2015-02-10T08:23:31-06:00 2014-06-30 382475086 NIETZKE & FAUPEL PC 7274 HARTLEY STREET PIGEON MI 48755 990 2013-07-01 381456056 SCHEURER HOSPITAL SCHE 9894535204 170 N CASEVILLE ROAD PIGEON MI 487550978 DWIGHT GASCHO PRESIDENT & CEO 9894535204 2015-02-09 true DONALD C FAUPEL P00084154 9894533122 2015-02-10 2013 2016-02-25 16:41:14Z DWIGHT GASCHO 170 N CASEVILLE ROAD PIGEON MI 48755 40494998 false X WWW.SCHEURER.ORG X 1944 MI THE MISSION OF SCHEURER HOSPITAL IS TO SUPPORT A FULL AND HEALTHIER LIFESTYLE BY PROVIDING ACCESS TO HIGH QUALITY HEALTH CARE IN A RURAL AREA. 11 9 421 55 0 28495 7416 32265384 35144461 185169 577431 3165305 4765690 35644353 40494998 0 0 19936559 21524494 0 0 13892403 15121798 33828962 36646292 1815391 3848706 32717309 35464774 7458186 7154573 25259123 28310201 X THE MISSION OF SCHEURER HOSPITAL IS TO SUPPORT A FULL AND HEALTHIER LIFESTYLE BY PROVIDING ACCESS TO HIGH QUALITY HEALTH CARE IN A RURAL AREA. true false 18255318 34614909 PROVISION OF MEDICAL SERVICES IN A RURAL AREA. HOSPITAL INPATIENT SERVICES WERE PROVIDED TO 549 PATIENTS FOR A TOTAL OF 1,629 PATIENT DAYS. THE SWING BED PROGRAM PROVIDED HOSPITAL INPATIENT SERVICES TO 124 PATIENTS FOR A TOTAL OF 1,625 PATIENT DAYS. 43,736 PATIENTS RECEIVED OUTPATIENT SERVICES. 2592332 2179739 SCHEURER HOSPITAL OPERATES AN ATTACHED LONG TERM CARE FACILITY WHICH PROVIDED 6,839 DAYS OF CARE. 4670720 3692454 ADDITIONAL HEALTH CARE IS PROVIDED THROUGHOUT THE SURROUNDING AREA BY THREE PHYSICIAN CLINICS AS WELL AS A HOSPITAL BASED RURAL HEALTH CLINIC. THE PURPOSE OF THESE CLINICS IS TO PROVIDE HEALTH CARE IN AN ECONOMICALLY DEPRESSED AND UNDERSERVED AREA IN THE "THUMB" OF MICHIGAN. THE NUMBER OF OFFICE VISITS PROVIDED WAS 28,721. 30694 480 SEE INFORMATION FOR FORM 990, PART III, LINE 2 30694 480 25549064 true true false false false false false false false false true false true false true true true false false false false false false false false false true true false false true false false false true false false true false false false false false false true false false false true 59 0 true 421 true false false false false false false false false false false X 11 9 true false false false false false false true true false false true true true true true true true true true true X X TERRY LUTZ 9894535204 108 NORTH CASEVILLE ROAD PIGEON MI 487559704 ALI KHAN MD ER PHYSICIAN 40.00 X X 343797 0 20401 DWIGHT GASCHO PRESIDENT / 40.00 X X 305878 0 24952 MICHAEL OTTO CHAIRMAN 1.00 X X 1350 0 0 JOHN SCHAFER TRUSTEE 1.00 X 1300 0 0 COLLEEN POISSON TREASURER 1.00 X X 950 0 0 CHARLES SQUIRES 1ST VICE CHA 1.00 X X 900 0 0 JAY DUBEY BOARD OF TRU 1.00 X 900 0 0 MARGARET MCCORMICK SECRETARY 1.00 X X 850 0 0 SCOTT MEYERSIECK 2ND VICE CHA 1.00 X X 750 0 0 JANET RINK BOARD OF TRU 1.00 X 700 0 0 DENNIS ROPP BOARD OF TRU 1.00 X 650 0 0 