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Bmh-Wind Down
Ishpeming, MI 49849
| Bed count | 25 | Medicare provider number | 231321 | 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: 2013
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 $ 20,004,710 Total amount spent on community benefits as % of operating expenses$ 995,867 4.98 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ -271,436 -1.36 %Medicaid as % of operating expenses$ 220,343 1.10 %Costs of other means-tested government programs as % of operating expenses$ 913,062 4.56 %Health professions education as % of operating expenses$ 45,503 0.23 %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.$ 56,623 0.28 %Cash and in-kind contributions for community benefit* as % of operating expenses$ 31,772 0.16 %Community building*
as % of operating expenses$ 0 0 %- * = CBI denoted preventative categories
- Community building activities details:
Did tax-exempt hospital report community building activities? NO 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: 2013
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 YES Filed lawsuit YES Placed liens on residence Not available Issue body attachments? (an order by the court commanding a sheriff or other official to physically bring before the court a person who is guilty of contempt of court) 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: 2013
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 Did the tax-exempt hospital execute the implementation strategy? YES Did the tax-exempt hospital participate in the development of a community-wide plan? YES
Supplemental Information: 2013
- 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 $ 13771651 including grants of $ 24733) (Revenue $ 16845673) Expenses were incurred in providing healthcare services to the residents of ishpeming, Michigan and surrounding areas in furtherance of the organization's exempt purpose. The organization is dedicated to being a leader in providing and promoting health and wellness to the surrounding community. The organization is a convenient and compassionate acute care hospital offering a full range of services. The organization offers key ancillary services and advanced medical technologies.
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Facility Information
BELL MEMORIAL HOSPITAL: PART V, SECTIONB, LINE 3: THE CHNA WAS DONE BY WORKING WITH COMMUNITY MEMBERS TO IDENTIFY, COLLECT, ANALYZE, AND DISSEMINATE INFORMATION. 45 COMMUNITY ORGANIZATIONS AND LEADERS ATTENDED A WORK SESSION TO REVIEW THE HEALTH STAUS DATA AND BEGIN PRIORITIZING HEALTH CONCERNS. A COMMUNITY OPINION SURVEY ONLINE WASA COMPLETED BY 941 MARQUETTE COUNTY RESIDENTS TO FIND OUT WHAT RESIDENTS THINK AR THE TOP PRIORITIES AND CONCERNS. BELL MEMORIAL HOSPITAL: PART V, SECTION B, LINE 4: MARQUETTE GENERAL HOSPITAL BELL MEMORIAL HOSPITAL: PART V, SECTION B, LINE 5D: MARQUETTE COUNTY WEBSITE
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Supplemental Information
PART I, LN 7 COL(F): BELL MEMORIAL HOSPITAL TAKES ACTUAL GROSS CHARGES OF BAD DEBT EXPENSES AND APPLIES THE RATIO OF PATIENT CARE COST TO CHARGES. THE COST TO CHARGE RATIO METHOD WAS USED FROM WORKSHEET 2. BAD DEBT EXPENSE OF $962,359 INCLUDED ON FORM 990, PART IX, LIND 25 WAS EXCLUDED FROM THE DENOMINATOR PER INSTRUCTIONS WHEN CALCULATING THE PERCENT OF TOTAL EXPENSES ON SCHEDULE H. PART II, COMMUNITY BUILDING ACTIVITIES: BELL HOSPITAL'S SENIOR MANAGEMENT, DIRECTORS, MANAGERS, PHYSICIANS, AND NURSES CONTRIBUTED MORE THAN 1,500 STAFF HOURS AND A TOTAL OF $99,665 TOTAL COMMUNITY BUILDING EXPENSES WITH NO OFFSETTING REVENUE TO PROVIDE LEADERSHIP AND RESOURCES TO EQUIP COMMUNITY ORGANIZATIONS WITH THE SKILLS NEEDED TO CREATE HEALTH COMMUNITIES. OUR STAFF PARTICIPATE ON BOARDS, ADVISORY COMMITTEES, AND COMMISSIONS. FOR EXAMPLE, OUR VICE PRESIDENT OF OPERATIONS SERVES IN TWO KIWANIS ORGANIZATIONS AND IS A MEMBER OF THE ACHIEVE COUNCIL, USING TIME THAT WOULD OTHERWISE BE ALLOCATED FOR OTHER ACTIVITIES AT BELL HOSPITAL. PART III, LINE 4: AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ESTABLISHED ON AN AGGREGATE BASIS BY USING HISTORICAL LOSS RATE FACTORS APPLIED TO UNPAID ACCOUNTS BASED ON AGING. LOSS RATE FACTORS ARE BASED ON HISTORICAL LOSS EXPERINCE AND ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE HOSPITAL'S ABILITY TO COLLECT OUTSTANDING AMOUNTS.
