2024-02-09T13:11:32-06:00 2023-03-31 390758449 WIPFLI LLP 170 N RADNOR-CHESTER RD SUITE 200 RADNOR PA 19087 990 2022-04-01 381507046 MUNISING MEMORIAL HOSPITAL ASSOCIATION MUNI 9063874110 1500 SAND POINT ROAD MUNISING MI 49862 JAMES PARKER CEO 9063874110 2024-02-08 1 JAMES PARKER 999009999 1 SOLOMON MARDAKHAEV P01806552 6105653930 2024-02-06 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z JIM PARKER 1500 SAND POINT ROAD MUNISING MI 49862 15208569 0 X WWW.MUNISINGMEMORIAL.ORG X 1961 MI THE MISSION OF MUNISING MEMORIAL HOSPITAL IS TO BE THE PROVIDER OF CHOICE FOR PRIMARY MEDICAL AND HOSPITAL CARE FOR THE RESIDENTS OF ALGER COUNTY. WITH UNSURPASSED PERSONAL AND PROFESSIONAL INTEGRITY, OUR EMPLOYEES AND PRACTITIONERS WILL PROVIDE THE HIGHEST LEVEL OF QUALITY CARE WITHIN OUR RESOURCES. 7 7 103 9 0 0 958009 1195313 13563526 12570038 -1879 65518 0 0 14519656 13830869 0 0 0 0 6674611 7175818 0 0 0 6892339 6367589 13566950 13543407 952706 287462 14156656 13359695 10116957 9159203 4039699 4200492 X THE MISSION OF MUNISING MEMORIAL HOSPITAL IS TO BE THE PROVIDER OF CHOICE FOR PRIMARY MEDICAL AND HOSPITAL CARE FOR THE RESIDENTS OF ALGER COUNTY. WITH UNSURPASSED PERSONAL AND PROFESSIONAL INTEGRITY, OUR EMPLOYEES AND PRACTITIONERS WILL PROVIDE THE HIGHEST LEVEL OF QUALITY CARE WITHIN OUR RESOURCES. 0 0 9901227 10605197 TO PROVIDE INPATIENT AND OUTPATIENT CARE TO THE COMMUNITY AND SURROUNDING AREA. DURING 2023, THERE WERE 102 ADMISSIONS, 440 PATIENT DAYS AND 15,196 OUTPATIENT VISITS. 1648364 0 1932409 BAYCARE PHYSICIAN OFFICE PROVIDING REGULAR OFFICE AND WALK-IN CARE TO OUR PATIENTS. BAYCARE HAD 8,498 VISITS DURING THE 2023 YEAR. GRAND MARAIS PHYSICIAN CLINIC PROVIDING REGULAR OFFICE AND WALK IN CARE TO OUR PATIENTS. GRAND MARAIS HAD 154 VISITS DURING 2023 YEAR. 11549591 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 1 11 0 103 1 0 0 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X BARBARA CROMELL 9063874110 1500 SAND POINT ROAD MUNISING MI 49862 PAUL HADUCK PHYSICIAN 40.00 X 291007 0 11361 BONNIE KILPELA NURSE PRACTIONER 40.00 X 247613 0 8498 SANDRA MCGOVERN CEO (THRU MARCH) 40.00 X 208899 0 8275 JEFFREY SHIPKEY PHYSICIAN 40.00 X 214300 0 0 SARA CARTER NURSE PRACTIONER 40.00 X 180454 0 7211 MARK CECILLO PHYSICIAN 40.00 X 157893 0 0 KEVIN CARLSON CFO (THRU FEBRUARY) 40.00 X 129456 0 5146 CHRISTI SALO CNO 40.00 X 112276 0 4523 JIM PARKER CEO 40.00 X 7212 0 0 BARBARA CROMELL CFO 40.00 X 0 0 0 MARILYN BEVERLY PRESIDENT 0.30 0.30 X X 0 0 0 KATHY REYNOLDS VICE PRESIDENT 0.30 0.30 X X 0 0 0 JOHN MADIGAN TREASURER 0.30 0.30 X X 0 0 0 RUTH ANN POKELA SECRETARY 0.30 0.30 X X 0 0 0 LARRY BAUR TRUSTEE 0.30 0.30 X 0 0 0 ALLISON BOWERMAN-JOHNSON TRUSTEE 0.30 0.30 X 0 0 0 WADE CROSS TRUSTEE 0.30 0.30 X 0 0 0 DEBORAH NEDEAU TRUSTEE (THRU JUNE) 0.30 