD STE 210 FLINT MI 48532 SURGICAL SERVICES 182000 24 7106142 536215 7642357 NET I/O PATIENT SERVICE REVENUE 621500 26388814 26388814 CLINIC SERVICE REVENUE 621110 5284697 5284697 NURSING FACILITY REVENUE 623000 4219095 4219095 340 B PROGRAM 446110 248365 248365 312856 312856 36453827 11188 11188 669498 206857 462641 462641 462641 9152 0 9152 9152 9152 150425 110463 39962 150425 44729590 36564290 0 522943 27429 27429 1861245 1650812 210433 16012611 14202216 1810395 2416455 1837389 579066 1204757 1105016 99741 5861 5861 39638 39638 52463 52463 2500030 1741889 758141 75153 4253 70900 80705 49043 31662 80522 75323 5199 14270 14270 1204865 1082089 122776 384741 90554 294187 SUPPLILES 3258319 3194010 64309 LAB EXPENSES 3179555 3179555 BAD DEBT 1017334 1017334 REPAIRS & MAINTENANCE 322070 315951 6119 1504653 447122 1057531 35242676 30034255 5208421 0 6863940 8078767 10669943 8306437 2351403 4315749 239220 379490 66386 405204 49628531 37453543 12990201 12174988 913324 2693610 34094417 36354245 2675189 2445246 638480 255823 10584686 3970200 13898355 6671269 X 19499208 28951816 696854 731160 20196062 29682976 34094417 36354245 9486914 0 X 0 1 X 1 1 1 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 24740817 15704182 9036635 22372661 20272580 2100081 2452427 1476781 975646 12174988 RELATED PARTY RECEIVABLE 2484703 INVESTMENT IN UNCONSOLIDATED AFFILIATES 208907 2693610 PPP LOAN 150000 HHS PROVIDER RELIEF FUND REFUNDABLE ADVANCES 636374 MEDICARE ACCERLERATED PAYMENTS 2938725 OPERATING LEASE 245101 3970200 43919113 0 43919113 810477 810477 44729590 34432199 0 34432199 810477 810477 35242676 PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 1,017,334. RENT EXPENSES -206,857. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 1,017,334. RENTAL EXPENSES -206,857. 1 1 X 1 X 1 X 1 1 0 1 1 14792 14792 0.00040 4543825 1912361 2631464 0.07470 4558617 1912361 2646256 0.07510 5 3865559 3052752 812807 0.02310 5 3865559 3052752 812807 0.02310 5 8424176 4965113 3459063 0.09820 1 4 7 600 4 12 12 616 0 1082031 5434319 5361139 73180 X 1 1 1 1 MARLETTE REGIONAL HOSPITAL 2770 MAIN ST PO BOX 307 MARLETTE MI 48453 HTTPS://MARLETTEREGIONALHOSPITAL.ORG/ 1060000165 X X X MARLETTE REGIONAL HOSPITAL 0 0 1 X X X X X X X X X 18 1 0 1 1 X MARLETTEREGIONALHOSPITAL.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ X 1 18 1 MARLETTEREGIONALHOSPITAL.