2023-11-15T07:45:46-06:00 2022-12-31 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2022-01-01 742517055 Schoolcraft Memorial Hospital SCHO 9063413200 7870 W US Hwy 2 Manistique MI 49854 Eric Price CFO 9063413200 2023-11-14 1 Eric Price 999009999 1 Kim Hunwardsen CPA P00484560 6122536500 2023-11-14 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z Andrew Bertapelle 7870 W US Hwy 2 Manistique MI 49854 49735748 0 X www.SCMH.org X 1950 MI Provide comprehensive inpatient, outpatient, emergency, medical clinic, and home health services. 9 7 373 20 0 0 4546210 1149302 46534189 48241996 563663 288041 6955 7797 51651017 49687136 40715 27354 0 0 27972540 28006771 0 0 0 19986861 22465829 48000116 50499954 3650901 -812818 44098410 44012981 37708787 38436176 6389623 5576805 X Schoolcraft Memorial Hospital is committed to providing quality healthcare and wellness for the people of our community. 0 0 34057034 27354 34007198 Schoolcraft Memorial Hospital (SMH), a component unit of Schoolcraft County, is organized under Public Act of 230 and is a county hospital corporation that operates a 12-bed acute care facility. SMH provides comprehensive inpatient, outpatient, emergency, medical clinic, and home health services in total. Healthcare is offered in at least 30 specialties, some of which include cardiology, neurology, general and orthopedic surgery, a 24-hour physician staffed emergency room, a walk-in clinic, physical and occupational therapy, cardiac rehabilitation, and a wide range of diagnostic services including a full-service laboratory, x-ray, mammography, CT scans, MRI's, and nuclear medicine. SMH is an equal opportunity provider and employer. During 2022 SMH had 1,341 acute and swing bed patient days, 587 inpatient and outpatient surgeries, 45,380 outpatient visits, and 320 home health admits.The Hospital provides health care services to patients who meet certain criteria under its charity care policy without charge or at amounts less than established rates. Since the Hospital does not pursue collection of these amounts, they are not reported as patient service revenue. The estimated cost of providing these services was $169,000 in 2022, calculated by multiplying the ratio of cost to gross charges for the Hospital by the gross uncompensated charges associated with providing charity care to its patients. 5196019 7928304 SMH owns a provider based rural health clinic, which had five physicians, one physician assistant, and eight nurse practitioners. SMH had 26,657 RHC visits in 2022. 2512784 6306494 SMH offers 24/7 emergency services staffed with a physician who is on-site. SMH treats all patients, regardless of their ability to pay. SMH had 4,489 ER visits in 2022. 41765837 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 1 0 0 0 0 0 0 0 1 1 1 1 0 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 58 13 1 373 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 9 7 0 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 X Eric Price CFO 9063413200 7870 W US Hwy 2 Manistique MI 49854 Peter Hood Chair 3.00 X X 1855 0 0 James Blanchard Vice Chair 2.00 X X 2125 0 0 Kevin Knaffla Treasurer 1.00 X X 1560 0 0 Cindy Olli Secretary 1.00 X X 1155 0 0 Howard Parmentier Trustee 1.00 X 570 0 0 Ryan Fausett Trustee 1.00 X 540 0 0 James Harmes Trustee through May 1.00 X 630 0 0 Lynne Giles Trustee through June 1.00 X 480 0 0 Mark Rayner Otolaryngologist Trustee as of April 40.00 X 444998 0 26779 Dennis Wiethoff Trustee as of August 1.00 X 360 0 0 Kristi Kusnier Family Medicine Trustee as of August 40.00 X 310321 0 10668 Robert Crumb CEO through September 40.00 X 208205 0 17497 Boyd Chappell CFO through August 40.00 X 135413 0 16882 Andy Bertapelle CEO as of July 40.00 X 92362 0 9588 Laura Steffen Interim CFO as of August 40.00 X 97212 0 16929 Christon Dums Family Medicine 40.00 X 397944 0 15109 John Niemelar Podiatrist 40.00 X 386318 0 23310 Nicholas Hoeve Cardiologist 40.00 X 505632 0 27662 David Schoenow ER Physician 40.00 X 460647 0 27204 Gregory Bambach General Surgeon 40.00 X 450913 0 