2025-11-05T14:17:30-06:00 2024-12-31 410746749 CLIFTONLARSONALLEN LLP 121 WEST BRIDGE STREET OWATONNA MN 55060 990 2024-07-01 381507302 MARLETTE REGIONAL HOSPITAL MARL 9896354230 2770 MAIN STREET PO BOX 307 MARLETTE MI 48453 ANGELA MCCONNACHIE CEO 9896354230 2025-11-05 1 0 JUSTIN HARTERT P02236744 5074467100 2025-11-05 2024 2025-03-06 01:10:19Z ANGELA MCCONNACHIE 2770 MAIN STREET PO BOX 307 MARLETTE MI 48453 30999671 0 X WWW.ASPIRERHS.ORG X 1951 MI PROVIDING EXCEPTIONAL CARE CLOSE TO HOME AS THE LEADING RURAL HEALTHCARE ORGANIZATION. 11 11 409 34 0 0 726082 238292 44763322 29404953 481320 577461 571345 511026 46542069 30731732 17135 0 0 0 26942540 18537044 0 0 0 18275028 11639382 45234703 30176426 1307366 555306 36247043 31634110 4017703 5523499 32229340 26110611 X TO CONTINUOUSLY IMPROVE THE QUALITY OF HEALTH IN THE COMMUNITIES WE SERVE. 0 0 25279159 0 29404953 DURING THE REPORTING PERIOD FROM JULY 1, 2024 TO DECEMBER 31, 2024, MARLETTE REGIONAL HOSPITAL SERVED 1,430 ACUTE AND SWING BED DAYS, 5,086 EMERGENCY DEPARTMENT VISITS, AND SERVED 20,068 VISITS IN ITS FAMILY HEALTH PRACTICES.RECOGNIZING ITS MISSION TO THE COMMUNITY, THE HOSPITAL PARTICIPATES IN THE FEDERAL GOVERNMENT'S MEDICARE PROGRAM AND NUMEROUS MEDICAID HEALTH PLANS, OFTEN PROVIDING CHARITY CARE OR SERVICE AT RATES OF REIMBURSEMENT THAT ARE BELOW THE HOSPITAL'S ACTUAL COST. 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 HOSPITAL STAFF- CAREER GUIDANCE FOR AREA SCHOOL STUDENTS- COOPERATIVE PROFESSIONAL TRAINING WITH LOCAL COLLEGES- DISEASE/CONDITION-SPECIFIC EDUCATION, E.G., DIABETES- EDUCATION/COUNSELING FOR FAMILIES OF PATIENTS- EDUCATION/COUNSELING FOR PATIENTS- EDUCATIONAL PROGRAMS FOR EMPLOYEES (ADULT EDUCATION)- ORGAN DONATION INFORMATION CAMPAIGNS- SUPPORT GROUPS FOR PATIENTS, THEIR FAMILIES AND THE COMMUNITY- TRAINING OF PUBLIC HEALTH AND SAFETY PERSONNELCOMMUNITY WELLNESS CAMPAIGNS/PROGRAMS:- HEALTH PROMOTION AND PREVENTIONS ACTIVITIES- DISCHARGE PLANNING WITH FOLLOW-UP SUPPORT PROGRAMS- HEALTH PROMOTION/WELLNESS PROGRAMS- HEALTH SCREENING/HEALTH FAIRS- NUTRITION AND WEIGHT CONTROL- KNOW YOUR NUMBERS LOW-COST SCREENING, MARLETTE REGIONAL HOSPITAL OFFERED A REDUCED RATE HEALTH SCREENING INCLUDING ACHILLES BONE DENSITY, BASIC METABOLIC PANEL, COMPLETE BLOOD COUNT, GLUCOSE, HBA1C, LIPID PROFILE, LIVER PANEL, POTASSIUM, PROSTATE-SPECIFIC ANTIGEN (PSA), MICROALBUMIN, SPIROMETRY, THYROID-STIMULATING HORMONE (TSH), AND VITAMIN D. - B.C.U.P.S. (THE BREAST CANCER UNDERSTANDING PREVENTION AND SCREENING) PROGRAM IS IN PLACE TO FINANCIALLY ASSIST PATIENTS IN ACQUIRING IMPORTANT SCREENING MAMMOGRAMS AND DIAGNOSTIC TESTING SERVICES.- $10 SPORTS PHYSICALS IN JUNE, JULY & AUGUST. MARLETTE REGIONAL HOSPITAL'S FAMILY HEALTHCARE OFFICES WILL OFFER REDUCED-PRICE SPORTS PHYSICALS TO AREA ATHLETES FOR A COST OF TEN DOLLARS IN THE MONTHS OF JUNE, JULY AND AUGUST, AND HALF OF THE PROCEEDS WILL BE DONATED BACK TO LOCAL SCHOOLS' ATHLETIC PROGRAMS.- MARLETTE REGIONAL HOSPITAL HOSTS BLOOD DRIVES THROUGHOUT THE YEAR AND PROVIDES FOOD FOR DONORS AND PARTICIPANTS.MRH SERVICES/PROGRAMS:- EMERGENCY SERVICES DEPARTMENT- ADVANCED LIFE SUPPORT AMBULANCE SERVICE- FIRE AND POLICE ASSISTANCE- HELICOPTER TRANSFER ASSISTANCE- CLINICAL SERVICES- CERTIFIED RURAL HEALTH CLINICS- CHILDHOOD & ADULT IMMUNIZATIONS- TELE-STROKE VIRTUAL MEDICINE- PRIMARY CARE SERVICES- ACUTE MEDICAL AND SURGICAL SERVICES- RESIDENTIAL AND HOME-BASED HOSPICE SERVICES- UNIQUELY-ACCREDITED HOSPITAL, LABORATORY, CARDIOPULMONARY, HOSPICE AND LONG-TERM CARE SERVICES- MOBILE PET AND BONE DENSITY TESTING TECHNOLOGY- COORDINATION OF PATIENT CARE SERVICES IN HOSPITAL- FREE OR LOW-COST SERVICES TO LOW-INCOME FAMILIES- GENERAL HEALTH SCREENING CLINICS- RESPIRATORY/PULMONARY