2013-05-10T06:58:17-05:00 2012-06-30 ANDERSON TUCKEY BERNHARDT & DORAN PC 715 E FRANK STREET CARO MI 48723 990 2011-07-01 381507302 MARLETTE REGIONAL HOSPITAL MARL 9896354000 2770 MAIN STREET PO BOX 307 MARLETTE MI 484530307 DAN BABCOCK CPA 9896354000 2013-02-04 true JERRY BERNHARDT 9896733137 2013-05-10 2011 2016-02-24 21:20:13Z DAN BABOCK CEO 2770 MAIN STREET PO BOX 307 MARLETTE MI 484530307 34877743 false X WWW.MARLETTEREGIONALHOSPITAL.ORG X 1951 MI 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. 8 8 501 200 0 399032 194901 32560940 33426157 84173 48841 296959 537028 33341104 34206927 0 0 19374795 19545195 0 163262 13288528 15048164 32663323 34593359 677781 -386432 39425284 38667755 18145165 17757413 21280119 20910342 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. false false 29423532 34223582 DURING 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. 29423532 true true false false false false false false false false true false false false true false true false false false false false false false true false true true false false true false false false false false false false false false false false false false false false false false false true 43 0 true 501 true false false false false false true true false false false false X 8 8 false false false false false true true true true false false true true true false true true true true true false X JIM SINGLES CFO 9896354000 2770 MAIN STREET MARLETTE MI 48453 MEREDITH LYONS X 0 0 0 RALPH DESHETSKY X 0 0 0 DORIS HUNTOON X X 0 0 0 DR WILLIAM STARBIRD X 0 0 0 LES PHILLIPS X X 0 0 0 CHRIS CLARK X 0 0 0 SCOTT ORR X 0 0 0 SUE COOK X X 0 0 0 GLEN KAMPMAN X 0 0 0 DAN BABCOCK 40.00 X 198768 0 3564 LAWRENCE HOLEN 40.00 X 305387 0 18410 MICHAEL OGBOH 40.00 X 275389 0 19262 DR GALARNEAU 40.00 X 274631 0 20027 DR STARBIRD 40.00 X 260192 0 18746 DR MORGAN 40.00 X 252647 0 2490 1567014 82499 14 false true false ASC 30200 TELEGRAPH RD STE 220 BINGHAM FARMS MI 48025 876922 CERNER CORPORATION PO BOX 412702 KANSAS CITY MO 64141 822425 DR LISA LEWIS 29746 BRIARTON STREET FARMINGTON HILLS MI 483312248 ER DOCTOR 346174 DR NITIN GOLECHHA 2716 MAIN ST MARLETTE MI 48453 ER DOCTOR 284182 MCKENZIE HEALTH SYSTEM 120 DELAWARE ST SANDUSKY MI 48471 LONG TERM CARE 281421 15 43636 151265 194901 PATIENT SERVICE REVENUE 52663436 52663436 CHARITY CARE & BAD DEBT -1941100 -1941100 CONTRACTUAL ADJUSTMENTS -17296179 -17296179 33426157 47588 47588 633271 650349 -17078 -17078 -17078 1253 1253 1253 1253 64860 20467 44393 COMMUNITY SERVICE & EDUCATION 299236 299236 MEALS SERVED 111771 111771 MISCELLANEOUS 69968 69968 28738 28738 509713 34206927 1253 33966380 15429073 13621597 1691617 115859 264642 233640 29015 1987 2805774 2446685 355413 3676 1045706 927261 109745 8700 233 233 57344 57344 47500 47500 4631077 3898254 738673 -5850 142829 27295 111951 3583 4211256 4042568 149687 19001 619494 616516 2978 235799 181296 49069 5434 142412 142412 2057966 1537319 518643 2004 565547 487022 77450 1075 TAXES & LICENSES 777459 38157 739302 REPAIRS & MAINTANCE 297307 292614 4693 OUTSIDE LAB 276536 276536 LEASE EQUIPMENT 256801 249186 7615 728604 405174 315637 7793 34593359 29423532 5006565 163262 6822665 4509058 6712663 9258848 292503 305442 295344 204600 42796401 22139489 21875297 20656912 3229994 3538978 196818 193917 39425284 38667755 1054305 1681267 4084162 4619027 9955000 9500000 3051698 1957119 18145165 17757413 X 19976951 19567693 1257447 1296928 45721 45721 21280119 20910342 39425284 38667755 -386432 16655 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false 599658 599658 24003418 9240534 14762884 838820 657399 181421 17354505 12241556 5112949 20656912 ACCRUED OTHER 1095963 ACCRUED PAID HOURS OFF 413230 ACCRUED SALARIES 280705 ACCRUED PAYROLL TAXES 167221 1957119 34206927 34593359 -386432 16655 16655 -369777 36046947 16655 1823365 1840020 34206927 34206927 36416724 1823365 1823365 34593359 34593359 RECONCILIATION OF CHANGES - OTHER SCHEDULE D, PAGE 4, PART XI, LINE 8 PROVISION FOR BAD DEBTS 1,823,365 BAD DEBTS (NETTED WITH REVENUE) -1,823,365 REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER SCHEDULE D, PAGE 4, PART XII, LINE 2D PROVISION FOR BAD DEBTS 1,823,365 EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHER