2023-11-14T19:08:48-05:00 2022-12-31 383133790 ANDREWS HOOPER PAVLIK PLC 4295 OKEMOS RD STE 200 OKEMOS MI 488646201 990 2022-01-01 382007629 SPARROW EATON HOSPITAL SPAR 5175431050 321 EAST HARRIS STREET CHARLOTTE MI 48813 MARGARET DIMOND PHD REGIONAL SYSTEM PRES 5175431050 2023-11-13 true MARGARET DIMOND 999009999 false JULIE M PFEIFLE P00751307 5177060800 2023-11-13 2022 2023-04-26 12:10:37Z HAYES GREEN BEACH MEMORIAL HOSPITAL MARGARET DIMOND PHD 1215 E MICHIGAN AVENUE LANSING MI 48912 81597106 false X WWW.SPARROWEATONHOSPITAL.ORG X 1972 MI SPARROW EATON HOSPITAL PROVIDES NEEDED MEDICAL CARE TO THE COMMUNITY REGARDLESS OF THE INDIVIDUALS ABILITY TO PAY. THESE SERVICES ARE PROVIDED TO HOSPITAL INPATIENTS AND OUTPATIENTS IN ADDITION TO 24 HOUR EMERGENCY ROOM AND AMBULANCE SERVICES. 13 9 587 55 0 97391 1096057 65763347 74100263 3364715 2699323 3721150 3701463 72946603 81597106 0 0 32879800 37893279 0 0 28008922 28402894 60888722 66296173 12057881 15300933 120156445 111783660 47720916 32373502 72435529 79410158 X SPARROW EATON HOSPITAL PROVIDES NEEDED MEDICAL CARE TO THE COMMUNITY REGARDLESS OF THE INDIVIDUALS ABILITY TO PAY. THESE SERVICES ARE PROVIDED TO HOSPITAL INPATIENTS AND OUTPATIENTS IN ADDITION TO 24 HOUR EMERGENCY ROOM AND AMBULANCE SERVICES. false false 4492852 9459175 INPATIENT CARE OFFERS INPATIENT ACUTE CARE SERVICES WITH ADMISSIONS OF 866 PATIENTS PROVIDING 3,205 DAYS OF CARE. 30884705 61095140 OUTPATIENT CARE INCLUDES LABORATORY, RADIOLOGY, REHAB, RESPIRATORY THERAPY, AND 24 HOUR EMERGENCY CARE. THESE INCLUDED 16,479 EMERGENCY ROOM VISITS, 43,785 RADIOLOGY PROCEDURES, 270,708 LABORATORY TESTS, AND 68,769 THERAPY PROCEDURES. IN ADDITION, 5,050 AMBULANCE RUNS WERE PROVIDED. 14543017 7490110 PHYSICIAN PRACTICE VISITS OF 87,647 WERE PROVIDED IN FAMILY PRACTICE, INTERNAL MEDICINE, ORTHOPEDICS, GENERAL SURGERY, ONMM AND PAIN MANAGEMENT. 49920574 true true false false false false false false false true true false false false false false false true false false false false false false false false true true false false true false false false false false false true false false false false false false true true true false false true 48 0 true 587 true false false false false false false false false false false false false X 13 9 false false false false true true true true true false false true true true true true true true true false MI X KIM A CAPPS 5175431050 321 E HARRIS STREET CHARLOTTE MI 48813 X NICHOLAS DOMAN PHYSICIAN 40.00 0.00 X 1447103 0 75081 JEREMY PASCOTTO PHYSICIAN 40.00 0.00 X 1268217 0 68739 JAMES F DOVER FORMER BOARD 0.00 40.00 X 0 1141524 84525 JOSEPH RUTH FORMER BOARD 0.00 40.00 X 0 736602 129037 PAULA REICHLE SR VP - CFO 1.00 40.00 X X 0 648489 61609 SCOT RANDALL PHYSICIAN 40.00 0.00 X 581399 0 58716 KIMBERLY FRIAR PHYSICIAN 40.00 0.00 X 553188 0 52857 KIRA CARTER-ROBERTSON VP AFFILIATE 1.00 40.00 X X 0 402934 97125 ANTHONY MARL PHYSICIAN 40.00 0.00 X 449400 0 48470 HELEN JOHNSON PRESIDENT 40.00 0.00 X X 262190 0 29090 KIM A