26902 3499240 0 218530 39 0 1 0 Cerner Corporation PO Box 959156 St Loius MO 63195 EMR software support 785059 Dr Joseph Hance 4048 Cedar Bluff Petosky MI 49770 Orthopedics 755500 Green Bay Oncology 1726 Shawano Ave Green Bay WI 60122 Oncology Services 462290 UP Health Care Solutions 853 W Washington St Marquette MI 49855 MRI Services 405902 DLP Marquette Dept 4608 Carol Stream IL 60122 Lab and EKG services 386444 10 51193 946578 151531 15568 1149302 Net Patient Revenue 621990 45989849 45989849 Pharmacy Revenue 900099 1544788 1544788 707359 707359 48241996 278545 278545 11903 1488 10415 10415 10415 9496 0 9496 9496 9496 15453 51193 31627 -16174 -16174 29053 15497 13556 13556 49687136 48241996 0 295838 X 27354 27354 1396459 792225 604234 47278 47278 20950797 17702547 3248250 1456524 1224149 232375 2683658 2256294 427364 1472055 1221732 250323 39606 39606 141801 141801 3114 3114 6270461 3830868 2439593 92908 92908 1972352 1580418 391934 1051005 996263 54742 194502 61044 133458 130132 80128 50004 1229813 1229813 2477557 2477557 408158 408158 Medical Supplies 6900177 6888977 11200 Bad Debt Expense 1014062 1014062 Food 174340 174340 Dues and Licenses 143919 54683 89236 221922 106105 115817 50499954 41765837 8734117 0 6284452 2628367 252187 196809 7020138 8817389 10000 84037 185084 671782 565599 252080 249194 52143053 26957490 25518045 25185563 3306061 3324635 136250 699628 2724091 44098410 44012981 3785386 2641262 26605574 28859883 7317827 6935031 37708787 38436176 X 0 0 0 0 6389623 5576805 6389623 5576805 44098410 44012981 -812818 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 3114 3114 0 Part II-B, Line 1: SMH is a member of the American Hospital Association (AHA) and Michigan Health and Hospital Association (MHA). A portion of the membership dues for these organizations is used for lobbying - $1055 MHA and $1059 AHA. 668758 668758 35535832 15178605 20357227 15736088 11766978 3969110 202375 11907 190468 25185563 Pension Outflows Investment 1774328 Right to Use Assets, Net 949763 2724091 Capital Leases 979139 Pension Liability 2885726 Pension Related Deferred Inflows 2692920 Estimated Third Party Payor 377246 6935031 47476305 -2243875 -2243875 49720180 -33044 -33044 49687136 48289123 33044 33044 48256079 2243875 2243875 50499954 Part XI, Line 2d - Other Adjustments: Interest Expenses reported in Revenue on Financial Statements -1,229,813. Bad Debt Expenses reported in Revenue on Financial Statements -1,014,062. Part XI, Line 4b - Other Adjustments: Rental Expenses Reported in Expenses on Financial Statements -1,488. Fundraising Expenses reported in Expenses on Financial Statements -31,627. Fundraising Contributions reported in Expenses on Financial Statements 15,568. Gaming Expenses reported in Expenses on Financial Statements -15,497. Part XII, Line 2d - Other Adjustments: Rental Expenses Reported in Expenses on Financial Statements 1,488. Fundraising Expenses reported in Expenses on Financial Statements 31,627. Fundraising Contributions reported in Expenses on Financial Statements -15,568. Gaming Expenses reported in Expenses on Financial Statements 15,497. Part XII, Line 4b - Other Adjustments: Interest Expenses reported in Revenue on Financial Statements 1,229,813. Bad Debt Expenses reported in Revenue on Financial Statements 1,014,062. Festival of Trees 25392 16814 8578 1447 1672 2152 Gala 41254 34379 6875 1261 2500 7389 2100 13106 66646 51193 15453 2708 2500 7389 3772 15258 31627 -16174 593 376 30 1 1.00000 28460 1798 9106 4187 1 1.00000 29053 2174 9106 4217 15497 13556 MI 1 0 1 0 0.80000 0.20000 Laura Steffen 7870W US Hwy 2 Manistique MI 49854 0 Peter Hood 0 Event Chair X 0 1 1 X 1 X 1 X 1 1 1 0 1 0 169000 169000 0.00330 8872027 5029331 3842696 0.07610 9041027 5029331 4011696 0.07940 1409267 505021 904246 0.01790 1409267 505021 904246 0.01790 10450294 5534352 4915942 0.09730 1 1014062 608437 9431302 9487375 -56073 X 1 1 1 1 Schoolcraft Memorial Hospital 7870 US Hwy 2 Manistique MI 49854 www.SCMH.org M899262 X X X X 2 Provider Based Rural Health Clinics Schoolcraft Memorial Hospital 