2024-05-15T11:43:54-04:00 2023-06-30 383133790 ANDREWS HOOPER PAVLIK PLC 4295 OKEMOS RD STE 200 OKEMOS MI 488646201 990 2023-01-01 381490180 SPARROW CARSON HOSPITAL SPAR 9895843971 406 E ELM STREET PO BOX 879 CARSON CITY MI 48811 MARGARET DIMOND PHD REGIONAL PRESIDENT 9895843971 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 CARSON MARGARET DIMOND PHD 1215 E MICHIGAN AVENUE LANSING MI 48912 22272013 false X WWW.SPARROW.ORG X 1938 MI THE MISSION OF SPARROW CARSON HOSPITAL (SCCH) IS TO PROVIDE HIGH QUALITY & ACCESSIBLE HEALTH CARE SERVICES TO COMMUNITIES WE SERVE. SCCH PROVIDES CHARITY CARE TO PATIENTS WHO MEET CERTAIN CRITERIA. 12 5 0 14 0 2318047 249182 42575753 21518585 764164 252740 1000072 251506 46658036 22272013 0 0 28724090 14059509 0 0 21098564 10902285 49822654 24961794 -3164618 -2689781 32663001 31994581 35453160 35274439 -2790159 -3279858 X THE MISSION OF SPARROW CARSON HOSPITAL (SCCH) IS TO PROVIDE HIGH QUALITY & ACCESSIBLE HEALTH CARE SERVICES TO COMMUNITIES WE SERVE. SCCH PROVIDES CHARITY CARE TO PATIENTS WHO MEET CERTAIN CRITERIA. false false 13304403 14988272 SPARROW CARSON HOSPITAL (SCCH) IS A 61-BED, ACUTE CARE HOSPITAL LOCATED IN CENTRAL MICHIGAN. IT IS THE OLDEST OSTEOPATHIC HOSPITAL IN MICHIGAN, FOUNDED IN 1936 BY EMMETT BINKERT, DO. SINCE THIS TIME, SCCH HAS BEEN COMMITTED TO SERVING THE RESIDENTS IN A FOUR-COUNTY AREA. SCCH CURRENTLY OPERATES A SHORT-TERM, ACUTE-CARE FACILITY AND SEVERAL SATELLITE CLINICS OFFERING INPATIENT AND OUTPATIENT HEALTHCARE SERVICES, PHYSICIAN SERVICES, PRIMARILY TO PATIENTS IN THE CARSON CITY, MICHIGAN AREA, INCLUDING GRATIOT, MONTCALM, CLINTON, AND IONIA COUNTIES. SCCH PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. BECAUSE SCCH DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE UNDER ARRANGEMENTS WITH VARIOUS GOVERNMENTAL INSURANCE PROGRAMS. SCCH PROVIDES SIGNIFICANT CARE TO THE LOCAL INDIGENT POPULATION FOR WHICH REIMBURSEMENT FOR SERVICES RENDERED IS GENERALLY LESS THAN THE COST OF PROVIDING SUCH SERVICES AS PART OF ITS OBLIGATION TO THE LOCAL COMMUNITY. SCCH ALSO PROVIDES SERVICES TO INDIGENT PATIENTS UNDER THE MEDICAID PROGRAM AT PAYMENT AMOUNTS LESS THAN THE COST OF THE SERVICES PROVIDED. 6582216 6245889 SPARROW MEDICAL GROUP (SMG) FACILITIES INCLUDING PRIMARY CARE PRACTICES (SMG CARSON, SMG FOWLER, SMG GREENVILLE, SMG ITHACA, AND SMG STANTON) AND SPECIALIST OFFICES (SMG CARSON GENERAL SURGERY, SMG CARSON ORTHOPEDICS, SMG CARSON OBGYN, SMG CARSON PAIN MANAGEMENT). 238566 284424 PHYSICAL REHABILITATION CENTER PROVIDES PHYSICAL THERAPY, AQUA THERAPY, NEUROLOGICAL, AND VESTIBULAR/BALANCE CONDITIONS AND MOVEMENT ANALYSIS FOR YOUR BEST OUTCOME, AND MCKENZIE CERTIFIED TREATMENT FOR SPINE. 