CAPPS CFO 40.00 0.00 X 198482 0 24005 JP BUCKINGHAM BOARD MEMBER 1.00 0.00 X 1440 0 0 TROY FERGUSON BOARD MEMBER 1.00 0.00 X 840 0 0 JOSEPH GARCIA BOARD MEMBER 1.00 0.00 X 720 0 0 KATHLEEN COOK BOARD MEMBER 1.00 0.00 X 0 0 0 MARIA DAVIS BOARD MEMBER 1.00 0.00 X 0 0 0 HARPER WILDERN OD BOARD MEM/VI 1.00 0.00 X X 0 0 0 LEONORE PRAY BOARD MEM/CH 1.00 0.00 X X 0 0 0 JOHN SAUCHAK PHYSICIAN/BO 1.00 0.00 X 0 0 0 COLETTE SCRIMGER BOARD MEMBER 1.00 0.00 X 0 0 0 DAN SHAVER BOARD MEM/SE 1.00 0.00 X X 0 0 0 4762979 2929549 729254 52 true true false AYA HEALTHCARE INC 5930 CORNERSTONE CT W 300 SAN DIEGO CA 92121 TEMP LABOR 2767103 FASTAFF LLC 6399 S FIDDLERS GREEN CIR STE 100 GREENWOOD VILLAGE CO 801114974 TEMP LABOR 2059738 ALLIANCE-HNI LEASING CO LLC 100 BAYVIEW CIRCLE SUITE 400 NEWPORT BEACH CA 92660 HEALTH CARE SRV 992345 VITUITY-MICHIGAN HOSPITALISTS 2100 POWELL ST STE 400 EMERYVILLE CA 946081803 HEALTH CARE SRV 720950 AKG-HGB INC 3937 PATIENT CARE DRIVE SUITE 102 LANSING MI 48911 PATIENT CARE 301308 20 98132 909599 88326 1096057 SERVICES TO OUTPATIENTS 621110 61122153 61122153 SERVICES TO INPATIENTS 621110 9529769 9529769 PHYSICIAN PRACTICE SERVICES 621110 7490110 7490110 BAD DEBT PATIENT REVENUE 621110 -4041769 -4041769 74100263 2699323 2699323 296989 296989 296989 296989 ALL OTHER REVENUE 900099 2851462 2851462 QUALITY INCENTIVE REVENUE 900099 503108 503108 CAFETERIA REVENUE 900099 49904 49904 3404474 81597106 77454833 3046216 291280 291280 32103004 30944615 1158389 1288632 1288632 2403734 2403734 1806629 1682989 123640 424 424 6050 6050 119656 119656 142824 67529 75295 70099 25716 44383 80073 74385 5688 2023080 1778717 244363 158512 156607 1905 597703 597703 4375233 4375233 325536 325536 SUPPLIES 9835064 9765090 69974 CORPORATE ALLOCATIONS 4913888 4913888 PURCHASED SERVICES OTHER 3346943 3186683 160260 RENT, REPAIR AND MAINT 1333305 1321296 12009 1074504 916947 157557 66296173 49920574 16375599 0 14440818 8900803 4869809 4339055 7909496 14973399 21426527 904171 859504 1372884 -81874 102019584 61124213 42657106 40895371 33495999 29320376 3103204 2553457 120156445 111783660 12743852 19523758 33738467 12849744 1238597 47720916 32373502 X 72139780 79299892 295749 110266 72435529 79410158 120156445 111783660 X 15300933 -6364528 -1961776 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6297032 5192208 -280050 11209190 5606321 561053 129658 6297032 4912247 237860 456214 5606321 4700296 39943 172008 4912247 1162999 -78093 1084906 1.00000 true false 1370000 1370000 68780392 36665965 32114427 28978817 22729698 6249119 2890375 1728550 1161825 40895371 SCHEDULE D, PAGE 2, PART V, LINE 4 SPARROW EATON HOSPITAL DOES NOT HOLD ENDOWMENTS. THE ENDOWMENTS ARE HELD BY SPARROW FOUNDATION. SPARROW HEALTH SYSTEM IS THE SOLE MEMBER OF SPARROW EATON HOSPITAL AND SPARROW FOUNDATION. THE ENDOWMENTS ARE MAINTAINED TO PROVIDE A PERMANENT SOURCE OF INCOME, WITH THE STIPULATION THE PRINCIPAL IS KEPT INTACT IN PERPETUITY AND THE INCOME GENERATED FROM INVESTMENTS OF THE ENDOWMENT