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ 0 1 X 100.000000000000 250.000000000000 X X X X 1 1 X X X X 1 X WWW.MARLETTEREGIONALHOSPITAL.ORG X WWW.MARLETTEREGIONALHOSPITAL.ORG X WWW.MARLETTEREGIONALHOSPITAL.ORG X X X X 1 X 0 X X X X 1 X 0 1 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 ENGAGED IN STAKEHOLDER MEETINGS. AGENCIES INCLUDED HUMAN DEVELOPMENT COMMISSION, COUNCIL ON AGING, 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.BOTH THE MICHIGAN THUMB PUBLIC HEALTH ALLIANCE AND MARLETTE REGIONALHOSPITAL CONDUCTED FOCUS GROUPS AND SURVEYS IN ORDER TO OBTAIN COMMUNITY INPUT. MARLETTE REGIONAL HOSPITAL PART V, SECTION B, LINE 6B: DECKERVILLE COMMUNITY HOSPITAL MARLETTE REGIONAL HOSPITAL PART V, SECTION B, LINE 11: AS INDICATED IN STEP 4 OF THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, PRIORITIES MUST BE SELECTED TO ENSURE THAT LIMITED RESOURCES HAVE THE GREATEST IMPACT. 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 THE FOLLOWING FOCUS AREAS:1.PRIMARY CARE PROVIDER ACCESS RATE IS LOWEST IN THE FOUR COUNTIES.2.DIABETES CRUDE DEATH RATE IS HIGHEST IN MALES IN FOUR COUNTIES.3.HEART DISEASE CRUDE DEATH RATE IS HIGHEST IN FEMALES IN FOUR COUNTIES.4.TOBACCO USE: USE OF VAPING PRODUCTS HIGHEST IN FOUR COUNTIES AMONG 9TH AND 11TH GRADERS.5.BREAST CANCER SCREENINGS LOWEST IN FOUR COUNTIES.6.UNINTENTIONAL INJURIES IN 75+ POPULATION HIGHEST IN FOUR COUNTIES.7.BEHAVIORAL HEALTH: ACCESS TO MENTAL HEALTH SERVICES AND SUBSTANCE USE DISORDERS.COMMUNITY FEEDBACK FOR MARLETTE REGIONAL HOSPITAL:IN APRIL 2019, THE PROJECT CONSULTANT CONDUCTED A FOCUS GROUP WITH TEN PARTICIPANTS. PARTICIPANTS INCLUDED ONE MALE AND NINE FEMALES AND REPRESENTED THE SERVICE AREA OF MARLETTE REGIONAL HOSPITAL (MRH). PARTICIPANTS HAD A DIVERSE BACKGROUND INCLUDING RETIRED INDIVIDUALS, EDUCATION, SOCIAL WORK, MEDICAL, AND COMMUNITY DECISION MAKERS. AHEAD OF THE MEETING, PARTICIPANTS WERE SENT A FACT SHEET WITH DATA THAT LED TO THE SIX PRIORITIES IDENTIFIED BY THE MRH CHNA TEAM. PURPOSES OF THE MEETING WAS DESCRIBED AS WANTING TO LEARN MORE ABOUT:1.THE CONTRIBUTING FACTORS RELATED TO THE SIX PRIORITIES,2.PERCEPTIONS AND ATTITUDES ABOUT THE HEALTH OF THE COMMUNITY,3.SUGGESTIONS FOR IMPROVEMENT, AND4.HOW LOCAL HEALTH SERVICES ARE USED BY PARTICIPANTS AND OTHER RESIDENTS.OVER A TWO WEEK PERIOD IN MAY/JUNE 2019, MRH ALSO CONDUCTED A SURVEY OFRESIDENTS IN THE SERVICE AREA. THE PURPOSE OF THE SURVEY WAS TO OBTAINFEEDBACK ON THE PRIORITIES, UNMET NEEDS, ACCESS BARRIERS, AND POTENTIALSTRATEGIES FOR THE IMPLEMENTATION PLAN. THE SURVEY WAS DISTRIBUTEDELECTRONICALLY WITH AN ONLINE COLLECTION LINK AND PAPER COPIES WERE MADEAVAILABLE IN HEALTH CARE SETTINGS. ONE HUNDRED SIXTY-FOUR INDIVIDUALSPARTICIPATED IN THE SURVEY INCLUDING RESIDENTS FROM ALL THREE COUNTIES OFTHE HOSPITAL SERVICE AREA. THE SAMPLE INCLUDED 28% PEOPLE AGE 19-40, 53%AGE 41-64, AND 19% OVER AGE 65.THE CHNA TEAM REVIEWED INPUT FROM THE COMMUNITY AND ADJUSTED THEIRPRIORITIES TO INCLUDE BEHAVIORAL HEALTH WITH SUBTOPICS