20125185 true true false false false false false false false true true false 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 true false false false false false false true true true false false true 0 0 true 0 false 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 KIM CAPPS 9895843971 406 E ELM STREET CARSON CITY MI 48811 X MARK BRISBOE PRESIDENT 40.00 X X 0 0 0 KIM CAPPS CFO/TREASURE 20.00 20.00 X X 0 0 0 KIRA CARTER-ROBERTSON COO 2.00 40.00 X X 0 0 0 CHRISTOPHER COPP BOARD MEMBER 2.00 X 0 0 0 RICK COY BRD MMBR/SEC 2.00 X X 0 0 0 DAVID J FREESTONE MD BOARD MBR/PH 40.00 X 0 0 0 MICHAEL RACINE MD BOARD MBR/PH 40.00 X 0 0 0 DANIYEL MCALVEY BRD MMBR/VIC 2.00 X X 0 0 0 RICHARD SCHROEDER BOARD MEMBER 2.00 X 0 0 0 RENEE SOPEL BOARD MEMBER 2.00 X 0 0 0 CAROL PRIEBE WILES BOARD MEMBER 2.00 X X 0 0 0 BRENT WILSON BOARD MEMBER 2.00 X 0 0 0 MARGARET DIMOND PHD REGIONAL PRE 2.00 40.00 X 0 0 0 false false false 4371 244811 249182 NET PATIENT SERVICE REVENUE 621300 21518585 21518585 21518585 72836 72836 133374 133374 133374 133374 179904 179904 179904 179904 ALL OTHER REVENUE 900099 51581 51581 COFFEE SHOP, CAFETERIA, OTHER 722210 51551 51551 EXTRAORDINARY EVENT 900099 15000 15000 118132 22272013 21585166 437665 202058 202058 11103140 10594561 508579 594773 557386 37387 1370036 1283916 86120 789502 736046 53456 7869 7869 551505 551187 318 2860 144 2716 25244 20824 4420 453873 402414 51459 40959 30882 10077 64114 64114 935762 84945 850817 266862 40860 226002 SUPPLIES 4151015 4139076 11939 PURCHASED SERVICES 3582632 876636 2705996 REPAIRS 779469 776358 3111 OTHER 40121 29950 10171 24961794 20125185 4836609 0 129362 222158 4869655 4896555 1015713 586384 50187 94437 38385146 22973443 16108015 15411703 8709667 9314204 1780402 1469140 32663001 31994581 31920442 34018891 2512718 1020000 1255548 35453160 35274439 X -2790159 -3279858 -2790159 -3279858 32663001 31994581 -2689781 343873 1856209 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 585000 585000 16399645 6306153 10093492 69670 69670 21278666 16597620 4681046 52165 52165 15411703 PROFESSIONAL LIABILITY CLAIMS RESERV 1080000 LEASE LIABILITY PAYABLE 164317 DEFERRED INFLOW 11231 1255548 SCHEDULE D, PAGE 2, PART V, LINE 4 SPARROW CARSON HOSPITAL DOES NOT HOLD ENDOWMENTS. THE ENDOWMENTS ARE HELD BY SPARROW FOUNDATION. SPARROW HEALTH SYSTEM IS THE SOLE MEMBER OF SPARROW CARSON 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 ENDOWMENT. 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 false true true 291554 291554 0.01170 4468816 2548788 1920028 0.07690 4760370 2548788 2211582 0.08860 500 500 500 500 4760870 2548788 2212082 0.08860 true 165593 22024 5274275 9601997 -4327722 X true true 1 1 SPARROW CARSON HOSPITAL 406 E ELM STREET CARSON CITY MI 48811 WWW.SPARROW.ORG 1060000095 X X X X WALK-IN CLINIC SPARROW CARSON HOSPITAL 1 false false true X X X X X X X X 22 true true true true X WWW.SPARROW.ORG 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 CARSON HOSPITAL - PART V, LINE 3E THE SIGNIFICANT