2024-05-15T13:43:12-04:00 2023-06-30 383133790 ANDREWS HOOPER PAVLIK PLC 4295 OKEMOS RD STE 200 OKEMOS MI 488646201 990 2023-01-01 381358172 SPARROW CLINTON HOSPITAL SPAR 9892273400 805 S OAKLAND STREET ST JOHNS MI 48879 MARGARET DIMOND PHD REGIONAL PRESIDENT 9892246881 2024-05-02 true MARGARET DIMOND 999009999 true JULIE M PFEIFLE P00751307 5177060800 2024-05-15 2022 2023-04-26 12:10:37Z UNIV OF MI HEALTH - SPARROW CLINTON MARGARET DIMOND PHD 1215 E MICHIGAN AVENUE LANSING MI 48912 36717341 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. 12 5 0 28 3492018 1125105 522221 58087024 32208747 11400950 3740279 926532 235643 71539611 36706890 0 0 27635258 13198832 0 0 24951635 13134480 52586893 26333312 18952718 10373578 178978706 193163954 11512267 10773173 167466439 182390781 X IMPROVING THE HEALTH OF THE PEOPLE IN OUR COMMUNITIES BY PROVIDING QUALITY, COMPASSIONATE CARE TO EVERYONE, EVERY TIME. false false 2592814 3509593 SPARROW CLINTON HOSPITAL'S EMERGENCY DEPARTMENT IS A 24 HOUR/7 DAYS A WEEK FULLY OPERATIONAL EMERGENCY ROOM. IN THE SIX MONTHS ENDED JUNE 30, 2023, THERE WERE 6,407 VISITS TO THE SCH EMERGENCY ROOM. 1727523 2252801 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 THE SIX MONTHS ENDED JUNE 30, 2023, THERE WERE 113,856 LAB TESTS PERFORMED. 2328425 3069477 SPARROW CLINTON HOSPITAL SURGERY DEPARTMENT PROVIDES ROUTINE INPATIENT AND OUTPATIENT SURGICAL SERVICES TO PATIENTS. THERE WERE 564 SURGERIES, AS WELL AS 411 SCOPES PERFORMED IN THE SIX MONTHS ENDED JUNE 30, 2023. 15356396 23376876 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. 15356396 23376876 22005158 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 false false false false false false false false false false false false false false true true true false false true 0 0 true 0 true true false false false false false false false false false false false X 12 5 false false true 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 X CRAIG BISHOP BOARD MEMBER 1.00 0.00 X 0 0 0 KIMBERLY BRZOZOWSKI BOARD MBR/VI 1.00 0.00 X X 0 0 0 KIRA CARTER-ROBERTSON COO 1.00 40.00 X 0 0 0 DANIEL COSS BOARD MEMBER 1.00 0.00 X 0 0 0 VIRGINIA HAMILTON CROWE BOARD MEMBER 1.00 0.00 X 0 0 0 GREGORY HOLZHEI DO BOARD MEMBER 40.00 0.00 X 0 0 0 TOM FRENCH BOARD MEMBER 1.00 X 0 0 0 HELEN JOHNSON REGIONAL COO 1.00 40.00 X 0 0 0 CURTIS KECK BOARD MMBR/S 1.00 0.00 X X 0 0 0 MARK WEISMILLER MD PHYSICIAN 40.00 0.00 X 0 0 0 KRISTINA MCCARTY PRESIDENT 40.00 1.00 X X 0 0 0 MATTHEW NOBIS TREASURER 1.00 40.00 X X 0 0 0 AMY PALUS BOARD MMBR/C 1.00 0.00 X X 0 0 0 MATTHEW WILCOX BOARD MEMBER 1.00 40.00 X 0 0 0 MARGARET DIMOND PHD REGIONAL PRE 0.00 40.00 X 0 0 0 BRUCE SHIVELY CFO 10.00 40.00 X 0 0 0 false false false 32216 490005 522221 PATIENT SERVICE REVENUE 621990 28667434 28667434 RETAIL PHARMACY/LAB 446110 3492018 3492018 340B CONTRACTED PHARMACY NI 446110 49295 49295 32208747 1069116 1069116 30288 10451 