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 381358172 SPARROW CLINTON HOSPITAL SPAR 9892273400 805 S OAKLAND STREET ST JOHNS MI 48879 MARGARET DIMOND PHD REGIONAL SYSTEM PRES 9892246881 2023-11-13 true MARGARET DIMOND 999009999 false JULIE M PFEIFLE P00751307 5177060800 2023-11-13 2022 2023-04-26 12:10:37Z MARGARET DIMOND PHD 1215 E MICHIGAN AVENUE LANSING MI 48912 71594168 false X WWW.SPARROW.ORG/SPARROWCLINTON X 1926 MI IMPROVING THE HEALTH OF THE PEOPLE IN OUR COMMUNITIES BY PROVIDING QUALITY, COMPASSIONATE CARE TO EVERYONE, EVERY TIME. 13 6 327 48 6659233 104081 1125105 52713295 58087024 14482477 11400950 609694 926532 67909547 71539611 0 0 22193332 27635258 0 0 25298758 24951635 47492090 52586893 20417457 18952718 188415799 178978706 11776553 11512267 176639246 167466439 X IMPROVING THE HEALTH OF THE PEOPLE IN OUR COMMUNITIES BY PROVIDING QUALITY, COMPASSIONATE CARE TO EVERYONE, EVERY TIME. false false 5723957 6630167 SPARROW CLINTON HOSPITAL'S EMERGENCY DEPARTMENT IS A 24 HOUR/7 DAYS A WEEK FULLY OPERATIONAL EMERGENCY ROOM. IN 2022, THERE WERE 13,920 VISITS TO THE SCH EMERGENCY ROOM. 3697402 4311941 A HOSPITAL BASED LABORATORY PROVIDES SERVICES TO THE HOSPITAL'S INPATIENT AND OUTPATIENT LAB NEEDS. IN ADDITION, AN OUTREACH LAB IS PROVIDED FOR PATIENTS WHO ONLY NEED LABORATORY SERVICES. IN 2022, 232,294 LAB TESTS WERE PERFORMED. 3828648 4031836 SPARROW CLINTON HOSPITAL SURGERY DEPARTMENT PROVIDES ROUTINE INPATIENT AND OUTPATIENT SURGICAL SERVICES TO PATIENTS. THERE WERE 145 INPATIENT SURGERIES, AS WELL AS 1,606 OUTPATIENT SURGERIES/SCOPES PERFORMED IN 2022. 30044712 43113080 OTHER PROGRAM SERVICES INCLUDE INPATIENT ROUTINE CARE, RADIOLOGY, CARDIOPULMONARY, RESPIRATORY THERAPY, HOSPITAL AND RETAIL PHARMACY, INFUSION THERAPY, PHYSICIANS' PRACTICE, PHYSICAL/OCCUPATIONAL/SPEECH THERAPY, AND SLEEP STUDIES. 30044712 43113080 43294719 true true false false false false false false false true true true false false true false false true false false false false false false false false true true false false true false false false false false false false false false false false false false true true true false false true 32 0 true 327 true true true false false false false false false false false false false false X 13 6 false false false false true true true true true false false true true true true true true true true false MI X BRUCE SHIVELY 9892273372 805 S OAKLAND STREET ST JOHNS MI 48879 MATTHEW WILCOX BOARD MEMBER 1.00 40.00 X 0 687704 69397 PAULA REICHLE SR VP - CFO 0.00 40.00 X 0 648489 61609 MARK WEISMILLER MD PHYSICIAN 40.00 0.00 X 562578 0 61831 KIRA CARTER-ROBERTSON BOARD MEMBER 1.00 40.00 X X 0 402934 97125 GREGORY HOLZHEI DO BOARD MEMBER 40.00 0.00 X 443284 0 42898 ERICH HORNBACH PHYSICIAN 40.00 0.00 X 401820 0 57699 BRADLEY GARRETT PHYSICIAN 40.00 0.00 X 400462 0 51959 NABIL BAHU PHYSICIAN 40.00 0.00 X 368057 0 56939 MICHAEL DEGRAND PHYSICIAN 40.00 0.00 X 366839 0 42131 KATIE RYAN PHYSICIAN 40.00 0.00 X 308647 0 50505 WILLIAM HOWE FORMER BOARD 0.00 40.00 X 0 297892 48812 MARK BRISBOE FORMER OFFIC 0.00 40.00 X 0 252731 39918 BRUCE SHIVELY CFO 10.00 40.00 X 0 225430 41058 MATTHEW NOBIS TREASURER 1.00 40.00 X X 0 224825 41294 KRISTINA MCCARTHY INTERIM PRES 40.00 