TERRY LUTZ CFO 40.00 X 182218 0 31973 ROSS RAMSEY MD PHYSICIAN 40.00 X 345088 0 8535 LAUREY HANSELMAN DO PHYSICIAN 40.00 X 302010 0 24501 PAUL SCADDAN MD PHYSICIAN 40.00 X 276738 0 39940 BLAIR HOUGH MD SURGEON 40.00 X 269971 0 40866 GREGG HERNISEY CRNA 40.00 X 216834 0 42683 2250884 233851 8 false true false TODD BRITT 455 HOYT DRIVE 455 HOYT DRIVE LAKE ORION MI 48362 ER PHYSICIAN 121435 JOSH NEWBLATT 6649 GLEN RIDGE COURT 6649 GLEN RIDGE COURT CLARKSTON MI 48348 ER PHYSICIAN 104585 HALL RENDER ONE AMERICAN SQUARE SUITE 2000 ONE AMERICAN SQUARE SUITE 2000 INDIANAPOLIS IN 46282 LEGAL SERVICES 104006 3 7416 7416 PATIENT SERVICE REVENUE 621110 34999466 34999466 OTHER HEALTH INCOME 621110 144995 144995 35144461 577431 577431 76373 76373 76373 76373 RX REVENUE - RETAIL PHARMACY 900099 4172495 4172495 CONTRACTED SERVICES 900099 196081 196081 MISCELLANEOUS REVENUE 900099 116500 116500 204241 204241 4689317 40494998 40487582 830993 342897 488096 16231311 11336858 4894453 1146051 784513 361538 2165287 1482216 683071 1150852 787799 363053 135442 135442 42130 42130 25731 25731 582558 478270 104288 106313 21215 85098 116226 35589 80637 246498 246498 788659 788659 148382 54756 93626 103261 53383 49878 159778 159778 1931263 762376 1168887 300751 300751 DRUGS/IV SOLUTIONS 2846607 2846607 MEDICAL SUPPLIES 1518199 1518199 CONTRACTED SERVICES 1386611 1023790 362821 SUPPLIES 1196559 905642 290917 3486830 2326295 1160535 36646292 25549064 11097228 0 2042845 4131966 3276051 3490549 126039 109596 520658 530232 884214 816248 36195561 19501850 17372809 16693711 7977611 9192501 517082 499971 32717309 35464774 3867574 4070598 114610 3257225 2954950 218777 129025 7458186 7154573 X 25259123 28310201 25259123 28310201 32717309 35464774 3848706 -797628 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 953555 953555 24336980 11419301 12917679 10890793 8082549 2808244 14233 14233 16693711 FUNDED DEPRECIATION ACCOUNT 6303476 F BOND SINKING FUND 2264695 F CERTIFICATES OF DEPOSIT 623000 F ACCRUED INTEREST 1330 F 9192501 INTEREST RATE SWAP 129025 129025 X 40494998 40494998 40494998 36646292 36646292 36646292 SCHEDULE D, PAGE 3, PART X SEE NOTE 1, PAGE 18, INCOME TAXES - FY 2014 AUDITED FINANCIAL STATEMENTS (ATTACHED AS REQUESTED). true true true X true X true true false true true 442622 442622 0.01240 2045842 1160690 885152 0.02480 2488464 1160690 1327774 0.03720 131684 43213 88471 0.00250 4095 4095 0.00010 33069 33069 0.00090 168848 43213 125635 0.00350 2657312 1203903 1453409 0.04070 6573 6573 0.00020 1669 1669 8242 8242 0.00020 true 523754 78085 12976145 13846427 -870282 X true true 1 1 SCHEURER HOSPITAL 170 N CASEVILLE ROAD PIGEON MI 48755 WWW.SCHEURER.ORG 320030 X X X X A SCHEURER HOSPITAL 1 true X X X X X X X X X X 12 true false true X WWW.SCHEURER.ORG X X X X X X false false true true 100.000000000000 