Community Benefit Insight - Tax-exempt hospital

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Eaton Rapids Medical Center

Eaton Rapids Medical Center

1500 S Main St
Eaton Rapids, MI 48827

Bed count	25	Medicare provider number	231324	Member of the Council of Teaching Hospitals	NO	Children's hospital	NO

EIN: 381559180

Display data for year:

Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)

4.74%

Spending by Community Benefit Category- 2021
(as % of total functional expenses)

* = CBI denoted preventative categories

Community Benefit Spending Compared to Functional Expenses, 2010-2021

Additional data

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.
Amount spent in the following IRS community benefit categories:

Financial Assistance at cost as % of operating expenses	$ 27,998 0.08 %
Medicaid as % of operating expenses	$ 1,728,700 4.67 %
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 expenses Note: 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	$ 1,546,501 4.18 %
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	$ 309,300 20.00 %

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:
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.
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.
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.

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

This section presents qualitative information submitted by the hospital, verbatim from the 990H record.

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 $ 29966681 including grants of $ 0) (Revenue $ 36034835)
EATON RAPIDS MEDICAL CENTER OPERATES A SHORT-TERM, ACUTE CARE HOSPITAL SERVING THE EATON RAPIDS, MICHIGAN COMMUNITY. THE HOSPITALS VISION IS TO BE THE HOSPITAL PATIENTS TRUST, PHYSICIANS PREFER, AND STAFF MEMBERS LOVE.EATON RAPIDS MEDICAL CENTER PROVIDES TOOLS AND EDUCATION TO HELP PATIENTS AND THE COMMUNITY LEAD HEALTHY LIFESTYLES THROUGH PROGRAMS SUCH AS: A HEALTHWORKS PROGRAM, AND HEALTH FAIRS. SUPPORT GROUPS AND SEMINARS ARE OFFERED ON CHRONIC DISEASES INCLUDING: A DIABETES SUPPORT GROUP, ARTHRITIS CLASSES, AND LUNCH WITH A MEDICAL PROFESSIONAL. PATIENTS ARE ALSO PROVIDED ASSISTANCE TO NAVIGATE THE HEALTH INSURANCE EXCHANGES AND ARE ASSISTED WITH THE ENROLLMENT PROCESS. IN 2022 EATON RAPIDS MEDICAL CENTER SAW THE FOLLOWING VOLUME OF PATIENTS: - INPATIENT ADMISSIONS = 288, INPATIENT DAYS = 1,142, AND EMERGENCY ROOM VISITS = 9,348. - OUTPATIENT VISITS TOTALED: LABORATORY = 15,591, RADIOLOGY =5,904, RESPIRATORY = 164, CARDIOLOGY =1,208, REHAB = 8,389 AND CLINICS = 5,794.EATON RAPIDS MEDICAL CENTER ACCEPTS PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE HOSPITAL PROVIDED $48,544 OF CHARITY CARE DURING 2022 AND RECORDED $1,546,501 OF BAD DEBT EXPENSE.

Facility Information

Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.

EATON RAPIDS MEDICAL CENTER
PART V, SECTION B, LINE 3J: THE CHNA INCLUDES OPPORTUNITY MEASURES; SOCIAL, ECONOMIC AND ENVIRONMENTAL FACTORS; BEHAVIORS, STRESS AND PHYSICAL CONDITIONS; AND HEALTH OUTCOMES. IT ALSO INCLUDES FOCUS GROUPS AND SURVEY RESULTS.

