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SPARROW CLINTON HOSPITAL: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
SPARROW CLINTON HOSPITAL (EIN 38-1358172)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-15
IRS object ID
202243199349301734
Schema version
2021v4.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-11-15T08:16:12-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN383133790PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ANDREWS HOOPER PAVLIK PLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14295 OKEMOS RD STE 200AddressLine1Txt
CityOKEMOSCityNm
State AbbreviationMIStateAbbreviationCd
ZIP488646201ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN381358172EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SPARROW CLINTON HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSPARBusinessNameControlTxt
Phone9892273400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1805 S OAKLAND STREETAddressLine1Txt
CityST JOHNSCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48879ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPAULA REICHLEPersonNm
Person TitleSR VP - CFO - SHSPersonTitleTxt
Phone9892246881PhoneNum
Signature2022-11-08SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstPAULAPersonFirstNm
Person LastREICHLEPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJULIE M PFEIFLEPreparerPersonNm
PTINP00751307PTIN
Phone5177060800PhoneNum
Preparation2022-11-08PreparationDt
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKIRA CARTER-ROBERTSONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11215 E MICHIGAN AVENUEAddressLine1Txt
CityLANSINGCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48912ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$67,962,887GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SPARROW.ORG/SPARROWCLINTONWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1926FormationYr
Legal Domicile StateMILegalDomicileStateCd
Activity Or MissionIMPROVING THE HEALTH OF THE PEOPLE IN OUR COMMUNITIES BY PROVIDING QUALITY, COMPASSIONATE CARE TO EVERYONE, EVERY TIME.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee316TotalEmployeeCnt
Total Volunteers50TotalVolunteersCnt
Total Gross UBI$6,270,401TotalGrossUBIAmt
PY Contributions Grants$5,071,670PYContributionsGrantsAmt
CY Contributions Grants$104,081CYContributionsGrantsAmt
PY Program Service Revenue$43,139,047PYProgramServiceRevenueAmt
CY Program Service Revenue$52,713,295CYProgramServiceRevenueAmt
PY Investment Income$6,286,575PYInvestmentIncomeAmt
CY Investment Income$14,482,477CYInvestmentIncomeAmt
PY Other Revenue$713,520PYOtherRevenueAmt
CY Other Revenue$609,694CYOtherRevenueAmt
PY Total Revenue$55,210,812PYTotalRevenueAmt
CY Total Revenue$67,909,547CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$21,178,176PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$22,193,332CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$28,093CYTotalFundraisingExpenseAmt
PY Other Expenses$22,940,421PYOtherExpensesAmt
CY Other Expenses$25,298,758CYOtherExpensesAmt
PY Total Expenses$44,118,597PYTotalExpensesAmt
CY Total Expenses$47,492,090CYTotalExpensesAmt
PY Revenues Less Expenses$11,092,215PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$20,417,457CYRevenuesLessExpensesAmt
Total Assets BOY$167,953,815TotalAssetsBOYAmt
Total Assets EOY$188,415,799TotalAssetsEOYAmt
Total Liabilities BOY$10,670,007TotalLiabilitiesBOYAmt
Total Liabilities EOY$11,776,553TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$157,283,808NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$176,639,246NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionIMPROVING THE HEALTH OF THE PEOPLE IN OUR COMMUNITIES BY PROVIDING QUALITY, COMPASSIONATE CARE TO EVERYONE, EVERY TIME.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$5,095,398ExpenseAmt
Revenue$6,124,643RevenueAmt
DescSPARROW CLINTON HOSPITAL'S EMERGENCY DEPARTMENT IS A 24 HOUR/7 DAYS A WEEK FULLY OPERATIONAL EMERGENCY ROOM. IN 2021, THERE WERE 12,739 VISITS TO THE SCH EMERGENCY ROOM.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$3,431,718ExpenseAmt
Revenue$5,094,319RevenueAmt
DescA 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 2021, 232,689 LAB TESTS WERE PERFORMED.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$2,720,384ExpenseAmt
Revenue$2,279,140RevenueAmt
DescSPARROW CLINTON HOSPITAL SURGERY DEPARTMENT PROVIDES ROUTINE INPATIENT AND OUTPATIENT SURGICAL SERVICES TO PATIENTS. THERE WERE 112 INPATIENT SURGERIES, AS WELL AS 1,180 OUTPATIENT SURGERIES/SCOPES PERFORMED IN 2021.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$24,475,810ExpenseAmt
Revenue$33,531,303RevenueAmt