true 300.000000000000 true X X X X X true true X X X X true false X X X X true X false false FACILITY 1, SCHEURER HOSPITAL - PART V, LINE 3 ORGANIZATIONS AND INDIVIDUALS INVOLVED INCLUDED THE HURON COUNTY HEALTH DEPARTMENT - FAMILY MENTOR, THE HURON BEHAVIORAL HEALTH - COMMUNITY OUTREACH SPECIALIST, AND THE DEPARTMENT OF HEALTH SERVICES - CHILDREN'S SERVICES SUPERVISOR. COMMUNITY BASED ORGANIZATIONS AND INDIVIDUALS INVOLVED INCLUDED THE BREADBASKET FOOD PANTRY - VOLUNTEER COORDINATOR, ELKTON-PIGEON-BAY PORT LAKER SCHOOL DISTRICT - SCHOOL COUNSELOR, HURON COUNTY PASTORAL ASSOCIATION REPRESENTED BY PIGEON RIVER MENNONITE CHURCH, CROSS LUTHERAN CHURCH, AND MICHIGAN AVENUE MENNONITE CHURCH. ADDITIONAL INDIVIDUAL INPUT WAS SOUGHT THROUGH FOUR STAKEHOLDER INTERVIEWS, ONE FOCUS GROUP, AND AN EMPLOYEE SURVEY. FACILITY 1, SCHEURER HOSPITAL - PART V, LINE 7 TO ADDRESS COMMUNITY HEALTH CONCERNS, A PRIORITY SETTING WORKSHEET DEVELOPED BY THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES WAS UTILIZED. SEVEN OF THE TOP TEN ISSUES WERE DIRECTLY RELATED TO OBESITY AND ITS LINK TO CHRONIC CONDITIONS. IN ORDER TO EFFECTIVELY ADDRESS THIS ISSUE, THERE IS A THREE YEAR NARROW FOCUS ON OBESITY. DUE TO THIS APPROACH, THE OTHER HEALTH ISSUES ADDRESSED IN THE CHNA WILL BE ADDRESSED IN THE FUTURE. FACILITY 1, SCHEURER HOSPITAL - PART V, LINE 12I ALL PATIENTS ARE CHARGED THE SAME AMOUNT FOR SERVICES REGARDLESS OF INSURANCE COVERAGE OR LACK THEREOF. ADJUSTMENTS MAY BE MADE DUE TO CONTRACTUAL ALLOWANCES UNDER INSURANCE PROVISIONS AND UNDER FINANCIAL ASSISTANCE PROVISIONS FOR INDIVIDUALS WHO ARE SELF PAY. FACILITY 1, SCHEURER HOSPITAL - PART V, LINE 20D ALL PATIENTS ARE CHARGED THE SAME AMOUNT FOR SERVICES REGARDLESS OF INSURANCE COVERAGE OR LACK THEREOF. ADJUSTMENTS MAY BE MADE DUE TO CONTRACTUAL ALLOWANCES UNDER INSURANCE PROVISIONS AND UNDER FINANCIAL ASSISTANCE PROVISIONS FOR INDIVIDUALS WHO ARE SELF PAY. 9 SCHEURER FAMILY MEDICAL CENTER 168 NORTH CASEVILLE ROAD PIGEON MI 48755 RURAL HEALTH CLINIC SCHEURER HOSPITAL LONG TERM CARE 170 NORTH CASEVILLE ROAD PIGEON MI 48755 LONG TERM CARE FACILITY ELKTON FAMILY MEDICINE 4970 RAILROAD STREET ELKTON MI 48731 PHYSICIAN CLINIC SEBEWAING FAMILY MEDICINE 57 SOUTH CENTER STREET SEBEWAING MI 48759 PHYSICIAN CLINIC SCHEURER PROFESSIONAL CENTER 135 NORTH CASEVILLE ROAD PIGEON MI 48755 PHYSICIAN OFFICE - SURGEON CASEVILLE FAMILY MEDICINE 7000 MAIN STREET CASEVILLE MI 48725 PHYSICIAN CLINIC SEBEWAING HEALTH CENTER 618 UNIONVILLE ROAD SEBEWAING MI 48759 OUTPATIENT SERVICES SANDY SHORES 7925 CRESCENT BEACH ROAD PIGEON MI 48755 OUTPATIENT SERVICES LAKER HEALTH CLINIC 6136 PIGEON ROAD PIGEON MI 48755 SCHOOL HEALTH CLINIC PART I, LINE 3C - OTHER INCOME BASED CRITERIA FOR FREE OR DISCOUNTED CARE NOT APPLICABLE. SCHEURER HOSPITAL USES FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE. PART I, LINE 6A - RELATED ORGANIZATION INFORMATION THE COMMUNITY BENEFIT REPORT IS PREPARED BY SCHEURER HOSPITAL AND FILED WITH THE MICHIGAN HOSPITAL ASSOCIATION. THE REPORT IS AVAILABLE UPON REQUEST. PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE IN LINES 7(A)-(D) IS THAT OF A COST TO CHARGE RATIO. THE COST TO CHARGE RATIO WAS DERIVED FROM WORKSHEET S-10, LINE 1 OF THE MEDICARE COST REPORT (FY 2014). THE INFORMATION LISTED IN LINES 7(E)-(I) IS LISTED AT ACTUAL COST. PART II - COMMUNITY BUILDING ACTIVITIES SCHEURER HOSPITAL PARTICIPATES IN MANY COMMUNITY ORGANIZATIONS AND COALITIONS WITHIN HURON COUNTY AND BEYOND. THROUGH COLLABORATION, THESE COALITIONS CAN ADDRESS MANY WIDE-SPREAD ISSUES THAT CONTRIBUTE TO THE HEALTH OF THE COMMUNITIES SERVED. ALONE, SCHEURER HOSPITAL WOULD NOT HAVE THE STAFFING, RESOURCES OR KNOWLEDGE OF THE ENTIRE AREA TO SUITABLY IMPACT CHANGE. PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY LINE 2 - METHODOLOGY USED BY ORGANIZATION TO ESTIMATE BAD DEBTS EXPENSE: BAD DEBT EXPENSE AT COST IS DERIVED FROM WORKSHEET S-10, LINE 29 OF THE MEDICARE COST REPORT (FY 2014). LINE 3 - ESTIMATED AMOUNT OF BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER FINANCIAL ASSISTANCE POLICY: THIS AMOUNT IS CALCULATED BY APPLYING THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET S-10, LINE 1, OF THE MEDICARE COST REPORT (FY 2014) AGAINST BAD DEBT AS REPORTED IN THE AUDITED FINANCIAL STATEMENTS. THIS AMOUNT IS MULTIPLIED BY THE PERCENTAGE OF INDIVIDUALS IN HURON COUNTY BELOW THE POVERTY LEVEL AS PER THE 2010 US CENSUS. 13.30% BAD DEBT EXPENSE IS NOT INCLUDED IN COMMUNITY BENEFIT. LINE 4 - FOOTNOTE - BAD DEBT EXPENSE - AUDITED FINANCIAL STATEMENTS: SEE NOTE 1 (PAGES 11-12) - PATIENT ACCOUNTS RECEIVABLE AND CREDIT POLICY PART III, LINE 8 - MEDICARE EXPLANATION LINE 8 - THE SHORTFALL OF 870,282 IS NOT TREATED AS A COMMUNITY BENEFIT. LINE 8 - DESCRIBE THE COSTING METHODOLOGY USED TO DETERMINE MEDICARE ALLOWABLE COSTS REPORTED IN THE ORGANIZATION'S MEDICARE COST REPORT (REPORTED IN PART III, LINE 6). THE COST IS DETERMINED BY THE MEDICARE COST REPORT WORKSHEET S-10, LINE 1. THE COST TO CHARGE RATIO REPORTED IS THAT OF .6228. PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION PATIENTS THAT PRESENT AS SELF PAY ARE GIVEN THE BUSINESS CARDS OF THE PATIENT FINANCIAL ADVISORS TO CONTACT IN THE EVENT THEY WOULD LIKE TO APPLY FOR FINANCIAL ASSISTANCE. IT IS THE PATIENT'S RESPONSIBILITY TO CONTACT THE PATIENT FINANCIAL ADVISOR TO REQUEST AN APPLICATION FOR FINANCIAL ASSISTANCE. IN ADDITION, ATTEMPTS ARE MADE BY THE FINANCIAL ASSISTANCE REPRESENTATIVE TO CONTACT ANY SELF PAY PATIENT TO DISCUSS PAYMENT OPTIONS AND DETERMINE IF THERE IS A NEED TO SEND THEM A FINANCIAL ASSISTANCE APPLICATION. BROCHURES ARE ALSO LOCATED