OF ACCESS TO MENTAL HEALTH SERVICES AND SUBSTANCE USE DISORDERS. SUGGESTIONS AND INPUT ON STRATEGIES WERE ALSO INCORPORATED INTO THE 2019 CHNA IMPLEMENTATION PLAN.RESOURCE ASSESSMENTDURING THE DEVELOPMENT OF THE IMPLEMENTATION PLANS, A RESOURCE ASSESSMENT WAS CONDUCTED TO REDUCE DUPLICATION OF EFFORTS, IDENTIFY GAPS, LEVERAGE EXISTING EFFORTS IN THE COMMUNITY, AND DEVELOP STRATEGIES THAT WOULD HAVE THE GREATEST IMPACT.NEEDS:1.PRIMARY CARE PROVIDER ACCESS: CURRENT EFFORTS (A) HIRED A FAMILY PRACTICE PHYSICIAN FOR MARLETTE'S CLINIC WHICH WILL INCREASE ACCESS BY TWO DAYS PER WEEK. (B) EXPANDED HOURS OF OPERATIONS AT MANY CLINICS. (C) CARE COORDINATORS PROMOTE WELLNESS SCREENINGS AND ASSIST WITH REMOVING BARRIERS TO ACCESS CARE SUCH AS COST, NAVIGATING INSURANCE, AND TRANSPORTATION. (D) IN FY21 WE CONTRACTED W/DCH TO HAVE AN INTERNAL MEDICINE/PEDIATRIC MD HOLD A CLINIC ONE DAY A WEEK IN MARLETTE TO ALLOW MORE ACCESS TO THIS TYPE OF CARE IN THE COMMUNITY. CURRENT COMMUNITY EFFORTS: CARING HEART HEALTH CLINIC.2. CHRONIC DISEASE (DIABETES, HEART DISEASE, OBESITY, PHYSICAL ACTIVITY):CURRENT MARLETTE REGIONAL HOSPITAL EFFORTS: (A) DIABETIC EDUCATION CLASSES EXPANDED TO DECKERVILLE. (B) OFFER PERIODIC LOW-COST HEART DISEASE SCREENINGS. (C) OFFER COMMUNITY GARDEN PLOTS AND PLANTS FREE OF CHARGE @ MRH. (D) WALKING TRAIL SUPPORTER. (E)OFFER FREE OR LOW COST EXERCISE CLASSES @ MRH SEVERAL TIMES PER WEEK. (F)MRH COORDINATES A 5K IN BROWN CITY. (G) EMERGENCY TELEHEALTH SERVICES FOR POSSIBLE STROKE PATIENTS BEGAN IN 2016. (H)SPECIALTY SERVICES ADDED INCLUDE OUTPATIENT CLINIC SERVICES INCLUDING TELE-PSYCHIATRY, CARDIOLOGY, ENT, ORTHOPEDICS, NEPHROLOGY, AND VASCULAR MEDICINE. CURRENT COMMUNITY EFFORTS: (A) THE MARLETTE DDA FACILITATES A WEEKLY FARMERS MARKET WITH FRESH PRODUCE OPTIONS. AS DOES THE MARLETTE STOCKYARDS. (B) MSU EXTENSION NUTRITION AND COOKING CLASSES.3. TOBACCO USE, USE OF VAPING PRODUCTS: CURRENT MARLETTE REGIONAL HOSPITAL EFFORTS (A) MRH HOSTED THE SANILAC COUNTY DRUG TASK FORCE AND AN ADDITIONAL SPEAKER ON THIS TOPIC ACROSS SEVERAL SPEAKING ENGAGEMENTS FOR THE COMMUNITY. (B) COMMUNITY LUNCH & LEARNS. (C) SPORTS SUMMIT.CURRENT COMMUNITY EFFORTS (A) THE LOCAL SCHOOLS OFFER ALCOHOL, TOBACCO, AND DRUG CLASSROOM EDUCATION AND STUDENT ASSEMBLIES. (B) MICHIGAN QUIT LINE SERVICES.4. BREAST CANCER SCREENING: CURRENT MARLETTE REGIONAL HOSPITAL EFFORTS (A) MRH PROVIDES FINANCIAL ASSISTANCE FOR MAMMOGRAMS AND DIAGNOSTIC TESTING SERVICES THROUGH THE B.C.U.P.S. PROGRAM. CURRENT COMMUNITY EFFORTS (A) THE HEALTH DEPARTMENT HAS A BREAST CANCER AND CERVICAL CANCER SCREENING PROGRAM. (B) OTHER HOSPITALS HAVE OR ARE STARTING WOMEN'S HEALTH FUNDS TO HELP WITH SCREENING COSTS. 