SCHEDULE D, PAGE 4, PART XIII, LINE 2D BAD DEBTS (NETTED WITH REVENUE) 1,823,365 MRH GOLF OUTING 26800 26800 100 365 2206 536 5705 TREE OF SHINING 19335 19335 2627 1 18725 18725 8928 64860 64860 100 365 2206 536 5705 11555 20467 44393 MI true true true X true X true true false true false 1 71522 71522 0.00210 1 5800762 3587933 2212829 0.06400 2 5872284 3587933 2284351 0.06600 532 26515 97479 9257 88222 0.00260 40 24 12422 12422 0.00040 8 26348 3293749 1977626 1316123 0.03800 53 1100 2788 2788 0.00010 633 53987 3406438 1986883 1419555 0.04100 635 53987 9278722 5574816 3703906 0.10710 2 425 559 559 41 151 2795 2795 0.00010 43 576 3354 3354 0.00010 false 1107668 10726749 10830049 -103300 X false THUMB MRI CENTER LLC MAGNETIC REASONANCE IMAGING (MRI) 0.10000 1 1 MARLETTE REGIONAL HOSPITAL

2770 MAIN ST PO BOX 307 MARLETTE MI 484530307

X X X X MARLETTE REGIONAL HOSPITAL 1 false true true 100.0 true 200.0 true X X X X true true X X false true X X X X X X true X false true COMMUNITY BUILDING ACTIVITIES PART II MARLETTE 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 EXPLANATION PART III LINE 4 BAD 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 EXPLANATION PART III LINE 8 THE 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 EXPLANATION PART III LINE 9B ONCE 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 ASSESSMENT PART VI IN 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 ASSISTANCE PART VI FOR 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 INFORMATION PART VI 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 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 PURPOSE PART VI 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 REGARDLESS IF THE PATIENT IS A PATIENT IN OUR HEALTH SYSTEM MARLETTE REGIONAL HOSPITAL LINE NUMBER 1 PART V LINE 11H PART V LINE 11H NUMBER OF RESIDENTS IN HOUSEHOLD MARLETTE REGIONAL HOSPITAL LINE NUMBER 1 PART V LINE 13G PART V LINE 13G THE 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 19D PART V LINE 19D INDIVIDUALS 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 21 PART V LINE 21 ALL PATIENT SERVICES ARE CHARGED AND BILLED AT THE GROSS CHARGE LEVEL X X X false false false false false false false false false DAN BABCOCK 197491 1277 3564 202332 LAWRENCE HOLEN 304110 1277 6809 11601 323797 MICHAEL OGBOH 274112 1277 4760 14502 294651 DR GALARNEAU 273354 1277 5525 14502 294658 DR STARBIRD 258915 1277 4245 14501 278938 DR MORGAN 252434 213 1040 1450 255137 ORGANIZATION'S MISSION FORM 990 - ORGANIZATION'S MISSION TO PROVIDE MEDICAL AND SURGICAL CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF MRH, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. THEREFORE, IN KEEPING WITH THIS HOSPITAL'S COMMITMENT TO SERVE ALL MEMBERS OF ITS COMMUNITY, FREE CARE AND/OR SUBSIDIZED CARE, CARE PROVIDED TO PERSONS COVERED BY GOVERNMENT PROGRAMS BELOW COST, AND HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY'S HEALTH STATUS WILL BE CONSIDERED WHERE THE NEED AND/OR THE INDIVIDUAL'S INABILITY TO PAY CO-EXIST. THESE ACTIVITIES INCLUDE ACUTE, EMERGENCY AND OUTPATIENT SERVICES IN ADDITION TO WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, AND SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED, MEDICALLY UNDER-SERVED, AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. FIRST ACCOMPLISHMENT DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4A 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. ELECTION OF MEMBERS AND THEIR RIGHTS FORM 990, PAGE 6, PART VI, LINE 7A MEMBERS 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 MEMBERS FORM 990, PAGE 6, PART VI, LINE 7B EACH 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 990 FORM 990, PAGE 6, PART VI, LINE 11B THE 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 OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A 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. COMPENSATION PROCESS FOR OFFICERS FORM 990, PAGE 6, PART VI, LINE 15B THE COMPENSATION OF OTHER TOP OFFICIALS ARE BASED UPON APPLICABLE STATEWIDE COMPENSATION SURVEYS. GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 THE GOVERNING DOCUMENTS, ADMINISTRATIVE POLICIES, AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE GENERAL PUBLIC.