1.00 X X 223025 0 30808 BETH DAUGHERTY PRESIDENT 40.00 0.00 X X 122901 0 28809 CHRISTOPHER BEAL DO FORMER BOARD 1.00 0.00 X 24279 0 0 JOEL CONN BOARD MEMBER 1.00 0.00 X 1440 0 0 TOM FRENCH BOARD MEMBER 1.00 0.00 X 1440 0 0 CRAIG BISHOP BOARD MEMBER 1.00 0.00 X 0 0 0 KIMBERLY BRZOZOWSKI SECRETARY 1.00 0.00 X X 0 0 0 DANIEL COSS CHAIR 1.00 0.00 X X 0 0 0 VIRGINIA HAMILTON CROWE BOARD MEMBER 1.00 0.00 X 0 0 0 CURTIS KECK BOARD MEMBER 1.00 0.00 X 0 0 0 AMY PALUS VICE CHAIR 1.00 0.00 X X 0 0 0 3224772 2740005 822792 52 true true false GRANGER CONSTRUCTION CO 6267 AURELIUS RD LANSING MI 489114230 CONSTRUCTION 2236906 AYA HEALTHCARE 5930 CORNERSTONE CT W 300 SAN DIEGO CA 92121 AGENCY STAFFING 2118027 FASTAFF LLC 6399 S FIDDLERS GREEN CIR STE 100 GREENWOOD VILLAGE CO 801114974 NURSING AGENCY 1088720 NOUVUS ANESTHESIA PARTNERS 2510 W CERVANTES ST PENSACOLA FL 32505 CRNA COVERAGE 731101 ALLIANCE-HNI LEASING CO LLC 18201 VON KARMAN SUITE 600 IRVINE CA 926121176 MRI SERVICES 629505 10 1125105 1125105 PATIENT SERVICE REVENUE 621990 51404184 51404184 RETAIL PHARMACY/LAB 446110 6659233 6659233 340B CONTRACTED PHARMACY NI 446110 23607 23607 58087024 2577997 2577997 61075 16484 44591 44591 44591 8822953 8822953 8822953 8822953 46931 38073 8858 8858 QUALITY INCENTIVES 900099 556267 556267 CAFETERIA REVENUE 900099 150077 150077 WELLNESS REVENUE 900099 48809 48809 117930 117930 873083 71539611 52309732 6659233 11445541 405543 405543 22820787 21772349 1048438 937426 878743 58683 2123130 1990221 132909 1348372 1231468 116904 9190 9190 2243063 2241463 1600 63338 63338 52114 39875 12239 1360480 1123569 236911 107834 77951 29883 1148459 1148459 555792 555792 PURCHASED SERVICES 7939924 2963242 4976682 SUPPLIES 6710700 6667123 43577 COGS 3642110 3642110 REPAIRS AND MAINTENANCE 605546 605546 513085 61059 452026 52586893 43294719 9292174 0 5936983 3546991 21395215 30599296 962027 1204897 9884 8795 44367857 31607429 10733917 12760428 147735693 129318908 1642080 1539391 188415799 178978706 6404993 5661785 5371560 5850482 11776553 11512267 X 176639246 167466439 176639246 167466439 188415799 178978706 X 18952718 -28125911 386 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 3236464 314065 55042 3605571 1.00000 false true true 812616 812616 27004131 17981624 9022507 394216 394216 15058378 13625805 1432573 1098516 1098516 12760428 INVESTMENTS 129318908 F 129318908 POST RETIREMENT BENEFITS PAYABLE 3859863 457 PLAN 1037340 DUE TO RELATED ORGANIZATION 450634 LONG TERM LEASE PAYABLE 312502 SHORT TERM LEASE LIABILITY 190143 5850482 SCHEDULE D, PAGE 2, PART V, LINE 4 SPARROW CLINTON HOSPITAL DOES NOT HOLD ENDOWMENTS. THE ENDOWMENTS ARE HELD BY SPARROW FOUNDATION. SPARROW HEALTH SYSTEM IS THE SOLE MEMBER OF SPARROW CLINTON 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 OF ESTABLISHED BY THE ENDOWMENTS. true true true X true X true true true false true true 451877 444079 7798 0.00010 7729956 5670760 2059196 0.03920 8181833 6114839 2066994 0.03930 32374 32374 0.00060 21193 21193 0.00040 20971 20971 0.00040 74538 74538 0.00140 8256371 6114839 2141532 0.04070 7500 7500 0.00010 2250 2250 17871 17871 0.00030 27621 27621 0.00050 true 439046 68035 7921743 7843880 77863 X true true 1 1 SPARROW CLINTON HOSPITAL 