FUNDS CAN BE USED FOR THE PURPOSE ESTABLISHED BY THE ENDOWMENTS. true true true X true X true true false true true 10733230 10563887 169343 0.00260 10733230 10563887 169343 0.00260 10733230 10563887 169343 0.00260 328975 328975 0.00500 328975 328975 0.00500 true 2026347 814326 7514787 7454686 60101 X true true 1 1 SPARROW EATON HOSPITAL 321 EAST HARRIS STREET CHARLOTTE MI 48813 WWW.SPARROWEATONHOSPITAL.ORG 1060000163 X X X PHYS PRAC, INTERNAL MED, FAMIL SPARROW EATON HOSPITAL 1 false false true X X X X X X X X 22 true true true true X WWW.SPARROWEATONHOSPITAL.ORG X true 22 false true false true X 200.000000000000 200.000000000000 X X X X true true X X X true X WWW.SPARROWEATONHOSPITAL.ORG X WWW.SPARROWEATONHOSPITAL.ORG X WWW.SPARROWEATONHOSPITAL.ORG X X X X X X true X false X true X false true FACILITY 1, SPARROW EATON HOSPITAL - PART V, LINE 3E THE SIGNIFICANT HEALTH NEEDS WERE PRIORITIZED AND DOCUMENTED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT. FACILITY 1, SPARROW EATON HOSPITAL - PART V, LINE 5 HEALTHY CAPITAL COUNTIES FOCUS GROUPS: IN ORDER TO GATHER INFORMATION FROM TRADITIONALLY HARD TO SURVEY POPULATIONS AND TO DOCUMENT THE EXPERIENCES, THOUGHTS, BELIEFS, AND STORIES OF THE COMMUNITY, HEALTHY CAPITAL COUNTIES CONDUCTED A SERIES OF FOCUS GROUPS FOR THE PROJECT. SIX FOCUS GROUPS WERE HELD BETWEEN JUNE AND JULY OF 2021 AND WERE CONDUCTED VIRTUALLY AS WELL AS IN VARIOUS LOCATIONS THROUGHOUT THE THREE COUNTIES. GROUPS THAT WERE ACTIVELY SOLICITED FOR INPUT INCLUDED: -PEOPLE WITH DISABILITIES; -PEOPLE RECOVERED/RECOVERING FROM SUBSTANCE ADDICTION; -PEOPLE WHO DO NOT HAVE HEALTH INSURANCE; -PEOPLE WHO HAVE LOW INCOMES OR ARE UNEMPLOYED; -PEOPLE WHO IDENTIFY AS SPANISH-SPEAKING HISPANIC OR LATINO/A; AND -PEOPLE WHO IDENTIFY AS PERSONS OF COLOR. CAPITAL AREA BEHAVIORAL RISK FACTOR & SOCIAL CAPITAL SURVEY (BRFS): SINCE 2000, THE CAPITAL AREA UNITED WAY, BARRY-EATON DISTRICT HEALTH DEPARTMENT, INGHAM COUNTY HEALTH DEPARTMENT, AND MID-MICHIGAN DISTRICT HEALTH DEPARTMENT HAVE CONDUCTED A TELEPHONE HEALTH SURVEY OF THE ADULT POPULATION IN THEIR JURISDICTIONS (BARRY, EATON, INGHAM, CLINTON, GRATIOT, AND MONTCALM COUNTIES) ON VARIOUS BEHAVIORS, MEDICAL CONDITIONS, AND PREVENTIVE HEALTH CARE PRACTICES. THE SURVEY WAS CONDUCTED USING THE CAPITAL AREA BEHAVIORAL RISK FACTOR & SOCIAL CAPITAL SURVEY INSTRUMENT, WHICH INCLUDES QUESTIONS FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION'S BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM QUESTIONNAIRE AS WELL AS QUESTIONS DEVELOPED BY THE HEALTH DEPARTMENTS TO COLLECT INFORMATION OF INTEREST TO THE LOCAL COMMUNITY. DURING THE 2017-2019 DATA COLLECTION CYCLE, A TOTAL OF 2,634 ADULTS IN CLINTON, EATON, AND INGHAM COUNTIES RESPONDED TO THE LANDLINE/MOBILE PHONE SURVEY. COMMUNITY AND HEALTH CARE PROVIDER SURVEYS: IN ORDER TO GATHER INPUT ABOUT THE COMMUNITY'S HEALTH NEEDS FROM STAKEHOLDERS AND THE GENERAL PUBLIC, TWO ONLINE SURVEYS WERE ADMINISTERED BETWEEN FEBRUARY AND MAY OF 2021. ONE