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MARLETTE REGIONAL HOSPITAL: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
MARLETTE REGIONAL HOSPITAL (EIN 38-1507302)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-10
IRS object ID
201321309349300102
Schema version
2011v1.5
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-05-10T06:58:17-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1715 E FRANK STREETAddressLine1
CityCAROCity
StateMIState
ZIP Code48723ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN381507302EIN

Name Name

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

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameDAN BABCOCK CPAName
TitleCEOTitle
Phone9896354000Phone
Date Signed2013-02-04DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJERRY BERNHARDTName
Phone9896733137Phone
Date Prepared2013-05-10DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12770 MAIN STREET PO BOX 307AddressLine1
CityMARLETTECity
StateMIState
ZIP Code484530307ZIPCode
FieldValueIRS element (for citing)
Gross Receipts34877743GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.MARLETTEREGIONALHOSPITAL.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1951YearFormation
State Legal DomicileMIStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE MEDICAL AND SURGICAL CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF MRH, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. THEREFORE, IN KEEPING WITH THIS HOSPITAL'S COMMITMENT TO SERVE ALL MEMBERS OF ITS COMMUNITY, FREE CARE AND/OR SUBSIDIZED CARE, CARE PROVIDED TO PERSONS COVERED BY GOVERNMENT PROGRAMS BELOW COST, AND HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY'S HEALTH STATUS WILL BE CONSIDERED WHERE THE NEED AND/OR THE INDIVIDUAL'S INABILITY TO PAY CO-EXIST. THESE ACTIVITIES INCLUDE ACUTE, EMERGENCY AND OUTPATIENT SERVICES IN ADDITION TO WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, AND SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED, MEDICALLY UNDER-SERVED, AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees501TotalNbrEmployees
Total Nbr Volunteers200TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year399032ContributionsGrantsPriorYear
Contributions Grants Current Year194901ContributionsGrantsCurrentYear
Program Service Revenue Prior Year32560940ProgramServiceRevenuePriorYear
Program Service Revenue CY33426157ProgramServiceRevenueCY
Investment Income Prior Year84173InvestmentIncomePriorYear
Investment Income Current Year48841InvestmentIncomeCurrentYear
Other Revenue Prior Year296959OtherRevenuePriorYear
Other Revenue Current Year537028OtherRevenueCurrentYear
Total Revenue Prior Year33341104TotalRevenuePriorYear
Total Revenue Current Year34206927TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year19374795SalariesEtcPriorYear
Salaries Etc Current Year19545195SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year163262TotalFundrsngExpCurrentYear
Other Expense Prior Year13288528OtherExpensePriorYear
Other Expenses Current Year15048164OtherExpensesCurrentYear
Total Expenses Prior Year32663323TotalExpensesPriorYear
Total Expenses Current Year34593359TotalExpensesCurrentYear
Revenues Less Expenses Prior Year677781RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-386432RevenuesLessExpensesCY
Total Assets BOY39425284TotalAssetsBOY
Total Assets EOY38667755TotalAssetsEOY
Total Liabilities BOY18145165TotalLiabilitiesBOY
Total Liabilities EOY17757413TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY21280119NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY20910342NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO PROVIDE MEDICAL AND SURGICAL CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF MRH, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. THEREFORE, IN KEEPING WITH THIS HOSPITAL'S COMMITMENT TO SERVE ALL MEMBERS OF ITS COMMUNITY, FREE CARE AND/OR SUBSIDIZED CARE, CARE PROVIDED TO PERSONS COVERED BY GOVERNMENT PROGRAMS BELOW COST, AND HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY'S HEALTH STATUS WILL BE CONSIDERED WHERE THE NEED AND/OR THE INDIVIDUAL'S INABILITY TO PAY CO-EXIST. THESE ACTIVITIES INCLUDE ACUTE, EMERGENCY AND OUTPATIENT SERVICES IN ADDITION TO WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, AND SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED, MEDICALLY UNDER-SERVED, AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense29423532Expense
Revenue34223582Revenue