805 S OAKLAND STREET ST JOHNS MI 48879 WWW.SPARROW.ORG/SPARROWCLINTON 0000190011 X X X X MAIN CAMPUS SPARROW CLINTON HOSPITAL 1 false false true X X X X X X X X 22 true true true true X WWW.SPARROW.ORG/SPARROWCLINTON X true 22 false true false true X 200.000000000000 200.000000000000 X X true true X X X true X WWW.SPARROW.ORG X WWW.SPARROW.ORG X WWW.SPARROW.ORG X X X true X false X true X false true FACILITY 1, SPARROW CLINTON HOSPITAL - PART V, LINE 3E THE SIGNIFICANT HEALTH NEEDS WERE PRIORITIZED AND DOCUMENTED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT. FACILITY 1, SPARROW CLINTON 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 EXPERIENCE, THOUGHTS, BELIEFS, AND STORIES OF THE COMMUNITY, A SERIES OF FOCUS GROUPS WERE CONDUCTED FOR THE PROJECT. SIX FOCUS GROUPS WERE HELD BETWEEN JUNE AND JULY 2021 AND WERE CONDUCTED VIRTUALLY AS WELL AS IN VARIOUS LOCATIONS THROUGHOUT THE THREE COUNTIES. GROUPS THAT WERE ACTIVELY SOLICITED FOR INPUT WERE: - PERSONS WITH DISABILITIES - PERSONS IN RECOVERY FROM SUBSTANCE ADDICTION - PERSONS WHO DID NOT HAVE HEALTH INSURANCE - PERSONS WHO HAD LOW INCOMES OR WERE UNEMPLOYED - PERSONS WHO IDENTIFIED AS SPANISH-SPEAKING HISPANIC OR LATINO/A - PERSONS WHO IDENTIFIED AS A PERSON 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 PREVENTATIVE 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 QUESTION DEVELOPED BY THE HEALTH DEPARTMENTS TO COLLECT INFORMATION OF INTEREST TO THE LOCAL COMMUNITY. DURING THE 2017-2019 SAMPLING PERIOD, 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 DURING FEBRUARY-MAY 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 WITH THE PROJECT'S HOSPITAL SYSTEM PARTNERS. FACILITY 1, SPARROW CLINTON 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 CLINTON 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 CLINTON HOSPITAL - PART V, LINE 11 SPARROW CLINTON 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 HEALTH CARE ACCESS 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 FINANCIAL STABILITY AND BEHAVIORAL HEALTH. THIS HEALTH NEED IS IMPORTANT BUT IT IS NOT WITHIN THE SCOPE OF THE HOSPITAL'S CORE COMPETENCIES. FACILITY 1, SPARROW CLINTON 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 ON OUR FINANCIAL ASSISTANCE POLICY AND/OR INDIVIDUAL CIRCUMSTANCES. 2 SPARROW CLINTON REHAB & WELLNESS 1079 S BUSINESS 127 ST JOHNS MI 48879 SPEECH, PHYSICAL & OCCUPATIONAL THERAPY SPARROW CLINTON ST JOHNS MED BLDG 901 S OAKLAND ST JOHNS MI 48879 MED PRACTICE, SPECIALTY CLINIC, PHARMACY SCHEDULE H, PART I, LINE 7 A COST TO CHARGE RATIO WAS USED TO COMPLETE THE CHARITY CARE (LINE 7A) AND MEANS-TESTED GOVERNMENT PROGRAMS (LINE 7B). THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 THAT ACCOMPANIES THE INSTRUCTIONS TO THIS SCHEDULE. THE HOSPITAL'S COST ACCOUNTING RECORDS WERE USED TO COMPLETE THE COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS (LINE 7E), HEALTH PROFESSIONS EDUCATION (LINE 7F), AND CASH AND IN-KIND CONTRIBUTIONS (LINE 7I). SCHEDULE H, PART II SPARROW CLINTON HOSPITAL PROVIDES THE FOLLOWING COMMUNITY ACTIVITIES TO PROMOTE HEALTHY LIFESTYLES: ANNUAL HEALTH FAIR; VACCINATION CLINICS; CLINTON COUNTY FOOD DISTRIBUTION; SAFE KIDS BICYCLE HELMET AND CAR SEAT FITTINGS; AMERICAN