DescOTHER 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.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$24,475,810TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$33,531,303TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$35,723,310TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document30IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee316EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldMIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonCOLLEEN HOGLEPersonNm
Phone9892273372PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1805 S OAKLAND STREETAddressLine1Txt
CityST JOHNSCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48879ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
PAULA REICHLE
SR VP - CFO0.0040.00Yes (X)$0$1,010,593$110,704
MATTHEW WILCOX
BOARD MEMBER1.0040.00$0$670,245$66,987Yes (X)
MARK WEISMILLER MD
PHYSICIAN40.000.00$532,285$0$58,908Yes (X)
KIRA CARTER-ROBERTSON
BOARD MEMBER1.0040.00$0$433,164$88,355Yes (X)
GREGORY HOLZHEI DO
BOARD MEMBER40.000.00$445,684$0$41,546Yes (X)
BRADLEY GARRETT
PHYSICIAN40.000.00$404,650$0$50,777Yes (X)
MICHAEL DEGRAND
PHYSICIAN40.000.00$364,720$0$48,806Yes (X)
NABIL BAHU
PHYSICIAN40.000.00$348,429$0$53,879Yes (X)
WILLIAM HOWE
FORMER BOARD0.0040.00$0$313,655$46,537Yes (X)
KATIE RYAN
PHYSICIAN40.000.00$294,415$0$45,507Yes (X)
MARK BRISBOE
FORMER OFFIC0.0040.00$0$279,440$40,568Yes (X)
BETH DAUGHERTY
PRESIDENT40.000.00Yes (X)$278,718$0$35,256Yes (X)
BRUCE SHIVELY
CFO10.0040.00Yes (X)$0$233,131$39,560
MATTHEW NOBIS
TREASURER1.0040.00Yes (X)$0$218,136$38,584Yes (X)
MARK BRETT
FORMER BOARD0.000.00$0$254,091$0Yes (X)
ANDREA KOSLOSKI
FORMER BOARD0.0040.00$0$193,952$29,285Yes (X)
CHRISTOPHER BEAL DO
BOARD MEMBER1.000.00$2,501$0$0Yes (X)
CRAIG BISHOP
BOARD MEMBER1.000.00$0$0$0Yes (X)
KIMBERLY BRZOZOWSKI
SECRETARY1.000.00Yes (X)$0$0$0Yes (X)
JOEL CONN
BOARD MEMBER1.000.00$0$0$0Yes (X)
DANIEL COSS
CHAIR1.000.00Yes (X)$0$0$0Yes (X)
TOM FRENCH
BOARD MEMBER1.000.00$0$0$0Yes (X)
CURTIS KECK
BOARD MEMBER1.000.00$0$0$0Yes (X)
AMY PALUS
VICE CHAIR1.000.00Yes (X)$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,671,402TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,606,407TotReportableCompRltdOrgAmt
Total Other Compensation$795,259TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K34IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
GRANGER CONSTRUCTION CO
6267 AURELIUS RDLANSINGMI489114230CONSTRUCTION$987,369
FASTAFF LLC
6399 S FIDDLERS GREEN CIR STE 100GREENWOOD VILLAGECO801114974NURSING AGENCY$715,002
ALLIANCE-HNI LEASING CO LLC
18201 VON KARMAN SUITE 600IRVINECA926121176MRI SERVICES$635,766
PETROWITZ ENTERPRISES INC
6043 DAWN AVEEAST LANSINGMI488235601CRNA COVERAGE$483,186
NOUVUS ANESTHESIA PARTNERS
2510 W CERVANTES STPENSACOLAFL32505CRNA COVERAGE$201,384
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K10CntrctRcvdGreaterThan100KCnt
Related Organizations$20,000RelatedOrganizationsAmt
Government Grants$84,081GovernmentGrantsAmt
Total Contributions$104,081TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE621990$46,416,182$46,416,182
RETAIL PHARMACY/LAB446110$6,270,401$6,270,401
340B CONTRACTED PHARMACY NI446110$26,712$26,712
FieldValueIRS element (for citing)
Total Program Service Revenue$52,713,295TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,991,759TotalRevenueColumnAmt
Exclusion$2,991,759ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$58,814RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$15,631RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$43,183RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$43,183TotalRevenueColumnAmt
Exclusion$43,183ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$11,494,990SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$4,272OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$11,494,990SecuritiesAmt
Other-$4,272OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,490,718TotalRevenueColumnAmt
Exclusion$11,490,718ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$47,742GrossSalesOfInventoryAmt
Cost Of Goods Sold$33,437CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,305TotalRevenueColumnAmt
Related Or Exempt Func Income$14,305RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
QUALITY INCENTIVES900099$325,672$325,672
CAFETERIA REVENUE900099$121,771$121,771
WELLNESS REVENUE900099$35,055$35,055

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$69,708TotalRevenueColumnAmt
Related Or Exempt Func Income$69,708RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$552,206OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$67,909,547TotalRevenueColumnAmt
Related Or Exempt Func Income$47,009,405RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$6,270,401UnrelatedBusinessRevenueAmt
Exclusion$14,525,660ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$313,974TotalAmt
Management And General$313,974ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$17,392,837TotalAmt
Program Services$15,204,133ProgramServicesAmt
Management And General$2,188,704ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,053,045TotalAmt
Program Services$904,208ProgramServicesAmt
