2022-11-15T17:10:02-06:00 2021-12-31 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2021-01-01 742517055 Schoolcraft Memorial Hospital SCHO 9063413200 7870 W US Hwy 2 Manistique MI 49854 Laura Steffen Interim CFO 9063413200 2022-11-15 1 Laura Steffen 999009999 Kim Hunwardsen CPA P00484560 6122536500 2022-11-15 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z Andrew Bertapelle 7870 W US Hwy 2 Manistique MI 49854 51696027 0 X www.SCMH.org X 1950 MI Provide comprehensive inpatient, outpatient, emergency, medical clinic, and home health services. 9 9 350 20 0 0 5164900 4546210 38213768 46534189 509941 563663 18139 6955 43906748 51651017 27908 40715 0 0 25032438 27972540 0 0 0 17905665 19986861 42966011 48000116 940737 3650901 40648990 44098410 38210268 37708787 2438722 6389623 X Schoolcraft Memorial Hospital is committed to providing quality healthcare and wellness for the people of our community. 0 0 32953033 40715 34110357 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 2021 SMH had 1,417 acute and swing bed patient days, 641 inpatient and outpatient surgeries, 42,651 outpatient visits, and 373 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 $178,000 in 2021, 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. 5574658 7240802 SMH owns a provider based rural health clinic, which had thirteen physicians, two physician assistants, and four nurse practitioners. SMH had 24,049 RHC visits in 2021. 2889700 5183030 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 4,380 ER visits in 2021. 41417391 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 1 1 0 1 1 0 0 0 1 0 0 1 0 1 1 0 0 0 1 0 0 0 1 58 14 1 350 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 X Laura Steffen Interim CFO 9063413200 7870 W US Hwy 2 Manistique MI 49854 Peter Hood Chair 1.00 X X 1830 0 0 James Blanchard Vice Chair 1.00 X X 2110 0 0 Kevin KnafflaTrustee thru March)/Treasurer (as of April) 1.00 X X 1055 0 0 Clyde Strasler Treasurer (thru March) 1.00 X X 0 0 0 Cindy Olli Secretary 1.00 X X 960 0 0 James Harmes Trustee 1.00 X 1295 0 0 Trisha McEvers Trustee 1.00 X 0 0 0 Lynne Giles Trustee 1.00 X 1295 0 0 Howard Parmentier Trustee (as of June) 1.00 X 0 0 0 Ryan Fausett Trustee (as of Oct.) 1.00 X 0 0 0 Russell Poole Trustee (thru Oct.) 1.00 X 0 0 0 Robert Crumb CEO 40.00 X 242230 0 24842 Boyd Chappell CFO 40.00 X 188322 0 24515 John Galey Orthopedic Surgeon 40.00 X 591672 0 29380 David Schoenow ER Physican 40.00 X 524624 0 32821 Nicholas Hoeve Cardiologist 40.00 X 500205 0 32148 Mark Cardamone Rayner Otolaryngologist 40.00 X 461367 0 30923 Gregory Bambach General Surgeon 40.00 X 542006 0 33290 3058971 0 207919 34 0 1 0 Boldt Company BIN 88285 Milwaukee WI 53288 Construction contractor 1704912 Cerner Corporation PO Box 959156 St Loius MO 63195 EMR software support 809508 Dr Joseph Hance 4048 Cedar Bluff Petosky MI 49770 Orthopedics 387000 Green Bay Oncology 1726 Shawano Ave Green Bay WI 60122 Oncology Services 374850 UP Health Care Solutions 853 W Washington St Marquette MI 49855 MRI Services 362897 17 43909 3552100 950201 77674 4546210 Net Patient Revenue 621990 44113449 44113449 Pharmacy Revenue 900099 1614588 1614588 806152 806152 46534189 562458 562458 25523 4599 20924 20924 20924 1205 0 1205 1205 1205 25860 43909 39619 -13759 -13759 582 792 -210 -210 51651017 46534189 0 570618 X 40715 40715 489808 489808 71846 71846 21218710 18954883 2263827 2552092 2552092 2305359 2051750 253609 1334725 1168702 166023 50964 50964 261574 261574 3661 3661 4987442 3040970 1946472 80110 1325 78785 1764274 1525939 238335 1054355 980784 73571 83551 42186 41365 94861 73724 21137 982165 982165 2217381 2217381 302578 302578 Medical Supplies 6552859 6480125 72734 Bad Debt Expense 1052327 1052327 Dues and Licenses 204943 46982 157961 Food 133749 133495 254 160067 160067 48000116 41417391 6582725 0 9879138 6284452 252187 6373170 7020138 10000 10000 133448 84037 641200 671782 154495 252080 50979353 25461308 18329168 25518045 3239426 3306061 1888945 699628 40648990 44098410 2432816 3785386 23489760 26605574 3552100 0 8735592 7317827 38210268 37708787 X 0 0 0 0 2438722 6389623 2438722 6389623 40648990 44098410 3650901 300000 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 3661 3661 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 - $1699 MHA and $1962 AHA. 668758 668758 24891104 13808289 11082815 16656453 11646802 5009651 8763038 6217 8756821 25518045 Capital Leases 878546 Pension Liability 4058542 CMS Advance Payment 204654 Pension Related Deferred Inflows 1884862 Estimated Third Party Payor 291223 7317827 49634361 -2034492 -2034492 51668853 -17836 -17836 51651017 45983460 17836 17836 45965624 2034492 2034492 48000116 Part XI, Line 2d - Other Adjustments: Interest Expenses reported in Revenue on Financial Statements -982,165. Bad Debt Expenses reported in Revenue on Financial Statements -1,052,327. Part XI, Line 4b - Other Adjustments: Rental Expenses Reported in Expenses on Financial Statements -4,599. Fundraising Expenses reported in Expenses on Financial Statements -13,237. Part XII, Line 2d - Other Adjustments: Rental Expenses Reported in Expenses on Financial Statements 4,599. Fundraising Expenses reported in Expenses on Financial Statements 13,237. Part XII, Line 4b - Other Adjustments: Interest Expenses reported in Revenue on Financial Statements 982,165. Bad Debt Expenses reported in Revenue on Financial Statements 1,052,327. Festival of Trees 69769 43909 25860 0 27174 0 0 0 12445 69769 43909 25860 27174 12445 39619 -13759 1 1 X 0 0 1 1 1 0 1 0 100000 100000 0.00210 7541273 4634732 2906541 0.06060 7641273 4634732 3006541 0.06270 1506594 685906 820688 0.01710 1506594 685906 820688 0.01710 9147867 5320638 3827229 0.07980 1 1052327 631396 10265542 10240257 25285 X 1 1 1 1 Schoolcraft Memorial Hospital 7870 US Hwy 2 Manistique MI 49854 www.SCMH.org M899262 X X X X Provider Based Rural Health Clinic 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: Six Upper Peninsula health departments and 36 community partners announce the release of the latest edition of the Community Health Needs Assessment (CHNA) covering all 15 U.P. counties. The 458-page report, now available on-line to the general public, provides a wealth of information on the health status of U.P.'s 300,000 residents. The newly published CHNA is the culmination of an 18-month project led by local health departments in collaboration with hospitals, behavioral 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. Stakeholders will use the data to inform residents, identify priorities for community health improvement. The unique partnership of 42 organizations serving the U.P. continues to make it possible to conduct a comprehensive regional assessment of this breadth and depth.Sixteen health issues consistently identified as important by Upper Peninsula residents from a variety of data sources, including from local agency surveys of clients and providers, and several recent-year hospital and local health department led focus group meetings, were chosen for this survey. Respondents to the 2017 Health Survey of Upper Peninsula Adults were asked to rank their perceptions of each of these community health issues using a 4-point Likert-type scale. Respondents were asked to focus on the health of their community, not their individual or family health needs. Respondents to the 2021 UPCHIPS were asked to rank the same list of priorities. 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: As a part of the implementation strategy, there will be hard copy binders containing the report that will be distributed to various communities within Manistique, such as the public library, etc. There have been several newsletter articles in hospital-based publications, some of which are distributed in the community, keeping the community apprised about progress on the CHNA and availability of the report & implementation strategy. Schoolcraft Memorial Hospital Part V, Section B, Line 11: The following describes how the needs identified in the 2018 CHNA were addressed during 2021:1. Youth Mentoring and BusinessIn 2021 SMH partnered with Manistique Area schools to mentor HOSA students entering the health field.2. Substance Use and Attitudes about Drugs, Alcohol, Tobacco, VapingSMH's therapists continued to offer substance abuse therapy and the Psychiatric Nurse Practitioner continued offering outpatient medication assisted treatment (Vivitrol). 3. Behavioral Health, Mental Health, Peer SupportRecruitment efforts for an additional Child Psych Nurse Practitioner were successful and services began in 2022. Dr. Sloane is a childhood trauma specialist and was hired through a grant. He offered free consultations with children and families through our grant period. He collborated with family practice providers, offering recommendations for medication, ongoing support, and follow up visits. Dr. Sloane continued through 2021 even after the grant period ended. Dr. Sloan particularly helps children with high ACES scores.The hospital mentored a social work student intern who was later hired as a full time therapist. This growth will allow us to offer behavior health services across a patient's lifespan.The team uses evidence-based therapies and assessments for traumatic experiences with every patient. The Patient Navigator assists patients to ensure they have access to care and connects them to vital community resources. The position was vacant for a portion of 2021, but recruitment efforts were successful in 2022. The following significant needs were identified in the 2021 CHNA: - Health Insurance is expensive or has high costs for co-pays and deductibles - Drug abuse - Unemployment, wages and economic conditions - Lack of health insurance - Lack of housing and programs for people with Alzheimer's Disease and dementia - Lack of affordable healthy foods, including year-round fresh fruits and vegetables - Lack of programs and services to help seniors maintain their health and independence - Lack of affordable facilities or programs for year-round physical activity of recreation - Childhood obesity - Shortage of mental health programs and services, or lack of affordable mental health care 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 115 N Lake St 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 $1,052,327. 