2020-11-12T11:19:08-06:00 2019-12-31 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2019-01-01 742517055 Schoolcraft Memorial Hospital SCHO 9063413200 7870 US Hwy 2 Manistique MI 49854 Boyd Chappell Chief Financial Officer 9063413200 2020-11-12 1 Kim Hunwardsen CPA P00484560 6122536500 2020-11-12 64.83.233.163 2020-11-12 09:12:34 CS P 5755687E6BF8D8D10BDE3B83E6631EF3D64C584D 818E7D27379BF4EE6921138ED2990C81DED2D31F 2019 2021-01-29 14:40:06Z Robert Crumb 7870 US Hwy 2 Manistique MI 49854 38783378 0 X www.SCMH.org X 1950 MI Provide comprehensive inpatient, outpatient, emergency, medical clinic, and home health services. 8 8 308 20 0 0 50634 136677 40070348 38358134 232470 250329 22569 31181 40376021 38776321 0 0 0 0 22903435 24707855 0 0 0 16528262 15086969 39431697 39794824 944324 -1018503 32493639 34456660 30300765 33282289 2192874 1174371 X Schoolcraft Memorial Hospital is committed to providing quality healthcare and wellness for the people of our community. 0 0 26477932 25489012 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 2019 SMH had 1,765 acute and swing bed patient days, 878 inpatient and outpatient surgeries, 44,713 outpatient visits, and 324 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 $86,000 in 2019, 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. 5105546 6892601 SMH owns a provider based rural health clinic, which had ten physicians, two physician assistants, and four nurse practitioners. SMH had 24,760 RHC visits in 2019. 2277070 5976521 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 4,315 ER visits in 2019. 33860548 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 1 0 0 0 1 44 8 1 308 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 1 1 1 0 0 0 1 1 1 1 1 1 1 0 0 X Boyd Chappell 9063413233 7870 US Hwy 2 Manistique MI 49854 John Galey Orthopedic Surgeon 40.00 X 603236 0 33983 Nicholas Hoeve Cardiologist 40.00 X 514258 0 35286 Gregory Bambach General Surgeon 40.00 X 512501 0 35233 David Schoenow ER Physican 40.00 X 473083 0 34051 Mark Cardamone Rayner Otolaryngologist 40.00 X 472224 0 34025 Robert Crumb CEO 40.00 X 212467 0 42402 Boyd Chappell CFO 40.00 X 153135 0 25156 Clyde Strasler Treasurer 1.00 X X 2370 0 0 Donald J Perigo Chair 1.00 X X 2205 0 0 Richard Hueter Trustee 1.00 X 1420 0 0 James Blanchard Trustee 1.00 X 1405 0 0 Donald Bedwell Vice Chairperson 1.00 X X 1120 0 0 James Harmes Secretary 1.00 X X 990 0 0 Peter Hood Trustee 1.00 X 850 0 0 Russell Poole Trustee 1.00 X 0 0 0 Ernie Krueger Trustee (thru Sept 2019) 1.00 X 0 0 0 2951264 0 240136 29 0 1 0 UP Health Care Solutions 853 W Washington St Marquette MI 49855 MRI Services 337005 Green Bay Oncology Ltd 1726 Shawano Ave Green Bay WI 54303 Oncology Services 297539 Marquette General Hospital 580 W College Ave Marquette MI 49854 Lab & EKG Services 283647 CompHealth PO Box 972670 Dallas TX 75397 Medical Staffing Services 142799 Shahar Madjar MD 18 Lakeview Dr Marquette MI 49855 Urology Services 131928 6 5488 131189 136677 Net Patient Revenue 621990 36318939 36318939 Pharmacy Revenue 900099 1614615 1614615 424580 424580 38358134 229179 229179 24740 3092 21648 21648 21648 21150 0 21150 21150 21150 1942 5488 3815 -1873 -1873 11556 150 11406 11406 38776321 38358134 0 281510 X 444281 444281 52230 52230 18720953 16875287 1845666 1455648 1452319 3329 2775246 2016046 759200 1259497 1113977 145520 58334 58334 48575 15000 33575 3190 3190 4634478 2860148 1774330 29116 29116 1894141 1663251 230890 972636 900723 71913 187340 86257 101083 94178 77743 16435 931168 931168 2012264 2012264 102533 102533 Medical Supplies 3495542 3495542 Dietary 166184 166184 Dues and Licenses 139537 83848 55689 Events and Community Do 62896 62896 254857 58561 196296 39794824 33860548 5934276 0 3690919 2925429 5934516 5712829 10000 95731 60074 689761 607023 346443 479373 39392850 20898714 17508079 18494136 3230911 3664276 997279 2503520 32493639 34456660 3053367 3059689 21552765 23594731 5694633 6627869 30300765 33282289 X 0 0 0 0 2192874 1174371 2192874 1174371 32493639 34456660 -1018503 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 3190 3190 0 Part II-B, Line 1: SMH is a member of the American Hospital Association (AHA), the Michigan Health and Hospital Association (MHA), and the Medical Group Management Association (MGMA). A portion of the membership dues for these organizations is used for lobbying $1,420 MHA, $1,730 AHA, and $40 MGMA. 668758 668758 23043001 11150728 11892273 12281978 9741769 2540209 3399113 6217 3392896 18494136 Pension Outflows Investment 2503520 2503520 Capital Leases 1007091 Pension Liability 5459034 Estimated Third Party Payor Settlements 161744 6627869 1 1 X 1 X 0 1 1 0 0 86000 86000 0.00220 7217877 2755432 4462445 0.11210 7303877 2755432 4548445 0.11430 1239506 514682 724824 0.01820 1239506 514682 724824 0.01820 8543383 3270114 5273269 0.13250 1 890400 534240 11459926 11634411 -174485 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 18 1 0 0 1 X See Part V, Page 8 X X 1 18 1 See Part V, Page 8 0 1 X 200.000000000000 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: The Community Health Needs Assessment contains findings from the regional community health needs assessment conducted in 2017-2018 by Western U.P. Health Department, in collaboration with 31 community partners. The assessment covers the 15 counties of Michigan's Upper Peninsula, the rural, rugged and remote home to more than 300,000 residents.Data for the community health needs assessment were gathered from a wide array of published sources, from a survey of 4,820 residents of the 15 counties, and from health care providers. External, or secondary, data sources include the U.S. Census Bureau and its American Community Survey, as well as statistics compiled by the Michigan Department of Health and Human Services, the federal Centers