PART VI, LINE 2: BELL MEMORIAL HOSPITAL DOES NOT CONDUCT ITS OWN NEEDS ASSESSMENT. THE LOCAL COUNTY HEALTH DEPARTMENT ALONG WITH LOCAL COALITIONS HAVE CONDUCTED NEEDS ASSESSMENTS AND HAVE PUBLISHED THE INFORMATION. BELL MEMORIAL HOSPITAL USES THIS INFORMATION TO DEVELOP PROGRAMS AND INITIATIVES TO IMPROVE THE HEALTH OF THE COMMUNITY.
"PART VI, LINE 3: AT THE POINT OF REGISTRATION IT IS DETERMINED WHETHER A PATIENT HAS INSURANCE COVERAGE OR IS A ""SELF-PAY"" PATIENT. IF A ""SELF-PAY"" PATIENT, THEY ARE MADE AWARE OF THEIR RESPONSIBILITY FOR PAYMENT AND REFERRED TO A HOSPITAL FINANCIAL COUNSELOR TO DETERMINE ELIGIBILITY. FOR ALL INPATIENTS NOTED AS ""SELF-PAY"", A FINANCIAL COUNSELOR WILL MEET THEM IN PERSON WHILE AT THE HOSPITAL AND REVIEW ELIGIBILITY OPTIONS. FURTHER, A CHARITY CARE FLYER IS INSERTED IN THEIR BILLING STATEMENT, AS WELL AS, THE FINANCIAL COUNSELOR'S CONTACT INFORMATION. ALSO, EACH BILLING STATEMENT SENT TO THE INDIVIDUAL IS STAMPED WITH COUNSELOR'S PHONE NUMBER AND STATES TO CALL THEM IF UNABLE TO PAY IN 30 DAYS."
PART VI, LINE 4: BELL HOSPITAL IS A NOT-FOR-PROFIT COMMUNITY HOSPITAL THAT HAS BEEN DEDICATED TO SERVING THE AREA'S HEALTH CARE NEEDS FOR OVER A CENTURY. BELL HOSPITAL IS THE WESTERN MOST HOSPITAL WITHIN MARQUETTE COUNTY; THEREFORE, IT RECEIVES A NUMBER OF PATIENTS WITHIN ITS AMBULANCE ROUTE, WHICH INCLUDES THE NEAREST TWO CITIES AND TEN TOWNSHIPS (ISHPEMING, ELY, TILDEN, REPUBLIC, NEGAUNEE, CHAMPION, HUMBOLDT, RICHMOND, MICHIGAMME AND SPURR). OVER 22,000 RESIDENTS LIVE IN THESE AREAS AND SEEK MEDICAL ATTENTION.
PART VI, LINE 5: THE ACHIEVE PROGRAM: THE ACHIEVE CHART TEAM OF MARQUETTE COUNTY'S VISION IS TO ASSIST OUR RESIDENTS TO ACHIEVE HIGHER LEVELS OF GOOD HEALTH BY MAKING THE HEALTHY CHOICE, THE EASY CHOICE. IT DOES THIS BY: 1. PROMOTING HEALTH AND SWELLNESS ACTIVITIES WITHIN THE COMMUNITY; 2. PROVIDING OR COORDINATING OPPORTUNITIES THAT EDUCATES INDIVIDUALS ABOUT HEALTHY LIFESTYLES; 3. PROMOTING ENVIRONMENTAL AND POLICY CHANGES WITHIN THE COMMUNITY THAT MAKE IT EASIER TO BE PHYSICALLY ACTIVE, PRACTICE GOOD NUTRITION, LIVE TOBACCO FREE, AND AVOID SECOND HAND SMOKE. THE PRIMARY PURPOSE OF THE ACHIEVE CHART TEAM OF MARQUETTE COUNTY IS TO COLLABORATIVELY WORK IN THE COMMUNITY TO PROMOTE THE MAINTENANCE AND IMPROVEMENT OF THE HEALTH OF MARQUETTE COUNTY RESIDENTS THROUGH ENVIRONMENTAL AND POLICY CHANGES THAT SUPPORT REGULAR PHYSICAL ACTIVITY, GOOD NUTRITION, AND TOBACCO FREE LIVING, AS WELL AS THE ELIMINATION OF SECOND HAND SMOKE. BELL HOSPITAL PROMOTES THE HEALTH OF THE COMMUNITY BY PROVIDING AN ANNUAL STERNGTH FROM WITHIN PROGRAM THAT TARGETS LOCAL YOUTHS FROM GRADES 6-8 TO PROVIDE A STRUCTURED HEALTHY LIVING PROGRAM INCLUDING EXERCISE, NUTRITION AND COMMUNITY SERVICE. THE SFW PROGRAM AWARDS A YEAR OF TUITION TO THE LOCAL UNIVERSITY. BELL HOSPITAL ALSO CONDUCTS AN ANNUAL WOMEN'S HEALTH EXPO FREE OF CHARGE. THE STAFF, MANAGEMENT AND PHYSICIANS OF BELL HOSPITAL PROVIDE HEALTH SCREENINGS
PART VI, LINE 7, LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT: MI