HEALTH NEEDS WERE PRIORITIZED AND DOCUMENTED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT. FACILITY 1, SPARROW CARSON 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. WHILE HEALTHY CAPITAL COUNTIES WAS COLLECTING DATA, MONTCALM COUNTY, WHICH IS WITHIN SPARROW CARSON HOSPITAL'S AREA, WAS ALSO CONDUCTING A SIMILAR COMMUNITY ASSESSMENT. IN NOVEMBER 2021, AFTER DATA WAS COLLECTED AND ANALYZED, MONTCALM COUNTY HELD TWO COMMUNITY EVENTS TO SHARE ASSESSMENT DATA AND VOTE ON PRIORITY HEALTH NEEDS. COMMUNITY PARTICIPANTS REVIEWED AND VOTED ON THE LIST OF 16 PRIORITY NEEDS. THE FOLLOWING ARE THE TOP FIVE NEEDS IDENTIFIED BY THE COMMUNITY PARTICIPANTS: -SUBSTANCE ABUSE (TOBACCO, ALCOHOL, ILLICIT SUBSTANCES) -MENTAL HEALTH -TRANSPORTATION -HEALTHY LIFESTYLES -FINANCIAL SECURITY/ECONOMIC STABILITY 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 CARSON HOSPITAL - PART V, LINE 6A SPARROW HEALTH SYSTEM, 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 CARSON 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 CARSON HOSPITAL - PART V, LINE 11 SPARROW CARSON HOSPITAL HAS DEVELOPED AN IMPLEMENTATION STRATEGY FOR THE TOP TWO PRIORITY NEEDS THAT WERE IDENTIFIED IN THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT. THE TOP NEEDS IDENTIFIED WERE HEALTH CARE ACCESS AND QUALITY 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 OF MEETING THE NEEDS. OTHER NEEDS WERE IDENTIFIED IN THE CHNA BUT NOT ADDRESSED IN THE IMPLEMENTATION STRATEGY DUE TO LIMITED RESOURCES AND THE NEED TO ALLOCATE SIGNIFICANT RESOURCES TO THE TOP TWO NEEDS IDENTIFIED. FACILITY 1, SPARROW CARSON HOSPITAL - PART V, LINE 24 ALL PATIENTS AND INSURANCES ARE CHARGED THE SAME GROSS CHARGE FROM THE HOSPITAL'S FEE SCHEDULE. DISCOUNTS ARE THEN PROVIDED TO UNINSURED PATIENTS BASED UPON OUR FINANCIAL ASSISTANCE POLICY AND/OR INDIVIDUAL CIRCUMSTANCES. 10 SMG ITHACA 114 N MAIN ST ITHACA MI 48847 GENERAL MEDICAL OUTPATIENT CLINIC SMG CARSON 102 S THIRD ST SUITE 100 BOX 277 CARSON CITY MI 48811 GENERAL MEDICAL OUTPATIENT CLINIC PHYSICAL REHABILITATION CARE CENTER 602 E ELM STREET CARSON CITY MI 48811 GENERAL MEDICAL OUTPATIENT CLINIC SMG GREENVILLE 1014 E WASHINGTON GREENVILLE MI 48838 GENERAL MEDICAL OUTPATIENT CLINIC SMG STANTON 545 N STATE ST BOX 638 STANTON MI 48888 GENERAL MEDICAL OUTPATIENT CLINIC SMG PAIN MANAGEMENT 102 S THIRD ST SUITE 300 CARSON CITY MI 48811 GENERAL MEDICAL OUTPATIENT CLINIC SMG ORTHOPEDICS AND GENERAL SURGERY 102 S THIRD ST SUITE 400 BOX 326 CARSON CITY MI 48811 GENERAL MEDICAL OUTPATIENT CLINIC HOSPITALISTS 406 E ELM STREET CARSON CITY MI 48811 GENERAL MEDICAL OUTPATIENT CLINIC SMG FOWLER 11017 W THIRD ST BOX 19 FOWLER MI 48835 GENERAL MEDICAL OUTPATIENT CLINIC SMG CARSON OBGYN 639 E MAIN ST CARSON CITY MI 48811 GENERAL MEDICAL OUTPATIENT CLINIC SCHEDULE H, PART I, LINE 7 THE DEFINITION OF A COMMUNITY