2025-05-13T12:22:00-05:00 2024-06-30 410746749 CLIFTONLARSONALLEN LLP 220 S 6TH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2023-07-01 381415390 DECKERVILLE COMMUNITY HOSPITAL DECK 8103762835 3559 PINE STREET DECKERVILLE MI 484270126 ANGELA MCCONNACHIE CEO 8103762835 2025-05-12 1 0 TYLER JOHNSON P01604007 6123764500 2025-05-12 2023 2025-03-06 01:10:19Z ANGELA MCCONNACHIE 3559 PINE STREET DECKERVILLE MI 484270126 9434219 0 X WWW.ASPIRERHS.ORG X 1952 MI TO PROVIDE HIGH QUALITY AND COST-EFFECTIVE HEALTH CARE SERVICES, CLOSE TO HOME, IN A PATIENT-CENTERED ENVIRONMENT AND PROVIDE SYSTEMS OF CARE THAT ASSIST PATIENTS AS THEY TRANSITION THROUGH VARIOUS CARE CONTINUUMS. ALSO TO WORK CLOSELY WITH THE LOCAL COMMUNITY TO SUPPORT THE HEALTH AND WELLNESS OF THE COMMUNITY AS A WHOLE. 11 11 104 32 0 0 984013 120680 8797882 9450456 15738 16481 44066 -156170 9841699 9431447 0 0 0 0 4666695 5249400 0 0 0 4684400 5410425 9351095 10659825 490604 -1228378 6396722 4970928 2110337 1910548 4286385 3060380 X TO PROVIDE HIGH QUALITY AND COST-EFFECTIVE HEALTH CARE SERVICES, CLOSE TO HOME, IN A PATIENT-CENTERED ENVIRONMENT AND PROVIDE SYSTEMS OF CARE THAT ASSIST PATIENTS AS THEY TRANSITION THROUGH VARIOUS CARE CONTINUUMS. ALSO TO WORK CLOSELY WITH THE LOCAL COMMUNITY TO SUPPORT THE HEALTH AND WELLNESS OF THE COMMUNITY AS A WHOLE. 0 0 8786059 0 9450456 TO PROVIDE HIGH QUALITY AND COST-EFFECTIVE HEALTH CARE SERVICES, CLOSE TO HOME, IN A PATIENT-CENTERED ENVIRONMENT AND PROVIDE SYSTEMS OF CARE THAT ASSIST PATIENTS AS THEY TRANSITION THROUGH VARIOUS CARE CONTINUUMS. ALSO TO WORK CLOSELY WITH THE LOCAL COMMUNITY TO SUPPORT THE HEALTH AND WELLNESS OF THE COMMUNITY AS A WHOLE. DECKERVILLE OFFERS, AS PART OF ITS MISSION, NECESSARY MEDICAL CARE TO THOSE INDIVIDUALS NOT COVERED UNDER A THIRD-PARTY INSURER OR GOVERNMENT PROGRAM OR WHO DO NOT HAVE RESOURCES TO PAY ALL OR A PORTION OF THEIR BILLS. DURING THE FISCAL YEAR ENDED JUNE 30, 2024, THE HOSPITAL SERVICED 19 INPATIENT DAYS, 2,129 EMERGENCY ROOM VISITS, AND 19,900 OUTPATIENTS THROUGH ITS CLINICS, OFFICE PRACTICES, AND ANCILLARY DEPARTMENTS. OTHER COMMUNITY BENEFITS ARE PROVIDED THROUGH DIFFERENT PROGRAMS OFFERED THROUGH THE YEAR BASED ON ACTIVITIES AND SERVICES. A SAMPLE OF THESE COMMUNITY BENEFITS ARE BELOW:HELP US HELP OUR OWN: THIS IS A PROGRAM THAT THE FOUNDATION RUNS WHERE THE PROCEEDS GO TO A FUND THAT SUPPORT ASPIRE EMPLOYEES IN NEED. A REQUEST CAN BE SUBMITTED TO THE FOUNDATION BOARD ON BEHALF OF AN EMPLOYEE WHO IS IN NEED DUE TO A TRAUMATIC EVENT WHETHER IT IS THEIR HEALTH/FAMILY HEALTH/TERRIBLE ACCIDENT, ETC AND THE BOARD CAN APPROVE THE SITUATION AND GIVE XX DOLLARS FROM THIS FUND TO AN EMPLOYEE TO HELP THEM OUT DURING THIS TIME.5TH SATURDAY: THIS IS A PROGRAM WHERE ASPIRE EMPLOYEES VOLUNTEER TO DO A COMMUNITY SERVICE IN ONE OF THE ASPIRE COMMUNITIES. 8786059 1 1 0 1 0 0 0 0 0 1 1 0 1 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 19 0 104 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X KIMBERLY GENTNER 8103767024 3559 PINE STREET DECKERVILLE MI 484270126 STEVE ELLIS DIRECTOR 1.00 1.00 X 0 0 0 FAITH FAHRNER DIRECTOR 1.00 1.00 X 0 0 0 JUDY BROWN DIRECTOR 1.00 1.00 X 0 0 0 PAT CURTIS CHAIRMAN 1.00 1.00 X X 0 0 0 PAUL ROHLING DIRECTOR 1.00 1.00 X 0 0 0 SCOTT ORR DIRECTOR 1.00 1.00 X 0 0 0 DAVID MESSING SECRETARY/TREASURER 1.00 1.00 X X 0 0 0 ALEXANDER MESSING DIRECTOR 1.00 1.00 X 0 0 0 CURTIS LANDRITH DIRECTOR 1.00 1.00 X 0 0 0 CAROL STARLING DIRECTOR 1.00 1.00 X 0 0 0 ERIK TAMLYN DIRECTOR 1.00 1.00 X 0 0 0 IRENE COLE DIRECTOR 1.00 1.00 X 0 0 0 VICTORIA MEIBURG DIRECTOR 1.00 1.00 X 0 0 0 JUSTIN FABER FORMER VICE-CHAIRMAN 1.00 1.00 X X 0 0 0 GAIL DENTON VICE-CHAIRMAN 1.00 1.00 X X 0 0 0 SUE COOK DIRECTOR 1.00 1.00 X 0 0 0 ANDREW