DescriptionDURING FISCAL YEAR 2011-2012 MARLETTE REGIONAL HOSPITAL SERVED 746 INPATIENTS, PROVIDED CARE TO 44,136 OUTPATIENTS, INCLUDING 8,278 EMERGENCY DEPARTMENT PATIENTS, AND SERVED 26,502 PATIENTS IN ITS OWNED MEDICAL AND RURAL HEALTH PRACTICES. RECOGNIZING ITS MISSION TO THE COMMUNITY, THE HOSPITAL PARTICIPATES IN THE FEDERAL GOVERNMENT'S MEDICARE PROGRAM AND NUMEROUS MEDICAID HEALTH PLANS, OFTEN PROVIDING CHARITY CARE OR SERVICE AT RATES OF REIMBURSEMENT THAT ARE BELOW THE HOSPITAL'S ACTUAL COST. IN THE LAST FISCAL YEAR, THE NON-REIMBURSED VALUE OF PROVIDING CARE TO ALL OF MRH'S PATIENTS WAS APPROXIMATELY 17,512,824 REPRESENTING A WRITE-DOWN OF 33.25 PERCENT OF THE HOSPITAL'S CHARGES, INCLUDING CHARITY CARE EXPENSES OF 117,735. ADDITIONALLY, THE HOSPITAL'S ALLOWANCE FOR UNCOLLECTABLE BAD DEBTS ARE ESTIMATED BY THE USE OF THE ALLOWANCE METHOD. BAD DEBTS FOR THE YEARS ENING JUNE 30, 2012 AND 2011 AMOUNTED TO 2,115,874 AND 2,150,290, RESPECTIVELY. THE BAD DEBT EXPENSE ON LINE 2 OF SECTION A IS DETERMINED USING THE COST BASED UPON THE COST TO CHARGE RATIO THAT IS DEVELOPED IN SCHEDULE H. OTHER COMMUNITY BENEFITS ARE PROVIDED THROUGH MANY REDUCED PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR BASED ON ACTIVITIES AND SERVICES THAT MRH BELIEVES WILL SERVE A BONA FIDE COMMUNITY HEALTH NEED. A SAMPLING OF THESE COMMUNITY BENEFITS IS PROVIDED BELOW: EDUCATIONAL SERVICES/PROGRAMS "ABUSE AND NEGLECT RECOGNITION TRAINING FOR COMMUNITY AND HOSPITAL STAFF "CAREER GUIDANCE FOR AREA SCHOOL STUDENTS "COOPERATIVE PROFESSIONAL TRAINING WITH LOCAL COLLEGES "CPR TRAINING FOR THE COMMUNITY AND PUBLIC SAFETY AGENCIES "DISEASE/CONDITION-SPECIFIC EDUCATION, E.G., DIABETES "EDUCATION/COUNSELING FOR FAMILIES OF PATIENTS "EDUCATION/COUNSELING FOR PATIENTS "EDUCATIONAL PROGRAMS FOR EMPLOYEES (ADULT EDUCATION) "ORGAN DONATION INFORMATION CAMPAIGNS "RESOURCE LIBRARY "SCHOOL HEALTH PROGRAMS "SPEAKERS BUREAU "SUPPORT GROUPS FOR PATIENTS, THEIR FAMILIES AND THE COMMUNITY "TRAINING OF PUBLIC HEALTH AND SAFETY PERSONNEL "SAFE DRIVING PROGRAMS FOR ELDERLY DRIVERS HEALTH PROMOTION AND PREVENTIONS ACTIVITIES "BLOOD PRESSURE CLINICS "DISCHARGE PLANNING WITH FOLLOW-UP SUPPORT PROGRAMS "DRUG REVIEW FOR SENIOR CITIZENS "HEALTH PROMOTION/WELLNESS PROGRAMS "HEALTH SCREENING/HEALTH FAIRS "HOME SAFETY AND FIRST AID "NUTRITION AND WEIGHT CONTROL "RURAL HEALTH OUTREACH SERVICES "SMOKING CESSATION CLINICS "STRESS MANAGEMENT "WORK SITE HEALTH PROMOTION SERVICE EMERGENCY SERVICES/PROGRAMS "EMERGENCY SERVICES DEPARTMENT "ADVANCED LIFE SUPPORT AMBULANCE SERVICE "FIRE AND POLICE ASSISTANCE "HELICOPTER TRANSFER ASSISTANCE CLINICAL SERVICES "CERTIFIED RURAL HEALTH CLINICS "CHILDHOOD IMMUNIZATIONS "PRIMARY CARE SERVICES "ACUTE MEDICAL AND SURGICAL SERVICES "RESIDENTIAL AND HOME-BASED HOSPICE SERVICES "UNIQUELY-ACCREDITED HOSPITAL, LABORATORY, CARDIOPULMONARY, AND LONG-TERM CARE SERVICES "MOBILE PET AND BONE DENSITY TESTING TECHNOLOGY "COORDINATION OF PATIENT CARE SERVICES IN HOSPITAL "FREE OR LOW COST SERVICES TO LOW INCOME FAMILIES "GENERAL HEALTH SCREENING CLINICS "RESPIRATORY/PULMONARY DISEASE SERVICES "SCHOOL HEALTH CLINICS (PRIMARY CARE) "SCHOOL SPORTS PHYSICALS "SKILLED NURSING SERVICES/INTERMEDIATE CARE FACILITY NON-CLINICAL HOSPITAL SERVICES "ADVOCACY ON BEHALF OF SPECIFIC PATIENTS NEEDING INTERVENTION WITH PUBLIC AGENCIES (SOCIAL SERVICES) "FREE MEETING ROOMS FOR COMMUNITY GROUPS "FREE OR LOW COST MEALS "GUIDANCE AND REFERRAL TO COMMUNITY SERVICES AND PUBLIC ASSISTANCE PROGRAMS, INCLUDING MEDICAID "MEALS FOR FAMILY MEMBERS "TRANSLATION OR INTERPRETER SERVICES FOR NON-ENGLISH SPEAKING PATIENTS SUPPORT FOR OTHER HEALTH CARE PROVIDERS "RADIATION AND CHEMOTHERAPY SERVICES "VISITING MEDICAL AND SURGICAL SPECIALISTS TO COMPLEMENT PRIMARY CARE PHYSICIANS' CARE "SUPPORT FOR BLOOD DRIVES "DONATION OF USED EQUIPMENT TO OTHER PROVIDERS "PHYSICIAN REFERRAL SERVICES "PARTNER IN REGIONAL RURAL HEALTH NETWORKS WORKING RELATIONSHIP WITH OTHERS "CIVIC ORGANIZATIONS SUCH AS LIONS CLUB AND TOYS FOR TOTS "AMERICAN ASSOCIATION OF RETIRED PERSONS "COMMUNITY-BASED BUSINESS GROUPS SUCH AS CHAMBERS OF COMMERCE "ECONOMIC DEVELOPMENT AGENCIES "HOME HEALTH AGENCIES "HOSPICES "LOCAL SCHOOLS AND COLLEGES "NURSING HOMES "SENIOR CITIZENS ORGANIZATIONS "STATE AND LOCAL AGENCIES AND ORGANIZATIONS MARLETTE REGIONAL HOSPITAL IS COMMITTED TO SERVING OUR PATIENTS IN WAYS THAT RESPECT THE ORIGINAL VALUES OF OUR COMMUNITY - A COMPASSION FOR OUR NEIGHBORS AND A SENSE OF DUTY TO SERVE THOSE IN NEED. IN RESPECTING THESE VALUES, MARLETTE REGIONAL HOSPITAL ACKNOWLEDGES ITS OBLIGATION TO OFFER SERVICES TO PATIENTS THAT MAY NOT BE ABLE TO FULLY AFFORD THE CARE THEY NEED, WHILE ALSO SERVING THE HEALTH IMPROVEMENT NEEDS OF OUR LARGER COMMUNITY. TO THAT END, THE HOSPITAL HAS ADOPTED POLICIES THAT DESCRIBE HOW SERVICES ARE DISCOUNTED AND HOW CHARITY CARE IS DETERMINED AND OFFERED.Description
Total Program Service Expense29423532TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109643NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees501NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementfalseRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