BENEFIT IS A SERVICE OR PROGRAM THAT THE HOSPITAL PROVIDES TO PROMOTE HEALTH AND HEALING AS A RESPONSE TO COMMUNITY NEEDS. COMMUNITY BENEFITS USUALLY GENERATE A LOW OR NEGATIVE FINANCIAL RETURN, RESPOND TO PUBLIC HEALTH NEEDS, INVOLVE EDUCATION OR RESEARCH THAT IMPROVES THE OVERALL COMMUNITY HEALTH, AND RESPOND TO THE NEEDS OF SPECIAL POPULATIONS SUCH AS PERSONS LIVING IN POVERTY AND OTHER DISENFRANCHISED PERSONS. THE COSTING METHODOLOGY USED IS COST TO CHARGE RATIO. THE COST TO CHARGE RATIO IS FIGURED BY TAKING THE TOTAL EXPENSES EXCLUSIVE OF BAD DEBT AND DIVIDING THAT BY GROSS PATIENT REVENUE AND OTHER OPERATING REVENUE. 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 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 CARE STATUS IS DETERMINED. AS SUCH, NO FURTHER COLLECTION EFFORTS TAKE PLACE. SCHEDULE H, PART VI, LINE 2 SPARROW CARSON HOSPITAL RESPONDS TO THE HEALTHCARE NEEDS OF ITS ENTIRE SERVICE AREA. ITS DOORS ARE OPEN TO ALL THOSE WHO NEED HEALTHCARE SERVICES. INFORMATION ABOUT HEALTHCARE NEEDS IS RECEIVED THROUGH PARTNERSHIPS WITH LOCAL NON-PROFITS, GOVERNMENT AGENCIES AND OTHER HEALTHCARE ORGANIZATIONS, SUCH AS THE MID-MICHIGAN DISTRICT HEALTH DEPARTMENT AND THE IONIA COUNTY HEALTH DEPARTMENT - WHICH, TOGETHER, MONITOR THE MORTALITY RATES AND CAUSES IN CLINTON, GRATIOT, IONIA AND MONTCALM COUNTIES. HOSPITAL SERVICE RECORDS AND PATIENT SATISFACTION SURVEYS - MANAGED BY PRESS GANEY - ALSO PROVIDE FEEDBACK TO HOSPITAL STAFF ABOUT THE NEEDS OF THE COMMUNITY. SCHEDULE H, PART VI, LINE 3 ALTHOUGH NOT SPECIFICALLY OUTLINED IN THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, THE HOSPITAL USES THE FOLLOWING METHODS TO PUBLICIZE ITS FINANCIAL ASSISTANCE POLICY: WITHIN THE COMMUNITY SERVED THE POLICY WAS POSTED ON THE HOSPITAL FACILITY'S WEBSITE; THE POLICY WAS POSTED IN THE HOSPITAL FACILITY'S EMERGENCY ROOMS OR WAITING ROOMS; THE POLICY WAS POSTED IN THE HOSPITAL FACILITY'S ADMISSIONS OFFICE; THE POLICY WAS AVAILABLE UPON REQUEST. PATIENTS WERE MADE AWARE OF THE POLICY UPON ADMISSION. THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY IS CURRENTLY UNDER REVIEW, AND THE HOSPITAL IS CONSIDERING ADDING SPECIFIC INFORMATION RELATED TO THE METHODS USED TO PUBLICIZE ITS FINANCIAL ASSISTANCE POLICY WITHIN THE COMMUNITY SERVED. SCHEDULE H, PART VI, LINE 4 SPARROW CARSON HOSPITAL (SCCH) IS A 61-BED, ACUTE CARE HOSPITAL LOCATED IN CENTRAL MICHIGAN. IT IS THE OLDEST OSTEOPATHIC HOSPITAL IN MICHIGAN, FOUNDED IN 1936 BY EMMETT BINKERT, DO. SINCE THIS TIME SCCH HAS BEEN COMMITTED TO SERVING THE RESIDENTS OF COMMUNITIES IN A FOUR-COUNTY AREA. THE HOSPITAL'S GOVERNING BODY CONSISTS PRIMARILY OF VOLUNTEER MEMBERS WHO RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA. IN THE FALL OF 1996, SPARROW CARSON BECAME A PART OF CARSON HEALTH NETWORK (CHN). CHN WAS INTRODUCED TO WORK AS AN UMBRELLA UNDER