EATON RAPIDS MEDICAL CENTER
PART V, SECTION B, LINE 5: THE FOLLOWING INDIVIDUALS WERE CONSULTED DURING THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT:- MADHUR CHANDRA, MPA, PHD SENIOR COMMUNITY EPIDEMIOLOGIST, INGHAM COUNTY HEALTH DEPARTMENT- AMANDA DARCHE, MPH INNOVATION AND PLANNING MANAGER, INGHAM COUNTY HEALTH DEPARTMENT- REX HOYT, BS DATA SPECIALIST, MID-MICHIGAN DISTRICT HEALTH DEPARTMENT- EMILY SMALE, MPH COMMUNITY HEALTH PROMOTION SPECIALIST II, BARRY-EATON DISTRICT HEALTH DEPARTMENT- SUSAN PAULSON, PHD HEALTH ANALYST, INGHAM COUNTY HEALTH DEPARTMENT- JONAS NDEKE, MD MPH COMMUNITY EPIDEMIOLOGIST, INGHAM COUNTY HEALTH DEPARTMENT- JANINE SINNO JANOUDI, PHD HEALTH ANALYST / HEALTHY COMMUNITIES COORDINATOR, INGHAM COUNTY HEALTH DEPARTMENT- JESSA MURSHAK, MPH STUDENT INTERN II, BARRY-EATON DISTRICT HEALTH DEPARTMENT

EATON RAPIDS MEDICAL CENTER
PART V, SECTION B, LINE 6A: MCLAREN GREATER LANSINGSPARROW HEALTH SYSTEM

EATON RAPIDS MEDICAL CENTER
PART V, SECTION B, LINE 6B: BARRY-EATON DISTRICT HEALTH DEPARTMENTINGHAM COUNTY HEALTH DEPARTMENTMID-MICHIGAN DISTRICT HEALTH DEPARTMENT

EATON RAPIDS MEDICAL CENTER
PART V, SECTION B, LINE 7D: SOCIAL MEDIA PAGEPUTTING A COPY AT THE LOCAL LIBRARY PRESS RELEASES TO THE LOCAL NEWSPAPERSA FULL COPY OF THE CHNA AND IMPLEMENTATION PLAN CAN BE FOUND AT: HTTPS://WWW.EATONRAPIDSMEDICALCENTER.ORG/ABOUT/COMMUNITY/

EATON RAPIDS MEDICAL CENTER
PART V, SECTION B, LINE 11: EATON RAPIDS MEDICAL CENTER IS EVALUATING THE EFFECTIVENESS OF THE CURRENT PROGRAMS AND SERVICES TO BETTER ALIGN THEM WITH THE NEEDS OF OUR SERVICE AREA. FOR EXAMPLE, WE REOPENED OUR SWING BED PROGRAM BECAUSE THERE WAS A NEED TO SERVE THOSE WITH CHRONIC DISEASES BEYOND INPATIENT STATUS. WE ALSO ARE HIRING MORE PRIMARY CARE PROVIDERS TO MEET THE ACCESS TO CARE NEED AND REPLACE THE AGING PRIMARY CARE PHYSICIAN POPULATIONS. WE INCREASED OUR BEHAVIORAL AND MENTAL HEALTH STAFF TO ASSIST WITH THE MENTAL HEALTH NEEDS OF THE COMMUNITY. WE FOCUS ON DIRECT INTERVENTIONS FOR THE FIRST THREE PRIORITIES (HEALTHY LIFESTYLES, CHRONIC DISEASE AND ACCESS TO CARE). IF WE CANNOT MEET THE HEALTH NEEDS OF THE COMMUNITY DIRECTLY, OUR FINAL PRIORITY IS TO CONNECT THEM TO RESOURCES THAT CAN HELP. ERMC DID NOT ADDRESS AFFORDABLE HOUSING IN ITS COMMUNITY HEALTH NEEDS ASSESSMENT AS IT IS NOT APPLICABLE TO HOSPITALS.