DISEASE SERVICES- SCHOOL SPORTS PHYSICALS- SKILLED NURSING SERVICES/INTERMEDIATE CARE FACILITY- WOUND CARE CLINIC- PEDIATRIC SERVICES- CRTN CANCER CENTER SERVICES - ADVOCACY ON BEHALF OF SPECIFIC PATIENTS NEEDING INTERVENTION WITH PUBLIC AGENCIES (SOCIAL SERVICES)- GUIDANCE AND REFERRAL TO COMMUNITY SERVICES AND PUBLIC ASSISTANCE PROGRAMS, INCLUDING MEDICAID- TRANSLATION OR INTERPRETER SERVICES FOR NON-ENGLISH-SPEAKING PATIENTS- SUPPORT FOR OTHER HEALTH CARE PROVIDERS- VISITING MEDICAL AND SURGICAL SPECIALISTS TO COMPLEMENT PRIMARY CARE- TRANSITIONS PROGRAM THIS IS A FREE SERVICE RAN THROUGH HOSPICE.- FREE MATTER OF BALANCE PROGRAM- CENTRAL MICHIGAN UNIVERSITY COLLEGE OF MEDICINE- COVENANT REGIONAL THUMB NETWORK (CRTN)- DECKERVILLE COMMUNITY HOSPITAL- THE HEARTLANDS, INDEPENDENT LIVING, MEMORY CARE AND ASSISTED LIVING - MICHIGAN CENTER FOR RURAL HEALTH- SANILAC COUNTY HEALTH DEPARTMENT- THUMB COMMUNITY HEALTH PARTNERSHIP (TCHP)- THUMB OPIOID RESPONSE CONSORTIUM (TORC)- HILLS & DALES HEALTHCARE- AFTER HOURS CARE (MARLETTE QUICK CARE)- AQUABLATION THERAPY- PODIATRY- ORTHOPEDICS- SPINEHELP 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.MARLETTE REGIONAL HOSPITAL IS COMMITTED TO SERVING OUR PATIENTS IN WAYS THAT RESPECT THE ORIGINAL VALUES OF OUR COMMUNITY - 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. 25279159 1 1 0 1 0 0 0 0 0 0 1 0 0 1 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 0 0 0 1 X 52 0 1 409 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X KIM GENTNER CFO 9896354230 2770 MAIN STREET MARLETTE MI 48453 PAT CURTIS CHAIRMAN 1.00 1.00 X X 0 0 0 GAIL DENTON VICE-CHAIRMAN 1.00 1.00 X X 0 0 0 DAVID MESSING SECRETARY/TREASURER 1.00 1.00 X 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 FAITH FAHRNER RN DIRECTOR 1.00 1.00 X 0 0 0 JUDY BROWN DIRECTOR 1.00 1.00 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 STEVE ELLIS DIRECTOR 1.00 1.00 X 0 0 0 VICTORIA MEIBURG DIRECTOR 1.00 1.00 X 0 0 0 ANGELA MCCONNACHIE CO-CEO 13.00 27.00 X 61538 307307 6523 ANDREW DANIELS CO-CEO 13.00 27.00 X 61574 328918 41884 KIM GENTNER CFO 13.00 27.00 X 45865 213777 11093 MICHAEL KITTO PHYSICIAN 40.00 0.00 X 481658 0 58000 CHRISTOPHER HANZCARUK PHYSICIAN 40.00 0.00 X 468178 0 12194 ABBAS RAZA HAMDANI PHYSICIAN 40.00 0.00 X 372274 0 61469 ANJANETTE KEMP PHYSICIAN 40.00 0.00 X 317271 0 73399 FARAAZ AHMED PHYSICIAN 16.00 24.00 X 197974 292624 29634 2006332 1142626 294196 40 0 1 0 NET REVENUE ASSOCIATES LLC 1330 CORPORATE DR STE 100 HUDSON OH 44236 CONSULTING 538933 ZEMNICKAS WV II DO 5510 HOSNER RD METAMORA MI 48455 PHYSICIAN 282840 JBARA MD PLLC 18672 GARY LN LIVONIA MI 48152 PHYSICIAN 213600 ALEX DANDASHLY 26926 COOLIDGE ST DEARBORN HEIGHTS MI 48127 PHYSICIAN 212923 NITIN KG GOLECHHA MD PC 2734 MAIN ST MARLETTE MI 48453 PHYSICIAN 204386 9 238292 238292 NET PATIENT REVENUE 621500 29320678 29320678 PHARMACY REVENUE 456110 84275 84275 29404953 172824 172824 245616 95617 149999 149999 149999 576959 172322 404637 404637 404637 COST RECOVERY REVENUE 900099 156269 156269 CONTRACTED SERVICE REVENUE 900099 94512 94512 CAFETERIA REVENUE 900099 78356 78356 31890 31890 361027 30731732 29404953 0 1088487 178629 178629 14438487 12638008 1800479 450203 395598 54605 2481412 2149112 332300 988313 854985 133328 22177 22177 399 399 2462941 2306926 156015 139011 44935 94076 334316 108067 226249 550518 177954 372564 442745 392883 49862 41452 13399 28053 39121 12646 26475 11527 9483 2044 874121 747377 126744 212899 212899 MEDICAL SUPPLIES 3074922 2877589 197333 BAD DEBT EXPENSE 1514065 1514065 TAXES AND LICENSES 853871 276012 577859 REPAIRS AND MAINTENANCE 559876 383845 176031 505421 163376 342045 30176426 25279159 4897267 0 2191295 2569514 7098594 