(5)
Irwin Ave. Nurses Home
The nurse’s school moved from the Ash Street location next to the hospital, to the Thrasher residence at 205 W. Ash Street on September 26, 1921. In 1923, the school moved to the residence of Miss Jennie Fanning at 117 E. Walnut Street. In the spring of 1924, the large Samuel V. Irwin home at 103 Irwin Avenue was sold to the City of Albion by local businessman George T. Bullen, and the Irwin house was transformed into the Sheldon Hospital Nurse’s Home. Mrs. Blanche Morgan was installed as matron, followed in subsequent years by Mrs. Ida E. Allen, Mrs. Ida Smith, Mrs. C. C. Case, and Mrs. John Zedler. The nurse’s training school attracted students from throughout the state of Michigan, and the house was frequently filled to capacity. According to the school record, no graduate from the Albion program failed to pass the state examination.
In addition to professional care provided at the local hospital, care to infants in the early 20th century was also provided by one noted woman, Mrs. Rosanna Belle Perrigo (1879-1948), who cared for over five hundred babies over a twenty-five year period. Mrs. Perrigo was known as “Albion’s Angel,” and “Albion’s Genius Nurse.” She never received formal nurse’s training, but gained early experience by working for a physician in Springport.
Mrs. Rosanna Belle Perrigo
Mrs. Perrigo provided love and care for hundreds of ailing Albion babies at her home, 919 Burr Oak Street. She also was instrumental in establishing a visiting nurse program in Albion. She was a well-respected woman in the community, and a “Perrigo Day” was held in 1931, in which the children she had cared for through the years sent letters of appreciation from all over the country.
The care Mrs. Perrigo provided was a motherly love which medical science could not provide. Many times she nursed frail little babies, given up by physicians, until they were out of danger and on the road to health. For example, one time she stayed up all night with an infant with a lung ailment, just holding his hands so he could feel the warmth of her hand. She often sang to the babies for hours on her lap, and cared for them as though they were her own.
By 1920, the hospital facilities on W. Ash Street had become inadequate, and rising state standards threatened to close the nurse’s training school. Miss Jennie Worthington (1859-1942), music supervisor for the Albion Public Schools and active in civic affairs, wrote a letter to an Albion boyhood friend, James W. “Don” Sheldon Riley (1879-1968) of Los Angeles, California. Worthington was then secretary of the hospital executive board. Riley’s grandfather, James W. Sheldon had been a prominent Albion banker in the 19th century, and Miss Worthington’s letter to Mr Riley asked advice on what Albion should do to acquire a new hospital.
James W. “Don” Sheldon Riley
James W. Sheldon
Miss Worthington’s letter arrived at an opportune time, for Mr. Riley stated that his mother, Madelon (Sheldon) Leffingwell (1859-1921) had set aside $50,000 from her estate to create a memorial to her banker father. Mr. Riley soon came to Albion with a proposal for the hospital board to consider (and also with a $50,000 check), and the board approved building a new hospital as a memorial to James W. Sheldon.
The city purchased land in the 900 block of S. Superior Street and received the property of the old South Ward School (closed in 1919) as a donation from the Albion Public Schools. With the property secured, the City of Albion proceeded with plans to construct a new hospital building. Although city officials soon discovered that $50,000 would not complete the project, an additional $50,000 was raised by approval of a bond issue, by a vote of 1082 to 295--a victory which demonstrated the community’s strong support.
Cornerstone Laying Ceremony
The cornerstone was laid May 25, 1923, in an elaborate ceremony, with dedication ceremonies occurring April 28, 1924. The James W. Sheldon Memorial Hospital officially opened for business on May 1, 1924, with Miss Mary E. McDonald (later Mrs. Frank Culver) as superintendent.
In addition to the very latest medical equipment, patients soon discovered another modern invention: “Pay-radio.” Patients were required to insert tokens in coin-operated radios to listen to their favorite music. Small zinc tokens bearing the name “Sheldon Memorial Hospital” were minted, and were sold to patients for a fee.
Pay-radio Tokens
Local civic organizations and individuals supplied funds to furnish individual hospital rooms. The Albion Malleable Iron Company, a local industry, furnished equipment for the operating room. The old South Ward School, on the donated school property, housed the hospital heating plant. These gifts and other measures saved the city thousands of dollars.
In the succeeding years, various pieces of modern equipment were added as old ones became obsolete. Major improvements were made during late 1941 and early 1942 when the W. K. Kellogg Foundation cooperated in a $50,000 modernization project. Major items included a new elevator, acoustical treatment, new corridor floors, new patient room furniture, redecorating, surgery equipment, and roof installation.