1 0 0 1 X X X X X X X X X 21 1 1 1 1 X See Part V, Page 8 X See Part V, Page 8 X X 1 18 1 https://scmh.org/community/community-health-needs-assessment/ 0 1 X X X 1 1 X X X X 1 X www.scmh.org/financial-assistance-policy X www.scmh.org/financial-assistance-policy X www.scmh.org/financial-assistance-policy X X X X X 1 X 0 X X X X 1 X 0 0 Schoolcraft Memorial Hospital Part V, Section B, Line 5: In July of 2022, the results from the 2021 CHNA surveys were released to the public. The report includes health survey results; data on demographics, access to care, health across the lifespan, behavioral health and substance abuse; rankings of community health issues; and 15 county-level data summariesSix Upper Peninsula health departments and 36 community partners announced the release of the latest edition of the Community Health Needs Assessment (CHNA) covering all 15 U.P. counties.The 2021 report was led by local health departments in collaboration with hospitals, behavorial health agencies, and health foundations. It includes data on health across the lifespan, access to care, community issues like drug abuse, and results from an extensive health survey conducted last August. Schoolcraft Memorial Hospital received the results from the 2021 Survey in late 2022. We organized several focus groups with Schoolcraft County stakeholders to survey the needs further of our local community. We collected surveys from families on Family Day Saturday December 4th - 32 Survey Respondents We held 2 focus groups on December 6th held at First Baptist Church with 25 Total Participants. The focus groups were led by Elise Bur, NMU Center for Rural Health Public Survey Distributed with 126 online respondents Community Forum on December 13th Survey had 20 respondents but 40 people attended the event to share feedback. Large Community Forum: Tuesday December 13th - https://conta.cc/3h5MwEJSpecial Presentation from: Dr. Van Howe, Medical Director of Western UP Health DepartmentSMH collaborated with the NMU Michigan Center for Rural Health and the LMAS Health Department.The agencies that were represented in our focus groups included: Schoolcraft Memorial Hospital Schoolcraft Medical Care Facility Manistique Area Schools Schoolcraft County Commissioner UP Michigan Works Bay Human Services Manistique Ministerial Association Schoolcraft County Transit SMH Homecare & Hospice Alternative Education Nicolet National Bank Keller Williams Upper Peninsula Manistique Public Safety Department (Manistique EMS) Schoolcraft Memorial behavioral Health Michigan Department of Health and Human Services LMAS District Health Department Schoolcraft County Sheriffs Office MDHHS CPS New Beginnings Outpatient Therapy Hiawatha Behavioral Health Schoolcraft Memorial Hospital Part V, Section B, Line 6a: Aspirus Iron River Hospital Munising Memorial Hospital/Baycare Medical CenterAspirus Ironwood Hospital MyMichigan Medical Center - SaultAspirus Keweenaw HospitalAspirus Ontonagon Hospital Baraga County Memorial Hospital OSF St. Francis HospitalBellin Health Hospital and Clinics Schoolcraft Memorial HospitalHelen Newberry Joy Hospital Mackinac Straits Health System U P Health Systems - BellMarshfield Clinic Health System - Dickinson U P Health Systems MarquetteU P Health Systems - PortageWar Memorial Hospital Schoolcraft Memorial Hospital Part V, Section B, Line 6b: Upper Peninsula Health Care SolutionsKeweenaw Bay Indian Community Upper Peninsula Health GroupLuce-Mackinac-Alger-Schoolcraft District Health DepartmentGogebic County Community Mental Health Superior Health FoundationGreat Lakes Recovery Center Upper Great Lakes Family Health CenterPathways Community Mental HealthChippewa County Health Department Portage Health FoundationCopper Country Community Mental Health Public Health of Delta & Menominee CountiesDickinson-Iron District Health Department Northern Michigan Center for Rural HealthBCBS Foundation of Michigan Northpointe Behavioral Health SystemsNorthCare NetworkUpper Peninsula Health PlanMarquette County Health Department Michigan