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

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitleIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerAverage Hours Per WeekAverageHoursPerWeekHighest Compensated EmployeeHighestCompensatedEmployee
MEREDITH LYONS
TRUSTEEX000
RALPH DESHETSKY
TRUSTEEX000
DORIS HUNTOON
SEC/TREASUREX000X
DR WILLIAM STARBIRD
TRUSTEEX000
LES PHILLIPS
CHAIRMANX000X
CHRIS CLARK
TRUSTEEX000
SCOTT ORR
TRUSTEEX000
SUE COOK
VICE-CHAIRMAX000X
GLEN KAMPMAN
TRUSTEEX000
DAN BABCOCK
CEO19876803564X40.00
LAWRENCE HOLEN
DOCTOR30538701841040.00X
MICHAEL OGBOH
CLINIC PHYSI27538901926240.00X
DR GALARNEAU
DOCTOR27463102002740.00X
DR STARBIRD
DOCTOR26019201874640.00X
DR MORGAN
OR DOCTOR2526470249040.00X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1567014TotalReportableCompFromOrg
Total Other Compensation82499TotalOtherCompensation
Number Individuals GT100 K14NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeCompensationCompensationDescription Of ServicesDescriptionOfServices
ASC
30200 TELEGRAPH RD STE 220BINGHAM FARMSMI48025876922
CERNER CORPORATION
PO BOX 412702KANSAS CITYMO64141822425
DR LISA LEWIS
29746 BRIARTON STREETFARMINGTON HILLSMI483312248346174ER DOCTOR
DR NITIN GOLECHHA
2716 MAIN STMARLETTEMI48453284182ER DOCTOR
MCKENZIE HEALTH SYSTEM
120 DELAWARE STSANDUSKYMI48471281421LONG TERM CARE
FieldValueIRS element (for citing)
Number Of Contractors GT100 K15NumberOfContractorsGT100K
Government Grants43636GovernmentGrants
All Other Contributions151265AllOtherContributions
Total Contributions194901TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
PATIENT SERVICE REVENUE52663436$52,663,436
CHARITY CARE & BAD DEBT-1941100-$1,941,100
CONTRACTUAL ADJUSTMENTS-17296179-$17,296,179
FieldValueIRS element (for citing)
Total Program Service Revenue33426157TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column47588TotalRevenueColumn
Exclusion$47,588ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real633271Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real650349Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-17078Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-17078TotalRevenueColumn
Exclusion-$17,078ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1253Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1253Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1253TotalRevenueColumn
Related Or Exempt Function Income1253RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Gross Income Fundraising Events64860GrossIncomeFundraisingEvents
Fundraising Direct Expenses20467FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column44393TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
COMMUNITY SERVICE & EDUCATION299236$299,236
MEALS SERVED111771$111,771
MISCELLANEOUS69968$69,968

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column28738TotalRevenueColumn
Exclusion$28,738ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue509713TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column34206927TotalRevenueColumn
Related Or Exempt Function Income1253RelatedOrExemptFunctionIncome
Exclusion$33,966,380ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total15429073Total
Program Services13621597ProgramServices
Management And General1691617ManagementAndGeneral
Fundraising115859Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total264642Total
Program Services233640ProgramServices
Management And General29015ManagementAndGeneral
Fundraising1987Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2805774Total
Program Services2446685ProgramServices
Management And General355413ManagementAndGeneral
Fundraising3676Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1045706Total
Program Services927261ProgramServices
Management And General109745ManagementAndGeneral
Fundraising8700Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total233Total
Management And General233ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total57344Total
Management And General57344ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total47500Total
Management And General47500ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total4631077Total
Program Services3898254ProgramServices
Management And General738673ManagementAndGeneral
Fundraising-5850Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total142829Total
Program Services27295ProgramServices
Management And General111951ManagementAndGeneral
Fundraising3583Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total4211256Total
Program Services4042568ProgramServices
Management And General149687ManagementAndGeneral
Fundraising19001Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total619494Total
Program Services616516ProgramServices
Management And General2978ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total235799Total
Program Services181296ProgramServices
Management And General49069ManagementAndGeneral
Fundraising5434Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total142412Total
Program Services142412ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2057966Total
Program Services1537319ProgramServices
Management And General518643ManagementAndGeneral
Fundraising2004Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total565547Total
Program Services487022ProgramServices
Management And General77450ManagementAndGeneral
Fundraising1075Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
TAXES & LICENSES77745938157739302
REPAIRS & MAINTANCE2973072926144693
OUTSIDE LAB276536276536
LEASE EQUIPMENT2568012491867615

