Aspire Rural Health System

What it reported doing in 2024

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 - michig

Financial Efficiency

• Mission deployment rate: 82.9%; rating input score 83
• Program expense ratio: 83.8%; rating input score 84
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
• Pay-setting controls: 0 of 6 controls in place; rating input score 0
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Missing
  • Board or committee approval: Missing
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 100%; rating input score 100; 66th percentile among comparable filings
• Governance controls: 9 of 9 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 1.8%; rating input score 41; 41st percentile among comparable filings
• Total-asset coverage ratio: 1.05; rating input score 38; 38th percentile among comparable filings
• Liabilities to assets ratio: 0.17; rating input score 62; 62nd percentile among comparable filings
• Officer compensation ratio: 7.6%; rating input score 32; 32nd percentile among comparable filings

Growth

• Program expense growth: 1.7% per year; rating input score 100; 18th percentile among comparable filings
• Revenue growth: 1.6% per year; rating input score 100; 15th percentile among comparable filings
• Asset growth: -0.6% per year; rating input score 0; 9th percentile among comparable filings