Department of Health and Human ServicesMichigan Health Endowment Fund Western U P Health DepartmentMichigan Technological University Western U P Planning & Development Region Schoolcraft Memorial Hospital Part V, Section B, Line 7d: The implementation strategy has been shared on our website and is being used to create strategic plans for 2023 and 2024. Schoolcraft Memorial Hospital Part V, Section B, Line 11: Schoolcraft Memorial Hospital received the results of the UP County Wide Community Health Needs Assessment in July 2022. The senior leadership team opted to host community wide focus groups to ensure we had local stakeholders at the table to review the data. By the end of 2022, Schoolcraft Memorial Hospital created an implementation plan for 3 new priorities but was unable to address them in the year 2022. In 2022, efforts continued in the behavioral health arena. We added behavioral health therapists and expanded our reach of pediatric care with our Pediatric Behavioral Health Therapist. We continued to work and mentor youth through our high school shadowing HOSA program. Youth interested in the medical field were able to learn skills in a variety of departments. Schoolcraft Memorial Hospital Part V, Section B, Line 13h: Schoolcraft Memorial Hospital offers a self-pay discount of 41% of gross charges for uninsured patients regardless of income. Schedule H, Part V, Section B, Line 7a: http://www.scmh.org/community/community-health-needs-assessment/ Schedule H, Part V, Section B, Line 10a: https://www.wupdhd.org/community-health-needs-assessment/ Schedule H, Part V, Section B, Line 7b: https://www.wupdhd.org/2022/07/25/upchna/ 1 1 - SMH Homecare & Hospice Agency 7870 US Hwy 2 Manistique MI 49854 Homecare and Hospice Part I, Line 3c: Schoolcraft Memorial Hospital offers a self-pay discount of 41% of gross charges for uninsured patients regardless of income. Medical indigency and underinsurance status are also used to determine eligibility. Part I, Line 7: Financial assistance was calculated using the cost-to-charge ratio. Unreimbursed Medicaid and subsidized health services were calculated using the cost report and analyzing the Medicare ratio of cost to charge for the respective cost centers. Part I, Ln 7 Col(f): The amount of bad debt expense backed out of total expenses to determine the percentage was $1,014,062. Part III, Line 2: The organization determines its bad debt expense based on actual charges. Self-pay discounts are applied to patient accounts before balances are deemed to be bad debt. Part III, Line 3: The amount listed on line 3 is an estimate of community care applications not returned. Approximately 60% of applications were not returned that may have qualified for community care. Part III, Line 4: The footnote to the organization's financial statements addressing bad debt may be found on page 17 of the attached audited financial statements. Part III, Line 8: The shortfall should be considered as community benefit as this amount is not included in bad debt and no effort is made to collect this shortfall. In addition, providing services to the Medicare population is a community benefit as the elderly are a charitable class and providing them with healthcare helps the community. Part III, Line 9b: Schoolcraft Memorial Hospital works with patients to help them qualify for financial assistance. If a patient does not complete the financial assistance application or provide the required documentation, SCMH follows the same collection efforts as it does with other delinquent accounts. SCMH will attempt to work with the patient to set up a payment plan or make payment on the amount. If the patient does not respond the SCMH efforts, the account is referred to an external collection agency. Part VI, Line 2: The CHNA is the only formal assessment of broad scope that the hospital has utlilized in recent years to assess the health care needs of the community. Part VI, Line 3: Schoolcraft Memorial Hospital posts a summary of its charity care policy, and financial assistance contact