368717 9440918 10972846 271241 256425 203385 317067 42443616 28817649 13367146 13625967 845805 1354694 0 11686 2828659 2157194 36247043 31634110 3578457 4564815 130964 0 7093 364153 301189 594531 4017703 5523499 X 32183619 26110611 45721 0 32229340 26110611 36247043 31634110 X 555306 -136211 -6537824 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 563 563 0 PART II-B, LINE 1: THE ORGANIZATION PAYS ANNUAL DUES TO AMERICAN HEALTH CARE ASSOCIATION (AHCA), HEALTH CARE ASSOCIATION OF MICHIGAN (HCAM), MICHIGAN HEALTH AND HOSPITAL ASSOCIATION (MHA), LEADING AGE MICHIGAN, LEADING AGE NATIONAL, AND SKILLED NURSING FACILITIES 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. 570923 570923 25486985 17346316 8140669 16031247 11471333 4559914 354461 354461 13625967 RELATED PARTY RECEIVABLE 704097 RIGHT-OF-USE ASSETS 767919 ESTIMATED THIRD PARTY PAYOR SETTLEMENTS 685178 2157194 FINANCE LEASE OBLIGATIONS 594078 DUE TO AFFILIATES 453 594531 1 1 X 1 X 1 X 0 1 1 0 1 1 18611 18611 0.00060 6185915 5042627 1143288 0.03990 6204526 5042627 1161899 0.04050 34 204 26540 26540 0.00090 6 255 9634 5071 4563 0.00020 5 1490066 1329256 160810 0.00560 2 550 212 212 0.00000 47 1009 1526452 1334327 192125 0.00670 47 1009 7730978 6376954 1354024 0.04720 6 600 281 281 0.00000 6 600 281 281 0.00000 1 1514065 0 3839230 4489875 -650645 X 1 1 1 1 MARLETTE REGIONAL HOSPITAL 2770 MAIN STREET PO BOX 307 MARLETTE MI 48453 WWW.ASPIRERHS.ORG/ 1060000165 X X X RHC(S) MARLETTE REGIONAL HOSPITAL 1 0 0 1 X X X X X X X X X 24 1 1 1 1 X SEE PART V, LINE 7D X 1 24 1 SEE PART V, LINE 7D 0 1 X 100.000000000000 300.000000000000 X X X 1 1 X X X 1 X SEE PART V, SECTION B, LINE 16J X SEE PART V, SECTION B, LINE 16J X SEE PART V, LINE 16J X X X X X X X 1 X 0 X X X X 1 X 0 0 MARLETTE REGIONAL HOSPITAL PART V, SECTION B, LINE 5: A SURVEY WAS SENT OUT TO THE COMMUNITY TO ENSURE COLLECTION OF ADEQUATE HEALTH INDICATORS AND INPUT OF STAKEHOLDERS AND VULNERABLE POPULATIONS. WE CONDUCTED A FOUR-COUNTY REGIONAL ASSESSMENT PROCESS IN PARTNERSHIP WITH THE THUMB COMMUNITY HEALTH PARTNERSHIP ALONG WITH A STAKEHOLDER MEETING. THE SURVEY AND PARTNERSHIP CONSISTED OF HOSPITALS, LOCAL PUBLIC HEALTH DEPARTMENTS, MENTAL HEALTH AGENCIES, COMMUNITY MEMBERS AND OTHER HUMAN SERVICE PROVIDERS IN HURON, LAPEER, SANILAC, AND TUSCOLA COUNTIES. ADDITIONALLY, SOCIAL SERVICE ORGANIZATIONS THAT SERVE VULNERABLE POPULATIONS WERE PROVIDED SURVEYS. AGENCIES INCLUDED 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 HEALTH CARE SECTOR WITH FREE OR LOW-COST HEALTH CLINICS, EARLY CHILDHOOD SERVICE PROVIDERS, AND LAW ENFORCEMENT. MARLETTE REGIONAL HOSPITAL 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). MARLETTE REGIONAL HOSPITAL PART V, SECTION B, LINE 6B: MARLETTE REGIONAL HOSPITAL WORKS IN PARTNERSHIP WITH A WIDE VARIETY OF HEALTH AND COMMUNITY ORGANIZATIONS TO MEET THE NEEDS OF THE COMMUNITY. THE CHNA PROCESS WAS CONDUCTED WITH THE SAME PRINCIPLES OF COLLABORATION. SPECIFICALLY, MRH UTILIZED ITS MEMBERSHIP IN THE THUMB COMMUNITY HEALTH PARTNERSHIP. THIS PARTNERSHIP ALLOWED US TO SURVEY A GREATER NUMBER OF PEOPLE IN OUR COMMUNITY. THE MOST IMPORTANT PARTNER IN MEETING HEALTH NEEDS OF OUR COMMUNITY IS THE RESIDENTS WE SERVE. MARLETTE REGIONAL HOSPITAL PART V, SECTION B, LINE 7D: THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND IMPLEMENTATION STRATEGY ARE AVAILABLE ON OUR WEBSITE AT: HTTPS://ASPIRERHS.ORG/COMMUNITY-RESOURCES/DIRECT LINK:HTTPS://ASPIRERHS.ORG/WP-CONTENT/UPLOADS/2024/12/MARLETTE-REGIONAL-HOSPITAL_CHNA-REPORT_2024-FINAL.PDFIF A READER USES THIS INFORMATION TO ACCESS THE FORM ONLINE, BE SURE TO FORMAT THE URL WITH LOWERCASE LETTERS WHEN COPYING AND PASTING THE DIRECT LINKS. MARLETTE REGIONAL HOSPITAL PART V, SECTION B, LINE 11: IN REVIEW OF EXISTING EFFORTS, THE TEAM DETERMINED THAT MARLETTE REGIONAL HOSPITAL WOULD HAVE THE GREATEST IMPACT ON COMMUNITY HEALTH BY TARGETING SIX FOCUS AREAS. 