Velarion Records

Critical access hospital · Sandusy, Michigan · 25 beds · CMS certification number 231314

McKenzie Health System

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended September 30, 2025, as submitted, stamped by CMS March 4, 2026. 23 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$32.9M
$32,931,672 · G-3 line 3
Operating expenses
$34.4M
$34,391,995 · G-3 line 4
Result from patient care
−$1.5M
−$1,460,323 · G-3 line 5
Margin on patient care
−4.4%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $13.5M in its first year on file (2003) to $32.9M in 2025.
  • Its result from patient care: −$3.4M (2023), −$1.3M (2024), −$1.5M (2025).
  • 4 of the 5 critical access hospital peers below with a margin on file also report a loss on patient care for fiscal year 2025.
  • Medicaid paid for 0.1% of its inpatient days and Medicare for 35.2%.

Every statement is drawn from figures on this page; nothing is estimated.

23 years of filings

Net patient revenue against operating expenses, each year as filed.

Net patient revenueOperating expenses
2003
settled
$13.5M
$13.9M
2004
settled
$12.5M
$14.6M
2005
settled
$13.8M
$15.6M
2006
as submitted
$14.2M
$16.0M
2007
settled
$15.8M
$18.0M
2008
settled
$15.9M
$18.2M
2009
settled
$16.2M
$19.1M
2010
settled
$16.2M
$19.7M
2011
settled
$16.7M
$19.5M
2012
reopened
$16.3M
$18.5M
2013
settled
$18.3M
$19.0M
2014
settled
$17.9M
$19.0M
2015
settled
$18.9M
$19.6M
2016
settled
$19.8M
$20.4M
2017
settled
$20.2M
$21.4M
2018
settled
$20.2M
$21.8M
2019
settled
$21.8M
$23.3M
2020
settled
$22.1M
$24.3M
2021
settled
$24.3M
$26.2M
2022
settled
$25.8M
$27.6M
2023
settled
$26.6M
$30.0M
2024
settled
$29.9M
$31.2M
2025
as submitted
$32.9M
$34.4M

Beside its peers

Critical access hospitals in Michigan with 25 to 49 beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
McKenzie Health System25$32,931,672$34,391,995−4.4%
Beacon Dowagiac, Dowagiac25$15,926,668$17,898,575−12.4%
Helen Newberry Joy Hospital & Healthcare Center, Newberry25$39,937,840$43,005,038−7.7%
Hills & Dales General Hospital, Cass City25$93,957,867$93,233,6200.8%
Mymichigan Medical Center Standish, Standish25$25,898,893$26,537,237−2.5%
Scheurer Health - Pigeon, Pigeon25$67,021,252$73,901,821−10.3%

Patients and payers

Discharges
195
S-3 line 14, col 15
Inpatient days
1,238
S-3 line 14, col 8
Beds in use, on an average day
3.4
days ÷ days in year
Occupancy
13.6%
days ÷ bed days
Medicare share of days
35.2%
S-3 cols 6 ÷ 8
Medicaid share of days
0.1%
S-3 cols 7 ÷ 8

Who owns it

Related organizations on its own cost report: STEVE BARNETT, anesthesia serv; JOAN NAGELKIRK, marketing serv.

Type of control on its cost report: voluntary nonprofit, other.

Community benefit, as filed

From IRS Form 990 Schedule H, Part I, filed by MCKENZIE MEMORIAL HOSPITAL (employer identification number 381738615) for tax year 2022. The return lists this hospital as its one hospital facility.

FigureAs filedWhere it comes from
Total community benefit expense (line 7k)$3,146,682IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt>
Financial assistance at cost (line 7a)$8,479IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt>
Medicaid (line 7b)$3,050,664IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt>
Financial assistance and means-tested government programs (line 7d)$3,059,143IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt>
Other benefits (line 7j)$87,539IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt>
Total, fraction of total expense (line 7k, column f)0.1047IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct>

E-file object id 202440789349300504. The IRS archive it was read from.

Executive and director compensation, as filed

From IRS Form 990 Part VII, Section A, filed by MCKENZIE MEMORIAL HOSPITAL (employer identification number 381738615) for tax year 2022. The return lists this hospital as its one hospital facility.

NameTitleRoleReportable comp, from this organizationReportable comp, from related organizationsOther compensation
AMY RUEDISUELICFOOfficer$165,948$0$6,565
BILLI JO HENNIKACOOOfficer$145,892$0$6,091
BRANDON GUIBORDSECRETARYTREASURERTrustee/director$0$0$0
GINA PATTERSONDIRECTOR PHARMACYHighest-compensated employee$154,761$23,276$7,218
JAMES KOSIURPHYSICIANHighest-compensated employee$477,830$0$9,150
JAMES SAMSCHIEF OF STAFFTrustee/director$227,834$0$9,336
JAY SMITHDIAGNOSTIC DIRECTORHighest-compensated employee$145,758$0$6,170
LARRY MITCHELLSECRETARYTREASURERTrustee/director$0$0$0
MARK ENGLISHPHYSICIANHighest-compensated employee$183,434$0$7,892
MATTHEW GORMLEYPHYSICIANHighest-compensated employee$198,653$0$8,440
MICHAEL DREYERCHAIRPERSONTrustee/director$0$0$0
STEVE BARNETTCEOPRESIDENTTrustee/director, Officer$237,654$0$9,944

E-file object id 202440789349300504. The IRS archive it was read from.

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2025.ZIP, form CMS-2552-10, filed under CMS certification number 231314. Patients and payers: worksheet S-3 Part I of the same filing.

How this page was built: the CMS Medicare cost report, file HOSP10FY2025.ZIP, read March 4, 2026.