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 implicit price concessions may be found on page 18 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. The hospital did identify the need for COVID-19 vaccine clinics and was one of the first hospitals in the state of Michigan to roll out an organized drive through vaccine clinics to quickly administer COVID-19 vaccines. The clinics were offered weekly to meet the needs of the service area. 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, 2020 the population is estimated to be 7,912. Approximately 37.8% is estimated to be 60 years and older and 26.9% is estimated to be 65 years and older. As of 2020 the median household income in the county was $48,443. The percentage of individuals whose income was below the poverty level was 15.6% as of the 2020 census.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: SMH donates staff (board members) and health care services in the amount of $70,000/year to the low-income uninsured clients of the Medical Care Access Coalition, Schoolcraft County Office. The hospital has one staff person on the executive board of the Eastern Upper Peninsula Crisis Response team, and several additional staff who provide critical incident response interventions to first responders, schools, hospital staff, businesses, etc., throughout the region following an emotionally traumatic critical/crisis incident. The hospital has taken a leading role with the Sault Tribe Strategic Alliance for Health in planning and developing a farmers' market (the first in Manistique), as well as assisting in the planning for several miles of new sidewalk and safer intersections for the benefit of local schoolchildren and to encourage increased physical activity among all residents to fight the obesity epidemic. The hospital has a staff person who participates as a part of a local suicide & bullying prevention coalition and gives time to local awareness activities such as the annual suicide memorial vigil. The hospital has several staff who actively participate as a part of the local substance abuse prevention task force. The hospital wellness committee plans and implements activities in the schools to encourage nutritious eating habits and increase physical activity. The hospital donates staff time to the Great Start Collaborative and other early childhood programs toward the development of annual strategic plans, fundraising efforts, etc. 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 hospital has the majority of the vendor booths and low cost or free screenings and services provided at the annual community health fair. The social workers educate and assist community members in completing advance directives. A social worker actively participates in the planning and on the day of the Walk to End Alzheimer's Diesease as well as sitting on the regional board of the Alzheimer's Association. Part VI, Line 7, Reports Filed With States MI 1 Educational Assistance Program 19 40715 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 0 0 0 0 0 0 0 0 0 John Galey Orthopedic Surgeon 590672 0 1000 0 0 0 15826 0 13949 0 621447 0 0 0 Gregory Bambach General Surgeon 541006 0 1000 0 0 0 16462 0 17086 0 575554 0 0 0 David Schoenow ER Physican 523624 0 1000 0 0 0 15993 0 17086 0 557703 0 0 0 Nicholas Hoeve Cardiologist 499205 0 1000 0 0 0 15320 0 16888 0 532413 0 0 0 Mark Cardamone Rayner Otolaryngologist 460367 0 1000 0 0 0 14095 0 17590 0 493052 0 0 0 Robert Crumb CEO 222458 0 19772 0 0 0 12417 0 13187 0 267834 0 0 0 Boyd Chappell CFO 187322 0 1000 0 0 0 7686 0 17420 0 213428 0 0 0 Boyd Chappell CFO Retention X 10000 10000 0 1 1 10000 Theresa Crumb Family Member of Robert Crumb, CEO 39942 Compensation 0 Alice Chappell Family Member of Boyd Chappell, CFO 31904 Compensation 0 X 1 50500 Appraisal X In-kind Fundraising Donations 1 27174 FMV 0 0 1 0 Part I, Column (b): The number in column (b) is the number of contributions. 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 1,236,818. Management and general expenses 1,778,370. Fundraising expenses 0. Total expenses 3,015,188. Contracted Services: Program service expenses 1,121,266. Management and general expenses 9,500. Fundraising expenses 0. Total expenses 1,130,766. Maintenance Contracts: Program service expenses 367,309. Management and general expenses 158,602. Fundraising expenses 0. Total expenses 525,911. Health Benefit Admin Fees: Program service expenses 315,577. Management and general expenses 0. Fundraising expenses 0. Total expenses 315,577. 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