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Straith Hospital For Special Surgery
Southfield, MI 48033
| Bed count | 34 | Medicare provider number | 230071 | Member of the Council of Teaching Hospitals | NO | Children's hospital | NO |
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
(as % of total functional expenses)
Community Benefit Expenditures: 2021
All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Operating expenses $ 18,087,863 Total amount spent on community benefits as % of operating expenses$ 891,871 4.93 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 0 0 %Medicaid as % of operating expenses$ 891,871 4.93 %Costs of other means-tested government programs as % of operating expenses$ 0 0 %Health professions education as % of operating expenses$ 0 0 %Subsidized health services as % of operating expenses$ 0 0 %Research as % of operating expenses$ 0 0 %Community health improvement services and community benefit operations*
as % of operating expensesNote: these two community benefit categories are reported together on the Schedule H, part I, line 7e.$ 0 0 %Cash and in-kind contributions for community benefit* as % of operating expenses$ 0 0 %Community building*
as % of operating expenses$ 0 0 %- * = CBI denoted preventative categories
- Community building activities details:
Did tax-exempt hospital report community building activities? Not available Number of activities or programs (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Persons served (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Community building expense
as % of operating expenses$ 0 0 %Physical improvements and housing as % of community building expenses$ 0 Economic development as % of community building expenses$ 0 Community support as % of community building expenses$ 0 Environmental improvements as % of community building expenses$ 0 Leadership development and training for community members as % of community building expenses$ 0 Coalition building as % of community building expenses$ 0 Community health improvement advocacy as % of community building expenses$ 0 Workforce development as % of community building expenses$ 0 Other as % of community building expenses$ 0 Direct offsetting revenue $ 0 Physical improvements and housing $ 0 Economic development $ 0 Community support $ 0 Environmental improvements $ 0 Leadership development and training for community members $ 0 Coalition building $ 0 Community health improvement advocacy $ 0 Workforce development $ 0 Other $ 0
Other Useful Tax-exempt Hospital Information: 2021
In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.
Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
as % of operating expenses$ 0 0 %Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program? NO - Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2022 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.
Does the organization have a written financial assistance (charity care) policy? YES Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients? YES Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
as % of operating expenses$ 0 0 %- Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Reported to credit agency Not available Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid? YES The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines? Not available In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.
Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute? NO
Community Health Needs Assessment Activities: 2021
The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.
Did the tax-exempt hospital report that they had conducted a CHNA? YES Did the CHNA define the community served by the tax-exempt hospital? YES Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital? YES Did the tax-exempt hospital make the CHNA widely available (i.e. post online)? YES Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA? YES
Supplemental Information: 2021
- Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4A (Expenses $ 14123724 including grants of $ 0) (Revenue $ 15992899) THE ORGANIZATION OPERATES A SHORT-TERM, ACUTE-CARE FACILITY OFFERING BOTH INPATIENT AND OUTPATIENT HEALTHCARE SERVICES. TOTAL PATIENTS FOR THE YEAR WERE 216 HOSPITALIZED INPATIENTS (1,730 DAYS OF CARE) AND 4,859 SURGICAL OUTPATIENTS ALONG WITH 8,305 CLINIC VISITS.
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Facility Information
STRAITH HOSPITAL FOR SPECIAL SURGERY PART V, SECTION B, LINE 5: STRAITH HOSPITAL FORMULATED A COMMUNITY HEALTH NEEDS ASSESSMENT COMMITTEE TO REVIEW THE REQUIREMENTS, STRATEGIZE, AND ENSURE THE COMPLETION OF THE 2022 CHNA. THE COMMITTEE WAS LED BY STRAITH HOSPITAL'S DIRECTOR OF MARKETING, WITH SUPPORT FROM THE UPPER LEVELS OF ADMINISTRATION INCLUDING THE CEO, COO, AND CHIEF OF STAFF. THE COMMITTEE WORKED TOGETHER TO GATHER APPROPRIATE INFORMATION, PROVIDE AVAILABLE SOURCES OF SECONDARY DATA, IDENTIFY AND INTERVIEW COMMUNITY LEADERS AND ANALYZE ALL PREVIOUSLY MENTIONED INFORMATION TO PREPARE THE WRITTEN 2022 CHNA AND IMPLEMENTATION STRATEGY. RECOGNIZING THE SHARED COMMUNITIES SERVED ACROSS SOUTHEAST MICHIGAN, STRAITH HOSPITAL UTILIZED AVAILABLE DATA FROM ASCENSION SOUTHEAST MICHIGAN TO CONDUCT THE 2022 CHNA. ASCENSION SOUTHEAST MICHIGAN COMMUNITY HEALTH DEPARTMENT, ASCENSION MICHIGAN COMMUNITY BENEFIT CENTER OF EXPERTISE, ASCENSION SOUTHEAST MICHIGAN HOSPITALS, AND SOUTHEASTERN MICHIGAN HEALTH ASSOCIATION (SEMHA) ANALYZED SECONDARY DATA OF OVER 50 INDICATORS AND GATHERED COMMUNITY INPUT THROUGH COMMUNITY SURVEYS AND KEY STAKEHOLDERS FOCUS GROUPS TO IDENTIFY THE COMMUNITY HEALTH NEEDS. IN COLLABORATION WITH COMMUNITY PARTNERS, ASCENSION SOUTHEAST MICHIGAN HOSPITALS USED A PHASED PRIORITIZATION APPROACH TO DETERMINE THE MOST CRUCIAL NEEDS FOR COMMUNITY STAKEHOLDERS TO ADDRESS. THE SIGNIFICANT NEEDS ARE AS FOLLOWS: -CHRONIC DISEASE, INCLUDING DIABETES AND CANCER -DIET AND EXERCISE, INCLUDING OBESITY -MENTAL AND BEHAVIORAL HEALTH -ACCESS TO CARETO BETTER FOCUS ON THE COMMUNITY THAT STRAITH HOSPITAL SERVES A SURVEY WAS OFFERED TO PATIENTS FROM MAY TO JULY OF 2022. THE SURVEY WAS DEVELOPED WITH KEY INTERVIEWEES (SEE APPENDIX A) TO GATHER FEEDBACK ON MORE SPECIFIC ISSUES THAT STRAITH HOSPITAL SERVES. PATIENTS COMPLETED THE SURVEY ANONYMOUSLY, AND THE SURVEY EXCLUDED QUESTIONS REGARDING INCOME, INSURANCE, GENDER, AND RACE AS A METHOD TO INCLUDE OUR MEDICALLY UNDERSERVED AND MINORITY POPULATION.