1. ACCESS TO HEALTH INSURANCE2. SERVICE AWARENESS3. HEART DISEASE4. TOBACCO USE AND VAPING5. CANCER6. BEHAVIORAL HEALTH1. ACCESS TO HEALTH INSURANCE- CARE COORDINATORS PROMOTE WELLNESS SCREENINGS AND ASSIST WITH REMOVING BARRIERS TO ACCESS CARE SUCH AS COST, NAVIGATING INSURANCE, AND TRANSPORTATION. REMOVING BARRIERS TO HEALTH INSURANCE INCLUDE KNOW YOUR NUMBERS, LOW COST SCREENINGS, BCUPS, AND $10 SPORTS PHYSICALS.- OFFER A POINT OF CONTACT FOR PATIENTS TO CALL WITH QUESTIONS, CONCERNS AND FEEDBACK IN REGARDS TO HEALTH INSURANCE.- EXPANDING ACCESS BY INCREASING TELEHEALTH SERVICES INCLUDING INPATIENT CARE COVERAGE AND SPECIALTY CONSULTATIONS.- OFFER HELP US HELP OUR OWN FUND AT ASPIRE FOUNDATION, WHICH PROVIDES FINANCIAL ASSISTANCE TO ASPIRE EMPLOYEES IN THE WAKE OF A CHANGE IN HEALTH OR OTHER EMERGENT NEED.- EXPANDED RESOURCES INCLUDING INSURANCE EDUCATION, AND HUMAN RESOURCES SUPPORT TEAMS TO PROVIDE GUIDANCE IN THE INSURANCE PROCESS.- REGULARLY UPDATE ACCEPTED INSURANCES ON ASPIRE WEBSITE.2. SERVICE AWARENESS- PROVIDER DIRECTORY AND SERVICES OFFERED ARE POSTED ON THE MARLETTE REGIONAL HOSPITAL WEBSITE AND ALL MARLETTE REGIONAL HOSPITAL FAMILY HEALTH CARE OFFICES.- SERVICE AREAS ARE HIGHLIGHTED ON SOCIAL MEDIA- MRH HAS SENT OUT AN EVERY DOOR DIRECT MAILING.- MRH CREATES AN ANNUAL REPORT THAT INCLUDES SERVICES OFFERED.- WITH PATIENT CONSENT, MRH PROVIDES PATIENT TESTIMONIALS.- WORK IN PARTNERSHIP WITH THE CRTN. THIS NETWORK ENHANCES AND STRENGTHENS HIGH-QUALITY HEALTHCARE PROVIDED BY YOUR COMMUNITY HOSPITAL WITH IMPROVED ACCESS TO MORE RESOURCES WHEN ADDITIONAL SPECIALIZED SUPPORT IS NEEDED.- PROVIDES MORE BOARD-CERTIFIED SPECIALIST COVERAGE AND SPECIALTY CLINICS RIGHT IN YOUR COMMUNITY.- ENHANCES HOSPITAL ALIGNMENT WITH PROCESSES IN PLACE TO EXPEDITE PATIENT TRANSFERS WHEN NEEDED- INCREASES LOCAL ACCESS TO CARE, WHILE IMPROVING THE AFFORDABILITY OF QUALITY HEALTHCARE IN THE REGION- PRESERVES COMPLETE INDEPENDENCE OF LOCAL COMMUNITY HOSPITALS IN THE NETWORK STREAMLINING COMMUNICATION, ENSURING THAT ALL UPDATES, NEWS, AND RESOURCES ARE SHARED IN ONE PLACE. BY FOCUSING ON A SINGLE ACCOUNT, WE CAN BETTER ENGAGE WITH OUR COMMUNITY, PROVIDE MORE CONSISTENT AND TIMELY INFORMATION, AND STRENGTHEN OUR ONLINE PRESENCE.- PUBLISHES ASPIRE-WIDE EMAIL NEWSLETTER TO IMPROVE AWARENESS OF SERVICES.- THROUGH OUR THUMB MRI PARTNERSHIP, MRH HAS EXPANDED THE AWARENESS OF RADIOLOGY SERVICES AT MRH AND WITHIN ASPIRE.- UPDATED MRH'S PROFILE ON 2-1-1, ONLINE STATE RESOURCE FOR TELEPHONE AND ONLINE RESOURCES.- CONTINUING WEEKLY RADIO CAMPAIGN ON LOCAL RADIO STATION TO HIGHLIGHT MRH AND OTHER ASPIRE SERVICES.3. HEART DISEASE- DIABETIC EDUCATION CLASSES EXTENDED HOURS.- DIABETIC EDUCATION APPOINTMENTS AND CLASSES EXPANDED INTO TELEHEALTH OPTIONS.- OFFER COMMUNITY GARDEN PLOTS AND PLANTS FREE OF CHARGE AT MRH.- DEVELOPMENT OF THE HEARTLANDS SENIOR LIVING INCLUDES EXERCISE CLASSES, A FITNESS CENTER, AND A WALKING TRAIL NEARBY.- WALKING TRAIL SUPPORTER.- MRH HELPS COORDINATE A 5K IN BROWN CITY.- EMERGENCY TELEHEALTH SERVICES FOR POSSIBLE STROKE PATIENTS BEGAN IN 2016.- SPECIALTY SERVICES ADDED INCLUDE OUTPATIENT CLINIC SERVICES INCLUDING TELE-PSYCHIATRY, CARDIOLOGY, ENT, ORTHOPEDICS, NEPHROLOGY, AND VASCULAR MEDICINE.- CAMPAIGNING FOR AMERICAN HEART MONTH IN FEBRUARY.4. TOBACCO USE AND VAPING- MRH DISTRIBUTES LUNG SCREENING CARDS AT COMMUNITY EVENTS AND HEALTH CARE OFFICES.- SHARE RESOURCES TOBACCO USE OF VAPING PRODUCTS WITH THE COMMUNITY FROM MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES.- LUNG CANCER SCREENING CAMPAIGN IN JUNE HIGHLIGHTS TOBACCO USE OF VAPING PRODUCTS.- EXPAND PARTNERSHIP(S) WITH SCHOOLS TO SPREAD AWARENESS OF NEGATIVE EFFECTS OF TOBACCO AND VAPING PRODUCTS.5. CANCER- MRH 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.- 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.- MARLETTE REGIONAL HOSPITAL REOPENED THE COVENANT CANCER CARE AT ASPIRE MARLETTE IN FALL 2023 WITH COVENANT.- CAMPAIGN FOR BREAST CANCER AWARENESS MONTH IN OCTOBER.6. BEHAVIORAL HEALTH- PHYSICIAN OFFICES AND EMERGENCY DEPARTMENT 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. MARLETTE REGIONAL HOSPITAL PART V, SECTION B, LINE 16J: THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE AT:HTTPS://ASPIRERHS.ORG/BILLING/.DIRECT LINK: HTTPS://ASPIRERHS.ORG/BILLING/THE FINANCIAL ASSISTANCE POLICY APPLICATION IS AVAILABLE AT: HTTPS://ASPIRERHS.ORG/BILLING/DIRECT LINK: HTTPS://ASPIRERHS.ORG/WP-CONTENT/UPLOADS/2025/01/PA-102-FAP-APPLICATION.PDFTHE FINANCIAL ASSISTANCE PLAIN LANGUAGE SUMMARY IS AVAILABLE AT: HTTPS://ASPIRERHS.ORG/BILLING/DIRECT LINK: HTTPS://ASPIRERHS.ORG/WP-CONTENT/UPLOADS/2025/10/ASPIRE-FINANCIAL-ASSISTANCE-PLAIN-LANGUAGE-SUMMARY-1.DOCXIF A READER USES THIS INFORMATION TO ACCESS THE FORM ONLINE, BE SURE TO FORMAT THE URL WITH LOWERCASE LETTERS WHEN COPYING AND PASTING THE DIRECT LINKS. 14 1 - MARLETTE WOUND CARE CLINIC 2750 MAIN STREET SUITE 4 MARLETTE MI 48423 WOUND CARE CLINIC 2 - MARLETTE FAMILY HEALTHCARE 2750 MAIN STREET SUITE 2 MARLETTE MI 48453 RURAL HEALTH CLINIC 3 - UNITED HOSPICE SERVICE RESIDENCE 2770 MAIN ST MARLETTE MI 48453 HOSPICE 4 - FAMILY HEALTHCARE OF BROWN CITY 4472 MAIN STREET BROWN CITY MI 48416 RURAL HEALTH CLINIC 5 - MAYVILLE FAMILY HEALTHCARE 2180 OHMER ROAD MAYVILLE MI 48744 RURAL HEALTH CLINIC 6 - NORTH BRANCH FAMILY HEALTHCARE 4000 HURON ST PO BOX 180 NORTH BRANCH MI 48461 HEALTH CLINIC 8 - PORT SANILAC HEALTHCARE 245 S RIDGE STREET PORT SANILAC MI 48469 RURAL HEALTH CLINIC 9 - UHP QUICK CARE 2771 ANGLE STREET MARLETTE MI 48453 CLINIC 10 - ASPIRE MARLETTE PAIN CLINIC 2750 MAIN STREET SUITE 5 MARLETTE MI 48453 PAIN CLINIC 11 - ASPIRE SPINE CLINIC 2770 MAIN ST MARLETTE MI 48453 SPINE CLINIC 12 - MARLETTE GENERAL SURGERY CLINIC 2770 MAIN ST MARLETTE MI 48453 GENERAL SURGICAL CLINIC 13 - MARLETTE ORTHOPEDIC CLINIC 2770 MAIN ST MARLETTE MI 48453 ORTHOPEDIC CLINIC 15 - MARLETTE SPECIALITY CLINIC 2734 MAIN ST MARLETTE MI 48453 SPECIALITY CLINIC 16 - MARLETTE THERAPY SERVICES 2770 MAIN ST MARLETTE MI 48453 THERAPY DEPARTMENT 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 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 MARLETTE REGIONAL 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 2 OF THE IRS FORM 990, SCHEDULE H INSTRUCTIONS. PART I, LINE 7G: THE ORGANIZATION IS REPORTING THE FOLLOWING SERVICE LINES FROM THEIR CLINICS UNDER THE SUBSIDIZED HEALTH SERVICES. 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 $ 1,514,065. 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 CHARGES 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: $0 IS REPORTED IN LINE 3 BECAUSE MARLETTE REGIONAL HOSPITAL DOES NOT HAVE A METHOD OF ACCURATELY CALCULATING THE PORTION OF OUR BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WHO WOULD QUALIFY FOR FINANCIAL ASSISTANCE BUT FAILED TO COMPLETE AN APPLICATION. PART III, LINE 4: FOR INFORMATION ABOUT BAD DEBT EXPENSE, SEE THE "PATIENT SERVICE REVENUE" SECTION OF NOTE 1 PAGES 16-19 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 ISREIMBURSED 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 AND SHORTFALLS SHOULD ALSO BE CONSIDERED AN ADDITIONAL COMMUNITY BENEFIT THE HOSPITAL PROVIDES TO THE COMMUNITY AND SURROUNDINGAREA. 