THROUGHOUT THE HOSPITAL FOR THE PATIENT'S BENEFIT WHICH EXPLAIN THE FINANCIAL ASSISTANCE PROGRAM AND HOW TO APPLY. EVERY POSSIBLE ATTEMPT IS MADE TO HELP THE PATIENT RESOLVE THEIR ACCOUNT. HOWEVER, IF THE PATIENT DOES NOT PAY THEIR ACCOUNT AND FAILS TO APPLY/OR IS DENIED FINANCIAL ASSISTANCE, THE ACCOUNT WILL GO THROUGH THE SAME COLLECTION PROCESS AS ALL OTHER ACCOUNTS. PART VI, LINE 2 - NEEDS ASSESSMENT SCHEURER HOSPITAL USES SEVERAL INFORMATION SOURCES TO ASSESS THE NEEDS OF THE SERVICE AREA COMMUNITY. IN ADDITION TO EVALUATING LOCAL COALITIONS AND THEIR GATHERING OF COMMUNITY INFORMATION, A NEEDS ASSESSMENT PROGRAM HAS BEEN COMPLETED IN PREVIOUS YEARS THROUGH THE USE OF FOCUS GROUPS AND SURVEYS OF THE GENERAL PUBLIC. IT IS THROUGH THIS INFORMATION THAT PROGRAMS, SERVICES, AND EDUCATION ARE DEVELOPED. SCHEURER HOSPITAL ALSO TAKES INTO CONSIDERATION REQUESTS FROM INDIVIDUALS AND ORGANIZATIONS TO CUSTOMIZE SERVICES TO MEET THE NEEDS OF THE COMMUNITY. ADDITIONALLY, A CHNA WAS COMPLETED FOR 2012-2013 AS MANDATED UNDER THE ACA. PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PAMPHLETS ARE LOCATED THROUGHOUT THE HOSPITAL AND ALL SATELLITE CLINICS DESCRIBING THE CHARITY CARE PROGRAM AND HOW TO CONTACT THE FINANCIAL ASSISTANCE DEPARTMENT FOR FURTHER INFORMATION. PATIENTS INDICATING THEY MAY NEED FINANCIAL ASSISTANCE WHEN PRESENTING FOR OUTPATIENT, EMERGENCY ROOM, REDI-CARE, OR INPATIENT SERVICES ARE GIVEN INFORMATION DETAILING THE APPLICATION PROCEDURE FOR FINANCIAL ASSISTANCE AND THE BUSINESS CARDS OF THE FINANCIAL PATIENT ADVISORS. PATIENTS INDICATING THEY ARE UNISURED AND UNABLE TO PAY FOR INSURANCE ARE ALSO PROVIDED A MEDICAID APPLICATION BY THE SOCIAL WORKER ON STAFF. PART VI, LINE 4 - COMMUNITY INFORMATION SCHEURER HOSPITAL SERVES WESTERN HURON COUNTY AND THE THUMB OF MICHIGAN REGION. HURON COUNTY IS A RURAL AREA SURROUNDED ON THREE SIDES BY WATER WITH 93 MILES OF SHORELINE. OF THE TOTAL 2,136 SQUARE MILES, ONLY 837 SQUARE MILES ARE LAND. THE MAJOR INDUSTRY OF HURON COUNTY CONSISTS OF AGRICULTURE AS WELL AS SEASONAL TOURISM. AS OF THE 2010 CENSUS, HURON COUNTY HAD A POPULATION OF 33,118. ACCORDING TO THE 2010 CENSUS, HURON COUNTY WAS MADE UP OF 14,419 HOUSEHOLDS. THE POPULATION DENSITY WAS 39.6 PERSONS PER SQUARE MILE, WITH AN AVERAGE HOUSEHOLD SIZE OF 2.31. THE MEDIAN AGE OF HURON COUNTY WAS 45 YEARS. THERE WERE 22.7% OF THE POPULATION UNDER AGE 20, 9.0% 20 TO 29, 23.1% FROM 30 TO 49, 16.4% FROM 50 TO 59, 13.1% FROM 60 TO 69, AND 15.7% WHO WERE 69 YEARS OR OLDER. ACCORDING TO THE CHNA, AVERAGE HOUSEHOLD INCOME IS 50,600. ACCORDING TO THE 2010 CENSUS BUREAU, 13.3% OF HURON COUNTY'S POPULATION WAS BELOW THE POVERTY LINE. PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH SCHEURER HOSPITAL PARTICIPATES IN MANY COMMUNITY ORGANIZATIONS AND COALITIONS WITHIN