SURVEY WAS FOR ANY COMMUNITY RESIDENT WHO LIVED AND/OR WORKED IN THE TRI-COUNTY AREA, AND THE SECOND SURVEY WAS FOR HEALTH CARE PROVIDERS ASSOCIATED WITH THE HOSPITAL SYSTEMS PARTNERS. FACILITY 1, SPARROW EATON HOSPITAL - PART V, LINE 6A SPARROW HOSPITAL, CONSISTING OF SIX COMMUNITY HOSPITALS, THREE OF WHICH ARE LOCATED IN THE THREE-COUNTY GREATER LANSING REGION: - EDWARD W. SPARROW HOSPITAL, LANSING, MI - SPARROW SPECIALTY HOSPITAL, LANSING, MI - SPARROW CLINTON HOSPITAL, ST. JOHNS, MI - SPARROW IONIA HOSPITAL, IONIA, MI - SPARROW CARSON HOSPITAL, CARSON CITY, MI - SPARROW EATON HOSPITAL, CHARLOTTE, MI - MCLAREN GREATER LANSING - EATON RAPIDS MEDICAL CENTER FACILITY 1, SPARROW EATON HOSPITAL - PART V, LINE 6B -MICHIGAN PUBLIC HEALTH INSTITUTE -BARRY-EATON DISTRICT HEALTH DEPARTMENT -INGHAM COUNTY HEALTH DEPARTMENT -MID MICHIGAN DISTRICT HEALTH DEPARTMENT FACILITY 1, SPARROW EATON HOSPITAL - PART V, LINE 11 SPARROW EATON HOSPITAL HAS DEVELOPED AN IMPLEMENTATION STRATEGY FOR THE TOP PRIORITIES THAT WERE IDENTIFIED IN ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT. THE TOP NEEDS IDENTIFIED WERE ACCESS TO HEALTH CARE AND QUALITY, AND BEHAVIORAL HEALTH. FOR EACH OF THE NEEDS IDENTIFIED MULTIPLE KEY OBJECTIVES WERE IDENTIFIED TO CREATE A STRATEGY ON HOW TO MEET THE NEEDS. FOR EACH KEY OBJECTIVE AN IMPLEMENTATION STRATEGY WAS CREATED, INCLUDING TIMING FOR THE IMPLEMENTATION AND GOALS TO MONITOR THE SUCCESS. OTHER NEEDS IDENTIFIED IN THE CHNA BUT NOT ADDRESSED IN THIS STRATEGY INCLUDED COMMUNITY SAFETY AND AFFORDABLE HOUSING. THIS HEALTH NEED IS IMPORTANT BUT IT IS NOT WITHIN THE SCOPE OF THE HOSPITAL'S CORE COMPETENCIES. FACILITY 1, SPARROW EATON HOSPITAL - PART V, LINE 24 ALL PATIENTS AND INSURANCES ARE CHARGED THE SAME GROSS CHARGE FROM OUR FEE SCHEDULE. DISCOUNTS ARE THEN PROVIDED TO UNINSURED PATIENTS BASED UPON OUR FINANCIAL ASSISTANCE POLICY AND/OR INDIVIDUAL CIRCUMSTANCES. SCHEDULE H, PART I, LINE 7 USED WORKSHEET 2 PROVIDED IN SCHEDULE H INSTRUCTIONS TO CALCULATE COST TO CHARGE RATIO RELATED TO PATIENT CARE. SCHEDULE H, PART II SPARROW EATON HOSPITAL TAKES AN ACTIVE ROLE IN SUPPORTING COMMUNITY ORGANIZATIONS AND ACTIVITIES THAT CAN IMPACT COMMUNITY HEALTH AND PREVENTION AS WELL AS ECONOMIC DEVELOPMENT EFFORTS THAT WILL FOSTER SUPPORT FOR RESOURCES NEEDED BY HEALTH COMMUNITIES. SOME EXAMPLES ARE PROVIDING STAFF RESOURCES FOR LOCAL COMMUNITY ORGANIZATIONS, ACCESS TO AN INDOOR WALKING PATH THAT PROMOTES HEALTH AND WELL-BEING, SUPPORTING MOBILE MEALS FOR HOUSE-BOUND COMMUNITY MEMBERS AND PROVIDING RESOURCES FOR SUPPORT GROUPS SUCH AS CANCER SURVIVORS. SCHEDULE H, PART III, LINE 2 THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE AND CURRENT MARKET CONDITIONS. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, THE HEALTH SYSTEM FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST DUE PATIENT BALANCES WITH COLLECTION AGENCIES. THE COST TO CHARGE RATIO IS USED IN DETERMINING BAD DEBT INFORMATION. SCHEDULE H, PART III, LINE 3 IN REVIEWING ACCOUNTS CLASSIFIED AS BAD DEBT, THE AMOUNT REPORTED ON SCHEDULE H, PART III, LINE 3, REFLECTS PATIENTS WHO HAD PREVIOUSLY QUALIFIED FOR MEDICAID OR OTHER MEANS-TESTED SUPPORT, BUT WHO AT THE TIME OF SERVICES, WERE NO LONGER ELIGIBLE FOR MEDICAID OR OTHER MEANS-TESTED SUPPORT OR THE SERVICES PROVIDED WERE NOT COVERED BENEFITS. THE HOSPITAL FURTHER REVIEWED THESE PATIENTS TO MAKE A DETERMINATION OF THE PATIENTS' ELIGIBILITY FOR ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY. SCHEDULE H, PART III, LINE 4 BAD DEBT FOOTNOTE - SEE THE ATTACHED AUDITED FINANCIAL STATEMENTS. SCHEDULE H, PART III, LINE 8 THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE ORGANIZATION'S MEDICARE COST REPORT, IS A RATIO OF COSTS TO CHARGES. CARING FOR MEDICARE PATIENTS FULFILLS A COMMUNITY NEED AND RELIEVES A GOVERNMENT BURDEN AS THESE PATIENTS TYPICALLY HAVE LOW AND/OR FIXED INCOMES. SCHEDULE H, PART III, LINE 9B IF A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, THE AMOUNT THEY OWE WILL NOT EXCEED 115% OF THE AMOUNT ALLOWED BY MEDICARE. ADDITIONALLY, PATIENTS MAY BE ELIGIBLE FOR CHARITY CARE IN WHICH UP TO 100% OF THE BALANCE WILL BE WRITTEN OFF TO CHARITY CARE. SCHEDULE H, PART VI, LINE 2 SPARROW EATON HOSPITAL DETERMINES THE HEALTH CARE NEEDS OF THE COMMUNITY BY USING THE FOLLOWING: ACCUMULATING AND REVIEWING THE RESULTS AND FEEDBACK FROM EXTERNALLY PREPARED PATIENT SATISFACTION SURVEYS AND BY CONDUCTING SMALL FOCUS GROUPS. SCHEDULE H, PART VI, LINE 3 SPARROW EATON HOSPITAL EMPLOYS SEVERAL METHODS TO COMMUNICATE ELIGIBILITY FOR ASSISTANCE TO PATIENTS. ALL UNINSURED INPATIENTS ARE DIRECTLY SCREENED FOR POTENTIAL MEDICAID ELIGIBILITY AND ANY OTHER GOVERNMENT PROGRAMS (COBRA BENEFITS, ETC). SIGNAGE IS POSTED IN OUR PATIENT REGISTRATION AREAS REGARDING AVAILABILITY OF SPARROW COMMUNITY FINANCIAL AID (CFA) PROGRAM (CHARITY CARE). ALL PATIENT BILLING STATEMENTS HAVE A NOTE REGARDING THE CFA PROGRAM AND OUR WEBSITE CONTAINS LINKS TO OUR CFA POLICY AND APPLICATION. SCHEDULE H, PART VI, LINE 4 SPARROW EATON HOSPITAL IS LOCATED IN CENTRAL MICHIGAN APPROXIMATELY 22 MILES SOUTHWEST OF LANSING. SPARROW EATON IS ALSO IN CLOSE PROXIMITY TO MICHIGAN STATE UNIVERSITY AND GENERAL MOTORS ASSEMBLY FACILITY. CHARLOTTE IS A COUNTY SEAT FOR EATON COUNTY AND IS THE PRIMARY SERVICE AREA FOR THE HOSPITAL. THERE ARE OVER 110,000 PEOPLE IN THE COUNTY WITH 20,000 IN THE HOSPITAL'S PRIMARY SERVICE AREA. THE MEDIAN HOUSEHOLD INCOME FOR EATON COUNTY IS 64,348 AND FOR CHARLOTTE IT IS 50,907. 7.5% OF PEOPLE IN EATON COUNTY ARE BELOW THE POVERTY LEVEL COMPARED TO 13% IN MICHIGAN. SCHEDULE H, PART VI, LINE 5 AS NOTED ABOVE, THE ORGANIZATION'S COMMUNITY BUILDING ACTIVITIES PROMOTE THE HEALTH OF THE COMMUNITIES THE ORGANIZATION SERVES. THESE SERVICES ARE PROVIDED UNDER THE MISSION OF THE ORGANIZATION - "IMPROVING THE HEALTH OF THE PEOPLE IN OUR COMMUNITIES BY PROVIDING QUALITY, COMPASSIONATE CARE TO EVERYONE, EVERY TIME." SCHEDULE H, PART VI, LINE 6 SPARROW EATON HOSPITAL IS A