Management And General$148,837ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,244,927TotalAmt
Program Services$1,680,340ProgramServicesAmt
Management And General$564,587ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,188,549TotalAmt
Program Services$997,245ProgramServicesAmt
Management And General$191,304ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$463,334TotalAmt
Management And General$463,334ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$11,199,969TotalAmt
Program Services$6,182,710ProgramServicesAmt
Management And General$5,016,478ManagementAndGeneralAmt
Fundraising$781FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$105,001TotalAmt
Management And General$83,190ManagementAndGeneralAmt
Fundraising$21,811FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,605,639TotalAmt
Program Services$2,205,403ProgramServicesAmt
Management And General$397,826ManagementAndGeneralAmt
Fundraising$2,410FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$512,048TotalAmt
Program Services$55,518ProgramServicesAmt
Management And General$456,530ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$4,421TotalAmt
Program Services$3,614ProgramServicesAmt
Management And General$807ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$55,294TotalAmt
Program Services$51,096ProgramServicesAmt
Management And General$4,048ManagementAndGeneralAmt
Fundraising$150FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,377,933TotalAmt
Management And General$1,377,933ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$477,063TotalAmt
Management And General$477,063ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
COGS$3,698,077$3,698,077
DRUGS$3,482,384$3,482,384
QAAP TAX$1,199,541$1,199,541
MISCELLANEOUS EXPENSE$43,102$31,864$10,731$507

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$74,952TotalAmt
Program Services$27,177ProgramServicesAmt
Management And General$45,341ManagementAndGeneralAmt
Fundraising$2,434FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$47,492,090TotalAmt
Program Services$35,723,310ProgramServicesAmt
Management And General$11,740,687ManagementAndGeneralAmt
Fundraising$28,093FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,542,705BOYAmt
EOY$5,936,983EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$17,579,725BOYAmt
EOY$21,395,215EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,177,120BOYAmt
EOY$962,027EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$13,080BOYAmt
EOY$9,884EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$41,229,892LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$30,495,975LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$10,218,852BOYAmt
EOY$10,733,917EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$134,587,228BOYAmt
EOY$147,735,693EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,835,105BOYAmt
EOY$1,642,080EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$167,953,815BOYAmt
EOY$188,415,799EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,893,736BOYAmt
EOY$6,404,993EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,776,271BOYAmt
EOY$5,371,560EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,670,007BOYAmt
EOY$11,776,553EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$156,450,534BOYAmt
EOY$176,639,246EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$833,274BOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$157,283,808BOYAmt
EOY$176,639,246EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$167,953,815BOYAmt
EOY$188,415,799EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$20,417,457ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,094,965NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$2,156,984OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,606,321BeginningYearBalanceAmt
Contributions$561,053ContributionsAmt
Investment Earnings Or Losses$129,658InvestmentEarningsOrLossesAmt
End Year Balance$6,297,032EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,912,247BeginningYearBalanceAmt
Contributions$237,860ContributionsAmt
Investment Earnings Or Losses$456,214InvestmentEarningsOrLossesAmt
End Year Balance$5,606,321EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,700,296BeginningYearBalanceAmt
Contributions$39,943ContributionsAmt
Investment Earnings Or Losses$172,008InvestmentEarningsOrLossesAmt
End Year Balance$4,912,247EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,236,464BeginningYearBalanceAmt
Contributions$314,065ContributionsAmt
Investment Earnings Or Losses$55,042InvestmentEarningsOrLossesAmt
End Year Balance$3,605,571EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,070,379BeginningYearBalanceAmt
Contributions$114,433ContributionsAmt
Investment Earnings Or Losses$51,652InvestmentEarningsOrLossesAmt
End Year Balance$3,236,464EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$951,940OtherCostOrOtherBasisAmt