HURON COUNTY AND BEYOND. THROUGH COLLABORATION, THESE COALITIONS CAN ADDRESS MANY OF THE WIDE-SPREAD ISSUES THAT CONTRIBUTE TO THE HEALTH OF THE COMMUNITIES WE SERVE. ALONE, SCHEURER HOSPITAL WOULD NOT HAVE THE STAFFING, RESOURCES OR KNOWLEDGE OF THE ENTIRE AREA TO SUITABLY IMPACT CHANGE. IN ADDITION, SCHEURER HOSPITAL PROVIDES TRAINING IN LIFE-SAVINGS AREAS SUCH AS CPR AND FIRST AID TO HELP PREPARE COMMUNITY MEMBERS FOR EMERGENCY SITUATIONS SO THAT PROMPT AND APPROPRIATE ACTION SAVES LIVES AND IMPROVES THE QUALITY OF LIFE OF ANOTHER. SCHEURER HOSPITAL ALSO PROVIDES SUPPORT WITHIN OUR RURAL COMMUNITY BY PROVIDING AMBULANCE STAND-BY SERVICES AT WELL-ATTENDED EVENTS WHERE TRANSPORTATION AND ACCESS MAY BE AN ISSUE. FURTHER INFORMATION IS FOUND WITHIN NOTE 5, COMMUNITY CARE, PAGE 25-26 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2014. PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM NOT APPLICABLE. PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT MICHIGAN X false true X X X false false false false false false false false false ALI KHAN MD ER PHYSICIAN 342822 75 900 10283 10118 364198 7942 DWIGHT GASCHO PRESIDENT / CEO 224607 63963 17308 16520 8432 330830 17857 TERRY LUTZ CFO 171093 11125 11483 20490 214191 11979 ROSS RAMSEY MD PHYSICIAN 312588 3450 29050 4741 3794 353623 LAUREY HANSELMAN DO PHYSICIAN 195725 79423 26862 14382 10119 326511 15375 PAUL SCADDAN MD PHYSICIAN 270456 700 5582 17174 22766 316678 19495 BLAIR HOUGH MD SURGEON 265446 4525 18100 22766 310837 20350 GREGG HERNISEY CRNA 216134 700 15363 27320 259517 17179 SCHEDULE J, PAGE 1, PART I, LINE 1B DWIGHT GASCHO AND TERRY LUTZ - SCENIC GOLF COURSE ANNUAL MEMBERSHIP FEE IS PAID BY SCHEURER HOSPITAL AND IS INCLUDED IN W2 TAXABLE INCOME. ROSS RAMSEY EMPLOYEE VARIOUS X 60000 60000 false false true LAUREY HANSELMAN EMPLOYEE VARIOUS X 100000 49596 false false true 109596 SEE SUPPLEMENTAL INFORMATION PART V false SCHEDULE L, PART V ALI KHAN, MD, IS A CURRENT TRUSTEE ON THE SCHEURER HOSPITAL BOARD OF TRUSTEES AND A SCHEURER HOSPITAL EMPLOYEE. DR. KHAN RECEIVED REPORTABLE COMPENSATION FROM SCHEURER HOSPITAL IN THE AMOUNT OF 342,897 FOR CALENDAR YEAR 2013. DR. KHAN'S BROTHER, SABER KHAN, OWNS THE CORPORATION, FASA. FASA OWNS A BUILDING THAT IS RENTED TO SCHEURER HOSPITAL'S SANDY SHORES HEALTH & FITNESS CENTER. SCHEURER HOSPITAL PAID FASA RENT AND FASA'S PROPERTY TAXES IN THE AMOUNT OF 51,128 FOR FISCAL YEAR 2014. FORM 990, PAGE 2, PART III, LINE 2 SCHEURER HOSPITAL IS OPERATING AND STAFFING A HEALTH CLINIC IN THE ELKTON- PIGEON-BAY PORT LAKER SCHOOL. THE PURPOSE OF THIS CLINIC IS TO INCREASE HEALTH CARE AVAILABILITY TO STUDENTS WITH A FOCUS ON REDUCING OBESITY. THE NUMBER OF VISITS FROM THE CLINIC OPENING DATE IN SEPTEMBER 2013 THROUGH THE END OF THE FISCAL YEAR (6-30-14) IS 3,664. OF THESE VISITS, 1,529 