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: DURING THE UP FRONT COLLECTION PROCESS PATIENTS ARE SCREENED FOR PRESUMPTIVE ELIGIBILITY OF FINANCIAL ASSISTANCE IF THEY ARE UNABLE TO PAY FOR THE REQUIRED DEPOSIT AMOUNT FOR OUTPATIENT TESTING. THE STAFF MEMBERS THAT ESTIMATE THE ELIGIBILITY OF FINANCIAL ASSISTANCE EXTEND THEAPPLICATION AND PLAIN LANGUAGE SUMMARY TO THE PATIENT IF THEY ARE SCREEN AS PRESUMPTIVELY ELIGIBLE PRIOR TO THE OUTPATIENT SERVICES BEING RENDERED TO THE PATIENTS. ALL UNINSURED PATIENTS THAT PRESENT TO THE ER ARE CALLED BY THE BUSINESS OFFICE TO EXTEND FINANCIAL ASSISTANCE ELIGIBILITYINFORMATION OR ACQUIRE INSURANCE INFORMATION. ALL PATIENT STATEMENTS CONTAIN WORDING REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE. THE PRE-COLLECT AGENCY IS AWARE OF THE FINANCIAL ASSISTANCE AVAILABILITY WHEN THEY ARE PERFORMING OUTREACH ACTION TO PATIENTS PRIOR TO EXTRAORDINARY COLLECTION ACTION. PART VI, LINE 2: THE HOSPITAL HAS PARTNERED WITH PRESS GANEY WHICH IS A COMPANY THAT HELPS US DO SURVEYS FOR PATIENT SATISFACTION. WE USE FEEDBACK FROM THOSE SURVEYS TO BETTER UNDERSTAND THE NEEDS OF OUR PATIENTS. ALSO, WITH WORKING CLOSELY WITH DCH WE GAIN A BETTER UNDERSTANDING OF THE NEEDS OF OUR PATIENTS IN OUR COUNTY BY ANALYZING DATA AT BOTH FACILITIES FOR POTENTIAL NEEDS. THE HOSPITAL ALSO UTILIZES THE RELATIONSHIP WITH THE CRTN GROUP TO GATHER INFORMATION ON WHAT SERVICES WE MAY NEED IN OUR COMMUNITIES PART VI, LINE 3: FOR INPATIENT SERVICES WE SEEK ANY INFORMATION REGARDING INSURANCE COVERAGE. IF NO COVERAGE IS AVAILABLE, WE REFER THE PATIENT TO OUR SOCIAL WORKER WHO HELPS THE PATIENT APPLY FOR GOVERNMENT ASSISTANCE IF APPLICABLE AND AVAILABLE, AND IF IT IS NOT, THEN WE HELP THEM COMPLETE THE FINANCIAL ASSISTANCE APPLICATION. FOR OUTPATIENT SERVICES THE REGISTRATION STAFF OFFER FINANCIAL ASSISTANCE APPLICATIONS TO PATIENTS WHO CANNOT PAY THEIR UPFRONT COLLECTIONS. THE BILLING DEPARTMENT ALSO ASSISTS THE PATIENT IN APPLYING FOR GOVERNMENTAL ASSISTANCE. IF NOT APPLICABLE OR AVAILABLE, THE PATIENT IS ASSISTED IN COMPLETING THE FINANCIAL ASSISTANCE APPLICATION AND APPLICATIONS TO SPECIAL ORGANIZATIONS THAT MIGHT OFFER ASSISTANCE AS WELL. NOTICES OF AVAILABILITY OF FINANCIAL ASSISTANCE ARE ALSO POSTED IN THE HOSPITAL LOBBY. PART VI, LINE 4: MARLETTE REGIONAL HOSPITAL SERVES RURAL COMMUNITIES IN SANILAC COUNTY AND PORTIONS OF LAPEER AND TUSCOLA COUNTIES. THE HOSPITAL'S SERVICE AREA INCLUDES NUMEROUS MUNICIPALITIES: BROWN CITY, DECKER, DEFORD, MARLETTE, MELVIN, PECK, SANDUSKY, SNOVER, FOSTORIA, KINGSTON, MAYVILLE, NORTH BRANCH, CLIFFORD, YALE, AND SILVERWOOD. BASED ON CENSUS DATA FOR MUNICIPALITIES, APPROXIMATELY 47,157 PEOPLE LIVE IN THE SERVICE AREA. THE HOSPITAL PROVIDES SERVICE TO COMMUNITIES IN WHICH THERE ARE A WIDE RANGE OF NEEDS (CENSUS-AMERICAN COMMUNITY SURVEY 5 YEAR AVERAGE (2020). EIGHTEEN AND ONE HALF PERCENT OF THE POPULATION IS OVER THE AGE OF 65 AND ONLY 23% ARE UNDER AGE 18. THE POPULATION HAS LIMITED RACIAL DIVERSITY WITH 98.5% OF THE POPULATION WHITE. THE SERVICE AREA HAS A COLLEGE DEGREE RATE OF 11.2% COMPARED TO MICHIGAN'S 30.5% AND UNITED STATES 32.9%. AVERAGE HOUSEHOLD INCOME IN THE SERVICE AREA IS $67,887 AS COMPARED TO MICHIGAN'S AVERAGE INCOME OF $80,803 AND THE UNITED STATES AVERAGE INCOME OF $91,547. UNEMPLOYMENT IN THE SERVICE AREA RANGED FROM 3.9 TO 13.4% COMPARED TO MICHIGAN AT 6% AND THE U.S. AT 5.4%. OF THE CIVILIAN NONINSTITUTIONALIZED POPULATION 8.5% HAVE NO HEALTH INSURANCE COVERAGE COMPARED TO MICHIGAN AT 5.4% AND THE U.S. AT 8.7%. THE PERCENTAGE OF PEOPLE WHO HAD INCOMES BELOW POVERTY IN PAST 12 MONTHS WAS 14.88% BUT RANGED BY MUNICIPALITY FROM 7.8% TO 28.4%. PART VI, LINE 5: THE HOSPITAL IS GOVERNED BY A COMMUNITY BOARD AND HAS AN OPEN MEDICAL