CANCER SOCIETY LOOK GOOD, FEEL BETTER PROGRAM; DIABETES EDUCATIONAL PROGRAMS; HEALTHCARE CAREER SCHOLARSHIPS; EXPIRED MEDICATION COLLECTIONS; AREA AGENCY AND ORGANIZATION EVENTS AND PROGRAMS THAT SUPPORT HEALTHY LIFESTYLES. PROGRAMS AND EVENTS OFFERED BY SPARROW CLINTON HOSPITAL ARE PROVIDED TO THE PUBLIC FREE OR AT COST, WITH ASSISTANCE FROM VOLUNTEERS, INCLUDING MEDICAL STAFF, HOSPITAL LEADERSHIP, ASSOCIATES, HOSPITAL BOARD AND COMMITTEE MEMBERS, COMMUNITY VOLUNTEERS AND HOSPITAL AUXILIANS. 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 THROUGH 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. 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 THE CHARGES FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE ARE WRITTEN OFF THE SYSTEM TO CHARITY CARE AT THE TIME THE PATIENT'S CHARITY STATUS IS DETERMINED. AS SUCH, NO FURTHER COLLECTION EFFORTS TAKE PLACE. SCHEDULE H, PART VI, LINE 2 SPARROW CLINTON 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 CLINTON 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 CLINTON HOSPITAL SERVES THE PEOPLE OF CLINTON COUNTY AND SURROUNDING AREAS. CLINTON COUNTY IS 566 SQUARE MILES, WITH A POPULATION OF 75,382 AS OF THE 2010 CENSUS. IT IS ESTIMATED THAT 33% OF COUNTY RESIDENTS HAD EITHER PUBLIC COVERAGE OR NO HEALTH COVERAGE IN 2010. SCHEDULE H, PART VI, LINE 5 PROGRAMS AND EVENTS OFFERED BY SPARROW CLINTON HOSPITAL ARE PROVIDED TO THE PUBLIC FREE OR AT COST WITH ASSISTANCE FROM VOLUNTEERS, INCLUDING THE MEDICAL STAFF, HOSPITAL LEADERSHIP, ASSOCIATES, HOSPITAL BOARD AND COMMITTEE MEMBERS, COMMUNITY VOLUNTEERS, AND HOSPITAL AUXILIARIES. SCHEDULE H, PART VI, LINE 6 SPARROW CLINTON 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 WHOLLY OWNED AND CONTROLLED SUBSIDIARIES: PHYSICIANS HEALTH PLAN OF MID-MICHIGAN, SPARROW PHYSICIANS HEALTH NETWORK, EDWARD W. SPARROW HOSPITAL, SPARROW CLINTON HOSPITAL, SPARROW IONIA HOSPITAL. SPARROW EATON HOSPITAL, SPARROW SPECIALTY HOSPITAL, SPARROW DEVELOPMENT, INC, SPARROW COMMUNITY CARE, SPARROW FOUNDATION, SPARROW CARSON HOSPITAL, AND SPARROW CLINICAL RESEARCH INSTITUTE. 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 MATTHEW WILCOX BOARD MEMBER 658773 9000 19931 8400 60997 757101 PAULA REICHLE SR VP - CFO - SHS 561901 86588 8400 53209 710098 MARK WEISMILLER MD PHYSICIAN 506228 55542 808 17550 44281 624409 KIRA CARTER-ROBERTSON BOARD MEMBER 401460 100 1374 43382 53743 500059 GREGORY HOLZHEI DO BOARD MEMBER 304912 134157 4215 17550 25348 486182 ERICH HORNBACH PHYSICIAN 400683 1137 9150 48549 459519 BRADLEY GARRETT PHYSICIAN 384607 15291 564 8400 43559 452421 NABIL BAHU PHYSICIAN 352829 14009 1219 9150 47789 424996 MICHAEL DEGRAND PHYSICIAN 336810 14217 15812 9150 32981 408970 KATIE RYAN PHYSICIAN 203539 103516 1592 15097 35408 359152 WILLIAM HOWE FORMER BOARD MEMBER 295049 2843 15305 33507 346704 MARK BRISBOE FORMER OFFICER 251670 1061 6015 33903 292649 BRUCE SHIVELY CFO 224510 920 5309 35749 266488 MATTHEW NOBIS TREASURER 224504 321 41294 266119 KRISTINA MCCARTHY INTERIM PRESIDENT 222548 477 10752 20056 253833 BETH DAUGHERTY PRESIDENT 121480 1421 9638 19171 151710 CHRISTOPHER BEAL DO FORMER BOARD MEMBER 24279 24279 SCHEDULE J, PAGE 1, PART I, LINE 1A CERTAIN BOARD MEMBERS- AND