19837 19837 19837 2671163 2671163 2671163 2671163 ALL OTHER REVENUE 900099 93494 93494 CAFETERIA REVENUE 900099 90413 90413 WELLNESS REVENUE 900099 29827 29827 2072 2072 215806 36706890 28932535 3492018 3760116 126799 126799 11482007 10984537 497470 -117782 -111448 -6334 945708 894852 50856 762100 713462 48638 2315 2315 1054303 1054003 300 8028 8028 25022 20881 4141 888582 854399 34183 45635 24715 20920 5777 5777 605939 605939 127896 127896 PURCHASED SERVICES 4201094 1458324 2742770 SUPPLIES 3476556 3432231 44325 COGS 2010436 2010436 REPAIRS AND MAINTENANCE 377556 376138 1418 305341 292628 12713 26333312 22005158 4328154 0 3546991 3091034 2566 30599296 34349372 1204897 1128786 8795 112101 47386203 32213369 12760428 15172834 129318908 138294908 1539391 1012353 178978706 193163954 5661785 6616195 5850482 4156978 11512267 10773173 X 167466439 182390781 167466439 182390781 178978706 193163954 X 10373578 5237358 -548129 -138465 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 9199222 273470 313164 9785856 6297032 5192208 -280050 11209190 5606321 561053 129658 6297032 4912247 237860 456214 5606321 4700296 39943 172008 4912247 1.00000 false true true 812616 812616 29347957 18336865 11011092 394216 394216 16316559 13876504 2440055 514855 514855 15172834 INVESTMENTS 138294908 F 138294908 POST RETIREMENT BENEFITS PAYABLE 3604383 DEFERRED INFLOW 449014 SHORT TERM LEASE LIABILITY 57277 UNFUNDED PENSION LIABILITY 46304 4156978 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 ESTABLISHED BY THE ENDOWMENTS. BEGINNING OF YEAR BALANCE WAS ADJUSTED DUE TO THE REMOVAL OF 2,009,968 OF PLEDGES FROM THE ENDOWMENT BALANCE. THIS ADJUSTMENT WAS MADE DUE TO THE BEGINNING OF YEAR CONVERSION OF THE FINANCIAL STATEMENTS FROM FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) TO GOVERNMENTAL ACCOUNTING STANDARDS BOARD (GASB). THE FASB TO GASB CONVERSION WAS REQUIRED DUE TO THE AFFILIATION. true true true X true X true true true false true true 279769 279769 0.01060 3652182 2865934 786248 0.02990 3931951 2865934 1066017 0.04050 10000 10000 0.00040 2900 2900 0.00010 12900 12900 0.00050 3944851 2865934 1078917 0.04100 true 240778 36117 10785506 12193052 -1407546 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. THE HOSPITAL BELIEVES THE FULL AMOUNT OF THE SHORTFALL REPORTED ON PART III, SECTION B, LINE 7 SHOULD BE TREATED AS A COMMUNITY BENEFIT. 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 SUBSIDIARIES: 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 FORM 990 ALL LINES LEFT BLANK ARE NOT APPLICABLE TO THE ORGANIZATION. ON APRIL 1, 2023 SPARROW HEALTH SYSTEM, THE REGENTS OF THE UNIVERSITY OF MICHIGAN, AND UM HEALTH CONSUMMATED THEIR AFFILIATION. AS A RESULT OF THE TRANSACTION UM HEALTH CORP BECAME THE SOLE CORPORATE MEMBER OF SPARROW HEALTH SYSTEM. AS A RESULT OF THE AFFILIATION THE BASIS OF ACCOUNTING UTILIZED BY THE ORGANIZATION HAD CHANGED FROM FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) TO GOVERNMENTAL ACCOUNTING STANDARDS BOARD (GASB), AND THE FISCAL YEAR END CHANGED FROM DECEMBER 31 TO JUNE 30. 