information in admissions areas, emergency rooms, and other areas of the organization's facilities in which eligible patients are likely to be present; (2) provides a summary of the policy, and financial assistance contact information to patients as part of the intake process; (3) includes a statement regarding the policy, along with financial assistance contact information, on patient bills; and assists the patient with qualification for charity care where applicable. Part VI, Line 4: Schoolcraft Memorial Hospital primarily provides services to the residents of Schoolcraft County. The county is 1,884 square miles of which 1,178 is land, and 706 is water. As of July 1, 2022 the population is estimated to be 8,188. Approximately 28.6 is estimated to be 65 years. As of 2021 the median household income in the county was $54,163. The percentage of individuals whose income was below the poverty level was 13.9% as of 2021. Schoolcraft Memorial Hospital is the only hospital in the county. The nearest hospital is approximately 50 miles from Schoolcraft Memorial Hospital. Schoolcraft County is not designated as a Medically Underserved Area. It has been designated as a low-income health care professional shortage area. Part VI, Line 5: The hospital has one staff person who provides critical incident response interventions to first responders, schools, hospital staff, businesses, etc., throughout the region following an emotionally traumatic critical/crisis incident. One of the hospital's social workers is a trained Medicare/Medicaid assistance program counselor who sees about 200 people per year during the "open window" for Medicare Part D enrollment and assists others throughout the year upon request. A hospital social worker is a certified child passenger safety seat technician and assists low-income families that are unable to afford safety seats by providing a new seat and instructing in their safe installment. The social workers educate and assist community members in completing advance directives. Schoolcraft Memorial Hospital Rural Health Clinic employs a "patient navigator" who assists patients with identified needs based on social determinants of health screening and provider referrals. The patient navigator leads the Community Resource Fair planning team. Schoolcraft Memorial Hospital offers free rides for seniors or individuals without insurance through the Rides to Wellness program. The hospital hosts the annual Community Health Fair which is slated to return in October 2023. Several leaders hold board seats with local and regional organizations such as Kiwanis, Rotary, Region 8 Healthcare Association, Schoolcraft Tourism and Commerce, Superior Health Foundation, Schoolcraft County Commission on Aging, Manistique City Council, Schoolcraft County Board of Commissioners, Lions Club, UP Health Plan, Invest UP, UP Health Care Solutions (UPHCS), Michigan Health IT Commission, Central broadband taskforce, and the local recreation board. Part VI, Line 7, Reports Filed With States MI 1 Educational Assistance Program 8 27354 Part I, Line 2: Schoolcraft Memorial Hospital's Educational Assistance Program encourages and supports employees who enroll in a college or university to obtain a certificate or degree. Full-time and part-time employees who work an average of 20 hours per week per year are eligibile to apply for educational assistance on or after the first anniversary of their employment date. To be eligible the following criteria must be met: - Coursework must be offered by an accredited college or university. - Courses must earn degree credits towards a certificate, associate's, bachelor's, or master's degree. - Coursework must be related to the business of SMH. The education must qualify the employee for a position within the hospital. - Employee must earn a grade of "C or better. If the course is on a "pass/fail" grading system, the associate must earn a "pass" grade. If the program requires higher than a "C" to stay in the program, the employee must meet the grade required by the program. - The