Book Value$951,940BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$24,581,136OtherCostOrOtherBasisAmt
Depreciation$17,212,497DepreciationAmt
Book Value$7,368,639BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$394,216OtherCostOrOtherBasisAmt
Depreciation$140,503DepreciationAmt
Book Value$253,713BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$14,800,125OtherCostOrOtherBasisAmt
Depreciation$13,142,975DepreciationAmt
Book Value$1,657,150BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$502,475OtherCostOrOtherBasisAmt
Book Value$502,475BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$10,733,917TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescINVESTMENTSDesc
Book Value$147,735,693BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$147,735,693TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
POST RETIREMENT BENEFITS PAYABLE$3,878,629
DISASTER RELIEF GRANTS$625,105
LONG TERM LEASE PAYABLE$388,874
DUE TO RELATED ORGANIZATION$360,307
SHORT TERM LEASE LIABILITY$118,645
FieldValueIRS element (for citing)
Total Liability$5,371,560TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PAGE 2, PART V, LINE 4FormAndLineReferenceDesc
ExplanationSPARROW 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. THE TEMPORARILY RESTRICTED FUNDS ARE BEING MAINTAINED AND USED FOR THE PURPOSE ESTABLISHED BY THE FUND, INCLUDING PURCHASING NECESSARY FUNDS FOR THE HOSPITAL, ETC.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent200 DYes (X)Percent200DInd
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$420,126TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$765,780DirectOffsettingRevenueAmt

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,871,348TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,031,364DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,839,984NetCommunityBenefitExpnsAmt
Total Expense0.03870TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,291,474TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,797,144DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,839,984NetCommunityBenefitExpnsAmt
Total Expense0.03870TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$22,864TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$22,864NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$21,031TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$21,031NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$28,115TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$28,115NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$72,010TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$72,010NetCommunityBenefitExpnsAmt
Total Expense0.00150TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,363,484TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,797,144DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,911,994NetCommunityBenefitExpnsAmt
Total Expense0.04030TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$8,000NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$16,459TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$16,459NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$24,459TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$24,459NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$226,904BadDebtExpenseAmt
Bad Debt Expense Attributable$33,986BadDebtExpenseAttributableAmt
Reimbursed By Medicare$5,989,899ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$6,112,293CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$122,394MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SPARROW CLINTON HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1805 S OAKLAND STREETAddressLine1Txt
CityST JOHNSCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48879ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.SPARROW.ORG/SPARROWCLINTONWebsiteAddressTxt
State License0000190011StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
OtherMAIN CAMPUSOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1SPARROW CLINTON HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted19CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.SPARROW.ORG/SPARROWCLINTONOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsitefalseStrategyPostedWebsiteInd
Strategy AttachedYes (true)StrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care200.000000000000FPGFamilyIncmLmtDscntCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.SPARROW.ORGFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.SPARROW.ORGFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.SPARROW.ORGFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
None MadeYes (X)NoneMadeInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesYes (true)GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FACILITY 1, SPARROW CLINTON HOSPITAL - PART V, LINE 3ETHE SIGNIFICANT HEALTH NEEDS WERE PRIORITIZED AND DOCUMENTED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT.