DANIELS CO-CEO 10.00 30.00 X 0 383461 47340 KIMBERLY GENTNER CFO 10.00 30.00 X 139079 0 135 ANGELA MCCONNACHIE CO-CEO 10.00 30.00 X 203348 0 12351 CARRIE EUGSTER NURSE PRACTIONER 40.00 0.00 X 121934 0 1882 MARIA SZYDLO REGISTERED NURSE 40.00 0.00 X 118178 0 4272 KEITH DAVIDSON NURSE PRACTIONER 40.00 0.00 X 127118 0 0 KATELYN SCHWEITZER NURSE MANAGER 40.00 0.00 X 130638 0 8132 MALORIE MCVITTIE PHYSICIAN 40.00 0.00 X 243630 0 20351 1083925 383461 94463 8 0 1 0 SOLIANT 5550 PEACHTREE PARKWAY STE 500 PEACHTREE CORNERS GA 30092 STAFFING SERVICES 321247 RASHID ALSABEH 3543 CEDAR BROOK DR ROCHESTER HILLS MI 48309 PHYSICIAN 254820 NICK BUTTAR 8445 WARWICK GROVES COURT GRAND BLANC MI 48439 PHYSICIAN 224303 CHRISTOPHER J KREINER 3088 PAINT CREEK DR OAKLAND MI 48363 PHYSICIAN 220188 SCOTT GREIB 7728 SPRINGBORN RD CASCO MI 48064 PHYSICIAN 219015 6 24764 95916 120680 PATIENT REVENUE 621500 9349598 9349598 PHARMACY 456110 100858 100858 9450456 16481 16481 10862 2772 8090 8090 8090 MISCELLANEOUS REVENUE 900099 96412 96412 CAPITATION REVENUE 900099 56924 56924 INVESTMENT IN AFFILIATES 900099 -317596 -317596 -164260 9431447 9450456 0 -139689 X 298571 298571 4007687 3792039 215648 48352 37901 10451 581796 469446 112350 312994 245115 67879 69826 69826 61766 61766 2377656 1860631 517025 41945 25469 16476 45044 27350 17694 390013 289198 100815 171375 135816 35559 18114 10999 7115 11599 10659 940 444571 425470 19101 78670 20381 58289 MEDICAL SUPPLIES 504622 491704 12918 REPAIRS AND MAINTENANCE 312403 247582 64821 TAXES AND LICENSES 292451 177574 114877 DRUG EXPENSE 288235 288235 302135 230490 71645 10659825 8786059 1873766 0 1067965 263159 185 50652 250000 0 1544175 1469264 70781 51724 97204 116632 6897186 4532576 2402302 2364610 911037 593441 53073 61446 6396722 4970928 561293 923236 95728 13439 1453316 973873 2110337 1910548 X 4233312 2998680 53073 61700 4286385 3060380 6396722 4970928 X -1228378 2373 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 673 673 0 PART II-B, LINE 1: THE ORGANIZATION PAYS ANNUAL DUES TO MICHIGAN HEALTH AND HOSPITAL ASSOCIATION (MHA) AND A PORTION OF THOSE DUES GOES TOWARD LOBBYING. THE MHA WORKS WITH ITS MEMBER HOSPITAL AND HEALTH SYSTEMS TO INFORM DECISION-MAKERS ABOUT THE IMPACT OF HOSPITALS ON LOCAL HEALTH AND HEALTHCARE DELIVERY, AND ON CREATING THRIVING COMMUNITIES. THEY SPEND TIME IN MICHIGAN AND WASHINGTON DC TO ADVOCATE ON BEHALF OF THE INTERESTS OF ITS MEMBERS. 53073 9468 1095 61446 46356 7813 1096 53073 61330 -13900 1074 46356 50416 11930 1016 61330 51035 412 1031 50416 0.00000 0.00000 1.00000 1 0 58668 58668 1632255 1438902 193353 4925646 3093674 1831972 280617 280617 2364610 INVESTMENT IN CANCER CENTER 593441 F 593441 DUE TO RELATED PARTIES 908824 THIRD PARTY PAYOR SETTLEMENTS 65049 973873 PART V, LINE 4: THE HOSPITAL HAS ENTERED INTO AN AGREEMENT WITH THE SANILAC COUNTY COMMUNITY FOUNDATION TO CREATE A DONOR-RESTRICTED ENDOWMENT. THE DECKERVILLE COMMUNITY HOSPITAL ENDOWMENT FUND, FOR THE PURPOSE OF PROVIDING SUPPORT TO THE HOSPITAL TO CARRY OUT ITS ROLE AND MISSION AS DESIRED BY ITS GOVERNING DOCUMENTS. THE FOUNDATION HAS ALL POWERS NECESSARY TO CARRY OUT THE PURPOSE OF THE FUND, INCLUDING POWERS TO INVEST AND REINVEST THE FUND AND THE POWER TO COMINGLE THE ASSETS OF THE FUND WITH THOSE OF OTHER FUNDS FOR INVESTMENT PURPOSES. 