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total728604Total
Program Services405174ProgramServices
Management And General315637ManagementAndGeneral
Fundraising7793Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total34593359Total
Program Services29423532ProgramServices
Management And General5006565ManagementAndGeneral
Fundraising163262Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY6822665BOY
EOY4509058EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY6712663BOY
EOY9258848EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY292503BOY
EOY305442EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY295344BOY
EOY204600EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis42796401LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec22139489LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY21875297BOY
EOY20656912EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY3229994BOY
EOY3538978EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY196818BOY
EOY193917EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY39425284BOY
EOY38667755EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1054305BOY
EOY1681267EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY4084162BOY
EOY4619027EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY9955000BOY
EOY9500000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY3051698BOY
EOY1957119EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY18145165BOY
EOY17757413EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY19976951BOY
EOY19567693EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1257447BOY
EOY1296928EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY45721BOY
EOY45721EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY21280119BOY
EOY20910342EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY39425284BOY
EOY38667755EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-386432ReconcilationRevenueExpenses
Reconcilation Other Changes16655ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule D IRS990ScheduleD

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

Land Land

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

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis24003418InvestmentCostOrOtherBasis
Depreciation9240534Depreciation
Book Value14762884BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis838820InvestmentCostOrOtherBasis
Depreciation657399Depreciation
Book Value181421BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis17354505InvestmentCostOrOtherBasis
Depreciation12241556Depreciation
Book Value5112949BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings20656912TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
ACCRUED OTHER$1,095,963
ACCRUED PAID HOURS OFF$413,230
ACCRUED SALARIES$280,705
ACCRUED PAYROLL TAXES$167,221
FieldValueIRS element (for citing)
Total Of Amounts1957119TotalOfAmounts
Total Revenue34206927TotalRevenue
Total Expenses34593359TotalExpenses
Excess Or Deficit For Year-386432ExcessOrDeficitForYear
Net Unrealized GL On Investments16655NetUnrealizedGLOnInvestments
Total Adjustments16655TotalAdjustments
Excess Or Deficit Per FS-369777ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt36046947TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments16655NetUnrealizedGainsInvestments
Other Revenues1823365OtherRevenues
Revenue Not Rptd F9901840020RevenueNotRptdF990
Revenue Subtotal34206927RevenueSubtotal
Total Revenue Per Form99034206927TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt36416724TotExpensesEtcAuditedFinclStmt
Other Expenses Included1823365OtherExpensesIncluded
Expenses Not Rptd F9901823365ExpensesNotRptdF990
Expenses Subtotal34593359ExpensesSubtotal
Total Expenses Per Form99034593359TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
RECONCILIATION OF CHANGES - OTHERSCHEDULE D, PAGE 4, PART XI, LINE 8PROVISION FOR BAD DEBTS 1,823,365 BAD DEBTS (NETTED WITH REVENUE) -1,823,365
REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XII, LINE 2DPROVISION FOR BAD DEBTS 1,823,365
EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XIII, LINE 2DBAD DEBTS (NETTED WITH REVENUE) 1,823,365

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1MRH GOLF OUTINGNameOfEvent1
Gross Receipts Event126800GrossReceiptsEvent1
Gross Revenue Event126800GrossRevenueEvent1
Cash Prizes Event1100CashPrizesEvent1
Non Cash Prizes Event1365NonCashPrizesEvent1
Rent Facility Costs Event12206RentFacilityCostsEvent1
Food And Beverage Event1536FoodAndBeverageEvent1
Entertainment Event15705EntertainmentEvent1
Name Of Event2TREE OF SHININGNameOfEvent2
Gross Receipts Event219335GrossReceiptsEvent2
Gross Revenue Event219335GrossRevenueEvent2
Other Direct Expenses Event22627OtherDirectExpensesEvent2
Total Number Of Other Events1TotalNumberOfOtherEvents
Gross Receipts Other Events18725GrossReceiptsOtherEvents
Gross Revenue Other Events18725GrossRevenueOtherEvents
Other Direct Expenses Other Events8928OtherDirectExpensesOtherEvents
Gross Receipts Total64860GrossReceiptsTotal
Gross Revenue Total Events64860GrossRevenueTotalEvents
Cash Prizes Total Events100CashPrizesTotalEvents
Non Cash Prizes Total Events365NonCashPrizesTotalEvents
Rent Facility Costs Total Events2206RentFacilityCostsTotalEvents
Food And Beverage Total Events536FoodAndBeverageTotalEvents
Entertainment Total Events5705EntertainmentTotalEvents
Other Direct Expenses Total Events11555OtherDirectExpensesTotalEvents
Direct Expense Summary Events20467DirectExpenseSummaryEvents
Net Income Summary44393NetIncomeSummary
FieldValueIRS element (for citing)
States Where Gaming ConductedMIStatesWhereGamingConducted