FACILITY 1, SPARROW CLINTON HOSPITAL - PART V, LINE 5AS A SUPPLEMENT TO THE HEALTHY CAPITAL COUNTIES (HCC) COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), INTERVIEWEES AND FOCUS GROUP PARTICIPANTS WERE SOLICITED FROM A WIDE VARIETY OF COMMUNITY RESIDENTS WITHIN THE PRINCIPAL AREAS SERVED BY SPARROW HEALTH SYSTEM HOSPITALS. AMONG THOSE SOLICITED WERE COMMUNITY LEADERS AND HEALTH CARE LEADERS; STATE AND LOCAL ELECTED OFFICIALS; PHYSICIANS AND OTHER HEALTH CARE PROVIDERS OR WORKERS; LEADERS AND MEMBERS OF RACIAL, ETHNIC, AND RELIGIOUS MINORITIES; EDUCATORS; STUDENTS; RETIREES; SOCIAL SERVICE PROVIDERS; AND OTHERS. MINORITY GROUPS WITH WHOM THESE ISSUES WERE DISCUSSED INCLUDED AFRICAN AMERICANS, MEMBERS OF THE MUSLIM COMMUNITY FROM SEVERAL DIFFERENT ETHNIC BACKGROUNDS.
FACILITY 1, SPARROW CLINTON HOSPITAL - PART V, LINE 6ASPARROW 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 11SPARROW 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 ACCESS TO HEALTH CARE AND QUALITY, AND CHRONIC DISEASE - DIABETES. 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 24ALL 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.
FieldValueIRS element (for citing)
Facility2FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
SPARROW CLINTON REHAB & WELLNESS
1079 S BUSINESS 127ST JOHNSMI48879SPEECH, PHYSICAL & OCCUPATIONAL THERAPY
SPARROW CLINTON ST JOHNS MED BLDG
901 S OAKLANDST JOHNSMI48879MED PRACTICE, SPECIALTY CLINIC, PHARMACY

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART I, LINE 7A 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 IISPARROW 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 2THE 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 3IN 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 4BAD DEBT FOOTNOTE - SEE THE ATTACHED AUDITED FINANCIAL STATEMENTS.
SCHEDULE H, PART III, LINE 8THE 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 9BTHE 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 2SPARROW 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 3SPARROW 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 4SPARROW 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 5PROGRAMS 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 6SPARROW 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 7MICHIGAN

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
PAULA REICHLE
SR VP - CFO - SHS$539,467$56,917$414,209$54,678$56,026$1,121,297
MATTHEW WILCOX
BOARD MEMBER$651,139$19,106$8,550$58,437$737,232
MARK WEISMILLER MD
PHYSICIAN$487,440$44,047$798$17,250$41,658$591,193
KIRA CARTER-ROBERTSON
BOARD MEMBER$390,120$41,713$1,331$35,654$52,701$521,519
GREGORY HOLZHEI DO
BOARD MEMBER$295,219$148,286$2,179$17,250$24,296$487,230
BRADLEY GARRETT
PHYSICIAN$395,222$8,871$557$8,550$42,227$455,427
MICHAEL DEGRAND