1 1 X 1 X 1 X 1 1 0 0 3738 3738 0.00040 2523067 523782 1999285 0.18960 2526805 523782 2003023 0.19000 2529348 562214 1967134 0.18650 2529348 562214 1967134 0.18650 5056153 1085996 3970157 0.37650 0 114984 45994 2407658 2439754 -32096 X 1 1 1 1 DECKERVILLE COMMUNITY HOSPITAL INC 3559 PINE STREET DECKERVILLE MI 48427 WWW.ASPIRERHS.ORG 1060000118 X X X X RHC(S) DECKERVILLE COMMUNITY HOSPITAL INC 1 0 0 1 X X X X X X X X X 23 1 1 1 1 X SEE PART V, LINE 7D X X 1 23 1 SEE PART V, LINE 7D 0 1 X 100.000000000000 300.000000000000 X X X 1 1 X X X 1 X SEE PAGE V, LINE 16J X SEE PAGE V, LINE 16J X SEE PAGE V, LINE 16J X X X X X X X 1 X 0 X X X X X 1 X 0 0 DECKERVILLE COMMUNITY HOSPITAL, INC. PART V, SECTION B, LINE 5: THE FOCUS GROUP INCLUDED THE DECKERVILLE VILLAGE COUNCIL, DECKERVILLE HOSPITAL AUXILIARY MEETING, AND THE DECKERVILLE COMMUNITY DEVELOPMENT COMMISSION MEMBERS. FORTY PARTICIPANTS REPRESENTED THE GEOGRAPHIC SERVICE AREA OF THE HOSPITAL. THE PURPOSE OF THE FOCUS GROUPS WERE TO OBTAIN FEEDBACK FROM COMMUNITY LEADERS ON PRIORITIES IDENTIFIED FROM THE ASSESSMENT AND ADDITIONAL FEEDBACK FROM A COMMUNITY HEALTH SURVEY. THESE SURVEYS WERE DISTRIBUTED AND COLLECTED AT MONTHLY MEETINGS. THE FOCUS GROUP REPRESENTED THE GEOGRAPHIC SERVICE AREA OF DECKERVILLE COMMUNITY HOSPITAL. DECKERVILLE COMMUNITY HOSPITAL, INC. PART V, SECTION B, LINE 6A: THERE WERE MULTIPLE HOSPITAL FACILITIES IN THE FOUR COUNTIES OF HURON, LAPEER, SANILAC, AND TUSCOLA THAT RECEIVED SUPPORT FROM THE MICHIGAN CENTER FOR RURAL HEALTH AND MICHIGAN THUMB PUBLIC HEALTH ALLIANCE (HURON, LAPEER, SANILAC, AND TUSCOLA). DECKERVILLE COMMUNITY HOSPITAL, INC. PART V, SECTION B, LINE 6B: DECKERVILLE COMMUNITY HOSPITAL WORKS IN PARTNERSHIP WITH A WIDE VARIETY OF HEALTH AND COMMUNITY ORGANIZATIONS TO MEET THE NEEDS OF THE COMMUNITY. THE CHNA WAS CONDUCTED WITH THE SAME PRINCIPLES OF COLLABORATION WITH THUMB COMMUNITY HEALTH PARTNERSHIP, PUBLIC HEALTH DEPARTMENTS, MENTAL HEALTH AGENCIES, RURAL HEALTHY PEOPLE PROJECT, AND MICHIGAN THUMB PULBIC HEALTH ALLIANCE. DECKERVILLE COMMUNITY HOSPITAL, INC. PART V, SECTION B, LINE 7D: HTTPS://ASPIRERHS.ORG/WP-CONTENT/UPLOADS/2024/12/DECKERVILLE-COM.-HOSPITAL_CHNA-REPORT_2024-FINAL.PDF DECKERVILLE COMMUNITY HOSPITAL, INC. PART V, SECTION B, LINE 11: DECKERVILLE COMMUNITY HOSPITAL UTILIZED THE REGIONAL WORK COMPLETED BY THE THUMB COMMUNITY HEALTH PARTNERSHIP TO IDENTIFY LOCAL PRIORITIES. AS INDICATED IN STEP 4 OF THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, PRIORITIES MUST BE SELECTED TO ENSURE THAT LIMITED RESOURCES HAVE THE GREATEST IMPACT. SELECTION OF PRIORITIES WILL OFTEN RESULT IN MORE COMPLEX AND EFFECTIVE IMPLEMENTATION STRATEGIES. IDENTIFYING A LIMITED NUMBER OF PRIORITIES ON WHICH TO FOCUS ALSO ALLOWS COMMUNITY INITIATIVES TO BE DEVELOPED WITH COLLABORATING ORGANIZATIONS. EVALUATION AND PROGRESS CAN BE MORE EFFECTIVELY MANAGED WHEN THE PRIORITIES ARE FEWER IN NUMBER. IN REVIEW OF EXISTING EFFORTS, THE TEAM DETERMINED THAT DECKERVILLE COMMUNITY HOSPITAL WOULD HAVE THE GREATEST IMPACT ON COMMUNITY HEALTH BY TARGETING SEVEN FOCUS AREAS. DATA THAT LED TO THESE PRIORITIES IS INCLUDED IN THE FOLLOWING SECTION. 1. CANCER- ASPIRE RURAL HEALTH SYSTEM FOUNDATION IS HOME TO THE P.C.U.P.S. FOUNDATION TO RAISE FUNDS AND CREATE A HIGHER AWARENESS IN THE FIGHT AGAINST PROSTATE CANCER. P.C.U.P.S. STANDS FOR PROSTATE CANCER UNDERSTANDING, PREVENTION, AND SCREENINGS.- DCH PARTICIPATES IN THE ACS "GO RED" CAMPAIGN.- PARTNERED WITH THE HEALTH DEPARTMENT FOR UNDERINSURED PATIENTS FOR SCREENING EXAMS.- DCH PROVIDES FINANCIAL ASSISTANCE FOR MAMMOGRAMS AND DIAGNOSTIC TESTING SERVICES THROUGH THE B.C.U.P.S. PROGRAM, HOUSED WITHIN THE ASPIRE RURAL HEALTH SYSTEM FOUNDATION.- ONCOLOGY SERVICES EXPANDED2. CHRONIC DISEASE- SPECIALIST OPTIONS EITHER ON-SITE OR THROUGH TELEHEALTH, UTILIZING CRTN NETWORK.- INCREASE TELEHEALTH UTILIZATION- AWARENESS OF SERVICES-UTILIZE SOCIAL MEDIA TO INCREASE AWARENESS OF SERVICE LINES- UTILIZING THE ACO POPULATION MANAGEMENT DASHBOARD, PREVENTION, AND SCREENING MEASUREMENTS, AND MONTHLY HEALTH MONTH AWARENESS CAMPAIGNS TO IDENTIFY THOSE INDIVIDUALS WHO NEED THOSE SCREENINGS AND NOTIFY THEM, "IT'S TIME FOR YOUR YEARLY SCREENING."