Schedule H IRS990ScheduleH

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

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Benefit Expense71522TotalCommunityBenefitExpense
Net Community Benefit Expense71522NetCommunityBenefitExpense
Percent Of Total Expense0.00210PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Benefit Expense5800762TotalCommunityBenefitExpense
Direct Offsetting Revenue3587933DirectOffsettingRevenue
Net Community Benefit Expense2212829NetCommunityBenefitExpense
Percent Of Total Expense0.06400PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Total Community Benefit Expense5872284TotalCommunityBenefitExpense
Direct Offsetting Revenue3587933DirectOffsettingRevenue
Net Community Benefit Expense2284351NetCommunityBenefitExpense
Percent Of Total Expense0.06600PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs532NumberOfActivitiesOrPrograms
Persons Served26515PersonsServed
Total Community Benefit Expense97479TotalCommunityBenefitExpense
Direct Offsetting Revenue9257DirectOffsettingRevenue
Net Community Benefit Expense88222NetCommunityBenefitExpense
Percent Of Total Expense0.00260PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs40NumberOfActivitiesOrPrograms
Persons Served24PersonsServed
Total Community Benefit Expense12422TotalCommunityBenefitExpense
Net Community Benefit Expense12422NetCommunityBenefitExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs8NumberOfActivitiesOrPrograms
Persons Served26348PersonsServed
Total Community Benefit Expense3293749TotalCommunityBenefitExpense
Direct Offsetting Revenue1977626DirectOffsettingRevenue
Net Community Benefit Expense1316123NetCommunityBenefitExpense
Percent Of Total Expense0.03800PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs53NumberOfActivitiesOrPrograms
Persons Served1100PersonsServed
Total Community Benefit Expense2788TotalCommunityBenefitExpense
Net Community Benefit Expense2788NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs633NumberOfActivitiesOrPrograms
Persons Served53987PersonsServed
Total Community Benefit Expense3406438TotalCommunityBenefitExpense
Direct Offsetting Revenue1986883DirectOffsettingRevenue
Net Community Benefit Expense1419555NetCommunityBenefitExpense
Percent Of Total Expense0.04100PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs635NumberOfActivitiesOrPrograms
Persons Served53987PersonsServed
Total Community Benefit Expense9278722TotalCommunityBenefitExpense
Direct Offsetting Revenue5574816DirectOffsettingRevenue
Net Community Benefit Expense3703906NetCommunityBenefitExpense
Percent Of Total Expense0.10710PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served425PersonsServed
Total Community Building Expense559TotalCommunityBuildingExpense
Net Community Building Expense559NetCommunityBuildingExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs41NumberOfActivitiesOrPrograms
Persons Served151PersonsServed
Total Community Building Expense2795TotalCommunityBuildingExpense
Net Community Building Expense2795NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs43NumberOfActivitiesOrPrograms
Persons Served576PersonsServed
Total Community Building Expense3354TotalCommunityBuildingExpense
Net Community Building Expense3354NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$1,107,668BadDebtExpenseAmount
Amount Reimbursed By Medicare10726749AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare10830049CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-103300MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicyfalseWrittenDebtCollectionPolicy

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

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

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1MARLETTE REGIONAL HOSPITALBusinessNameLine1