STRAITH HOSPITAL FOR SPECIAL SURGERY PART V, SECTION B, LINE 11: AFTER ANALYZING THE KEY FINDINGS AND MEASURING THE PRIMARY AND SECONDARY DATA AGAINST A SET OF CRITERIA, THE NEEDS OF THE COMMUNITY WERE PRIORITIZED BY THE CHNA COMMITTEE. THE CHNA COMMITTEE REVIEWED ALL MENTIONED HEALTH NEEDS, THEN DISCUSSED THE RELATIONSHIP BETWEEN THE MOST PREVALENT NEEDS AND RESEARCH. THE STRAITH HOSPITAL CHNA COMMITTEE UNDERSTANDS THE IMPORTANCE OF ALL THE HEALTH NEEDS OF THE COMMUNITY, AND IS COMMITTED TO PLAYING AN ACTIVE ROLE IN IMPROVING THE HEALTH OF THE PEOPLE IN THE COMMUNITIES IT SERVES. CONSIDERATION WAS GIVEN TO SELECT FACTORS IN DETERMINING THE SIGNIFICANT NEEDS THAT WOULD BE SELECTED AS PRIORITIZED NEEDS. THE CHNA COMMITTEE CONSIDERED THE FACTORS BELOW: -IS THE NEED ONE THAT CAN BE MEASURED/TRACKED OVER TIME? -DOES THE NEED ALIGN WITH CURRENT PATIENT POPULATION SERVED BY THE HOSPITAL? -DOES THE NEED ALIGN WITH THE OVERALL AVAILABLE RESOURCES AT THE HOSPITAL? -DOES THE NEED ALIGN WITH A FOCUS AREA FOR COMMUNITY IMPACT?STRAITH HOSPITAL DEFINED PRIORITIZED NEEDS AS THE SIGNIFICANT NEEDS WHICH HAVE BEEN PRIORITIZED BY THE HOSPITAL TO ADDRESS THROUGH THE THREE-YEAR CHNA CYCLE. BASED ON THE RESEARCH ANALYSIS PERFORMED, THE CHNA COMMITTEE DETERMINED TO PRIORITIZE MENTAL AND BEHAVIORAL HEALTH AND MORE SPECIFICALLY SUBSTANCE ABUSE OF OPIOIDS. FOLLOWING THE PRIORITIZATION OF THE HEALTH NEEDS, THE CHNA COMMITTEE WORKED TOGETHER TO ESTABLISH AN IMPLEMENTATION STRATEGY IN RESPONSE TO THE HEALTH NEEDS OF THE COMMUNITY STRAITH HOSPITAL SERVES. STRAITH HOSPITAL IS AN UNAFFILIATED, ACUTE CARE, NOT-FOR-PROFIT HOSPITAL THAT IS NOT PART OF A LARGER HEALTH SYSTEM. STRAITH HOSPITAL IS A SPECIALTY HOSPITAL WITHOUT AN EMERGENCY DEPARTMENT, 34 MEDICAL AND SURGICAL ACUTE CARE LICENSED BEDS, AND FIVE OPERATING ROOMS. STRAITH HOSPITAL DOES NOT HAVE THE RESOURCES OR ABILITY TO IMPLEMENT STRATEGIES FOR ALL OF THE COMPLEX HEALTH NEEDS IDENTIFIED DURING THE CHNA PROCESS. STRAITH HOSPITAL HAS ELECTED TO IMPLEMENT A STRATEGY FOR ONE COMPONENT OF THE SIGNIFICANT HEALTH NEEDS IDENTIFIED AS PART OF THE CHNA PROCESS. OTHER ORGANIZATIONS IN SOUTHEASTERN MICHIGAN ARE BETTER EQUIPPED TO COMPLETELY HANDLE ALL OF THE COMPLEX COMMUNITY NEEDS IDENTIFIED AS PART OF THE CHNA PROCESS.