- THROUGH ASPIRE RURAL HEALTH SYSTEM, HAVE GREATER ACCESS TO WOUND AND PAIN CLINICS AND ITS SERVICES.- OPENED CARDIOPULMONARY REHAB SERVICES AT DCH IN 2024.3. SUBSTANCE USE/MENTAL HEALTH- PHYSICIAN OFFICES AND EMERGENCY DEPARTMENTS CONTINUE TO ABIDE BY STRICT GUIDELINES IN THE PRESCRIBING AND ADMINISTRATION OF OPIOIDS AND NARCOTICS.- MEMBER OF THUMB OPIOID RESPONSE CONSORTIUM (TORC) TO REDUCE THE HARM OF SUBSTANCE USE DISORDERS BY WORKING TOGETHER AS A REGION (HURON, SANILAC, TUSCOLA, AND THE RURAL TRACKS OF LAPEER COUNTY) TO ENSURE THAT PREVENTION, TREATMENT, AND RECOVERY SERVICES ARE ALIGNED WITH THE NEEDS OF THE COMMUNITY.- PREVIOUSLY COMPLETED SBIRT TRAINING THROUGH THE TORC.- MEMBER OF THUMB COMMUNITY HEALTH PARTNERSHIP TO PROVIDE MAN THERAPY.4. TOBACCO USE & VAPING- DCH PARTICIPATES IN THE "IDENTIFYING EVERYDAY DANGERS IN THE LIVES OF YOUTH" EVENT TARGETING TOBACCO USE AND VAPING- MEMBER OF THE THUMB OPIOID RESPONSE CONSORTIUM (TORC) TO REDUCE THE HARM OF SUBSTANCE USE DISORDERS BY WORKING TOGETHER AS A REGION (HURON, SANILAC, TUSCOLA, AND THE RURAL TRACKS OF LAPEER COUNTY) TO ENSURE THAT PREVENTION, TREATMENT, AND RECOVERY SERVICES ARE ALIGNED WITH THE NEEDS OF THE COMMUNITY.- EXPANDED PARTNERSHIP(S) WITH LOCAL SCHOOLS TO SPREAD AWARENESS OF NEGATIVE EFFECTS OF TOBACCO AND VAPING PRODUCTS.5. PRENATAL AND INFANT HEALTH- OFFER COMMUNITY EDUCATION ON PRENATAL AND INFANT HEALTH ISSUES- REFER PATIENTS TO THE SCHD FOR THESE SERVICES- EXPANDED DECKERVILLE PEDIATRIC CLINIC WITH A NEW NURSE PRACTITIONER- MARLETTE REGIONAL HOSPITAL RECEIVED A GRANT TO EXPAND BREASTFEEDING SUPPORT AT BOTH LOCATIONS OF THE UNITED PEDIATRICS CLINIC (DECKERVILLE AND MARLETTE) THROUGH PROGRAMMING AND SUPPLIES.6. VETERAN'S SERVICES- IDENTIFYING WHAT SERVICES CAN BE PERFORMED AND PARTNERS.7. ACCESS TO INTERNET- LOCATING A POTENTIAL LOCATION FOR OUR REFERRED PATIENTS TO UTILIZE TELEHEALTH SERVICES IF THEY DO NOT HAVE ADEQUATE INTERNET AT HOME. DECKERVILLE COMMUNITY HOSPITAL, INC. PART V, SECTION B, LINE 16J: THE FINANCIAL ASSISTANCE POLICY, APPLICATION, AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE AT HTTPS://ASPIRERHS.ORG/BILLING/. DECKERVILLE COMMUNITY HOSPITAL, INC. PART V, SECTION B, LINE 20E: WHEN A PATIENT IS ADMITTED TO THE HOSPITAL WITHOUT INSURANCE AND THE PATIENT FINANCIAL LIAISON IS AVAILABLE, SHE WILL PHYSICALLY MEET WITH THE PATIENT TO DISCUSS PAYMENT OPTIONS INCLUDING FAP. THIS WOULD BE PRIOR TO DISCHARGE. HER SCHEDULED HOURS ARE MONDAY FRIDAY 7:00 AM - 3:30 PM. FOR PATIENTS THAT ARE ADMITTED OUTSIDE OF HER SCHEDULED HOURS FAP INFORMATION IS POSTED IN ALL ER ROOMS AND PATIENT ROOMS FOR DISPLAY. FINANCIAL ASSISTANCE AVAILABILITY IS NOTATED ON ALL PATIENT STATEMENTS AND A LETTER DETAILING THE FAP IS SENT TO A PATIENT PRIOR TO ECA. THE PATIENT IS CALLED SEVERAL TIMES TO IDENTIFY THEIR ELIGIBILITY FOR FAP PRIOR TO INITIATING ECA. 6 1 - DECKERVILLE HEALTHCARE SERVICES 3559 PINE STREET DECKERVILLE MI 48427 RHC CLINIC 2 - UNITED PEDIATRICS & INTERNAL MEDICINE 2750 MAIN STREET MARLETTE MI 48453 GENERAL MEDICAL CLINIC 3 - DECKERVILLE HEALTHCARE SERVICES CLINIC 2433 BLACK RIVER STREET DECKERVILLE MI 48427 RHC CLINIC 4 - DECKERVILLE MAIN STREET CLINIC 3532 MAIN STREET DECKERVILLE MI 48427 CLINIC 6 - DECKERVILLE PHYSICAL THERAPY 2030 BLACK RIVER STREET SUITE 4 DECKERVILLE MI 48427 THERAPY CLINIC 7 - DECKERVILLE WALK-IN CLINIC 3559 PINE STREET DECKERVILLE MI 48427 CLINIC PART I, LINE 3C: ELIGIBILITY FOR ASSISTANCE WILL BE CONSIDERED FOR THOSE INDIVIDUALS WHO ARE UNINSURED, UNDER INSURED, INELIGIBLE FOR ANY GOVERNMENT HEALTH CARE BENEFIT PROGRAM, AND WHO ARE UNABLE TO PAY FOR ANY THEIR CARE, BASED UPON A DETERMINATION OF FINANCIAL NEED IN ACCORDANCE WITH THE