Sheldon Memorial Hospital
By the late 1940s, the beds at James W. Sheldon Memorial Hospital were filled to capacity, and a $300,000 fund drive was launched for a three-story addition to the rear of the hospital. When bids were solicited however, they came to over $400,000, and with the interior added, the total project cost over $500,000. The new wing opened in 1952, after three years of construction. Following its opening came a complete renovation of the original structure. An open house was held June 7, 1953 for the new and renovated facilities.
Individual health care administered by family physicians often took place in second-story offices above downtown retail businesses during the 1950s. Patients had to climb one or two flights of stairs (if they were able) in order to reach their physicians. The population and economic boom during the 1950s created a housing and office shortage, and space was at a premium. Not only were the offices inconvenient for the patients, but for the physicians as well. To help solve the dilemma, a Medical Arts Building was constructed and opened on July 29, 1961, housing offices of several physicians and dentists. The facility was erected just north of the Sheldon hospital and required the closing of a portion of E. Oak Street.
Sheldon Memorial Hospital Wing Construction, 1951
During the 1950s and early 1960s, Sheldon Memorial Hospital was filled to capacity, as the population and baby boom dramatically increased the numbers of patients and services performed. Statistics show substantial increases between 1953 and 1960 in: Patients admitted (41%), patient days (79%), births (23%), X-Ray examinations (74%), laboratory tests (501%), and surgical services (30%). A 1961 study by the University of Michigan’s Bureau of Hospital Administration showed the pressing need for a new hospital building.
A fund-raising campaign was launched on January 5, 1962, to raise $500,000 locally as part of the estimated $1.3 million total cost. Plans called for the erection of the new three-story building just north of the existing hospital. A brochure explaining the fund-raising plans, as well as the need was distributed throughout the community.
It was later determined that building an addition to the existing Sheldon Memorial Hospital would not be in the long-term interests of the community. Instead, plans for a new hospital complex focused on an 11-acre site at 809 W. Erie St. The land allowed for ample parking space and future expansion. At its February 1967 meeting, the hospital board decided to name the new facility the Albion Community Hospital.
The Albion Community Hospital was erected, with the dedication and open house held on December 10, 1967. The new facility cost $2.1 million. Sheldon Memorial Hospital was closed, and remodeling began on January 6, 1969. It was reopened as Sheldon Manor on January 12, 1970.
Sheldon Manor
Sheldon Manor was a facility devoted to long-term rehabilitative care. Many of the patients were elderly, and in subsequent years Sheldon Manor lost an average of $100,000 annually. Because of the financial burden to the hospital budget, Sheldon Manor was closed February 28, 1978. The building continued to house the hopsital laundry and a few professional offices. During the 1980s the old Sheldon Memorial Hospital building has seen several temporary uses as doctor’s offices, the hospital business office, and other functions, but it has been deemed non-cost effective due to stricter state regulations and the handicapper access laws. It is unclear today what the future holds for this structure.
The non-profit Albion Area Ambulance Service was established by local citizens in December, 1966 after Albion’s two funeral homes announced that they were discontinuing their ambulance services due to rising costs. In response, citizens banded together to organize a volunteer ambulance organization. The funeral homes sold their vehicles to the Ambulance Service for $1.00 each, and the Service was located in the former Albion Lumber Company on E. Cass St.
Late 1960s original Albion ambulance service ambulance at the original 131 E. Cass St. location
Albion Area Ambulance Service, 1974
Albion voters approved $46,000 in 1970 for the construction of an ambulance service building to be attached to the Albion Community Hospital, and this new facility opened in the spring of 1971. Newer quarters were constructed in 1987, after which the hospital expanded into the former Ambulance headquarters.
Since 1966, Albion’s volunteer ambulance service has utilized hundreds of volunteers, including Albion College students. Each year the Service conducts a “sponsor member” program for a set fee, which allows the subscribers to have ambulance service at no or reduced costs. The service is a vital part of the overall health care environment for the Albion area.
With the Albion Community Hospital located on W. Erie St., other medical facilities have been built in its vicinity. The Albion Manor Care Center, a private nursing home, opened in 1969 at 1000 W. Erie St., west of the hospital. A new physicians building was erected behind the hospital on Keefer Drive in 1980, attracting several physicians from the Medical Arts building on E. Oak St.
SUMMARY
We have observed that adequate health care facilities in Albion became a reality as a result of the cooperation, dedication, and insight from not only those in the medical profession, but from community leaders as well. This type of community support has helped insure proper health care for Albion and its citizens.