STRAITH HOSPITAL FOR SPECIAL SURGERY PART V, SECTION B, LINE 16J: THE POLICY IS PRESENTED TO THE MEDICAL STAFF AND THEIR OFFICE PERSONNEL. SINCE MOST OF THE HOSPITAL'S PATIENTS ARE SURGICAL PATIENTS SCHEDULED BY THE MEDICAL STAFF, THE PATIENTS ARE MADE AWARE OF THE POLICY BEFORE THEY ARE EVEN BOARDED FOR SURGERY.
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Supplemental Information
PART I, LINE 7: THE COSTING METHOD USED TO CALCULATE THE AMOUNTS IN LINE 7 OF THE TABLE IS THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2.
PART III, LINE 2: FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES IMPLICIT PRICE CONCESSIONS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A PROVISION IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE PROVISION. UNCOLLECTIBLE AMOUNTS ARE WRITTEN OFF IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE.
PART III, LINE 3: PATIENT, AS ADJUDICATED BY MEDICARE. THESE AMOUNTS HAVE A HIGHER COST TO CHARGE RATIO THAN THE OVERALL RATIO. BASED ON THE HOSPITAL'S HISTORICAL EXPERIENCE, APPROXIMATELY 6% OF IMPLICIT PRICE CONCESSIONS MAY BE ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S POLICY.
PART III, LINE 8: THE CONTRACT HOSPITALS HAVE WITH THE FEDERAL AND STATE GOVERNMENTS TO PROVIDE SERVICES FOR REIMBURSEMENT WHICH IS OFTEN LESS THAN COST, IS RATHER UNIQUE, COMPARED TO OTHER GOVERNMENTAL CONTRACTORS. REIMBURSEMENT METHOLOLOGIES APPROPRIATELY INCENTIVIZE HOSPITALS TO REDUCE COSTS, BUT THEY MUST BALANCE THAT AGAINST UNRELENTLESS PRESSURE TO OBTAIN IMPROVED BUT MORE EXPENSIVE EQUIPMENT, SUPPLIES, AND PHARMACEUTICALS. PROVIDING MEDICAL SERVICES AT A LOSS, TO COMMUNITY MEMBERS CERTAINLY BENEFITS THE COMMUNITY, BUT THE LOSS MUST BE OFFSET BY OTHER PAYORS OR ACTIVITIES OF THE HOSPITAL. RECEIVING THE BENEFIT OF A TAX-EXEMPT ORGANIZATION HELPS PROVIDE AN OFFSET TO THAT SHORTFALL, AND ALLOWS THAT HOSPITAL TO PROVIDE SERVICES TO MORE OF THESE PATIENTS THAN THEY OTHERWISE COULD. THE REQUIRED COST REPORT METHODOLOGY WAS USED IN DETERMINING ALLOWABLE COSTS REPORTED IN THE COST REPORT.
PART III, LINE 9B: PATIENTS ARE PROVIDED AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY PRIOR TO SURGERY OR UPON ADMISSION FOR NON-SURGICAL ENCOUNTERS. THEY ARE ALLOWED TO PAY THE AMOUNT AT THAT TIME OR RECEIVE A BILL AFTER DISCHARGE. IF NO PAYMENT IS RECEIVED, THE ACCOUNT IS REFERRED TO AN OUTSIDE SERVICE WHICH WILL SEND UP TO SEVEN MORE STATEMENTS. IF PAYMENT IS STILL NOT RECEIVED, ACCOUNTS WITH BALANCES OVER $1,500 ARE FORWARDED TO A COLLECTION AGENCY, OTHERS ARE WRITTEN OFF. IF PAYMENT IS STILL NOT RECEIVED, THE ACCOUNT IS WRITTEN OFF.
PART VI, LINE 2: HTTPS://STRAITHHOSPITAL.ORG/FOR-PATIENTS/
PART VI, LINE 3: THE HOSPITAL'S ASSISTANCE PROGRAMS ARE COMMUNICATED TO THE MEMBERS OF THE ORGANIZED MEDICAL STAFF WHO SUBMIT THE APPLICATION FOR ELIGIBILITY TO THE HOSPITAL. PATIENTS PRESENTING WITHOUT AN APPLICATION ARE INFORMED OF THE ASSISTANCE PROGRAM PRIOR TO THE CONCLUSION OF THE ADMISSION PROCESS.
PART VI, LINE 4: THE HOSPITAL PROVIDES CARE TO PATIENT'S REGARDLESS OF THEIR ABILITY TO PAY. THE HOSPITAL ALSO ACCEPTS PATIENTS COVERED BY GOVERNMENTAL PROGRAMS. THESE PROGRAMS OFTEN REIMBURSE LESS THAN THE COST OF THE CARE PROVIDED.
PART VI, LINE 5: HTTPS://STRAITHHOSPITAL.ORG/FOR-PATIENTS/
