2024-02-01T09:21:38-06:00 2023-06-30 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2022-07-01 843210271 MARLETTE SENIOR LIVING MARL 9892179500 PO BOX 307 2770 MAIN STREET MARLETTE MI 48453 ANGELA MCCONNACHIE CEO 9892179500 2024-02-01 1 ANGELA MCCONNACHIE 999009999 0 MICHAEL J PETERSON CPA P01833529 2187224705 2024-02-01 0 AAL1 IAL1 2022 2023-04-26 12:10:37Z ANGELA MCCONNACHIE PO BOX 307 2770 MAIN STREET MARLETTE MI 48453 445183 0 X HTTPS://THEHEARTLANDSMARLETTE.ORG/ X 2019 MI TO CONTINUOUSLY IMPROVE THE QUALITY OF HEALTH IN THE COMMUNITIES THAT WE SERVE. 11 11 3 11 0 0 195250 167844 10000 261146 4 24 0 16169 205254 445183 0 0 4757 0 24031 286437 0 0 0 163257 864303 192045 1150740 13209 -705557 8159517 10879658 8168932 11594630 -9415 -714972 TO CONTINUOUSLY IMPROVE THE QUALITY OF HEALTH IN THE COMMUNITIES THAT WE SERVE. 0 0 944727 0 261146 INDEPENDENT LIVING THE INDEPENDENT LIVING VILLAS ARE TWO BEDROOM ONE AND ONE-HALF BATH WITH A ONE CAR GARAGE. THESE ARE DESIGNED TO PROVIDE SPACIOUS, COMFORTABLE ACCOMMODATIONS, ALLOWING RESIDENTS TO LIVE SAFELY AND INDEPENDENTLY. THEY ARE INCLUSIVE OF THEIR UTILITIES AND ACCESS TO THE COMMUNITY CENTER. THE COMMUNITY CENTER FEATURES A FITNESS CENTER AND MEDIA CENTER THAT IS AVAILABLE EXCLUSIVELY TO RESIDENTS OF THE HEARTLANDS COMMUNITY. 18 INDIVIDUALS SERVED OPEN SINCE JULY 2022 ASSISTED LIVING THE ASSISTED LIVING COMMUNITY IS DESIGNED TO PROVIDE RESIDENTS WITH PRIVATE, LUXURY APARTMENTS ALONG WITH COMPLETE CARE AND SUPPORT SERVICES NEEDED TO LEAD A WORRY-FREE LIFE. OUR ASSISTED LIVING CARE AND SUPPORT SERVICES INCLUDE 24-HOUR CARE, ASSISTANCE WITH ACTIVITIES OF DAILY LIVING (DRESSING, BATHING, HOUSEKEEPING, LAUNDRY AND TRANSPORTATION TO MEALS/ACTIVITIES). IT ALSO INCLUDES MEDICATION MANAGEMENT, MEAL SERVICE, AND DAILY LIFE ENRICHMENT PROGRAMMING. 4 RESIDENTS SERVED OPEN SINCE MAY 2023 MEMORY CARE THE HEARTLANDS IS PROUD TO PROVIDE MEMORY CARE FOR RESIDENTS WITH FORGETFULNESS, ALZHEIMER'S DISEASE, AND RELATED DEMENTIAS. OUR MEMORY CARE COMMUNITY IS A SAFE AND SECURE ENVIRONMENT FEATURING 12 SPACIOUS, PRIVATE APARTMENTS EACH WITH ACCOMMODATIONS AND TECHNOLOGY TO MEET THE NEEDS OF EACH RESIDENT. OUR MEMORY CARE WING HAS 24-HOUR CARE AND SUPPORT AS NEEDED BASED ON INDIVIDUALIZED CARE PLANS, ASSISTANCE WITH DAILY LIVING ACTIVITIES (DRESSING, BATHING, AND TRANSPORTATION TO MEALS AND ACTIVITIES), MEDICATION MANAGEMENT AND MEAL SERVICES. IT ALSO INCLUDES DAILY HOUSEKEEPING AND LAUNDRY SERVICES. 1 RESIDENT OPEN SINCE JUNE 2023 944727 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 3 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 0 MI X KIM GENTNER CFO 8103767024 3559 PINE STREET DECKERVILLE MI 484270126 GAIL DENTON CHAIRMAN 0.25 1.00 X X 0 0 0 JUSTIN FABER VICE CHAIRMAN 0.25 1.00 X X 0 0 0 VICTORIA MEIBURG TREASURER/SECRETARY 0.25 1.00 X X 0 0 0 IRENE COLE DIRECTOR 0.25 1.00 X 0 0 0 SUE COOK DIRECTOR 0.25 1.00 X 0 0 0 STEVE ELLIS DIRECTOR 0.25 1.00 X 0 0 0 CURTIS LANDRITH DIRECTOR 0.25 1.00 X 0 0 0 ALEX MESSING DIRECTOR 0.25 1.00 X 0 0 0 DAVID MESSING DIRECTOR 0.25 1.00 X 0 0 0 SCOTT ORR DIRECTOR 0.25 1.00 X 0 0 0 PAUL ROHLING DIRECTOR 0.25 1.00 X 0 0 0 DANIEL BABCOCK CEO (THRU DEC 2022) 4.00 36.00 X 0 203316 26806 ANGELA MCCONNACHIE CEO (PREVIOUSLY COO) 4.00 36.00 X 0 111026 7537 KIM GENTNER CFO 4.00 36.00 X 0 103570 0 0 417912 34343 0 0 1 0 0 167844 167844 INDEPENDENT LIVING 623990 240350 240350 ASSISTED LIVING REVENU 623000 11646 11646 MEMORY CARE 621610 9150 9150 261146 24 24 16169 16169 16169 445183 261146 0 