STAFF. IT ALSO PARTICIPATES IN FREE OR REDUCED HEALTH SCREENINGS AND FAIRS THAT ARE AVAILABLE TO THE GENERAL PUBLIC. AT THE END OF FY2022 THE HOSPITAL PARTIALLY OPENED UP ITS SENIOR LIVING COMMUNITY, THE HEARTLANDS, WHICH ENCOMPASSES 20 INDEPENDENT VILLAS, 20 ASSISTED LIVING, AND 12 MEMORY CARE ROOMS AND A COMMUNITY CENTER. WE HAD A HANDFUL OF INDEPENDENT VILLA RESIDENTS MOVE IN AT THE END OF THE FISCAL YEAR AND AT THE END OF FY2023 WE HAD OUR ASSISTED LIVING AND MEMORY CARE ROOMS AVAILABLE AS WELL AS OUR COMMUNITY CENTER. AT THE COMMUNITY CENTER A COMMUNITY MEMBER HOSTS FREE WORKOUT CLASSES FOR THE RESIDENTS. IN FY23 WE BECAME OFFICIAL PARTNERS WITH THE CRTN CANCER CENTER TO OFFER CANCER TREATMENTS LOCALLY. DURING THE END OF FY23 WE BEGAN WORKING TO OPEN A QUICK CARE FOR OUR PATIENTS WHICH OPENED IN FY24. PART VI, LINE 6: IN AN EFFORT TO CONTINUE MEETING THE EVER-CHANGING NEEDS OF THE COMMUNITY, MARLETTE REGIONAL HOSPITAL MADE THE DECISION EARLIER THIS YEAR TO JOIN TWO OTHER RURAL HEALTHCARE PROVIDERS (DECKERVILLE COMMUNITY 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. PART VI, LINE 7, REPORTS FILED WITH STATES MI 0 0 0 0 0 0 0 0 0 MICHAEL KITTO PHYSICIAN 479870 0 0 0 1788 0 58000 0 0 0 539658 0 0 0 FARAAZ AHMED PHYSICIAN 183560 271318 4326 6394 10088 14912 9281 13719 2677 3957 209932 310300 0 0 CHRISTOPHER HANZCARUK PHYSICIAN 463190 0 0 0 4988 0 5242 0 6952 0 480372 0 0 0 ABBAS RAZA HAMDANI PHYSICIAN 358897 0 0 0 13377 0 44787 0 16682 0 433743 0 0 0 ANDREW DANIELS CO-CEO 46004 245743 13801 73723 1769 9452 5084 27155 1521 8124 68179 364197 0 0 ANJANETTE KEMP PHYSICIAN 313791 0 0 0 3480 0 52548 0 20851 0 390670 0 0 0 ANGELA MCCONNACHIE CO-CEO 47774 238571 13764 68736 0 0 0 0 1088 5435 62626 312742 0 0 KIM GENTNER CFO 38446 179197 7419 34580 0 0 1959 9134 0 0 47824 222911 0 0 PART I, LINE 3 THE ORGANIZATION'S COMPENSATION IS DETERMINED BY BLUEWATER HEALTHCARE NETWORK DBA ASPIRE RURAL HEALTH, A RELATED ORGANIZATION. THE FOLLOWING WERE USED IN DETERMINING THE COMPENSATION: 1. COMPENSATION SURVEY OR STUDY 2. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE 3. WRITTEN EMPLOYMENT CONTRACT FORM 990, PART V, LINE 1A: FORM 1099/1096 FILING - VENDORS FOR THE FILING ORGANIZATION ARE PAID BY BLUEWATER HEALTHCARE NETWORK (EIN 46-5444203) AS OF 04/15/2024. AS SUCH, ALL REQUIRED FORM 1099 AND FORM 1096 REPORTING IS MADE FOR THE ENTIRE BLUEWATER HEALTHCARE NETWORK (WITH LIMITED EXCEPTIONS) UNDER THE BLUEWATER HEALTHCARE NETWORK (EIN 46-5444203). FORM 990, PART V, LINE 2A: W-3 FILING - EMPLOYEES ARE PAID BY A RELATED ORGANIZATION UNDER A COMMON PAYMASTER ARRANGEMENT AS OF 04/15/2024. AS SUCH, REQUIRED PAYROLL FILINGS (INCLUDING W-2 AND W-3S) AFTER 04/15/2024 ARE REPORTED UNDER THE RELATED ORGANIZATION, BLUEWATER HEALTHCARE NETWORK (EIN 46-5444203). FORM 990, PART VI, SECTION A, LINE 6 BLUEWATER HEALTHCARE NETWORK IS THE SOLE MEMBER OF MARLETTE REGIONAL HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7A THE HOSPITAL HAS ONLY 1 MEMBER, WHICH IS BLUEWATER HEALTHCARE NETWORK WHICH MAY APPOINT ONE OR MORE OF THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B THE SINGLE MEMBER HAS THE RIGHT TO APPOINT AN OFFICER OR DIRECTOR OR ANYONE ELSE TO ACT ON ITS BEHALF IN THE CAPACITY OF THE MEMBER. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE BOARD OF DIRECTORS PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICES. FORM 990, PART VI, SECTION B, LINE 12C THE HOSPITAL'S CONFLICT OF INTEREST POLICY COVERS THE BOARD OF DIRECTORS, MEDICAL STAFF, MANAGERS AND EMPLOYEES OF THE HOSPITAL. THE POLICY DEFINES A CONFLICT OF INTEREST AND THE PROCEDURE TO FOLLOW IN ANY CIRCUMSTANCE WHERE A REAL OR PERCEIVED CONFLICT EXISTS. BOARD OF DIRECTORS - PERSONS WITH ACTUAL OR POTENTIAL CONFLICTS OF INTEREST SHALL FILE FORMAL STATEMENTS DISCLOSING ACTUAL OR POTENTIAL CONFLICTS WHENEVER AN ACTUAL OR POTENTIAL CONFLICT ARISES; BEFORE ANY TRANSACTIONS CONSTITUTING A CONFLICT OR POTENTIAL CONFLICT IS CONSUMMATED; AND ONCE EACH CALENDAR YEAR SO LONG AS THE CONFLICT OR POTENTIAL CONFLICT CONTINUES TO EXIST. THE DISCLOSURE STATEMENT SHALL INCLUDE A DESCRIPTION OF THE RELATIONSHIP OR INTEREST CAUSING THE CONFLICT OR POTENTIAL CONFLICT, THE ROLE IN THE RELATIONSHIP OR TRANSACTION PLAYED BY THE PERSON HAVING THE CONFLICT, AND THE BENEFITS AND DETERMENTS ACCRUING TO THE HOSPITAL AND TO THE PERSON HAVING THE CONFLICT AS A RESULT OF THE CONTRACT, TRANSACTION, OR RELATIONSHIP. ANY MEMBER OF THE BOARD OF DIRECTORS HAVING AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST ON ANY MATTER SHALL NOT VOTE OR USE HIS/HER PERSONAL INFLUENCE ON THE MATTER CONSTITUTING A CONFLICT. THE INTERESTED DIRECTOR MAY, HOWEVER, BE COUNTED FOR THE PURPOSE OF DETERMINING WHETHER A QUORUM OF THE BOARD, OR OF A COMMITTEE OF THE BOARD, EXISTS. THE MATTER CONSTITUTING THE CONFLICT SHALL BE APPROVED IF IT IS APPROVED BY A MAJORITY OF DISINTERESTED DIRECTORS VOTING ON THE MATTER. THE CONFLICT OF INTEREST POLICY SHALL BE REVIEWED ANNUALLY FOR THE INFORMATION AND GUIDANCE OF THE BOARD OF DIRECTORS AND THAT ANY NEW MEMBERS OF THE SAID BOARD OF DIRECTORS BE ADVISED OF THE POLICY UPON ENTERING ON THE DUTIES OF HIS/HER OFFICE. IN ADDITION TO THE BOARD OF DIRECTORS BEING HELD TO THE CONFLICT OF INTEREST POLICY, COPIES OF THE POLICY ARE AVAILABLE TO ALL MANAGEMENT EMPLOYEES. CONFLICT OF INTEREST DISCLOSURE FORMS ARE COMPLETED ANNUALLY BY ALL DIRECTORS, OFFICERS, MANAGING EMPLOYEES, AND EMPLOYED MEDICAL STAFF. THE COMPLETED FORMS ARE KEPT ON FILE BY THE HOSPITAL'S COMPLIANCE OFFICER. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL IS BASED UPON APPLICABLE STATEWIDE COMPENSATION SURVEYS. IN ADDITION, THE COMPENSATION IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS ANNUALLY. THE COMPENSATION OF OTHER TOP OFFICIALS ARE BASED UPON APPLICABLE STATEWIDE COMPENSATION SURVEYS. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2024. 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 XI, LINE 9: CHANGE IN INVESTMENT IN UNCONSOLIDATED 540,178. EQUITY TRANSFERS -7,078,002. BLUEWATER HEALTHCARE NETWORK 2770 MAIN STREET MARLETTE MI 48453 465444203 PARENT MI LINE 12A, I N/A 0 DECKERVILLE COMMUNITY HOSPITAL 3559 PINE STREET DECKERVILLE MI 48427 381415390 HOSPITAL MI LINE 3 BLUEWATER HEALTHCARE NETWORK 0 MARLETTE SENIOR LIVING 6305 BLUEWATER COURT MARLETTE MI 48453 843210271 SENIOR LIVING MI LINE 10 BLUEWATER HEALTHCARE NETWORK 0 HILLS & DALES GENERAL HOSPITAL 4675 HILL STREET CASS CITY MI 48726 381619577 HOSPITAL MI LINE 3 BLUEWATER HEALTHCARE NETWORK 0 HILLS & DALES HEALTH CARE CORPORATION 4675 HILL STREET CASS CITY MI 48726 382622537 MANAGE EXCESS FUNDS ON BEHALF OF SUBSIDIARIES MI 501(C)(3) LINE 12B, II BLUEWATER HEALTHCARE NETWORK 0 ASPIRE RURAL HEALTH SYSTEM FOUNDATION 4675 HILL STREET CASS CITY MI 48726 352368240 SOLICIT FUNDS ON BEHALF OF HOSPITAL MI 501(C)(3) LINE 12A, I BLUEWATER HEALTHCARE NETWORK 0 NORTHEAST TUSCOLA HEALTHCARE 4675 HILL STREET CASS CITY MI 48726 475387652 RENTAL OF BUILDING TO HOSPITAL MI 501(C)(3) LINE 12B, II HILLS & DALES GENERAL HOSPITAL INC 0 NSB LAND HOLDING INC 4675 HILL STREET CASS CITY MI 48726 883867204 LAND HOLDING MI 501(C)(3) LINE 12A, I HILLS & DALES HEALTHCARE CORPORATION 0 THUMB MRI LLC 6320 VAN DYKE ROAD CASS CITY MI 48726 364107673 IMAGING MI N/A RELATED 1002620 1161509 0 1 0.33330 SELAD CORPORATION 4675 HILL STREET CASS CITY MI 48726 382680346 RETAIL PHARMACY MI N/A C 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0