ADDENDUM, FEBRUARY, 2002
The 1990s brought significant changes to health care in Albion, as economic and legal factors weighed heavily upon our local hospital facility. On the positive side, city and hospital officials were successful in relieving themselves of the huge “dinosaur” Sheldon Memorial Hospital building in December, 1995. It was purchased by Steve and Yvonne Munier, who subsequently remodeled the complex into the “Sheldon Place” luxury apartments. This successful effort showed how functionally-obsolete buildings could be turned into productive, tax-paying facilities and be a benefit to the community. In addition, the Albion Medical Arts Center located just north of the old Sheldon Memorial Hospital, was sold in May, 1993 and also transformed into rental units.
Sheldon Place Apartments
Regarding Albion Community Hospital however, dark days lay ahead. In 1987, negotiations began to separate the hospital from the City of Albion in order to protect the city from possible financial losses. An organization called the Albion Health Services was formed at that time. While negotiations were ongoing, the hospital subsequently lost $1.2 million in 1990, and $750,000 in 1991. Albion voters approved the sale of Albion Community Hospital in August, 1992 by an overwhelming vote of 1,326 to 108.
Negotiations then began with southern Michigan hospitals for bids to purchase the Albion facility. A proposal from an alliance consisting of the Albion Health Services, Battle Creek Health System, and Borgess Health Alliance (Kalamazoo) was accepted by the Albion City Council on Monday, February 7, 1994. On June 30, 1994, Albion Community Hospital was officially transferred to the Albion Health Services. Numerous legal and financial issues that surrounded the transfer and obligations of each party involved were addressed and resolved. AHS board member Bill Stoffer stressed the importance that local health care had to a local economy. “As a small businessman if you lose your hospital, you lose your small business,” (6) he stated at the time of the transfer. The AHS consisted of a 15-member board, and the three-year alliance agreement included loans to Albion Community Hospital and administrative support.
Trillium Hospital
The name of the hospital was changed to Trillium Hospital on December 6, 1997. With medical facilities also in Springport and Parma (a total of three locations, thus the name TRI-llium), it was felt that the Trillium Health Alliance would be a proper “umbrella” name for the group. The name “Albion” was thereby removed from our community hospital. Many residents did not approve of the name change. Confusing the situation, there existed in Albion a temporary employment agency from Marshall called “Trillium Staffing Solutions” that operated a branch office in the Albion Volunteer Service Center in downtown Albion. Thus Albion now had two “Trilliums.”
A publicity “image” campaign began to attract patients to the re-named facility. Billboards were placed on Interstate-94, ads were placed in area newspapers, and the hospital participated in various community events with information booths. The hospital used its alliance to attract a consortium of physicians and specialists who would come to Albion on a part-time basis to treat local patients. New equipment was added, the hospital made a valiant effort to “sell” itself to the community and to the people it served. It also offered free annual special screening clinics such as prostate testing for men, which were widely supported.
Economically, changes in reimbursement formulas from insurance companies and from the state and Federal government resulted in dwindling dollars for the hospital. More Albion residents were choosing to go out-of-town for health care services for a variety of personal and economic reasons. Some were “forced” to do so because their HMO insurance required them to be treated at Oaklawn Hospital in Marshall instead where full-reimbursement would be given, but not at Trillium in Albion.
With the expiration of the agreement with Borgess and Battle Creek systems in 1997, the Trillium Health Alliance signed an association agreement with Foote Hospital in Jackson. At the time it was noted that Albion residents had more in common economically with Jackson (only 20 miles away) than with Battle Creek (30 miles away). Trillium officials felt the hospital could benefit from a new association.
The first casualty signaling the “beginning of the end” was Trillium’s obstetrical unit which was closed on May 19, 1999. The decision was a financial one. “Without the adequate reimbursement for obstetrical care from the state, we are causing financial hardship on the other services we provide for outpatents,” (7) stated Mike Boff, president of Trillium Health Alliance in 1999 interview. Trillium Hospital was only receiving approximately one-third of the cost reimbursement from the state for obstetrical services. Without using the word “Medicaid,” Boff continued: “We currently receive reimbursement from the state for approximately 70% of mothers and children we care for.” (8) No longer would it be feasibly possible for a person to be “born and raised in Albion.” Expectant mothers were directed to have their children born at Foote Hospital in Jackson instead.
Following the removal of the obstetrical unit at Trillium, Oaklawn Hospital in Marshall (which was expanding its Birth Center) erected a billboard along I-94 at 24 Mile Road facing Albion featuring a picture of a white baby with the words “Delivered with a personal touch.” Foote Hospital in Jackson soon countered with their own billboard located by the railroad depot that featured photographs of babies of several races.