0.30 X 0 0 0 BILL VALIMA TRUSTEE (THRU JUNE) 0.30 0.30 X 0 0 0 1549110 0 45014 8 0 1 0 CERNER PO BOX 959156 ST LOUIS MO 631959156 EHR SOFTWARE COMPANY 613650 UP REHAB 841 W WASHINGTON ST MARQUETTE MI 49855 REHABILIATION SERVICES 563318 JACOB MACKENZIE 5548 HIGH RIDGE DRIVE YPSILANTI MI 48197 ED PROVIDER 201600 DLP MGH 850 BARAGA AVE MARQUETTE MI 498554550 LAB TESTING 183837 CYBERFORCE Q LLC 47911 HALYARD ROAD SUITE 110 PLYMOUTH MI 48170 IT SECURITY FIRM 116739 5 999633 195680 1195313 NET PATIENT SERVICE REVENUE 621610 11412415 11412415 340B PROGRAM REVENUE 621610 1005397 1005397 CAFETERIA SALES 900099 32432 32432 CLINIC RENTAL INCOME 900099 8220 8220 111574 111574 12570038 58609 58609 1384609 1377700 6909 6909 6909 13830869 12537606 0 97950 X 500940 130244 370696 5261523 4889965 371558 125485 123347 2138 889423 783829 105594 398447 347824 50623 67933 67933 62300 62300 12337 12337 2209512 2097676 111836 32136 32136 379805 343917 35888 318393 287670 30723 40270 28604 11666 46790 42665 4125 264216 264216 896567 672803 223764 141168 87399 53769 MEDICAL SUPPLIES 760997 760997 BAD DEBT EXPENSE 278209 278209 DUES & SUBSCRIPTIONS 109532 31988 77544 REPAIRS & MAINTENANCE 75290 75188 102 672134 270914 401220 13543407 11549591 1993816 0 364668 717551 5248667 4615167 1642961 1248814 91638 110230 89761 128195 18278575 14389114 4307828 3889461 2411133 2315534 0 334743 14156656 13359695 793622 1068599 590015 141056 7840771 7703390 892549 246158 10116957 9159203 X 4039699 4200492 4039699 4200492 14156656 13359695 287462 -126669 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 1 718 718 0 PART II-B, LINE 1: MEMBERSHIP DUES RENEWAL PACKAGE TO MHA 20275 20275 11574141 9384916 2189225 45492 33703 11789 6638667 4970495 1668172 3889461 COST REPORT SETTLEMENT 6487 RIGHT OF WAY FINANCE LEASE 239671 246158 1 1 X 1 X 1 X 1 1 0 0 7436 7436 0.00050 3279452 734872 2544580 0.18790 3286888 734872 2552016 0.18840 3286888 734872 2552016 0.18840 1 278209 3565187 3604493 -39306 X 1 1 1 1 MUNISING MEMORIAL HOSPITAL ASSOCIATION 1500 SAND POINT ROAD MUNISING MI 49862 WWW.MUNISINGMEMORIAL.ORG 5301002603 X X X X MUNISING MEMORIAL HOSPITAL ASSOCIATION 1 0 0 1 X X X X X X X X X 22 1 0 1 1 X SEE SUPPLEMENTAL SECTION X 1 19 1 HTTPS://MUNISINGMEMORIAL.ORG/COMMUNITY-HEALTH/ 0 1 X 100.000000000000 250.000000000000 X X X X 1 1 X X X 1 X HTTPS://MUNISINGMEMORIAL.ORG/CREDIT-COLLECTION-POLICY/ X HTTPS://MUNISINGMEMORIAL.ORG/CREDIT-COLLECTION-POLICY/ X HTTPS://MUNISINGMEMORIAL.ORG/CREDIT-COLLECTION-POLICY/ X X X X X X 1 X 0 X X X X 1 X 0 0 MUNISING MEMORIAL HOSPITAL ASSOCIATION PART V, SECTION B, LINE 5: WE MET WITH KEY ALGER COUNTY STAKEHOLDERS, INCLUDING THE LOCAL HEALTH DEPARTMENT AND THE COMMISSION ON AGING ON 2 ZOOM MEETINGS DISCUSSING THE HEALTHCARE NEEDS OF THE COUNTY. THE LOCAL