WHICH ALL THE INDIVIDUAL HEALTHCARE ENTITIES ARE CONTAINED. CHN INCLUDES SPARROW CARSON HOSPITAL, FAMILY MEDICINE PRACTICES AND SEVERAL SPECIALTY CLINICS OFFERING A WIDE VARIETY OF SERVICES. THE FAMILY MEDICINE PROFESSIONAL, MEDICAL STAFF, IN COOPERATION WITH HOSPITAL BASED SPECIALISTS, SERVES PATIENTS IN ASHLEY, CARSON CITY, FOWLER, GREENVILLE, ITHACA, AND STANTON. THESE OFFICES FALL INTO 4 COUNTIES WHICH INCLUDE MONTCALM, IONIA, CLINTON AND GRATIOT COUNTIES. ALL AREAS ARE DESIGNATED AS RURAL BASED WITH AN AVERAGE OF 20,210 HOUSEHOLDS WITH AN AVERAGE HOUSEHOLD SIZE OF 2-7 PEOPLE. THE AVERAGE INCOME PER HOUSEHOLD IS 42,590 WHILE 6.20% OF ALL FAMILIES ARE BELOW THE POVERTY LEVEL. ALSO INCLUDED IN THIS GEOGRAPHIC AREA ARE 5 OTHER HOSPITALS: SPARROW CLINTON HOSPITAL, SPARROW IONIA HOSPITAL, SPECTRUM HEALTH UNITED CAMPUS, SHERIDAN COMMUNITY HOSPITAL, AND MID-MICHIGAN MEDICAL CENTER GRATIOT. IN ADDITION TO ACUTE HOSPITAL CARE, SCCH PROVIDES A VARIETY OF ADVANCED SERVICES, RANGING FROM AN INTENSIVE/CORONARY CARE UNIT TO MULTIPLE OUTPATIENT SERVICES. SCCH ALSO PROVIDES 24 - HOUR EMERGENCY ROOM CARE. PHYSICIANS ARE AVAILABLE TO YOU ANY TIME AT THE HOSPITAL, DAY OR NIGHT FOR EMERGENCY OR NON-EMERGENCY MEDICAL ASSISTANCE. ANY SURPLUS FUNDS AVAILABLE TO THE HOSPITAL ARE USED FOR FACILITY AND EQUIPMENT IMPROVEMENTS IN ORDER TO PROVIDE BETTER PATIENT CARE. THE AMERICAN RECOVERY AND REINVESTMENT ACT OF 2009 INCLUDED PROVISIONS FOR IMPLEMENTING HEALTH INFORMATION TECHNOLOGY UNDER THE HEALTH INFORMATION TECHNOLOGY FOR ECONOMIC AND CLINICAL HEALTH ACT("HITECH"). THESE PROVISIONS WERE DESIGNED TO INCREASE THE USE OF ELECTRONIC HEALTH RECORDS("EHR") TECHNOLOGY AND ESTABLISH REQUIREMENTS FOR A MEDICARE AND MEDICAID INCENTIVE PAYMENTS PROGRAM BEGINNING IN 2011 FOR ELIGIBLE HOSPITALS AND PROVIDERS THAT ADOPT AND MEANINGFULLY USE CERTIFIED EHR TECHNOLOGY. DURING 2012, SPARROW CARSON HOSPITAL DEMONSTRATED THE MEANINGFUL USE OF ITS CERTIFIED EHR TECHNOLOGY AND WAS ABLE TO RECOGNIZE APPROXIMATELY 1.3 MILLION IN REVENUE FOR HITECH INCENTIVES FROM MEDICARE AND MEDICAID. THESE INCENTIVE PAYMENTS ALLOW THE HOSPITAL TO PROVIDE ADDITIONAL QUALITY SERVICES TO THOSE IN THE COMMUNITY. SCHEDULE H, PART VI, LINE 5 SPARROW CARSON HOSPITAL PROVIDES A SPEAKERS BUREAU LIST OF PHYSICIANS AND STAFF MEMBERS WHO ARE WILLING TO GO OUT INTO THE COMMUNITY AND SPEAK ON A VARIETY OF HEALTHCARE, QUALITY-OF-LIFE, AND GENERAL-INTEREST TOPICS TO SCHOOL CHILDREN, BUSINESS CLUBS, AND OTHER NON-PROFIT ORGANIZATIONS. SPARROW CARSON HOSPITAL'S ACTIVITIES PROMOTE THE HEALTHCARE OF THE COMMUNITY BY EDUCATING AND PROVIDING EASY ACCESSIBLE HEALTHCARE WITH A 24- HOUR EMERGENCY DEPARTMENT. OUTSIDE PHYSICIANS CAN APPLY FOR PRIVILEGES AT SPARROW CARSON HOSPITAL THROUGH A PROCESS TO TREAT AND PROVIDE MEDICAL CARE AT THE HOSPITAL. IN ADDITION, SPARROW CARSON HOSPITAL IS