5. UNINTENTIONAL INJURIES IN 75+ POPULATION: CURRENT EFFORTS: (A) MRH OFFERS FREE MATTER OF BALANCE CLASSES AND SENIOR STRETCH CLASSES TO IMPROVE FLEXIBILITY AND BALANCE. (B) THE HOSPITAL IS ALSO PLANNING DEVELOPMENT OF AN ASSISTED LIVING COMMUNITY. (C) FALL RISK ASSESSMENTS ARE CONDUCTED IN PRIMARY CARE WELLNESS VISITS FOR SENIORS. (D) WE REDUCE FALL RISKS BY ASSISTING PATIENTS WITH ACCESSING MEDICATIONS THAT COULD REDUCE WEAKNESS AND VULNERABILITY TO FALLING (340B AND PHARMACY ASSISTANCE). (E) SWING BED SERVICES. CURRENT COMMUNITY EFFORTS (A) OTHER HOSPITALS OFFER MATTER OF BALANCE CLASSES FOR SENIORS. (B) HUMAN DEVELOPMENT COMMISSION OFFERS HOME ASSESSMENTS FOR FALL RISKS, HAS SOME FUNDING TO HELP WITH SUPPORTS SUCH AS HANDRAILS, AND OTHER SENIOR SUPPORT SERVICES THAT REDUCE INJURIES. (C) COUNCIL ON AGING FUNDS PROGRAMS TO SUPPORT SENIORS AND HEALTHY LIVING. (D) INCREASING TRANSPORTATION SERVICES CAN HELP REDUCE SENIOR AUTO ACCIDENTS. NON-EMERGENCY MEDICAL TRANSPORTATION ORGANIZER (NEMO) AND RISING TIDE PROGRAM.6. BEHAVIORAL HEALTH (INCLUDES MENTAL HEALTH AND SUBSTANCE USE DISORDERS: CURRENT MARLETTE REGIONAL HOSPITAL EFFORTS (A) MRH HOSTS THE MONTHLY FAN FORUM AND IS A PARTICIPATING MEMBER. (B) MRH IS A PARTICIPANT IN THE TRHN OPIOID GRANT. (C) MRH HAD PREVIOUSLY OFFERED TELEPSYCHIATRY THROUGH ST. JOHN'S HOSPITAL. (D) PHYSICIAN OFFICES AND OUR EMERGENCY DEPARTMENT CONTINUE TO ABIDE BY STRICT GUIDELINES IN THE PRESCRIBING AND ADMINISTRATION OF OPIOIDS AND NARCOTICS. (E) EXPLORING PSYCHOLOGICAL AND COUNSELING HELP BY EXPANDING OUR SOCIAL WORKER SERVICES AND WORKING WITH WARRIORS HOPE VETERAN'S SERVICES. CURRENT COMMUNITY EFFORTS (A) FAN- FAMILIES AGAINST NARCOTICS FOR SANILAC COUNTY. MEETS MONTHLY AND OFFERS COMMUNITY EDUCATION. (B) ST. JOHN'S HOSPITAL WILL BE OPERATING OUT OF SANDUSKY TO OFFER TELEPSYCHIATRY. (C) COMMUNITY MENTAL HEALTH OFFERS RESOURCES AND HELP TO THE COMMUNITY. (D) SANILAC COUNTY HEALTH DEPARTMENT OFFERS ALCOHOL AND DRUG COUNSELING PROGRAMS. (E) NUMEROUS MENTAL HEALTH PROVIDERS IN THE COUNTY. (F) SELF-HELP GROUPS MOSTLY FOR ALCOHOL ADDICTION.SECONDARY PRIORITIES:1. STROKE: CURRENT MARLETTE REGIONAL HOSPITAL EFFORTS (A) WE OFFER TELE-STROKE SERVICES THROUGH ASCENSION. CURRENT COMMUNITY EFFORTS (A) OTHER HOSPITALS ALSO OFFER TELE-STROKE SERVICES.2. BREASTFEEDING: CURRENT EFFORTS (A) OB-GYN CLINIC CONSULTATIONS. CURRENT COMMUNITY EFFORTS (A) HEALTH DEPARTMENTS OFFER PEER COACHING AND CONSULTATION FROM CERTIFIED LACTATION CONSULTANTS. 