Dr. Ralph and Mary Cram Outpatient and Emergency Center, Inside
Dr. Ralph and Mary Cram Outpatient and Emergency Center, Outside
Despite the setback of the loss of the obstetrical unit, the Dr. Ralph and Mary Cram Outpatient and Emergency Center addition was constructed in 1999-2000 in order to provide up-to-date care and services to residents of the Albion area. Money was solicited from various individuals and groups in order to help fund the project. The $1.8 million facility opened on December 11, 2000. It was named after long-time Albion physician Dr. Ralph Cram, a family practitioner who was known for delivering babies, and his wife Mary. Cram was named the 1993 Michigan “Physician of the Year.” Dr. Cram and his wife Mary were very active in community work and civic organizations throughout their careers, donating their time and efforts in many worthwhile projects.
Dr. Ralph and Mary Cram
Albion lost 922 persons in the 2000 U.S. Census, bringing population of the city down to an official 9,144--an ominous indication of the “downsizing” of our community. This was the result of the loss of local employment after several small factories had closed in the 1990s, and people moved away in order to find work. In October 2001, the Albion Recorder daily newspaper reverted back to a weekly-only publication, another indication of the rough economic times in a small town.
Albion Health Services (Trillium Hospital) board of directors. Front row: Joyce Spicer, Charles Lentz, Kitty Padget-vice chairperson; William Stoffer-chairperson, Madeline Adie. Back row: Bernard Konkle, Sr., treasurer; Dr. Ralph Cram MD; Mike Boff--president; Chris Miller, Secretary, Arlin Ness, Martin Holmes MD, M. Rashid Siddiqui, MD.
The Trillium Hospital Board entered into a management agreement with Foote Hospital in Jackson in February 2001 to identify problems and to determine if full health-care could feasibly continue in Albion. The hospital continued losing money, including $1.8 million combined in 1999 and 2000. From 1997 to 2002, the losses totaled $6.5 million. (9) It was revealed that 62% of Albion residents went to other hospitals in 2000 and 2001, and that the hospital averaged 18 percent Medicaid patients--above the national average of 6 to 10 percent. (10)
On Tuesday, January 29, 2002, Trillium Hospital announced that it was closing the hospital. This occurred one week later at midnight on Tuesday, February 5, 2002. In its press release, the Hospital stated, “The Trillium Board has concluded, and the Foote Board agrees, that it is no longer financially feasible to operate Trillium Hospital.” (11) Bill Stoffer, Chairman of the Trillium Hospital Board stated, “Foote Health System is one of the region’s leading providers of healthcare and its administrators are dedicated to providing local access to health care services that will address the community’s needs and support its mission of improving the health status of Jackson and its surrounding communities. This was a tough but well thought out decision, and I am confident that Foote will continue to ensure convenient and compassionate care with the provision of clinical excellence. We are hopeful that the community understands and will continue to support our decision."
The closure meant the loss of over 200 local jobs, some of which however were regained by former Trillium employees being hired at Foote Hospital in Jackson or at Oaklawn Hospital in Marshall. A competition for the Albion health care market soon developed and both aforementioned hospitals are currently in the process of finding their niche locally in the absence of an Albion hospital. Time will tell how this all plays out. The future of the Trillium Hospital facility is unclear as of this writing. Local physicians are also being challenged in the services they provide, and who stays and who leaves will become apparent in the months to come.
Albion had its own hospital for 95 years, from 1907 to 2002. Albion enters the 21st century with a new challenge of providing health care for its citizens in the absence of a community hospital. What will transpire in the days and months to come will be closely watched by our citizens. It will take a concerted effort by the leaders and officials of our town in order to work out alliances, consortiums, and various options in order to provide adequate health care facilities in Albion. What will transpire from all of this remains to be seen.
Trillium Hospital, Feb. 9, 2002
FOOTNOTES
1. “City Especially Proud of Its Fine, Modern Hospital.” Albion Evening Recorder, 29 June 1935, pg. 4. Return to article.
2. “Albion Hospital Credit to City.” Jackson Citizen Patriot, undated clipping, ca. 1915. Return to article.
3. “Hospital in Need of Reorganization.” Albion Evening Recorder, 26 January 1916, pg. 1. Return to article.
4. “City Especially Proud,” pg. 4. Return to article.
5. Mrs. Harvey J. Martin. “Hospital Had Nursing School.” Albion Evening Recorder, 6 February 1978, pg. 2. Return to article.
6. Sally Slaughter. “City Council Action Allows Hospital Transfer to Begin.” Albion Recorder, 8 February 1994, pg. 1. Return to article.
7. “Trillium Closes OB Unit Ahead of Schedule.” Albion Recorder. 20 May 1999, pg. 1 Return to article.
8. Ibid. Return to article.
9. Pat Rombyer and Brian Wheeler. “235 Will Lose Hospital Jobs.” Jackson Citizen Patriot, 30 January 2002, pg. 2. Return to article.
10. Ibid. Return to article.
11. “Trillium Hospital to Discontinue Services.” News Release, 29 January 2002, pg. 2. Return to article.
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