16193 254428 125046 129382 12840 6375 6465 19169 4496 14673 15615 14834 781 33091 31086 2005 4732 1256 3476 1834 1834 178440 163853 14587 657 657 7981 7857 124 576301 547486 28815 PROGRAM SUPPLIES 30796 28704 2092 14856 13734 1122 1150740 944727 206013 0 18205 60040 5470 10814148 0 8141312 10814148 8159517 10879658 3355 6759769 9283361 1409163 2307914 8168932 11594630 X 0 0 0 0 -9415 -714972 -9415 -714972 8159517 10879658 -705557 0 X 0 0 0 X 24855 195249 167844 387948 2000 10000 261146 273146 26855 205249 428990 661094 0 0 0 661094 4 24 28 4 24 28 54 16169 16223 54 26855 205253 445183 677345 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 486272 486272 9843859 9843859 348984 348984 135033 135033 10814148 DUE TO MRH 2305564 SECURITY DEPOSIT 2350 2307914 0 0 0 0 0 0 0 0 0 DANIEL BABCOCK CEO (THRU DEC 2022) 0 191441 0 5329 0 6546 0 4090 0 22716 0 230122 0 0 PART I, LINE 3 THE ORGANIZATION'S RELATED PARTY MARLETTE REGIONAL HOSPITAL IS RESPONSIBLE FOR THE FOLLOWING IN DETERMINING COMPENSATION: COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE FORM 990, PART VI, SECTION A, LINE 6 MARLETTE SENIOR LIVING (MSL) HAS ONE MEMBER WHICH IS BLUEWATER HEALTHCARE NETWORK WHICH MAY APPOINT ONE OR MORE OF THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7A THE FORM 990 HAS BEEN REVIEWED IN DETAIL BY MANAGEMENT PRIOR TO SUBMISSION. A COMPLETE COPY OF THE 990 IS AVAILABLE TO THE FINANCE COMMITTEE AND FULL BOARD. FORM 990, PART VI, SECTION A, LINE 7B THE SINGLE MEMBER HAS THE RIGHT TO APPOINT AN OFFICER OR DIRECTOR OR ANYONE ELSE TO AT ON ITS BEHALF IN THE CAPACITY OF THE MEMBER. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED AND APPROVED BY THE BOARD PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C MSL IS RELATED TO MARLETTE REGIONAL HOSPITAL (SHARED MEMBER - BLUEWATER HEALTHCARE NETWORK). THE HOSPITAL'S CONFLICT OF INTEREST POLICY COVERS THE BOARD OF DIRECTORS, MEDICAL STAFF, MANAGERS AND EMPLOYEES OF THE ORGANIZATION. 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 ORGANIZATION 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 ORGANIZATION'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 ALSO BASED UPON APPLICABLE STATEWIDE COMPENSATION SURVEYS. 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. BLUEWATER HEALTHCARE NETWORK 2770 MAIN STREET MARLETTE MI 48453 465444203 PARENT MI 501(C)(3) N/A 0 DECKERVILLE COMMUNITY HOSPITAL 3559 PINE ST DECKERVILLE MI 48427 381415390 HOSPITAL MI 501(C)(3) LINE 3 BLUEWATER HEALTHCARE NETWORK 1 MARLETTE REGIONAL HOSPITAL 2770 MAIN STREET MARLETTE MI 48453 381507302 HOSPITAL MI 501(C)(3) LINE 12B, II BLUEWATER HEALTHCARE NETWORK 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 MARLETTER REGIONAL HOSPITAL E 2305564 CASH THE ORGANIZATION IS FILING THEIR RETURN LATE. THEY HAD FILED THE 990-N IN PRIOR YEARS AND THERE WAS CONFUSION ON THE FILING FOR FISCAL YEAR 2022 (TAX YEAR 2023). UPON REALIZING THEY HAD MISSED THE EXTENSION OF NOVEMBER 15TH THEY IMMEDIATELY SOUGHT THE ASSISTANCE FROM AN OUTSIDE CPA FIRM TO ASSIST WITH THE FILING AND WILL CONTINUE TO WORK WITH THAT FIRM TO TRACK DUE DATES, EXTENSIONS AND FINAL FILINGS. THE ORGANIZATION RESPECTFULLY REQUESTS THAT YOU APPLY THE FIRST-TIME ABATEMENT ADMINISTRATIVE WAIVER AS DESCRIBED IN SECTION 20.1.1.3.6.1. OF THE INTERNAL REVENUE MANUAL, AS THE ORGANIZATION HAS TIMELY FILED ALL PREVIOUS TAX RETURNS. BASED ON THE FACTS AND CIRCUMSTANCES, WE RESPECTFULLY REQUEST THAT THE PROPOSED PENALTIES BE ABATED. THANK YOU FOR YOUR CONSIDERATION IN THIS MATTER.