Address Address

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

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

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

Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
COMMUNITY BUILDING ACTIVITIESPART IIMARLETTE REGIONAL HOSPITAL PART II THE HEALTH OF THE COMMUNITY HAS BEEN PROMOTED BY PROVIDING SPACE FOR EDUCATION FORUMS AND SUPPORTING LOCAL EVENTS
BAD DEBT EXPENSE EXPLANATIONPART III LINE 4BAD DEBTS ARE ESTIMATED BY THE USE OF THE ALLOWANCE METHOD BAD DEBTS FOR THE YEARS ENDED JUNE 30 2012 AND 2011 AMOUNTED TO 2115874 AND 2150290 RESPECTIVELY THE BAD DEBT EXPENSE ON LINE 2 OF SECTION A IS DETERMINED USING COST BASED UPON THE COST TO CHARGE THAT IS DEVELOPED IN SCHEDULE H RATIONALE FOR INCLUDING A PORTION OF BAD DEBT EXPENSE AS A COMMUNITY BENEFIT A PORTION OF THE ACCOUNTS WRITTEN OFF AS BAD DEBTS WOULD HAVE QUALIFIED FOR CHARITY CARE IF AN APPLICATION HAD BEEN COMPLETED AND ACCEPTED BY THE FACILITY EMERGENCY SERVICES WHICH REPRESENTS A SIGNIFICANT PORTION OF THE BAD DEBTS ARE RENDERED WITHOUT THE CONSIDERATION OF THE PATIENTS ABILITY TO PAY AS A RESULT THESE BAD DEBTS SHOULD BE CONSIDERED A PART OF PROVIDING COMMUNITY BENEFIT CHARITY CARE THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT A CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE THEY ARE NOT REPORTED AS NET PATIENT SERVICE REVENUE
MEDICARE EXPLANATIONPART III LINE 8THE HOSPITAL IS DESIGNATED AS A CRITICAL ACCESS HOSPITAL UNDER MEDICARE REGULATIONS CRITICAL ACCESS HOSPITALS RECEIVE COST REIMBURSEMENT FOR ACUTECARE INPATIENT AND SUBSTANTIALLY ALL OUTPATIENT SERVICES THERE ARE A FEW SERVICES THAT ARE NOT PAID ON A COST REIMBURSEMENT BASIS AND THOSE SERVICES PROVIDED A SHORT FALL OF 103300
COLLECTION PRACTICES EXPLANATIONPART III LINE 9BONCE AN ACCOUNT HAS REACHED THE END OF INTERNAL COLLECTION PROCESS IT IS TURNED OVER TO AN OUTSIDE COLLECTION AGENCY BAD DEBTS RECOVERIES AMOUNTED TO 292509 FOR THE YEAR ENDED JUNE 30 2012 AND 400259 FOR THE YEAR ENDED JUNE 30 2011
NEEDS ASSESSMENTPART VIIN THE SPRING OF 2010 QHR CONDUCTED A COMMUNITYWIDE SURVEY THAT WE USED IN STRATEGIC PLANNING PHYSICIANS EMPLOYEES VOLUNTEERS AND THE GENERAL PUBLIC WERE ALL PROVIDED AN OPPORTUNITY TO RESPOND IN ADDITION TO THIS WE HOLD ONE TO TWO MEETINGS EVERY YEAR WITH OUR CORPORATE BOARD THAT IS COMPRISED OF OVER 100 MEMBERS FROM ALL COMMUNITIES WE SERVE THESE MEETINGS ALLOW THE COMMUNITY TO GIVE THEIR INPUT FOR SERVICE EXPANSIONS AND IDENTIFICATION OF HEALTH NEEDS A COMMUNITY NEEDS ASSESSMENT WAS CONDUCTED IN JANUARY 2013 THE RESULTS ARE PENDING
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEPART VIFOR INPATIENT ADMISSIONS WE SEEK ANY INFORMATION REGARDING INSURANCE COVERAGE IF NO COVERAGE IS AVAILABLE WE REFER THE PATIENT TO OUR SOCIAL WORKER WHO HELPS THE PATIENT APPLY FOR GOVERNMENT ASSISTANCE IF APPLICABLE AND AVAILABLE AND IF IT IS NOT THEN WE HELP THEM COMPLETE THE CHARITY CARE APPLICATION FOR OUTPATIENT SERVICES THE BILLING DEPARTMENT COUNSELS AND ASSISTS THE PATIENT IN APPLYING FOR GOVERNMENTAL ASSISTANCE IF NOT APPLICABLE OR AVAILABLE THE PATIENT IS ASSISTED IN COMPLETING THE CHARITY CARE APPLICATION AND APPLICATIONS TO SPECIAL ORGANIZATIONS THAT MIGHT OFFER ASSISTANCE AS WELL
COMMUNITY INFORMATIONPART VIMARLETTE REGIONAL HOSPITAL IS A CRITICAL ACCESS HOSPITAL LOCATED IN MARLETTE WITHIN SANILAC COUNTY AREA OF SERVICE INCLUDES THE SOUTHERN PORTION OF HURON COUNTY THE EASTERN PORTION OF TUSCOLA COUNTY THE NORTHERN PORTION OF LAPEER COUNTY AND SANILAC COUNTY THE TOTAL POPULATION FOR THESE COUNTIES WAS APPROXIMATELY 222919 IN 2009 UNEMPLOYMENT FOR THESE COUNTIES RANGED AT 132 TO 190 IN 2009 AND THE PERCENTAGE OF UNINSURED IN THESE COUNTIES RANGED AT 163 TO 181 IN SEPT 2009 MEDIAN HOUSEHOLD INCOME FOR THIS AREA IN 2008 RANGED BETWEEN 38521 AND 54243
HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSEPART VITHE HOSPITAL IS GOVERNED BY A COMMUNITY BOARD AND HAS AN OPEN MEDICAL STAFF IT ALSO PARTICIPATES IN FREE OR REDUCED HEALTH SCREENINGS AND FAIRS THAT ARE AVAILABLE TO THE GENERAL PUBLIC REGARDLESS IF THE PATIENT IS A PATIENT IN OUR HEALTH SYSTEM
MARLETTE REGIONAL HOSPITAL LINE NUMBER 1 PART V LINE 11HPART V LINE 11HNUMBER OF RESIDENTS IN HOUSEHOLD
MARLETTE REGIONAL HOSPITAL LINE NUMBER 1 PART V LINE 13GPART V LINE 13GTHE SOCIAL SERVICES DEPARTMENT WILL REVIEW AND DISCUSS THE CHARITY CARE PROGRAM WITH UNINSURED PATIENTS THAT ARE ADMITTED TO THE HOSPITAL
MARLETTE REGIONAL HOSPITAL LINE NUMBER 1 PART V LINE 19DPART V LINE 19DINDIVIDUALS WHO DID NOT HAVE INSURANCE COVERING EMERGENCY OR OTHER MEDICALLY NECESSARY CARE WERE BILLED AT STANDARD HOSPITAL RATES FOR THE SERVICES PROVIDED
MARLETTE REGIONAL HOSPITAL LINE NUMBER 1 PART V LINE 21PART V LINE 21ALL PATIENT SERVICES ARE CHARGED AND BILLED AT THE GROSS CHARGE LEVEL