TRIBAL HEALTH CENTER WAS INVITED, BUT THEY WERE UNABLE TO ATTEND. MUNISING MEMORIAL HOSPITAL ASSOCIATION PART V, SECTION B, LINE 6B: GREATER MUNISING BAY PARTNERSHIP FOR COMMERCE DEVELOPMENT MUNISING MEMORIAL HOSPITAL ASSOCIATION PART V, SECTION B, LINE 11: STRATEGIES FROM THE CHNA:SUMMARY OF MMH FISCAL YEAR'S 2022 2025 COMMUNITY HEALTH NEEDS ACTION PLAN THE MUNISING MEMORIAL HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED DURING THE AUTUMN OF 2022. THE ITEMS IDENTIFIED IN THE ACTION PLAN TO BE ADDRESSED DURING THE SUBSEQUENT 3 YEARS ARE STATED BELOW ALONG WITH THE ACTION PLAN FOR MANY OF THE ITEMS. 1. IMPROVE THE AVAILABILITY OF AND ACCESS TO PRIMARY CARE PHYSICIANS AND OTHER PRIMARY CARE PROVIDERS THROUGHOUT THE COUNTY. MMH WILL CONTINUE TO RECRUIT PRIMARY CARE PHYSICIANS TO THE RURAL HEALTH CLINIC. A NEW PRIMARY CARE PHYSICIAN WILL BEGIN TO OFFER PRIMARY CARE SERVICES IN THE RHC IN NOVEMBER 2023. THIS PHYSICIAN WILL ALSO WORK IN THE EMERGENCY DEPARTMENT OF THE HOSPITAL. IN ADDITION TO THE OUTREACH CLINIC IN GRAND MARAIS, MMH WILL CONTINUE TO EVALUATE OPTIONS TO EXPAND PRIMARY CARE SERVICES TO OTHER OUTLYING AREAS THROUGHOUT ALGER COUNTY. MMH IS EVALUATING THE POSSIBILITY OF EMPLOYING FUTURE NURSE PRACTITIONERS IN THE RHC TO EXPAND PRIMARY CARE SERVICES THROUGHOUT THE COUNTY. 2. IMPROVE ACCESS TO BEHAVIORAL / MENTAL HEALTH SERVICES, ADDICTION COUNSELING, AND SUICIDE PREVENTION SERVICES THROUGHOUT THE COUNTY. MMH WILL CONTINUE TO PARTNER WITH GREAT LAKES RECOVERY TO PROVIDE SERVICES AT THE HOSPITAL FOR THOSE INDIVIDUALS SEEKING SUBSTANCE ABUSE TREATMENT. MMH WILL CONTINUE TO WORK WITH PATHWAYS MENTAL HEALTH SERVICES TO COME UP WITH SOLUTIONS REGARDING MENTAL HEALTH TREATMENT NEEDS IN ALGER COUNTY. MMH WILL CONTINUE THE EXISTING RELATIONSHIP OF HAVING PERIODIC CONSULTATIONS BETWEEN RURAL HEALTH CLINIC PHYSICIANS AND ADVANCED PRACTICE PROVIDERS AND A REGIONAL PSYCHIATRIST. MMH WILL INITIATE A SENIOR OUTPATIENT BEHAVIORAL HEALTH PROGRAM IN JANUARY 2024. 3. IMPROVE ACCESS TO SPECIALTY CARE AT THE HOSPITAL. MMH CURRENTLY OFFERS ENT, DERMATOLOGY, AND ENDOSCOPY SPECIALIST SERVICES AT THE HOSPITAL. MMH WILL CONTINUE TO EVALUATE THE INCORPORATION OF ADDITIONAL SPECIALTY SERVICES AT THE HOSPITAL. DEPENDENT UPON REFERRAL PATTERNS, AFFORDABILITY, AND SPECIALIST AVAILABILITY. 4. IMPROVE ACCESS TO DENTAL CARE IN ALGER COUNTY. THE LOCAL DENTAL OFFICE IN MUNISING IS CURRENTLY ACCEPTING NEW PATIENTS. MMH WILL HAVE DISCUSSIONS WITH THE LOCAL PROVIDER REGARDING OPTIONS FOR THE POSSIBLE EXPANSION OF DENTAL SERVICES THAT MAY HELP THE PEOPLE WHO LIVE IN ALGER COUNTY. 5. INCREASE THE AVAILABILITY OF ADDITIONAL SERVICES AT THE HOSPITAL. MMH WILL CONTINUE TO INCORPORATE ADDITIONAL SERVICES INTO ORGANIZATION AS PART OF THE MMH STRATEGIC PLAN AND IN ACCORDANCE WITH THE VIABILITY OF THOSE SERVICES. 