WHOLLY-OWNED SUBSIDIARY OF SPARROW HEALTH SYSTEM. SPARROW HEALTH SYSTEM IS A NON-PROFIT, COMMUNITY GOVERNED, INTEGRATED HEALTH DELIVERY SYSTEM SERVING MID-MICHIGAN. SPARROW HEALTH SYSTEM PROVIDES SERVICES TO THE COMMUNITIES IT SERVES THROUGH ITS CONTROLLED SUBSIDIARIES: PHYSICIAN HEALTH PLAN, PHYSICIAN HEALTH NETWORK, EDWARD W SPARROW HOSPITAL, SPARROW CLINTON HOSPITAL, SPARROW SPECIALTY HOSPITAL, SPARROW CARSON HOSPITAL, SPARROW DEVELOPMENT, INC., SPARROW COMMUNITY CARE, INC., SPARROW IONIA HOSPITAL, SPARROW FOUNDATION, SPARROW CLINICAL RESEARCH INSTITUTE, AND SPARROW EATON HOSPITAL. SCHEDULE H, PART VI, LINE 7 MICHIGAN X true true X X X X X X false true false false false false false true false NICHOLAS DOMAN PHYSICIAN 844801 601276 1026 9150 65931 1522184 JEREMY PASCOTTO PHYSICIAN 819764 447313 1140 9150 59589 1336956 JAMES F DOVER FORMER BOARD MEMBER 955742 185782 84525 1226049 JOSEPH RUTH FORMER BOARD MEMBER 612061 124541 90542 38495 865639 PAULA REICHLE SR VP - CFO - SHS 561901 86588 8400 53209 710098 SCOT RANDALL PHYSICIAN 443547 130353 7499 9150 49566 640115 KIMBERLY FRIAR PHYSICIAN 346589 178985 27614 52857 606045 KIRA CARTER-ROBERTSON VP AFFILIATE OPER 401460 100 1374 43382 53743 500059 ANTHONY MARL PHYSICIAN 291365 155783 2252 9150 39320 497870 HELEN JOHNSON PRESIDENT 252882 7500 1808 29090 291280 KIM A CAPPS CFO 197315 1167 24005 222487 SCHEDULE J, PAGE 1, PART I, LINE 1A CERTAIN BOARD MEMBERS- AND EXECUTIVES' ATHLETIC CLUB AND ALVE DUES ARE PAID BY THE ORGANIZATION. THESE AMOUNTS ARE CONSIDERED TAXABLE COMPENSATION. SCHEDULE J, PAGE 1, PART I, LINE 3 SPARROW HEALTH SYSTEM IS AN INTEGRATED NON-PROFIT ORGANIZATION THAT INCLUDES A NUMBER OF NON-PROFIT ENTITIES. THE METHODS SELECTED FOR DETERMINING THE COMPENSATION OF THE CEO/EXECUTIVE DIRECTOR ARE METHODS WHICH ARE BEING USED BY ALL SPARROW HEALTH SYSTEM RELATED ENTITIES. SCHEDULE J, PAGE 1, PART I, LINE 4 JAMES F. DOVER 0 136,389 0 JOSEPH RUTH 0 62,787 0 PAULA REICHLE 0 57,307 0 KIRA CARTER-ROBERTSON 0 34,982 0 SCHEDULE J, PAGE 1, PART I, LINE 7 COMPENSATION INCLUDES BOTH BASE AND VARIABLE COMPENSATION (NON-FIXED PAYMENTS). IN ACCORDANCE WITH ITS POLICIES, ALL ELEMENTS (BASE, VARIABLE, BENEFITS, AND PERQUISITES) ARE COMPARED TO MARKET. SCHEDULE J, PART III JOSEPH RUTH AND JAMES DOVER ARE BOTH FORMER BOARD MEMBERS OF SPARROW EATON HOSPITAL. THE FORMER BOARD MEMBERS ARE BEING COMPENSATED BY SPARROW HEALTH SYSTEM AND AFFILIATES FOR SERVICES PROVIDED TO SPARROW HEALTH SYSTEM AND AFFILIATES IN A POSITION OTHER THAN BOARD MEMBER. THE FORMER BOARD MEMBERS ARE NOT BEING COMPENSATED FOR ANY PAST SERVICES PROVIDED TO SPARROW EATON HOSPITAL AS FORMER BOARD MEMBERS. PART I, LINE 4B - NONQUALIFIED CERTAIN EXECUTIVES PARTICIPATE IN THE 457(F) SUPPLEMENTAL RETIREMENT PLAN AND ARE MAKING CURRENT YEAR CONTRIBUTIONS AS WELL AS RECEIVING CURRENT YEAR DISTRIBUTIONS. CONTRIBUTIONS TO THE PLAN ARE DISCLOSED IN PART I, LINE 4B AND REQUIRED DISTRIBUTIONS FORM THE PLAN ARE REPORTED BELOW AS A NEGATIVE AS WELL AS