FINANCIAL ASSISTANCE POLICY. AN INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE IF THEY (A) RECEIVE MEDICALLY NECESSARY CARE AT DECKERVILLE COMMUNITY HOSPITAL, (B) COMPLETE THE FINANCIAL ASSISTANCE APPLICATION, INCLUDING REQUIRED SUPPORTING DOCUMENTS, AND (C) HAVE FAMILY INCOME BELOW 100% OF FEDERAL POVERTY LEVELS (FOR FREE CARE) OR 300% (FOR DISCOUNTED CARE). PART I, LINE 7: THE ORGANIZATION USES THE COST TO CHARGE RATIO RECOMMENDED BY WORKSHEET 2OF THE IRS FORM 990, SCHEDULE H INSTRUCTIONS. PART I, LINE 7G: THE ORGANIZATION IS REPORTING THE FOLLOWING SERVICE LINES AS SUBSIDIZED HEALTH ON ADULTS & PEDIATRICS, RESPIRATORY THERAPY/EKG, EMERGENCY ROOM, HOSPITAL CLINIC, RURAL HEALTH CLINIC. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 114,984. PART III, LINE 2: THE COSTING METHODOLOGY USED ON FORM 990 IS BASED ON A COST-TO-CHARGE RATIO, WHICH IS DEVELOPED BASED ON THE HOSPITAL'S TOTAL OPERATING EXPENSES EXCLUDING THE PROVISION FOR BAD DEBT, DIVIDED BY GROSS PATIENT SERVICE REVENUE. THIS COST-TO-CHARGE RATIO IS APPLIED AGAINST THE TOTAL CHARGE THAT ARE WRITTEN OFF DURING THE YEAR TO ESTIMATE THE COST OF CARE OF PATIENTS WHO HAVE ACCOUNTS THAT ARE DEEMED TO BE BAD DEBTS TO THE HOSPITAL. THE HOSPITAL ALSO RECOGNIZES THAT IT ALSO PROVIDES A DISCOUNT TO SELF-PAY OR UNINSURED PATIENTS. THESE AMOUNTS ARE EXCLUDED FROM GROSS PATIENT SERVICE REVENUE ON THE FINANCIAL STATEMENTS AND ARE NOT INCLUDED IN THE RATIO AS DESCRIBED ABOVE AND APPROVED BY THE IRS FOR USE ON FORM 990. IF CONSIDERED, THESE ADDITIONAL WRITE-OFF AMOUNTS TO UNINSURED ACCOUNTS WOULD ALSO INCREASE THE ESTIMATED BAD DEBT EXPENSE AMOUNT ASSOCIATED WITH THESE UNCOLLECTIBLE ACCOUNTS TO THE HOSPITAL. PART III, LINE 3: DECKERVILLE COMMUNITY HOSPITAL ESTIMATES THAT APPROXIMATELY 40% OF ITS TOTAL COST OF CHARITY CARE IS ATTRIBUTABLE TO PATIENTS WHO WOULD QUALIFY FOR CHARITY CARE. PART III, LINE 4: FOR INFORMATION ABOUT BAD DEBT EXPENSE, SEE THE "PATIENT SERVICE REVENUE" SECTION OF NOTE 1 PAGES 10-15 OF THE ATTACHED FINANCIAL STATEMENTS. PART III, LINE 8: THE AMOUNT OF MEDICARE ALLOWABLE COST WAS TAKEN DIRECTLY FROM THE MEDICARE COST REPORT. WHETHER THERE IS A SHORTFALL OR SURPLUS ON SERVICES TO MEDICARE BENEFICIARIES, THESE PATIENTS, WHO ARE TYPICALLY ELDERLY MEMBERS OF THE COMMUNITY, ARE AN UNDERSERVED POPULATION WHO EXPERIENCE ISSUES WITH ACCESS TO HEALTHCARE SERVICES. WITHOUT TAX-EXEMPT HOSPITALS PROVIDING MEDICARE PATIENT SERVICES, THE CENTERS FOR MEDICARE AND MEDICAID (CMS) WOULD BEAR THE BURDEN OF DIRECTLY PROVIDING SERVICES TO THE ELDERLY AND DISABLED MEMBERS OF THE COMMUNITY.THE TOTAL MEDICARE REVENUE SHOWN ON SCHEDULE H IS BASED ON THE IRS 990 INSTRUCTIONS AND INCLUDES ONLY THE CHARGES FROM MEDICARE PROGRAM BENEFICIARIES THAT ARE REPORTED ON THE HOSPITAL'S MEDICARE COST REPORT. THE AMOUNT LISTED FOR MEDICARE REVENUE DOES NOT INCLUDE PHYSICIAN SERVICES PROVIDED AT THE HOSPITAL, OUTLYING CLINIC LOCATIONS. PHYSICIAN COVERAGE IS REIMBURSED PRIMARILY ON A FEE SCHEDULE REIMBURSEMENT AT RATES THAT ARE OFTEN BELOW THE COSTS OF CARE FOR PATIENTS. PHYSICIAN SERVICES PROVIDED TO MEDICARE PATIENTS ARE VITAL TO THE WELL-BEING OF THE COMMUNITY AND AS SUCH THESE COSTS ARE SHORTFALLS SHOULD ALSO BE CONSIDERED AN ADDITIONAL COMMUNITY BENEFIT THE HOSPITAL PROVIDES TO THE COMMUNITY AND SURROUNDING AREA. THE COST METHOD USED ABOVE FOR IRS 990 COMPLIANCES REPORTING IS BASED ON THE OVERALL AVERAGE COST TO CHARGE RATIO AND DOES NOT CONSIDER MEDICARE NON-ALLOWABLE EXPENSES AS IT IS BASED ON TOTAL OPERATING EXPENSES LESS THE PROVISION FOR BAD DEBT EXPENSE DIVIDED BY THE HOSPITAL PATIENT SERVICE REVENUE (IGNORING CONTRACTUAL ADJUSTMENTS ON FEE SCHEDULE REIMBURSED ITEMS AND NON-ALLOWABLE MEDICARE EXPENSES AS NOTED ABOVE). THIS