COMPRISED OF SEVEN HOSPITAL-OWNED PHYSICIAN CLINICS IN A RURAL SETTING. FREE AND REDUCED RATE SPORTS PHYSICALS ARE PROVIDED AT SELECTED CLINICS. SCHEDULE H, PART VI, LINE 6 SPARROW CARSON HOSPITAL IS A CONTROLLED SUBSIDIARY OF SPARROW HEALTH SYSTEM. SPARROW HEALTH SYSTEM IS A NON-PROFIT, COMMUNITY GOVERNED, INTEGRATED HEALTH DELIVERY AND FINANCIAL SYSTEM SERVING MID-MICHIGAN. SPARROW HEALTH SYSTEM PROVIDES SERVICES TO THE COMMUNITIES IT SERVES THROUGH ITS CONTROLLED SUBSIDIARIES: EDWARD W SPARROW HOSPITAL, SPARROW CLINTON HOSPITAL, SPARROW SPECIALTY HOSPITAL, SPARROW CARSON HOSPITAL, SPARROW DEVELOPMENT, INC, SPARROW COMMUNITY CARE, SPARROW IONIA HOSPITAL, SPARROW FOUNDATION, SPARROW EATON HOSPITAL, AND SPARROW CLINICAL RESEARCH INSTITUTE. SCHEDULE H, PART VI, LINE 7 MICHIGAN JAN KING FAMILY 25338 EMPLOYEE false TARA BUTLER FAMILY 31637 EMPLOYEE false 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 HAS MEMBERSHIPS IN VARIOUS 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 4A SPARROW CARSON HOSPITAL (SCCH) IS A 61-BED, ACUTE CARE HOSPITAL LOCATED IN CENTRAL MICHIGAN. IT IS THE OLDEST OSTEOPATHIC HOSPITAL IN MICHIGAN, FOUNDED IN 1936 BY EMMETT BINKERT, DO. SINCE THIS TIME, SCCH HAS BEEN COMMITTED TO SERVING THE RESIDENTS IN A FOUR-COUNTY AREA. SCCH CURRENTLY OPERATES A SHORT-TERM, ACUTE-CARE FACILITY AND SEVERAL SATELLITE CLINICS OFFERING INPATIENT AND OUTPATIENT HEALTHCARE SERVICES, PHYSICIAN SERVICES, PRIMARILY TO PATIENTS IN THE CARSON CITY, MICHIGAN AREA, INCLUDING GRATIOT, MONTCALM, CLINTON, AND IONIA COUNTIES. SCCH PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. BECAUSE SCCH DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE UNDER ARRANGEMENTS WITH VARIOUS GOVERNMENTAL INSURANCE PROGRAMS. SCCH PROVIDES SIGNIFICANT CARE TO THE LOCAL INDIGENT POPULATION FOR WHICH REIMBURSEMENT FOR SERVICES RENDERED IS GENERALLY LESS THAN THE COST OF PROVIDING SUCH SERVICES AS PART OF ITS OBLIGATION TO THE LOCAL COMMUNITY. SCCH ALSO PROVIDES SERVICES TO INDIGENT PATIENTS UNDER THE MEDICAID PROGRAM AT PAYMENT AMOUNTS LESS THAN THE COST OF THE SERVICES PROVIDED. 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 CARSON HOSPITAL AND HAS 100% OWNERSHIP. FORM 990, PAGE 6, PART VI, LINE 7A SPARROW HEALTH SYSTEM HAS THE RIGHT TO ELECT MEMBERS OF THE SPARROW CARSON HOSPITAL BOARD. THE PRESIDENT OF THE MEDICAL STAFF, WHICH IS A MEMBER OF THE GOVERNING BODY, IS ELECTED BY THE MEDICAL STAFF OF SPARROW CARSON HOSPITAL. FORM 990, PAGE 6, PART VI, LINE 7B SPARROW HEALTH SYSTEM HAS THE RIGHT TO ELECT, REPLACE, AND REMOVE DIRECTORS OF SPARROW CARSON HOSPITAL BOARD. SPARROW HEALTH SYSTEM ALSO HAS THE AUTHORITY TO APPROVE DECISIONS OF THE SPARROW CARSON 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 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. 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