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg
DAN BABCOCK
19749112773564202332
LAWRENCE HOLEN
3041101277680932379711601
MICHAEL OGBOH
2741121277476029465114502
DR GALARNEAU
2733541277552529465814502
DR STARBIRD
2589151277424527893814501
DR MORGAN
25243421310402551371450

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSIONFORM 990 - ORGANIZATION'S MISSIONTO PROVIDE MEDICAL AND SURGICAL CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF MRH, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. THEREFORE, IN KEEPING WITH THIS HOSPITAL'S COMMITMENT TO SERVE ALL MEMBERS OF ITS COMMUNITY, FREE CARE AND/OR SUBSIDIZED CARE, CARE PROVIDED TO PERSONS COVERED BY GOVERNMENT PROGRAMS BELOW COST, AND HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY'S HEALTH STATUS WILL BE CONSIDERED WHERE THE NEED AND/OR THE INDIVIDUAL'S INABILITY TO PAY CO-EXIST. THESE ACTIVITIES INCLUDE ACUTE, EMERGENCY AND OUTPATIENT SERVICES IN ADDITION TO WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, AND SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED, MEDICALLY UNDER-SERVED, AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES.
FIRST ACCOMPLISHMENT DESCRIPTIONFORM 990, PAGE 2, PART III, LINE 4ABAD DEBTS ARE ESTIMATED BY THE USE OF THE ALLOWANCE METHOD. BAD DEBTS FOR THE YEARS ENING JUNE 30, 2012 AND 2011 AMOUNTED TO 2,115,874 AND 2,150,290, RESPECTIVELY. THE BAD DEBT EXPENSE ON LINE 2 OF SECTION A IS DETERMINED USING THE COST BASED UPON THE COST TO CHARGE RATIO THAT IS DEVELOPED IN SCHEDULE H. OTHER COMMUNITY BENEFITS ARE PROVIDED THROUGH MANY REDUCED PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR BASED ON ACTIVITIES AND SERVICES THAT MRH BELIEVES WILL SERVE A BONA FIDE COMMUNITY HEALTH NEED. A SAMPLING OF THESE COMMUNITY BENEFITS IS PROVIDED BELOW: EDUCATIONAL SERVICES/PROGRAMS "ABUSE AND NEGLECT RECOGNITION TRAINING FOR COMMUNITY AND HOSPITAL STAFF "CAREER GUIDANCE FOR AREA SCHOOL STUDENTS "COOPERATIVE PROFESSIONAL TRAINING WITH LOCAL COLLEGES "CPR TRAINING FOR THE COMMUNITY AND PUBLIC SAFETY AGENCIES "DISEASE/CONDITION-SPECIFIC EDUCATION, E.G., DIABETES "EDUCATION/COUNSELING FOR FAMILIES OF PATIENTS "EDUCATION/COUNSELING FOR PATIENTS "EDUCATIONAL PROGRAMS FOR EMPLOYEES (ADULT EDUCATION) "ORGAN DONATION INFORMATION CAMPAIGNS "RESOURCE LIBRARY "SCHOOL HEALTH PROGRAMS "SPEAKERS BUREAU "SUPPORT GROUPS FOR PATIENTS, THEIR FAMILIES AND THE COMMUNITY "TRAINING OF PUBLIC HEALTH AND SAFETY PERSONNEL "SAFE DRIVING PROGRAMS FOR ELDERLY DRIVERS HEALTH PROMOTION AND PREVENTIONS ACTIVITIES "BLOOD PRESSURE CLINICS "DISCHARGE PLANNING WITH FOLLOW-UP SUPPORT PROGRAMS "DRUG REVIEW FOR SENIOR CITIZENS "HEALTH PROMOTION/WELLNESS PROGRAMS "HEALTH SCREENING/HEALTH FAIRS "HOME SAFETY AND FIRST AID "NUTRITION AND WEIGHT CONTROL "RURAL HEALTH OUTREACH SERVICES "SMOKING CESSATION CLINICS "STRESS MANAGEMENT "WORK SITE HEALTH PROMOTION SERVICE EMERGENCY SERVICES/PROGRAMS "EMERGENCY SERVICES DEPARTMENT "ADVANCED LIFE SUPPORT AMBULANCE SERVICE "FIRE AND POLICE ASSISTANCE "HELICOPTER TRANSFER ASSISTANCE CLINICAL SERVICES "CERTIFIED RURAL HEALTH CLINICS "CHILDHOOD IMMUNIZATIONS "PRIMARY CARE SERVICES "ACUTE MEDICAL AND SURGICAL SERVICES "RESIDENTIAL AND HOME-BASED HOSPICE SERVICES "UNIQUELY-ACCREDITED HOSPITAL, LABORATORY, CARDIOPULMONARY, AND LONG-TERM CARE SERVICES "MOBILE PET AND BONE DENSITY TESTING TECHNOLOGY "COORDINATION OF PATIENT CARE SERVICES IN HOSPITAL "FREE OR LOW COST SERVICES TO LOW INCOME FAMILIES "GENERAL HEALTH SCREENING CLINICS "RESPIRATORY/PULMONARY