EATON RAPIDS MEDICAL CENTER
PART V, SECTION B, LINE 15E: EATON RAPIDS MEDICAL CENTER HAS STAFF ONSITE AVAILABLE TO ASSIST PATIENTS WITH THE COMPLETION OF THE FINANCIAL ASSISTANCE FORMS FOR BOTH CHARITY CARE AND WHEN POSSIBLE WITH OTHER PROGRAMS SUCH AS MEDICAID AND MEDICARE PART D

EATON RAPIDS MEDICAL CENTER
PART V, SECTION B, LINE 16J: LINE 16I DISCLOSURE - THE HOSPITAL FACILITY HAS REVIEWED THE POPULATION OF ITS COMMUNITY AND CONCLUDED THAT ENGLISH IS THE ONLY PRIMARY LANGUAGE AS DEFINTED BY THE REGULATIONS OF MORE THAN 5% OR 1,000 PERSONS. THEREFORE, THE FAP, FAP APPLICATION FORM, OR PLAIN LANGUAGE SUMMARY HAVE NOT BEEN TRANSLATED INTO ANOTHER LANGUAGE. THE HOSPITAL FACILITY WILL CONTINUE TO MONITOR THIS GOING FORWARD AS NEW CENSUS DATA BECOMES AVAILABLE.

PART V LINE 22B:
BASED ON INTERNAL LIMITATIONS THE AMOUNTS GENERALLY BILLED COMPUTATION MAY NOT HAVE TAKEN INTO ACCOUNT THE COMBINED AMOUNT OF MEDICARE AND PRIVATE INSURANCE.

Supplemental Information

Schedule H (Form 990) Part VI

PART I, LINE 7:
COSTING METHODOLOGY IS A COST TO CHARGE RATIO AS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGE.

PART I, LN 7 COL(F):
THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE SCHEDULE H, PART I, COLUMN F PERCENTAGE EQUALS $1,546,501.

PART II, COMMUNITY BUILDING ACTIVITIES:
THE ORGANIZATION PROMOTES THE HEALTH OF THE COMMUNITY IT SERVES THROUGH A FREE HEALTH FAIR, FREE HEALTH SCREENINGS, DIABETES SUPPORT GROUP, EDUCATIONAL TOURS FOR SECOND GRADERS, FARMERS MARKET HELD ON HOSPITAL GROUNDS, ARTICLES IN THE NEWSPAPER ABOUT MEDICAL CONDITIONS AND HEALTHY LIVING, TRAINING FOR STUDENTS IN THE HEALTHCARE FIELD, FREE EDUCATIONAL SEMINARS, FREE FITNESS, NUTRITION AND CONFIDENCE PROGRAM FOR 4TH THROUGH 6TH GRADERS, CONTRIBUTIONS TO ORGANIZATIONS SUCH AS EATON COMMUNITY HOSPICE AND MEALS ON WHEELS, COALITION BUILDING PARTICIPATION AND CONTRIBUTIONS TO ORGANIZATIONS SUCH AS EATON RAPIDS ROTARY AND LIONS CLUB AS WELL AS THE CHAMBER OF COMMERCE, HOSTING BABYSITTING AND CPR CLASSES, AND HOSTING TWO AMERICAN RED CROSS BLOOD DRIVES PER YEAR.

PART III, LINE 2:
THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2, IS THE BAD DEBT EXPENSE REPORTED ON FORM 990, PART IX.

PART III, LINE 3:
THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATIONS FINANCIAL ASSISTANCE POLICY, $309,300 IS EQUAL TO APPROXIMATELY 20 PERCENT OF BAD DEBT EXPENSE.

PART III, LINE 4:
ACCOUNTS RECEIVABLE FINANCIAL STATEMENT FOOTNOTE:ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES, REDUCED BY EXPLICIT PRICE CONCESSIONS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO QUALIFYING INDIVIDUALS AS PART OF THE CENTER'S FINANCIAL ASSISTANCE POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED PRIMARILY TO SELF-PAY PATIENTS. ESTIMATES FOR EXPLICIT PRICE CONCESSIONS ARE BASED ON PROVIDER CONTRACTS, PAYMENT TERMS FOR RELEVANT PROSPECTIVE PAYMENT SYSTEMS, AND HISTORICAL EXPERIENCE ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE CENTER'S ABILITY TO COLLECT OUTSTANDING AMOUNTS. 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 CENTER RECORDS SIGNIFICANT IMPLICIT PRICE CONCESSIONS 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.