6. IMPROVE OPPORTUNITIES FOR SENIOR SERVICES, NUTRITION, PHYSICAL ACTIVITY, TRANSPORTATION, HOUSING, HEALTH FAIRS, AND OTHER OPPORTUNITIES TO ASSIST IN THE IMPROVEMENT OF THE HEALTH AND WELL BEING OF PEOPLE WHO LIVE AND WORK IN ALGER COUNTY. AS PART OF THE MMH STRATEGIC PLAN, OPPORTUNITIES WILL CONTINUE TO BE EVALUATED AND IMPROVED UPON AS POSSIBLE. THIS WILL REQUIRE PARTNERSHIPS WITH OTHER SERVICE ORGANIZATIONS THROUGHOUT ALGER COUNTY PART V, LINE 7A HTTPS://MUNISINGMEMORIAL.ORG/COMMUNITY-HEALTH/ 1 1 - BAY CARE MEDICAL CENTER 1500 SAND POINT RD MUNISING MI 49862 GENERAL PRACTIONERS PART I, LINE 7: A COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2 IS USED. EXCEPT FOR PART 1 LINE 7G, WHERE A COST TO CHARGE RATIO BASED ON DIRECT COST AND STEPDOWN WAS MORE APPROPRIATE. PART I, LN 7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25 BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE SCHEDULE H, PART I, COLUMN F PERCENTAGES EQUALS $278,209. PART III, LINE 2: PERCENTAGE OF ACCOUNTS RECEIVABLES PART III, LINE 4: IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE ORGANIZATION ANALYZES PAST RESULTS AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. SPECIFICALLY, FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE ORGANIZATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE ORGANIZATION RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICES ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. PART III, LINE 8: THE AMOUNTS REPORTED FOR MEDICARE ARE FROM THE MEDICARE COST REPORT. THE HOSPITAL USED THE METHODOLOGY REQUIRED FOR COMPLETING THE MEDICARE COST REPORT. PART III, LINE 9B: THE ACCOUNT IS CREDITED THE AMOUNT DETERMINED BY THE PERCENTAGE PATIENTS QUALIFY FOR, IF THERE IS A SELF PAY BALANCE THE PATIENT HAS UP TO 10 MONTHS TO PAY THE BALANCE IF OVER $1000.00 OR IF UNDER THEY HAVE UP TO 4 MONTHS BEFORE THE ACCOUNT IS TRANSFERRED TO BAD DEBT. PART VI, LINE 2: WHEN WE DO OUR STRATEGIC PLANNING, WE CONSULT THE MOST RECENT ASSESSMENTS WHEN DETERMINING OUR PRIORITIES. AS A RESULT OF OUR MOST RECENT ASSESSMENT THAT IDENTIFIED A NEED FOR ACCESS TO MENTAL HEALTH SERVICES, WE IMPLEMENTED A BRAND-NEW PROGRAM FOR SENIOR BEHAVIORAL HEALTH STARTING IN 2024. WE HAVE ALSO IMPROVED ACCESS TO PRIMARY CARE PROVIDERS BY HIRING NEW PROVIDERS AS A RESULT OF THE NEEDS ASSESSMENT. PART VI, LINE 3: WHEN A PATIENT ARRIVES WITHOUT HEALTHCARE COVERAGE THEY ARE INFORMED OF OUR FINANCIAL ASSISTANCE POLICY AND GIVEN AN APPLICATION. THE APPLICATION ALSO STATES THAT THERE IS A POSSIBILITY THEY COULD BE ELIGIBLE FOR THE STATE MEDICAID PLANS. PART VI, LINE 4: IT IS SMALL RURAL COMMUNITY WITH THE NEAREST REGIONAL HOSPITAL 45 MILES AWAY. WE HAVE SEVERE WINTERS THAT AFFECT TRAVEL OUT OF THE COMMUNITY