PHYSICIAN$355,441$8,585$694$17,250$31,556$413,526
NABIL BAHU
PHYSICIAN$347,505$924$8,700$45,179$402,308
WILLIAM HOWE
FORMER BOARD MEMBER$285,319$26,869$1,467$14,729$31,808$360,192
KATIE RYAN
PHYSICIAN$202,943$91,123$349$12,899$32,608$339,922
MARK BRISBOE
FORMER OFFICER$244,346$34,069$1,025$7,216$33,352$320,008
BETH DAUGHERTY
PRESIDENT$249,043$27,969$1,706$13,663$21,593$313,974
BRUCE SHIVELY
CFO$216,001$16,254$876$5,824$33,736$272,691
MATTHEW NOBIS
TREASURER$207,903$9,946$287$3,026$35,558$256,720
MARK BRETT
FORMER BOARD MEMBER$254,091$254,091
ANDREA KOSLOSKI
FORMER BOARD MEMBER$164,677$28,408$867$14,229$15,056$223,237

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PAGE 1, PART I, LINE 1ACERTAIN 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 4PAULA REICHLE 0 46,128 0 KIRA CARTER-ROBERTSON 0 27,104 0
SCHEDULE J, PAGE 1, PART I, LINE 7COMPENSATION 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 IIIWILLIAM HOWE, MARK BRISBOE, MARK BRETT, AND ANDREA KOSLOSKI ARE FORMER BOARD MEMBERS OF SPARROW CLINTON HOSPITAL. THE FORMER BOARD MEMBERS ARE BEING COMPENSATED BY SPARROW HEALTH SYSTEM AND AFFILIATES FOR SERVICES PROVIDED TO SPARROW HEALTH SYSTEM AND AFFILIATES IN POSITIONS OTHER THAN BOARD MEMBERS. THE FORMER BOARD MEMBERS ARE NOT BEING COMPENSATED FOR ANY PAST SERVICES PROVIDED TO SPARROW CLINTON 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 FROM THE PLAN ARE REPORTED BELOW AS A NEGATIVE AS WELL AS BEING DISCLOSED ON SCHEDULE J, PART II COLUMN B (III) MARK BRETT: -254,091 PAUALA REICHLE: -386,004

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990ALL 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 4DOTHER 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 6SPARROW HEALTH SYSTEM IS THE SOLE MEMBER OF SPARROW CLINTON HOSPITAL AND HAS 100% OWNERSHIP.
FORM 990, PAGE 6, PART VI, LINE 7ASPARROW 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 7BSPARROW 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 11BCOPIES OF THE 2021 FORM 990 ARE REVIEWED BY MANAGEMENT. ONCE MANAGEMENT HAS COMPLETED ITS REVIEW OF FORM 990 COPIES WERE PROVIDED AT THE FALL 2022 BOARD MEETING FOR ALL BOARD MEMBERS TO REVIEW AND COMMENT ON.
FORM 990, PAGE 6, PART VI, LINE 12C1) 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 15ATHE 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 15BTHE 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 19THE 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 VIISPARROW HEALTH SYSTEM IS AN INTEGRATED NON-PROFIT ORGANIZATION AND IS THE PARENT CORPORATION OF SPARROW CLINTON HOSPITAL AND OTHER RELATED ENTITIES. PAULA REICHLE IS THE VICE PRESIDENT & CHIEF FINANCIAL OFFICER OF SPARROW HEALTH SYSTEM AND THEREBY HAS ULTIMATE RESPONSIBILITY FOR MANAGING THE FINANCIAL OPERATIONS OF THE SYSTEM AND THEREFORE IS THE SIGNATURE OFFICER OF THE HEALTH SYSTEM.