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 4 THE ORGANIZATION'S BYLAWS WERE AMENDED AND RESTATED TO REFLECT UM HEALTH CORP AS THE SOLE MEMBER OF THE SPARROW HEALTH SYSTEM. UM HEALTH CORP HAS AUTHORIZED THE BOARD OF DIRECTORS OF UM HEALTH CORP TO EXERCISE ITS POWER ON THE CORPORATION'S BEHALF. UM HEALTH CORP'S BOARD OF DIRECTORS HAS THE FOLLOWING AUTHORITY OVER SPARROW HEATH SYSTEM AND AFFILIATES: -APPOINT TWO OFFICERS OF UM HEALTH CORP TO ACT ON ITS BEHALF REGARDING GENERAL AND SPECIFIC INSTANCES. -RESERVED POWERS REQUIRING APPROVAL OF THE BOARD REGARDING: O STRATEGIC PLANNING O MISSIONS AND VISION CHANGES O BUDGET AND CAPITAL EXPENDITURE BUDGETS O INCURRENCE OF DEBT OR MORTGAGING/GUARANTEEING ASSETS O ENGAGING IN ACQUISITION OR MERGER O MAKING MATERIAL CHANGES IN CLINICAL SERVICES 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 FISCAL YEAR 6/30/2023 FORM 990 ARE REVIEWED BY MANAGEMENT. THE FORM 990 COPIES WERE PROVIDED AT THE BOARD MEETING FOR ALL BOARD MEMBERS TO REVIEW AND COMMENT ON PRIOR TO FILING. 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 EQUITY ADJUSTMENT - PRIOR PERIOD 1,082,349 PENSION ADJUSTMENT -1,220,814 TOTAL -138,465 REGENTS OF THE UNIV OF MICHIGAN 5082 WOLVERINE TWR 3003 S STATE ANN ARBOR MI 481091287 386006309 SCHOOL MI 501C3 2 NA false WEST MICHIGAN RADIATION ONCOLOGY 5950 METRO WAY WYOMING MI 49519 300501592 HOSPITAL MI 501C3 3 NA false METROPOLITAN HOSPITAL (UMH WEST) 5900 BYRON CENTER AVENUE SW WYOMING MI 49519 380593405 HOSPITAL MI 501C3 3 UM HEALTH true UM HEALTH 5082 WOLVERINE TWR 3003 S STATE ANN ARBOR MI 48109 814913150 SUP ORG MI 501C3 12A UM false METROPOLITAN FOUNDATION 5900 BYRON CENTER AVENUE SW WYOMING MI 49519 383033329 SUP HOSP MI 501C3 7 METRO HOSP true SPARROW HEALTH SYSTEM 1215 E MICHGAN 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 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 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 HAYES GREEN BEACH HOSPITAL AUXILIAR 321 E HARRIS ST CHARLOTTE MI 48813 382377160 FUNDRAISE MI 501C3 3 SHS true PHP HOLDINGS LLC 1400 E MICHIGAN AVENUE LANSING MI 48912 833965697 HOLDING CO MI N/A false false MICHIGAN DIALYSIS SERVICES LLC 5082 WOLVERINE TWR 3003 S STATE ST ANN ARBOR MI 481091287 383472138 DIALYSIS MI N/A false false PHYSICIAN ORGANIZATION OF MI ACO 5082 WOLVERINE TWR 3003 S STATE ST ANN ARBOR MI 481091287 454542046 HEALTHCARE MI N/A false false KENT HEALTH CARE PHYSICIAN ORG 2225 MAIN STREET SW STE 110 WYOMING MI 49519 383404658 HEALTHCARE MI N/A true 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 true false false false false false false false false false true false true true false false false EDWARD W SPARROW HOSPITAL P 974643 COST EDWARD W SPARROW HOSPITAL M 246250 COST