PART III, LINE 8:
THE MEDICARE SURPLUS (SHORTFALL), FROM THE MEDICARE COST REPORT, WAS CALCULATED BY UTILIZING A COST TO CHARGE RATIO. ANY SHORTFALLS WOULD BE CONSIDERED COMMUNITY BENEFIT.

PART III, LINE 9B:
ALL PATIENTS' COLLECTIONS ARE TREATED THE SAME.

PART VI, LINE 2:
THE ORGANIZATION ASSESSES NEEDS THROUGH PATIENT SATISFACTION SURVEYS, SUGGESTIONS FROM EMPLOYEES THAT RESIDE IN OUR SERVICE AREA, RESPONSES FROM FOCUS GROUP PARTICIPANTS, COMMENTS ON OUR SOCIAL MEDIA PAGES, SUGGESTION BOXES, AND REQUESTS FROM COMMUNITY GROUPS.

PART VI, LINE 3:
INFORMATION REGARDING ELIGIBILITY IS PROVIDED AT TIME OF SERVICE AS WELL AS ATTACHED TO BILLING INVOICES, POSTED IN THE ADMISSIONS OFFICE, AND AVAILABLE UPON REQUEST.

PART VI, LINE 4:
EATON RAPIDS MEDICAL CENTER'S IMMEDIATE SERVICE AREA INCLUDES EATON RAPIDS, SPRINGPORT, AND ONONDAGA. WE ALSO DRAW PATIENTS FROM LESLIE, MASON, DIAMONDALE AND CHARLOTTE. 7% OF OUR PATIENTS ARE AGES 0-14, 7% OF PATIENTS AGES 15-24, 15% OF PATIENTS AGES 25-44, 32% OF PATIENTS AGES 45-64, 21% OF PATIENTS AGES 65-74,18% OF PATIENTS AGES 75+. PATIENT INSURANCE DEMOGRAPHICS ARE MEDICARE 46%, MEDICAID 11%, COMMERCIAL 8%, HMO/PPO 4%, BLUE CROSS 29%, AND SELF-PAY 2%.

PART VI, LINE 5:
THE ORGANIZATION PROMOTES THE HEALTH OF THE COMMUNITY IT SERVES THROUGH A FREE HEALTH FAIR, FREE HEALTH SCREENINGS, DIABETES SUPPORT GROUP, EDUCATIONAL TOURS FOR SECOND GRADERS, FARMERS MARKET HELD ON HOSPITAL GROUNDS, ARTICLES IN NEWSPAPERS ABOUT MEDICAL CONDITIONS AND HEALTHY LIVING, TRAINING FOR STUDENTS IN THE HEALTH CARE FIELD, FREE EDUCATIONAL SEMINARS, FREE FITNESS, NUTRITION AND SELF-CONFIDENCE PROGRAM FOR 4TH THROUGH 6TH GRADERS, CONTRIBUTIONS TO ORGANIZATIONS SUCH AS EATON COMMUNITY HOSPICE AND MEALS ON WHEELS, COALITION BUILDING PARTICIPATION AND CONTRIBUTIONS TO ORGANIZATIONS SUCH AS THE EATON RAPIDS ROTARY AND LIONS CLUB AS WELL AS THE CHAMBER OF COMMERCE, HOSTING BABYSITTING AND CPR CLASSES, AND HOSTING TWO AMERICAN RED CROSS BLOOD DRIVES EACH YEAR.

PART VI, LINE 7, REPORTS FILED WITH STATES
MI

Operating expenses	$ 37,027,282
Total amount spent on community benefits as % of operating expenses	$ 1,756,698 4.74 %