EXECUTIVES' MICHIGAN ATHLETIC CLUB DUES ARE PAID BY THE ORGANIZATION. THESE AMOUNTS ARE CONSIDERED TAXABLE COMPENSATION. SCHEDULE J, PAGE 1, PART I, LINE 4 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 WILLIAM HOWE, MARK BRISBOE, AND CHRISTOPHER BEAL ARE FORMER BOARD MEMBERS AND OFFICERS OF SPARROW CLINTON HOSPITAL. THE FORMER BOARD MEMBERS/OFFICERS ARE BEING COMPENSATED BY SPARROW HEALTH SYSTEM AND AFFILIATES FOR SERVICES PROVIDED TO SPARROW HEALTH SYSTEM AND AFFILIATES IN POSITIONS OTHER THAN BOARD MEMBERS/OFFICERS. THE FORMER BOARD MEMBERS/OFFICERS ARE NOT BEING COMPENSATED FOR ANY PAST SERVICES PROVIDED TO SPARROW CLINTON HOSPITAL AS FORMER BOARD MEMBERS/OFFICERS. 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 FROM THE PLAN ARE REPORTED BELOW AS A NEGATIVE AS WELL AS BEING DISCLOSED ON SCHEDULE J, PART II COLUMN B (III) PAULA REICHLE - NONQUALIFIED DISTRIBUTIONS -57,307 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 2, PART III, LINE 4D OTHER PROGRAM SERVICES INCLUDE INPATIENT ROUTINE CARE, RADIOLOGY, CARDIOPULMONARY, RESPIRATORY THERAPY, HOSPITAL AND RETAIL PHARMACY, INFUSION THERAPY, PHYSICIANS' PRACTICE, PHYSICAL/OCCUPATIONAL/SPEECH THERAPY, AND SLEEP STUDIES. FORM 990, PAGE 6, PART VI, LINE 6 SPARROW HEALTH SYSTEM IS THE SOLE MEMBER OF SPARROW CLINTON 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 CLINTON HOSPITAL BOARD. THE PRESIDENT OF THE MEDICAL STAFF, WHICH IS A MEMBER OF THE GOVERNING BODY, IS ELECTED BY THE MEDICAL STAFF OF SPARROW CLINTON HOSPITAL. FORM 990, PAGE 6, PART VI, LINE 7B SPARROW HEALTH SYSTEM HAS THE RIGHT TO ELECT, REPLACE, AND REMOVE DIRECTORS OF SPARROW CLINTON HOSPITAL. SPARROW HEALTH SYSTEM ALSO HAS THE AUTHORITY TO APPROVE DECISIONS OF THE SPARROW CLINTON HOSPITAL BOARD WHEN IT IS DEEMED NECESSARY. FORM 990, PAGE 6, PART VI, LINE 11B COPIES OF THE 2022 FORM 990 ARE REVIEWED BY MANAGEMENT. ONCE MANAGEMENT HAS COMPLETED ITS REVIEW OF FORM 990 COPIES WERE 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 THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS ARE AVAILABLE ON SEVERAL INTERNET WEBSITES, INCLUDING NMSIR AND MSHFA WEBSITES, AS WELL AS AVAILABLE UPON REQUEST. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9 OTHER ADJUSTMENT - CSC 386 SPARROW HEALTH SYSTEM 1215 E MICHGAN AVENUE LANSING MI 48912 382542859 PARENT MI 501C3 12A NA false SPARROW COMMUNITY CARE 3315 E MICHIGAN AVENUE STE 4 LANSING MI 48912 382543305 HOME HLTH MI 501C3 10 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 EDWARD W SPARROW HOSPITAL 1215 E MICHIGAN AVENUE LANSING MI 48912 381360584 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 ST PO BOX 879 CARSON CITY MI 48811 381490180 HLTH CARE MI 501C3 3 SHS true SPARROW EATON HOSPITAL 321 E HARRIS ST CHARLOTTE MI 48813 382007629 HLTH CARE MI 501C3 3 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 S OAKLAND STREET ST JOHNS MI 48879 382494110 SERVICES MI N/A true EAST LANSING HTH ATH CLUB & HSP 1200 E MICHIGAN AVENUE STE 600 LANSING MI 48912 813131851 CONDO ASSO MI N/A true false false false false false false false false false false false false true false true true false false true EDWARD W SPARROW HOSPITAL P 1988436 COST EDWARD W SPARROW HOSPITAL M 602640 COST