WERE SPECIFICALLY RELATED TO WELLNESS VISITS AS DEFINED BY SCHEURER HOSPITAL'S CHNA OBJECTIVES. FORM 990, PAGE 2, PART III, LINE 4D SEE INFORMATION FOR FORM 990, PART III, LINE 2 FORM 990, PAGE 6, PART VI, LINE 2 SCHEURER HOSPITAL THUMB NATIONAL BANK CEO DIRECTOR THUMB NATIONAL BANK SCHEURER HOSPITAL PRESIDENT TRUSTEE FORM 990, PAGE 6, PART VI, LINE 11B THE 990 IS ELECTRONICALLY SUBMITTED TO THE EXECUTIVE COUNCIL OF THE BOARD FOR REVIEW AND COMMENT PRIOR TO ACTUAL SUBMISSION. FORM 990, PAGE 6, PART VI, LINE 12C BOARD MEMBERS ARE REQUIRED TO FILL OUT AN ANNUAL FORM DETAILING ANY INFORMATION WHICH COULD GIVE RISE TO CONFLICTS. THIS INFORMATION IS MAINTAINED WITH THE BOARD MINUTES IN THE SCHEURER HOSPITAL ADMINISTRATION OFFICE. IF A CONFLICT IS IDENTIFIED, THE BOARD MEMBER HAS ABSTAINED FROM VOTING ON A PARTICULAR ISSUE AND DID NOT PARTICIPATE IN THE DISCUSSION. FORM 990, PAGE 6, PART VI, LINE 15A COMPENSATION OF THE ORGANIZATION'S CEO IS DETERMINED BY THE SCHEURER HOSPITAL COMPENSATION COMMITTEE. THIS INCLUDES MULTIPLE MEETINGS OF THE COMMITTEE WHICH ACCESSES SURVEY DATA TO DETERMINE REASONABLENESS IN THE COMPENSATION PACKAGE OF THE CEO. THE COMPENSATION COMMITTEE ALSO DETERMINES AN ADDITIONAL AMOUNT TO BE PAID TO THE CFO AND OTHER KEY EMPLOYEES AS A LUMP SUM AT THE END OF EACH FISCAL YEAR. FORM 990, PAGE 6, PART VI, LINE 15B PAY RATES ARE DETERMINED BY THE SCHEURER HOSPITAL COMPENSATION COMMITTEE ON AN ANNUAL BASIS AT A MINIMUM. VARIOUS SURVEY SOURCES ARE ACCESSED TO ENSURE REASONABLENESS INCLUDING REGIONAL, STATE AND NATIONAL SURVEYS. FORM 990, PAGE 6, PART VI, LINE 19 THE GOVERNING DOCUMENTS ARE AVAILABLE FOR INSPECTION AT THE ORGANIZATION'S ADMINISTRATION OFFICE. FORM 990, PART XI, LINE 9 CAPITAL CONTRIB TO SCHEURER HEALTHCARE NETWORK 820,000 CAPITAL CONTRIB FROM SCHEURER HOSPITAL FOUNDATION -22,378 ROUNDING 6 SCHEURER HEALTHCARE NETWORK SCHEURER HEALTHCARE NETWORK 170 N CASEVILLE ROAD 170 N CASEVILLE ROAD PIGEON MI 48755 382768090 PLANNING MI 501C3 11A NA N/A false SCHEURER COMMUNITY SERVICES SCHEURER COMMUNITY SERVICES 170 N CASEVILLE ROAD 170 N CASEVILLE ROAD PIGEON MI 48755 382768086 ELDER CARE MI 501C3 9 NA N/A false SCHEURER HOSPITAL FOUNDATION SCHEURER HOSPITAL FOUNDATION 170 N CASEVILLE ROAD 170 N CASEVILLE ROAD PIGEON MI 48755 382768092 MGT CONTR MI 501C3 7 NA N/A false MEDICAL ENTERPRISES MEDICAL ENTERPRISES 170 N CASEVILLE ROAD 170 N CASEVILLE ROAD PIGEON MI 48755 382811155 PHARM/EYE MI NA C CORP false false true true false false false false false false true true false false false false true true false false SCHEURER HEALTHCARE NETWORK SCHEURER HEALTHCARE NETWORK B 820000 ACTUAL MEDICAL ENTERPRISES MEDICAL ENTERPRISES P 1313378 ACTUAL MEDICAL ENTERPRISES MEDICAL ENTERPRISES Q 71230 ACTUAL SCHEURER COMMUNITY SERVICES SCHEURER COMMUNITY SERVICES Q 53912 ACTUAL