3. PRENATAL CARE: CURRENT MARLETTE REGIONAL HOSPITAL EFFORTS (A) OB-GYN CLINIC CONSULTATIONS (B) OUR HEALTH CARE PROVIDERS CONTINUE TO DELIVER VARIOUS SEX EDUCATION AND TEEN PREGNANCY CLASSES TO LOCAL COMMUNITY SCHOOL SYSTEMS TO EDUCATE OUR YOUTH. CURRENT COMMUNITY EFFORTS (A) SUPPORT SERVICES PROVIDED BY HEALTH DEPARTMENTS. (B) REGIONAL PERINATAL COLLABORATIVE WORKING TO IMPROVE PERINATAL HEALTH OUTCOMES.4. ALCOHOL IMPAIRED ACCIDENTS: CURRENT COMMUNITY EFFORTS (A) SHERRIFF'S OFFICE DOES EDUCATION IN SCHOOLS AND IN COMMUNITY MEDIA OUTLETS.5. CHILDHOOD LEAD TESTING: CURRENT EFFORTS (A) PRIMARY CARE MAKES REFERRALS FOR TESTING WHEN RISKS ARE IDENTIFIED. CURRENT COMMUNITY EFFORTS (B) HEALTH DEPARTMENTS PROVIDE AWARENESS AND TESTING FOR LEAD EXPOSURE.6. ORAL HEALTH: CURRENT EFFORTS (A) MRH ER AND PRIMARY CARE PROVIDE PAIN MANAGEMENT/REFERRALS CURRENT COMMUNITY EFFORTS (A) MY COMMUNITY DENTAL CARE CLINIC SANDUSKY. PART II, COMMUNITY BUILDING ACTIVITIES: THE HEALTH OF THE COMMUNITY HAS BEEN PROMOTED BY PROVIDING SPACE FOR LOCAL GROUPS TO MEET AND THROUGH EMPLOYEE SUPPORT OF LOCAL EVENTS. COVID HAS AFFECTED SOME OF THESE ACTIVITIES. PART VI, LINE 2: THE HOSPITAL HAS PARTNERED W/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 UP FRONT 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. PART VI, LINE 4: MARLETTE REGIONAL HOSPITAL IS A CRITICAL ACCESS HOSPITAL LOCATED IN MARLETTE WITHIN SANILAC COUNTY. AREA OF SERVICE INCLUDES THE SOUTHERN PORTION OF HURON COUNTY, THE EASTERN PORTION OF TUSCOLA COUNTY, THE NORTHERN PORTION OF LAPEER COUNTY, AND SANILAC COUNTY. THE TOTAL POPULATION FOR THESE COUNTIES WAS APPROXIMATELY 213,919 IN 2017. UNEMPLOYMENT FOR THESE COUNTIES RANGED AT 4.4% TO 5.2% IN 2018 AND THE MEDIAN HOUSEHOLD INCOME FOR THIS AREA IN 2018 RANGED BETWEEN $46,627 AND $57,621. 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. PART VI, LINE 6: THE ORGANIZATION IS WORKING WITH DECKERVILLE COMMUNITY HOSPITAL 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 SARAH ALBERS DOCTOR 340113 0 0 0 28770 0 5700 0 2668 0 377251 0 0 0 DR DANIEL KULICK DOCTOR 289313 0 0 0 16539 0 5700 0 34805 0 346357 0 0 0 DR MICHAEL KITTO DOCTOR 327534 0 54 0 7355 0 5700 0 78 0 340721 0 0 0 DR JABIR AKHTAR DOCTOR 242377 0 0 0 22806 0 5470 0 22704 0 293357 0 0 0 DR WILLIAM STARBIRD DOCTOR 246351 0 325 0 6164 0 5215 0 26969 0 285024 0 0 0 DANIEL BABCOCK CEO 182589 0 0 0 10274 0 4047 0 24004 0 220914 0 0 0 FORM 990, PART VI, SECTION A, LINE 4 BYLAWS WERE UPDATED TO CHANGE THE NUMBER OF BOARD MEMBERS FROM 12 DOWN TO 9. 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. 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 0 1 0.16670 THUMB MRI PROPERTY HOLDING CO LLC 6320 VAN DYKE RD CASS CITY MI 48726 270668404 RENTAL MI RELATED 0 1 0.16670 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 DECKERVILLE COMMUNITY HOSPITAL Q 53338 COST