Educational Assistance Expense Reimbursement Form must be received by the employee's supervisor no later than 75 days after the completion of the course. - The employee's employment status must be "active" on the date the educational assistance reimbursement is paid. X X X 0 0 0 0 0 0 0 0 0 Nicholas Hoeve Cardiologist 504982 0 650 0 0 0 10113 0 17629 0 533374 0 0 0 David Schoenow ER Physician 460647 0 0 0 0 0 9655 0 17629 0 487931 0 0 0 Gregory Bambach General Surgeon 450263 0 650 0 0 0 9354 0 17629 0 477896 0 0 0 Mark Rayner Otolaryngologist Trustee as of April 444348 0 650 0 0 0 9231 0 17616 0 471845 0 0 0 Christon Dums Family Medicine 396294 0 1650 0 0 0 9296 0 5893 0 413133 0 0 0 John Niemelar Podiatrist 385668 0 650 0 0 0 9581 0 13810 0 409709 0 0 0 Kristi Kusnier Family Medicine Trustee as of August 309671 0 650 0 0 0 10213 0 536 0 321070 0 0 0 Robert Crumb CEO through September 208205 0 0 0 0 0 9234 0 8263 0 225702 0 0 0 Boyd Chappell CFO through August 128801 0 6612 0 0 0 5305 0 11577 0 152295 0 0 0 Theresa Crumb Family Member of Robert Crumb, CEO 16470 Compensation 0 Alice Chappell Family Member of Boyd Chappell, CFO 30808 Compensation 0 Form 990, Part VI, Section A, line 1a The Executive Committee shall consist of the officers of the Board of Trustees and shall have power to transact business of the hospital during the interim between meetings of the Board of Trustees. Form 990, Part VI, Section A, line 7a Board members may elect new board members as vacancies occur. Appointments to the Board must be ratified by the county commissioners. Form 990, Part VI, Section A, line 7b The Articles of Incorporation may be amended by resolution approved by affirmative vote of the majority of the members serving on the Schoolcraft County Board of Commissioners. The Corporation, if it has completed the purposes for which it was organized, shall be dissolved by the adoption of a resolution by the affirmative vote of two-thirds of the members serving on the Board of Trustees, and approved by a majority of the members serving on the Schoolcraft County Board of Commissioners. Form 990, Part VI, Section B, line 11b SMH sends Form 990 and all accompanying schedules to the full board for review and ratification. The CEO/CFO will present the 990 to the full board. The full board has opportunity to ask questions prior to ratification of the 990. Form 990, Part VI, Section B, line 12c All board members and officers are required to complete the conflict of interest statement annually. This is reviewed by the board annually to identify any potential issues. Any board member or officer having a conflict of interest or possible conflict of interest should not vote or use their personal influence on the matter and they should not be counted as a part of the quorum for the meeting. Form 990, Part VI, Section B, line 15a Salary guidelines are set by independent committees using comparability data. These guidelines are then used to negotiate a contract with the CEO. The CEO determines the CFO's compensation by using comparabilty data. Both processes are completed on an annual basis. Form 990, Part VI, Section C, line 19 The Organization makes its governing documents, conflict of interest policy, and financial statements are available to the public upon request. Form 990, Part IX, line 11g Purchased Services: Program service expenses 1,373,437. Management and general expenses 2,119,781. Fundraising expenses 0. Total expenses 3,493,218. Contracted Services: Program service expenses 2,082,273. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,082,273. Maintenance Contracts: Program service expenses 375,158. Management and general expenses 155,580. Fundraising expenses 0. Total expenses 530,738. Other Fees: Program service expenses 0. Management and general expenses 164,232. Fundraising expenses 0. Total expenses 164,232. Schoolcraft County Board of Commissioners 300 Walnut Street 155 Manistique MI 49854 386004891 Enact and administer local ordinances MI N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0