FORM 990, PART IX, LINE 11GLABORATORY 1,991,818 0 0 ED PHYSICIAN COVERAGE 1,868,900 0 0 MRI SERVICES 646,816 0 0 ARAMARK MAINTENANCE CONTRACT 0 262,619 0 SECURITY 0 161,289 0 LAUNDRY/LINENS 0 101,692 0 AGENCY STAFFING (NURSING) 1,304,480 0 0 REPAIRS & MAINTENANCE 51,744 470,904 0 MISCELLANEOUS 318,952 258,431 781 COLLECTION SERVICES 0 107,733 0 OTHER 0 3,653,810 0 TOTAL 6,182,710 5,016,478 781
FORM 990, PART XI, LINE 9TRANSFER OF FOUNDATION TO LANSING - RESTRICTED -833,274 TRANSFER OF FOUNDATION TO LANSING - UNRESTRICTED -1,323,710 TOTAL -2,156,984

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (13 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
SPARROW HEALTH SYSTEM
1215 E MICHGAN AVENUELANSINGMI48912382542859PARENTMI501C312ANAfalse
SPARROW COMMUNITY CARE
3315 E MICHIGAN AVENUE STE 4LANSINGMI48912382543305HOME HLTHMI501C310SHSYes (true)
PHYSICIANS HEALTH PLAN
1400 E MICHIGAN AVENUELANSINGMI48912382356288INSURANCEMI501C4PHP HO LLCYes (true)
PHP MEDICARE
1400 E MICHIGAN AVENUELANSINGMI48912832766121HMOMI501C4PHPYes (true)
PHYSICIANS HEALTH NETWORK
1400 E MICHIGAN AVENUELANSINGMI48912382594856HMOMI501C4PHP HO LLCYes (true)
SPARROW FOUNDATION
1215 E MICHIGAN AVENUELANSINGMI48912386100687FUNDRAISEMI501C312BSHSYes (true)
EDWARD W SPARROW HOSPITAL
1215 E MICHIGAN AVENUELANSINGMI48912381360584HLTH CAREMI501C33SHSYes (true)
SPARROW SPECIALTY HOSPITAL
1215 E MICH AVE 8W SPARROW TOWERLANSINGMI48912141885340LT ACUTE CMI501C33SHSYes (true)
SPARROW IONIA HOSPITAL
3565 S STATE RDIONIAMI48846383218134HLTH CAREMI501C33SHSYes (true)
SPARROW CLINICAL RESEARCH INSTITUTE
1200 E MICHIGAN AVENUELANSINGMI48912383075242RESEARCHMI501C34SHSYes (true)
SPARROW CARSON HOSPITAL
406 E ELM ST PO BOX 879CARSON CITYMI48811381490180HLTH CAREMI501C33SHSYes (true)
SPARROW EATON HOSPITAL
321 E HARRIS STCHARLOTTEMI48813382007629HLTH CAREMI501C33SHSYes (true)
SPARROW EATON HOSPITAL AUXILIARY
321 E HARRIS STCHARLOTTEMI48813382377160FUNDRAISEMI501C33SHSYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1PHP HOLDINGS LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11400 E MICHIGAN AVEAddressLine1Txt
CityLANSINGCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48912ZIPCd
FieldValueIRS element (for citing)
EIN833965697EIN
Primary ActivitiesHOLDING COPrimaryActivitiesTxt
Legal Domicile StateMILegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Disproportionate AllocationsfalseDisproportionateAllocationsInd
General Or Managing PartnerfalseGeneralOrManagingPartnerInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxt
SPARROW DEVELOPMENT INC
1215 E MICHIGAN AVENUELANSINGMI48912382595963RENTAL PROMIN/AYes (true)
PHP INSURANCE COMPANY
1400 E MICHIGAN AVENUELANSINGMI48912205565219INSURANCEMIN/AYes (true)
PHP SERVICE COMPANY
1400 E MICHIGAN AVENUELANSINGMI48912383344741MED SERVMIN/AYes (true)
EAST LANSING ATHLETIC CLUB
2900 HANNAH BLVDEAST LANSINGMI48823382886420HLTH CLUBMIN/AYes (true)
MAC RESTAURANT LLC
2900 HANNAH BLVDEAST LANSINGMI48823205120690RESTAURANTMIN/AYes (true)
CLINTON SERVICES CORPORATION
805 S OAKLAND STREETST JOHNSMI48879382494110SERVICESMIYes (true)CMHC CORP
EAST LANSING HTH ATH CLUB & HSP
1200 E MICHIGAN AVENUE STE 600LANSINGMI48912813131851CONDO ASSOMIN/AYes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
EDWARD W SPARROW HOSPITAL
P$1,991,818COST
EDWARD W SPARROW HOSPITAL
M$602,640COST
SPARROW FOUNDATION
S$2,156,984COST