for Disease Control and Prevention, and other government and private agencies.The regional adult health survey was the most ambitious and unique element of this project. A shortcoming of national and state health surveys is that the samples are designed to represent the national or state population as a whole. This means that in small population cohorts, like Upper Peninsula counties, not enough residents are included in the sample to make reasonable annual estimates at the county level. The addition of local survey data to this report helps us understand the health needs of our residents more thoroughly and measure changes over time.The survey was patterned after the Behavioral Risk Factor Surveillance System survey conducted by the CDC and state health departments. In consultation with our partners, additional topics were included in the local survey, including questions on mental health, substance abuse, access to care, dementia and elder care, and a section for ranking the perceived importance of 16 broad community health issues. 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: Schoolcraft Memorial Hospital partnered with other UP Hospitals and organizations to conduct a Community Health Needs Assessment in 2018. and the following reflects the implementation strategies and results. The assessment will be used for implantation goals for years 2019 through 2021. In April 2019, the LMAS District Health Department lead focus groups which led to 3 Priorities for our service area:1. Youth Mentoring and Business Objective: Recruit adult volunteers to serve as mentors for teens in community leadership (at least 1 year commitment) or as mentors in "spin groups" (shorter commitment and multiple topics) through partnership with MSU-Extension in Schoolcraft County.2. Substance Use and Attitudes about Drugs, Alcohol, Tobacco, Vaping Objective: Investigate creation of a FAN (Families Against Narcotics) group in Schoolcraft County. 3. Behavioral Health, Mental Health, Peer Support Investigate evidence-based critical response training programs and submit for consideration Continue to expand awareness of the Community Connect Program and Launch new website https://communityconnect.scmh.org/ 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: http://www.scmh.org/community/ 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. Part I, Line 6a: The community benefit report was made available to the public on the Hospital's website at www.SCMH.org/community/community-benefits/. 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 III, Line 2: The amount reported on line 2 represents implicit price concessions. The organization determines its implicit price concessions based on actual charges. Self-pay discounts are applied to patient accounts before balances are deemed to be implicit price concessions. 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 12 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 utilized in recent years to assess the health care needs of the community. The CHNA was completed in 2018 and is posted to the website www.SCMH.org. The needs identified in the CHNA include steps to: research, plan and develop a provider network to improve access to care for behavioral health; work with community partners to improve access to food assistance for elderly and low income residents of Schoolcraft County. 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, 2016 the population is estimated to be 8,001. Approximately 28.7% is estimated to be 62 years and older. As of 2015 the median household income in the county was $34,118. The unemployment rate was at 7.4%. The percentage of individuals whose income was below the poverty level was 21.4% as of July, 2015.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 X X 0 0 0 0 0 0 0 0 0 John Galey Orthopedic Surgeon 600467 0 0 0 2769 0 18097 0 16282 0 637615 0 0 0 Nicholas Hoeve Cardiologist 504840 0 0 0 9418 0 15428 0 19912 0 549598 0 0 0 Gregory Bambach General Surgeon 499028 0 0 0 13473 0 15375 0 19996 0 547872 0 0 0 David Schoenow ER Physican 449083 0 0 0 24000 0 14192 0 19997 0 507272 0 0 0 Mark Cardamone Rayner Otolaryngologist 447224 0 0 0 25000 0 14167 0 20620 0 507011 0 0 0 Robert Crumb CEO 196574 0 0 0 15893 0 26516 0 16648 0 255631 0 0 0 Boyd Chappell CFO 153135 0 0 0 0 0 6125 0 19031 0 178291 0 0 0 Boyd Chappell CFO Retention X 10000 10000 0 1 1 10000 Theresa Crumb Family Member of Robert Crumb, CEO 34223 Compensation 0 Alice Chappell Family Member of Boyd Chappell, CFO 18007 Compensation 0 Form 990, Part VI, Section A, line 1 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. The Bylaws allow for an Executive Committee but they did not meet in the current year. 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 A, line 8b The organization does have an Executive Committee with the authority to act on behalf of the board but the Committee did not meet during the year. 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 1,050,671. Management and general expenses 1,529,380. Fundraising expenses 0. Total expenses 2,580,051. Contracted Services: Program service expenses 1,330,392. Management and general expenses 2,213. Fundraising expenses 0. Total expenses 1,332,605. Maintenance: Program service expenses 479,085. Management and general expenses 242,737. Fundraising expenses 0. Total expenses 721,822. Form 990, Part IV, Line 20b: The Organization is in the process of an audit of the financial statements for the year ended 12/31/2019. However, at the time of filing this return, the audit is not yet complete. The Organization has attached a copy of its most recent audited financial statements for the years ended December 31, 2018 and 2017 to the Form 990 and answered yes to Part IV, line 20b. 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