RATIO IS THEN MULTIPLIED BY THE TOTAL MEDICARE SERVICES, WHICH ARE REIMBURSED BASED ON MEDICARE REGULATIONS. INCLUDING THE FEE SCHEDULE ITEMS, SUCH AS PHYSICIAN SERVICES, WOULD PRODUCE A LOSS OR SHORTFALL ON THESE SERVICES TO BE REPORTED ON THE FORM 990 IN ANY GIVEN YEAR. PART III, LINE 9B: IF A PATIENT PRESENTS WITHOUT INSURANCE FOR OUTPATIENT SERVICES, THE FRONT DESK INFORMS THE PATIENT OF THE AVAILABILITY OF FINANCIAL ASSISTANCE VIA A FORM THAT THE PATIENT RECEIVES PRIOR TO SERVICES. THE PATIENTS SEEN IN THE EMERGENCY ROOM DEPARTMENT IF STILL IN THE HOSPITAL DURING FINANCIAL SERVICES REGULAR BUSINESS HOURS, THE PATIENT IS APPROACHED TO OFFER THE OPPORTUNITY FOR FINANCIAL ASSISTANCE. THERE IS SIGNAGE IN THE EMERGENCY ROOMS AND WAITING ROOM AREAS INFORMING PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE. THERE IS VERBIAGE ON THE PATIENT STATEMENTS INDICATING AVAILABILITY OF THE PROGRAM AS WELL. EACH PATIENT PRIOR TO BAD DEBT COLLECTIONS RECEIVES A LETTER FROM THE FINANCIAL LIAISON AND A PHONE CALL FOR OUTREACH AS WELL. PART VI, LINE 2: THE ORGANIZATION USES STATISTICS FROM THE MICHIGAN THUMB PUBLIC HEALTH ALLIANCE, ONGOING PATIENT SATISFACTION SURVEYS, PATIENT QUESTIONNAIRES AT THE HEALTHCARE CLINIC RELATED TO SOCIOECONOMIC SITUATIONS OF THE PATIENT, AND AN ANNUAL PROGRAM EVALUATION COMPLETED BY THE CEO/CFO FOR THE HOSPITAL AND RHC AND REPORTED AT THE ANNUAL MEETINGS. DCH IS A MEMBER OF THE CRTN (COVENANT RURAL THUMB NETWORK) WHICH ALSO LOOKS AT DATA TO SEE WHERE NEEDS ARE LACKING. ALSO, THE RELATIONSHIP BUILT UNDER ASPIRE RURAL HEALTH SYSTEM THAT INCLUDES MARLETTE REGIONAL HOSPITAL AND HILLS & DALES GENERAL HOSPITAL HAVE ALSO BEEN A GOOD RESOURCE OF INFORMATION ON WHAT PATIENTS IN THE COUNTY ARE LOOKING FOR AS WELL. PART VI, LINE 3: WHEN A PATIENT IS ADMITTED TO THE HOSPITAL WITHOUT INSURANCE AND THE PATIENT FINANCIAL LIAISON IS AVAILABLE, SHE WILL PHYSICALLY MEET WITH THE PATIENT TO DISCUSS PAYMENT OPTIONS INCLUDING THE FAP APPLICATION PROCESS AND ELIGIBILITY PRIOR TO THE PATIENT DISCHARGE. THE FINANCIAL LIAISON REVIEWS PATIENT LISTS TO IDENTIFY UN-INSURED PATIENTS THAT WERE SEEN AT THE HOSPITAL AND CONTACTS THEM VIA PHONE TO ASSIST THE PATIENT. ADDITIONALLY, FOR PATIENTS THAT ARE ADMITTED OUTSIDE OF THE AVAILABLE HOURS OF THE FINANCIAL LIAISON, THE FAP AVAILABILITY NOTICE IS POSTED IN THE EMERGENCY ROOMS AND DISPLAYED IN THE WAITING AREAS THROUGHOUT THE HOSPITAL. THE PATIENT STATEMENTS INDICATE THE AVAILABILITY OF FINANCIAL ASSISTANCE AND PATIENTS RECEIVE A LETTER NOTICE WITH A COPY OF A PLAIN LANGUAGE SUMMARY PRIOR TO INITIATING EXTRAORDINARY COLLECTION EFFORTS. PART VI, LINE 4: DECKERVILLE COMMUNITY HOSPITAL SERVES RURAL COMMUNITIES IN SANILAC COUNTY AND PORTIONS OF HURON COUNTY. THE HOSPITAL'S SERVICE AREA INCLUDES NUMEROUS MUNICIPALITIES: APPLEGATE, CARSONVILLE, CROSWELL, DECKERVILLE, HARBOR BEACH, MINDEN CITY, PORT SANILAC, RUTH, SANDUSKY, SNOVER, AND PALMS. BASED ON CENSUS DATA FOR THESE MUNICIPALITIES, APPROXIMATELY 30,927 PEOPLE LIVE IN THE SERVICE AREA. (CENSUS-AMERICAN COMMUNITY SURVEY 5-YEAR AVERAGE-2020). 23.8% PERCENT OF THE POPULATION IS OVER THE AGE OF 65 AND ONLY 20.7% ARE UNDER AGE 18. THE POPULATION HAS LIMITED RACIAL DIVERSITY WITH 96.8% OF THE POPULATION WHITE. THE SERVICE AREA HAS A COLLEGE DEGREE RATE OF 16% COMPARED TO MICHIGAN'S 30.5% AND UNITED STATES 32.9%. AVERAGE HOUSEHOLD INCOME IN THE SERVICE AREA IS $59,074 AS COMPARED TO MICHIGAN'S AVERAGE INCOME OF $74,523 AND THE UNITED STATES AVERAGE INCOME OF $69,434. UNEMPLOYMENT IN THE SERVICE AREA RANGED FROM 1 TO 4.8% COMPARED TO MICHIGAN AT 3.9% AND THE U.S. AT 3.6%. OF THE CIVILIAN NONINSTITUTIONALIZED POPULATION - 7.2% HAVE NO HEALTH INSURANCE COVERAGE COMPARED TO MICHIGAN AT 6.0% AND THE