PERIODICALLY. WE SERVE A MIX OF ELDERLY, LOW INCOME AND WORKING CLASS PATIENTS. PART VI, LINE 5: WE IMPLEMENTED A NEW WOMEN'S HEALTH FAIR THAT IS FREE TO THE COMMUNITY FOR EDUCATION AND AWARENESS ON WOMEN'S HEALTH ISSUES. WE STILL ARE DONATING CLINIC SPACE TO GREAT LAKES RECOVERY FOR TREATING CLIENTS WITH SUBSTANCE ABUSE PROBLEMS. X 0 0 X X X 0 0 0 0 0 0 0 0 0 PAUL HADUCK PHYSICIAN 291007 0 0 0 0 0 11361 0 0 0 302368 0 0 0 BONNIE KILPELA NURSE PRACTIONER 247613 0 0 0 0 0 8498 0 0 0 256111 0 0 0 SANDRA MCGOVERN CEO (THRU MARCH) 208899 0 0 0 0 0 8275 0 0 0 217174 0 0 0 JEFFREY SHIPKEY PHYSICIAN 214300 0 0 0 0 0 0 0 0 0 214300 0 0 0 SARA CARTER NURSE PRACTIONER 180454 0 0 0 0 0 7211 0 0 0 187665 0 0 0 MARK CECILLO PHYSICIAN 157893 0 0 0 0 0 0 0 0 0 157893 0 0 0 PART I, LINE 1A RELOCATION REIMBURSEMENT FOR CEO JAMES PARKER DEBORAH NEDEAU BOARD SECRETARY 1005397 PAYMENTS FOR DRUGS PURCHASED FOR 340B PROGRAM 0 RJ REYNOLDS FATHER OF BOARD VP 15923 INTERIM CEO 0 FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS MEMBERS. THE MEMBERSHIP OF THE ASSOCIATION SHALL CONSIST OF THE FOLLOWING CLASSES; CHARTER MEMBERS AND ASSOCIATION MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A ASSOCIATION MEMBERS IF THEY HAVE PAID THEIR DUES, MAY PARTICIPATE IN THE VOTE TO ELECT THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS EMAILED TO EACH BOARD MEMBER AND GIVEN A DEADLINE TO WHICH THEY NEED TO RESPOND. THEY EACH HAVE A CHANCE TO REVIEW THE 990 AND ASK QUESTIONS REGARDING THE DATA WITHIN THE FORM BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C INDIVIDUALS REQUIRED TO COMPLY WITH THE CONFLICT OF INTEREST POLICY INCLUDE THE CHIEF EXECUTIVE OFFICER, THE CHIEF FINANCIAL OFFICER, AND ALL OF THE MEMBERS OF THE BOARD. ON AN ANNUAL BASIS, DOCUMENTS ARE DISTRIBUTED AND SIGNED BY EACH INDIVIDUAL DISCLOSING ALL CONFLICTS. IF THERE IS A CONFLICT IDENTIFIED, THAT INDIVIDUAL CANNOT VOTE ON THE MATTER AND IT MUST BE INDICATED IN THE MEETING MINUTES THAT A DISCLOSURE WAS MADE AND THE BOARD MEMBER ABSTAINED FROM VOTING. FORM 990, PART VI, SECTION B, LINE 15 MICHIGAN HOSPITAL ASSOCIATION'S WAGE SURVEY IS CONSULTED. THE BOARD OF DIRECTORS APPROVE THE COMPENSATION OF THE CEO'S EMPLOYMENT CONTRACT DURING MEETINGS. UPON RECOMMENDATION FROM THE CEO, THE BOARD ALSO APPROVES THE COMPENSATION FOR THE CFO, WHICH IS INCLUDED IN THE APPROVAL OF THE ANNUAL BUDGET. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 2,097,676. MANAGEMENT AND GENERAL EXPENSES 111,836. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,209,512. MUNISING BAY HEALTHCARE 1500 SAND POINT RD MUNISING MI 49862 474314554 PROVIDE THE OWNERSHIP, FINANCING, CONSTRUCTION, ETC OF A HOSPITAL BUILDING MI 501(C)(3) LINE 9 MUNISING MEMORIAL HOSPITAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0