BEING DISCLOSED ON SCHEDULE J, PART II COLUMN B(III) JAMES F. DOVER - NONQUALIFIED DISTRIBUTIONS -136,389 PAULA REICHLE - NONQUALIFIED DISTRIBUTIONS -57,307 JOSEPH RUTH - NONQUALIFIED DISTRIBUTIONS -99,020 ELISE WILDERN FAMILY MEMBER 110275 EMPLOYMENT false WENDY WILDERN FAMILY MEMBER 123058 EMPLOYMENT false FORM 990 - ORGANIZATION'S MISSION SPARROW EATON HOSPITAL PROVIDES NEEDED MEDICAL CARE TO THE COMMUNITY REGARDLESS OF THE INDIVIDUALS ABILITY TO PAY. THESE SERVICES ARE PROVIDED TO HOSPITAL INPATIENTS AND OUTPATIENTS IN ADDITION TO 24 HOUR EMERGENCY ROOM AND AMBULANCE SERVICES. FORM 990 ALL LINES LEFT BLANK ARE NOT APPLICABLE TO THE ORGANIZATION. PART IV, QUESTION 4 - THE ORGANIZATION DOES NOT ENGAGE IN DIRECT LOBBYING ACTIVITIES. THE ORGANIZATION DOES HAVE MEMBERSHIPS IN VARIOUS TRADE ASSOCIATIONS THAT USE A PORTION OF THE DUES PAID TO THE TRADE ASSOCIATIONS FOR LOBBYING ACTIVITIES ON BEHALF OF THE APPLICABLE TRADE ASSOCIATION INDUSTRIES, THUS INDIRECTLY BENEFITING THE ORGANIZATION. THE PERCENTAGE OF DUES ALLOCATED TO THIS INDUSTRY-WIDE LOBBYING ACTIVITY IS MINOR AND IS NOT CONSIDERED BY THE ORGANIZATION AS LOBBYING ACTIVITIES REQUIRED FOR DISCLOSURE ON SCHEDULE C, PART II. FORM 990, PAGE 6, PART VI, LINE 6 SPARROW HEALTH SYSTEM IS THE SOLE MEMBER OF SPARROW EATON HOSPITAL AND HAS 100% OWNERSHIP. FORM 990, PAGE 6, PART VI, LINE 7A SPARROW HEALTH SYSTEM HAS THE RIGHT TO ELECT, REPLACE, OR REMOVE DIRECTORS OF THE SPARROW EATON HOSPITAL THIRTEEN MEMBER BOARD. FORM 990, PAGE 6, PART VI, LINE 7B SPARROW HEALTH SYSTEM HAS THE RIGHT TO ELECT, REPLACE, AND REMOVE DIRECTORS OF SPARROW EATON HOSPITAL. SPARROW HEALTH SYSTEM ALSO HAS THE AUTHORITY TO APPROVE DECISIONS OF THE SPARROW EATON HOSPITAL WHEN IT IS DEEMED NECESSARY. FORM 990, PAGE 6, PART VI, LINE 11B COPIES OF THE 2022 FORM 990 ARE REVIEWED BY MANAGEMENT. THE FORM 990 COPIES ARE PROVIDED AT THE FALL 2023 BOARD MEETING FOR ALL BOARD MEMBERS TO REVIEW AND COMMENT ON. FORM 990, PAGE 6, PART VI, LINE 12C 1) CORPORATE COMPLIANCE SENDS OUT THE CONFLICT OF INTEREST POLICY AND QUESTIONNAIRES TO ALL VOTING BOARD MEMBERS AND THE EXECUTIVE TEAM ANNUALLY. 2) ALL DISCLOSURES ARE RECEIVED AND REVIEWED BY CORPORATE COMPLIANCE. 3)ALL DISCLOSURES ARE GIVEN A RESOLUTION CODE AND PRESENTED TO THE CEO AND GOVERNANCE COMMITTEE OF THE BOARD. 4) ALL BOARD/COMMITTEE LEVEL DISCLOSURES ARE PROVIDED TO THE RESPECTIVE BOARD CHAIR AND EXECUTIVE LIAISON TO ENSURE ISSUES CAN BE ADDRESSED ON A TRANSACTIONAL LEVEL (I.E. IF A VOTE IS REQUIRED ON A TRANSACTION INVOLVING AN INTERESTED PERSON). FORM 990, PAGE 6, PART VI, LINE 15A THE PROCESS FOR DETERMINING COMPENSATION FOR THE CEO INVOLVED THE FOLLOWING: UTILIZING THE COMPENSATION COMMITTEE, USING INDEPENDENT CONSULTANTS, REVIEWING OTHER SIMILAR ORGANIZATIONS' 990S, USING COMPENSATION SURVEYS AND FINAL APPROVAL BY THE SHS BOARD OF DIRECTORS, AS WELL AS FINALIZING THE SALARY PACKAGE WITH A WRITTEN EMPLOYMENT CONTRACT. FORM 990, PAGE 6, PART VI, LINE 15B THE PROCESS FOR DETERMINING