U.S. AT 11.5%. THE PERCENTAGE OF PEOPLE WHO HAD INCOMES BELOW POVERTY IN THE PAST 12 MONTHS WAS 13.3%. PART VI, LINE 5: THE ADMINISTRATION AT DECKERVILLE COMMUNITY HOSPITAL FORMED AN INTERNAL TEAM TO LEAD THE CHNA PROCESS. THE DIRECTOR AND FACILITATORS OF THE THUMB COMMUNITY HEALTH PARTNERSHIP PROVIDED TECHNICAL ASSISTANCE AND OBJECTIVITY. THE TEAM MET AND COMMUNICATED FREQUENTLY FROM JANUARY TO NOVEMBER 2024.STAKEHOLDER MEETINGS AND SURVEYS INTENTIONALLY SOUGHT TO INCLUDE VULNERABLE POPULATIONS. THIS WAS ACHIEVED BY DISTRIBUTING SURVEYS TO INDIVIDUALS PARTICIPATING IN SERVICES FOR LOW-INCOME POPULATIONS AND SENIOR CITIZENS. ADDITIONALLY, SOCIAL SERVICE ORGANIZATIONS THAT SERVE VULNERABLE POPULATIONS WERE PROVIDED WITH SURVEYS. AGENCIES INCLUDED THE HUMAN DEVELOPMENT COMMISSION, MENTAL HEALTH AGENCIES, THE PUBLIC HEALTH AND SOCIAL SERVICES DIVISION OF THE DEPARTMENT OF HEALTH AND HUMAN SERVICES, SOCIAL WORKERS, INTERMEDIATE SCHOOL DISTRICTS, STAFF FROM THE HEALTHCARE SECTOR WITH FREE OR LOWCOST HEALTH CLINICS, EARLY CHILDHOOD SERVICE PROVIDERS, AND LAW ENFORCEMENT. PART VI, LINE 6: DECKERVILLE COMMUNITY HOSPITAL HAS BEEN SERVING THE COMMUNITY SINCE 1952. THE HOSPITAL WORKS HARD TO UNDERSTAND AND RESPOND TO THE COMMUNITY'S NEEDS. IT IS THE MISSION OF DECKERVILLE COMMUNITY HOSPITAL TO PROVIDE EXCEPTIONAL CARE CLOSE TO HOME AS THE LEADING RURAL HEALTHCARE ORGANIZATION. IN AN EFFORT TO CONTINUE MEETING THE EVER-CHANGING NEEDS OF THE COMMUNITY, DECKERVILLE COMMUNITY HOSPITAL MADE THE DECISION EARLIER THIS YEAR TO JOIN TWO OTHER RURAL HEALTHCARE PROVIDERS (MARLETTE REGIONAL HOSPITAL AND HILLS AND DALES HEALTHCARE) TO FORM THE ASPIRE RURAL HEALTH SYSTEM. THE GOALS OF ASPIRE RURAL HEALTH SYSTEM INCLUDE:- ENSURING HIGH-QUALITY HEALTHCARE CONTINUES FOR ALL PATIENTS ACROSS THE THUMB.- MAINTAINING AND ENHANCING THE IMMEDIATE AND LONG-TERM VIABILITY OF THE COMBINED HEALTH SYSTEM.- UPDATING AND EXPANDING EXISTING FACILITIES AND INVESTING TO BUILD NEW ONES.- RETAINING AN EXPERT TEAM OF CLINICIANS AND RECRUITING ADDITIONAL PROVIDERS TO ENSURE HIGH-QUALITY CARE REMAINS NEARBY.- PRESERVING ITS CHARITABLE, NOT-FOR-PROFIT MISSIONS TO SERVE, AND TO CONTINUE OFFERING CHARITY CARE AND SERVICES TO ALL MEMBERS OF THE COMMUNITY, INCLUDING THE UNDERSERVED.- BROADENING AND DEEPENING COMMUNITY SUPPORT AND ENGAGEMENT ACROSS THE THUMB.IN ADDITION TO THE NEW NAME, THE ORGANIZATIONS HAVE ALSO CHOSEN TO HAVE ONE UNIFIED BOARD OF TRUSTEES THAT INCLUDES REPRESENTATIVES FROM ALL ORGANIZATIONS, AS WELL AS ADOPTING A CO-CEO MODEL THAT ALLOWS ANDY DANIELS AND ANGIE MCCONNACHIE TO JOINTLY LEAD THE COMBINED SYSTEM. AS A RESULT OF THIS CHANGE, THIS CHNA DOCUMENT WILL REFLECT THE CAREFUL REVIEW AND CONTINUATION OF THE 2022 CHNA DURING THIS ONE-YEAR TRANSITIONARY PERIOD. IN 2025, A FULL AND COORDINATED EFFORT WILL BE PLACED ON ASPIRE RURAL HEALTHCARE SYSTEM'S CHNA, WHICH INCLUDES DCH. 0 0 0 0 0 0 0 0 0 ANDREW DANIELS CO-CEO 0 383461 0 0 0 0 0 0 0 47340 0 430801 0 0 MALORIE MCVITTIE PHYSICIAN 243630 0 0 0 0 0 4873 0 15478 0 263981 0 0 0 ANGELA MCCONNACHIE CO-CEO 203212 0 0 0 136 0 0 0 12351 0 215699 0 0 0 PART I, LINE 3 THE COMPENSATION OF THE OFFICERS IS PAID BY A RELATED ORGANIZATION. THAT ORGANIZATION USES SOME OF THE METHODS IN LINE 3 TO ESTABLISH COMPENSATION. FORM 990, PART VI, SECTION A, LINE 4 IN JANUARY 2024, THE GOVERNANCE DOCUMENTS OF DECKERVILLE COMMUNITY HOSPITAL WERE AMENDED TO REFLECT ITS INTEGRATION INTO THE BLUEWATER HEALTHCARE NETWORK, A CORPORATION. FORM 990, PART VI, SECTION A, LINE 6 BLUEWATER HEALTHCARE NETWORK IS THE SOLE MEMBER OF DECKERVILLE COMMUNITY HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7A BLUEWATER HEALTHCARE NETWORK, THE SOLE MEMBER , MAY APPOINT ONE OR MORE MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B THE SINGLE MEMBER HAS THE RIGHT TO APPOINT AN OFFICER OR DIRECTOR OR ANYONE ELSE TO ACT ON ITS BEHALF IN THE CAPACITY OF THE MEMBER. FORM 990, PART VI, SECTION B, LINE 11B THE RETURN WAS PREPARED BY OUTSIDE PROFESSIONALS AND REVIEWED BY THE HOSPITAL ADMINISTRATION, AND THEN A FINAL APPROVAL WAS DONE BY THE HOSPITAL BOARD. FORM 990, PART VI, SECTION B, LINE 12C BOARD OF DIRECTORS - PERSONS WITH ACTUAL OR POTENTIAL CONFLICTS OF INTEREST SHALL FILE FORMAL STATEMENTS DISCLOSING ACTUAL OR POTENTIAL CONFLICTS WHENEVER AN ACTUAL OR POTENTIAL CONFLICT ARISES; BEFORE ANY TRANSACTIONS CONSTITUTING A CONFLICT OR POTENTIAL CONFLICT IS CONSUMMATED; AND ONCE EACH CALENDAR YEAR SO LONG AS THE CONFLICT OR POTENTIAL CONFLICT CONTINUES TO EXIST. THE DISCLOSURE STATEMENT SHALL INCLUDE A DESCRIPTION OF THE RELATIONSHIP OR INTEREST CAUSING THE CONFLICT OR POTENTIAL CONFLICT, THE ROLE IN THE RELATIONSHIP OR TRANSACTION PLAYED BY THE PERSON HAVING THE CONFLICT, AND THE BENEFITS AND DETERMENTS ACCRUING TO THE HOSPITAL AND TO THE PERSON HAVING THE CONFLICT AS A RESULT OF THE CONTRACT, TRANSACTION, OR RELATIONSHIP. ANY MEMBER OF THE BOARD OF DIRECTORS HAVING AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST ON ANY MATTER SHALL NOT VOTE OR USE HIS/HER PERSONAL INFLUENCE ON THE MATTER CONSTITUTING A CONFLICT. THE INTERESTED DIRECTOR MAY, HOWEVER, BE COUNTED FOR THE PURPOSE OF DETERMINING WHETHER A QUORUM OF THE BOARD, OR OF A COMMITTEE OF THE BOARD, EXISTS. THE MATTER CONSTITUTING THE CONFLICT SHALL BE APPROVED IF IT IS APPROVED BY A MAJORITY OF DISINTERESTED DIRECTORS VOTING ON THE MATTER. THE CONFLICT OF INTEREST POLICY SHALL BE REVIEWED ANNUALLY FOR THE INFORMATION AND GUIDANCE OF THE BOARD OF DIRECTORS AND THAT ANY NEW MEMBERS OF THE SAID BOARD OF DIRECTORS BE ADVISED OF THE POLICY UPON ENTERING ON THE DUTIES OF HIS/HER OFFICE. IN ADDITION TO THE BOARD OF DIRECTORS BEING HELD TO THE CONFLICT OF INTEREST POLICY, COPIES OF THE POLICY ARE AVAILABLE TO ALL MANAGEMENT EMPLOYEES. CONFLICT OF INTEREST DISCLOSURE FORMS ARE COMPLETED ANNUALLY BY ALL DIRECTORS, OFFICERS, MANAGING EMPLOYEES, AND EMPLOYED MEDICAL STAFF. THE COMPLETED FORMS ARE KEPT ON FILE BY THE HOSPITAL'S COMPLIANCE OFFICER. FORM 990, PART VI, SECTION B, LINE 15 THE CEO, EXECUTIVE DIRECTOR, OR TOP MANAGEMENT'S SALARIES ARE COMPARED TO A WAGE SURVEY FROM HOSPITAL COUNCIL OF EAST CENTRAL MICHIGAN AS A GUIDE. THE BOARD AND OTHER OFFICERS HAVE FINAL DETERMINATION OF THE WAGES. THE OFFICERS OR KEY EMPLOYEE'S SALARIES ARE REVIEWED BY THE BOARD OF DIRECTORS, THESE ARE COMPARED TO THE SALARIES OF SOMEONE IN A SIMILAR POSITION ON THE HCEM WAGE SURVEY. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2023. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND OTHER ORGANIZING DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G PROFESSIONAL FEES AND CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 1,860,631. MANAGEMENT AND GENERAL EXPENSES 517,025. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,377,656. FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST 8,373. TRANSFER TO A RELATED ENTITY -6,000. MARLETTE REGIONAL HOSPITAL 2770 MAIN STREET MARLETTE MI 48453 381507302 CRITICAL ACCESS HOSPITAL MI 501(C)(3) LINE 3 BLUEWATER HEALTHCARE NETWORK 0 BLUEWATER HEALTHCARE NETWORK 2770 MAIN STREET MARLETTE MI 48453 465444203 PARENT COMPANY MI 501(C)(3) LINE 12B, II N/A 0 MARLETTE SENIOR LIVING 6305 BLUEWATER COURT MARLETTE MI 48453 843210271 SENIOR LIVING MI 501(C)(3) LINE 10 BLUEWATER HEALTHCARE NETWORK 0 HILLS & DALES GENERAL HOSPITAL 4675 HILL STREET CASS CITY MI 48726 382622537 HOSPITAL MI 501(C)(3) LINE 3 BLUEWATER HEALTHCARE NETWORK 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0