DISEASE SERVICES "SCHOOL HEALTH CLINICS (PRIMARY CARE) "SCHOOL SPORTS PHYSICALS "SKILLED NURSING SERVICES/INTERMEDIATE CARE FACILITY NON-CLINICAL HOSPITAL SERVICES "ADVOCACY ON BEHALF OF SPECIFIC PATIENTS NEEDING INTERVENTION WITH PUBLIC AGENCIES (SOCIAL SERVICES) "FREE MEETING ROOMS FOR COMMUNITY GROUPS "FREE OR LOW COST MEALS "GUIDANCE AND REFERRAL TO COMMUNITY SERVICES AND PUBLIC ASSISTANCE PROGRAMS, INCLUDING MEDICAID "MEALS FOR FAMILY MEMBERS "TRANSLATION OR INTERPRETER SERVICES FOR NON-ENGLISH SPEAKING PATIENTS SUPPORT FOR OTHER HEALTH CARE PROVIDERS "RADIATION AND CHEMOTHERAPY SERVICES "VISITING MEDICAL AND SURGICAL SPECIALISTS TO COMPLEMENT PRIMARY CARE PHYSICIANS' CARE "SUPPORT FOR BLOOD DRIVES "DONATION OF USED EQUIPMENT TO OTHER PROVIDERS "PHYSICIAN REFERRAL SERVICES "PARTNER IN REGIONAL RURAL HEALTH NETWORKS WORKING RELATIONSHIP WITH OTHERS "CIVIC ORGANIZATIONS SUCH AS LIONS CLUB AND TOYS FOR TOTS "AMERICAN ASSOCIATION OF RETIRED PERSONS "COMMUNITY-BASED BUSINESS GROUPS SUCH AS CHAMBERS OF COMMERCE "ECONOMIC DEVELOPMENT AGENCIES "HOME HEALTH AGENCIES "HOSPICES "LOCAL SCHOOLS AND COLLEGES "NURSING HOMES "SENIOR CITIZENS ORGANIZATIONS "STATE AND LOCAL AGENCIES AND ORGANIZATIONS MARLETTE REGIONAL HOSPITAL IS COMMITTED TO SERVING OUR PATIENTS IN WAYS THAT RESPECT THE ORIGINAL VALUES OF OUR COMMUNITY - A COMPASSION FOR OUR NEIGHBORS AND A SENSE OF DUTY TO SERVE THOSE IN NEED. IN RESPECTING THESE VALUES, MARLETTE REGIONAL HOSPITAL ACKNOWLEDGES ITS OBLIGATION TO OFFER SERVICES TO PATIENTS THAT MAY NOT BE ABLE TO FULLY AFFORD THE CARE THEY NEED, WHILE ALSO SERVING THE HEALTH IMPROVEMENT NEEDS OF OUR LARGER COMMUNITY. TO THAT END, THE HOSPITAL HAS ADOPTED POLICIES THAT DESCRIBE HOW SERVICES ARE DISCOUNTED AND HOW CHARITY CARE IS DETERMINED AND OFFERED.
ELECTION OF MEMBERS AND THEIR RIGHTSFORM 990, PAGE 6, PART VI, LINE 7AMEMBERS MAY BE NOMINATED AT THE ANNUAL MEETING OF MEMBERS EITHER BY THE BOARD OF TRUSTEES OR BY ANY INDIVIDUAL MEMBER. MEMBERS SHALL BE ELECTED TO THREE-YEAR TERMS. THE MEMBERS' TERMS SHALL BE ARRANGED (AS NEAR AS POSSIBLE) SO THAT THE TERMS OF ONE-THIRD OF THE CORPORATION'S MEMBERS SHALL EXPIRE IMMEDIATELY FOLLOWING EACH ANNUAL MEETING OF THE CORPORATION'S MEMBERS. AT EACH ANNUAL MEETING, THE MEMBERS THEN IN OFFICE SHALL RE-ELECT MEMBERS WHOSE TERMS ARE EXPIRING AND/OR ELECT NEW MEMBERS TO THE CORPORATION.
DECISIONS SUBJECT TO APPROVAL OF MEMBERSFORM 990, PAGE 6, PART VI, LINE 7BEACH MEMBER OF THE CORPORATION IN GOOD STANDING SHALL BE QUALIFIED TO CAST ONE VOTE ON ANY ISSUE THAT MAY PROPERLY COME BEFORE ANY MEETING OF THE CORPORATION'S MEMBERS. VOTING BY PROXY OR ABSENTEE BALLOT SHALL NOT BE PERMITTED UNLESS IS SPECIFICALLY AUTHORIZED BY A MAJORITY VOTE OF THE MEMBERS PRESENT AT THE MEETING.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BTHE 990 WILL BE REVIEWED AT THE FINANCE COMMITTEE BY THE CEO AND CFO AND PRESENTED TO THE FULL BOARD FOR APPROVAL, PRIOR TO SUBMISSION.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ACOMPENSATION FOR THE TOP MANAGEMENT OFFICIAL IS BASED UPON APPLICABLE STATEWIDE COMPENSATION SURVEYS. IN ADDITION THE COMPENSATION IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS ANNUALLY.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BTHE COMPENSATION OF OTHER TOP OFFICIALS ARE BASED UPON APPLICABLE STATEWIDE COMPENSATION SURVEYS.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19THE GOVERNING DOCUMENTS, ADMINISTRATIVE POLICIES, AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE GENERAL PUBLIC.