COMPENSATION FOR OFFICERS OR KEY EMPLOYEES OF THE ORGANIZATION INVOLVED THE FOLLOWING: UTILIZING THE COMPENSATION COMMITTEE, USING INDEPENDENT CONSULTANTS, REVIEWING OTHER SIMILAR ORGANIZATIONS' 990S, USING COMPENSATION SURVEYS AND FINAL APPROVAL BY THE SHS BOARD OF DIRECTORS, AS WELL AS FINALIZING THE SALARY PACKAGE WITH A WRITTEN EMPLOYMENT CONTRACT. FORM 990, PAGE 6, PART VI, LINE 19 GOVERNANCE DOCUMENTS AND THE CONFLICT OF INTEREST POLICY IS MADE AVAILABLE UPON ADVICE OF ATTORNEYS. FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9 EXTRAORDINARY EVENT -111,616 LOSS ON BOND FINANCING -1,285,290 OTHER ADJUSTMENT -564,870 TOTAL -1,961,776 SPARROW HEALTH SYSTEM 1215 E MICHIGAN AVENUE LANSING MI 48912 382542859 PARENT MI 501C3 12A NA false EDWARD W SPARROW HOSPITAL 1215 E MICHIGAN AVENUE LANSING MI 48912 381360584 HLTH CARE MI 501C3 3 SHS true PHYSICIANS HEALTH PLAN 1400 E MICHIGAN AVENUE LANSING MI 48912 382356288 INSURANCE MI 501C4 PHP HO LLC true PHP MEDICARE 1400 E MICHIGAN AVENUE LANSING MI 48912 832766121 HMO MI 501C4 PHP true PHYSICIANS HEALTH NETWORK 1400 E MICHIGAN AVENUE LANSING MI 48912 382594856 HMO MI 501C4 PHP HO LLC true SPARROW FOUNDATION 1215 E MICHIGAN AVENUE LANSING MI 48912 386100687 FUNDRAISE MI 501C3 12B SHS true SPARROW CLINTON HOSPITAL 805 S OAKLAND ST JOHNS MI 48979 381358172 HLTH CARE MI 501C3 3 SHS true SPARROW SPECIALTY HOSPITAL 1215 E MICH AVE 8W SPARROW TOWER LANSING MI 48912 141885340 LT ACUTE C MI 501C3 3 SHS true SPARROW IONIA HOSPITAL 3565 S STATE RD IONIA MI 48846 383218134 HLTH CARE MI 501C3 3 SHS true SPARROW CLINICAL RESEARCH INSTITUTE 1200 E MICHIGAN AVENUE LANSING MI 48912 383075242 RESEARCH MI 501C3 4 SHS true SPARROW CARSON HOSPITAL 406 E ELM STREET PO BOX 879 CARSON CITY MI 48811 381490180 HLTH CARE MI 501C3 3 SHS true SPARROW COMMUNITY CARE 2909 E GRAND RIVER LANSING MI 48912 382543305 HOME HLTH MI 501C3 10 SHS true SPARROW EATON HOSPITAL AUXILIARY 321 E HARRIS ST CHARLOTTE MI 48813 382377160 FUNDRAISE MI 501C3 3 SHS true PHP HOLDINGS LLC 1400 E MICHIGAN AVE LANSING MI 48912 833965697 HOLDING CO MI N/A false false SPARROW DEVELOPMENT INC 1215 E MICHIGAN AVENUE LANSING MI 48912 382595963 RENTAL PRO MI N/A true PHP INSURANCE COMPANY 1400 E MICHIGAN AVENUE LANSING MI 48912 205565219 INSURANCE MI N/A true PHP SERVICE COMPANY 1400 E MICHIGAN AVENUE LANSING MI 48912 383344741 MED SERV MI N/A true EAST LANSING ATHLETIC CLUB 2900 HANNAH BLVD EAST LANSING MI 48823 382886420 HLTH CLUB MI N/A true MAC RESTAURANT LLC 2900 HANNAH BLVD EAST LANSING MI 48823 205120690 RESTAURANT MI N/A true CLINTON SERVICES CORPORATION 805 SOUTH OAKLAND ST JOHNS MI 48879 382494110 SERVICES MI N/A true EAST LANSING HLTH ATH CLUB & HSP 1200 E MICHIGAN AVENUE STE 600 LANSING MI 48912 813131851 CONDO ASSO MI N/A true false false true false false false false false false false false false false false false true false false false EDWARD W SPARROW HOSPITAL P 695070 COST EDWARD W SPARROW HOSPITAL C 357369 COST SPARROW FOUNDATION C 98132 COST