2022-11-15T08:16:12-05:00 2021-12-31 383133790 ANDREWS HOOPER PAVLIK PLC 4295 OKEMOS RD STE 200 OKEMOS MI 488646201 990 2021-01-01 381358172 SPARROW CLINTON HOSPITAL SPAR 9892273400 805 S OAKLAND STREET ST JOHNS MI 48879 PAULA REICHLE SR VP - CFO - SHS 9892246881 2022-11-08 true PAULA REICHLE 999009999 JULIE M PFEIFLE P00751307 5177060800 2022-11-08 2021 2022-09-23 18:48:47Z KIRA CARTER-ROBERTSON 1215 E MICHIGAN AVENUE LANSING MI 48912 67962887 false X WWW.SPARROW.ORG/SPARROWCLINTON X 1926 MI IMPROVING THE HEALTH OF THE PEOPLE IN OUR COMMUNITIES BY PROVIDING QUALITY, COMPASSIONATE CARE TO EVERYONE, EVERY TIME. 13 7 316 50 6270401 5071670 104081 43139047 52713295 6286575 14482477 713520 609694 55210812 67909547 0 0 21178176 22193332 0 28093 22940421 25298758 44118597 47492090 11092215 20417457 167953815 188415799 10670007 11776553 157283808 176639246 X IMPROVING THE HEALTH OF THE PEOPLE IN OUR COMMUNITIES BY PROVIDING QUALITY, COMPASSIONATE CARE TO EVERYONE, EVERY TIME. false false 5095398 6124643 SPARROW 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. 3431718 5094319 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 2021, 232,689 LAB TESTS WERE PERFORMED. 2720384 2279140 SPARROW 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. 24475810 33531303 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. 24475810 33531303 35723310 true true false false false false false false false true true true false false true false false true false false false false false false false false true true false false true false false false false false false false false false false false false false true true true false false true 30 0 true 316 true true true false false false false false false false false false false false X 13 7 false false false false true true true true true false false true true true true true true true true false MI X COLLEEN HOGLE 9892273372 805 S OAKLAND STREET ST JOHNS MI 48879 X PAULA REICHLE SR VP - CFO 0.00 40.00 X 0 1010593 110704 MATTHEW WILCOX BOARD MEMBER 1.00 40.00 X 0 670245 66987 MARK WEISMILLER MD PHYSICIAN 40.00 0.00 X 532285 0 58908 KIRA CARTER-ROBERTSON BOARD MEMBER 1.00 40.00 X 0 433164 88355 GREGORY HOLZHEI DO BOARD MEMBER 40.00 0.00 X 445684 0 41546 BRADLEY GARRETT PHYSICIAN 40.00 0.00 X 404650 0 50777 MICHAEL DEGRAND PHYSICIAN 40.00 0.00 X 364720 0 48806 NABIL BAHU PHYSICIAN 40.00 0.00 X 348429 0 53879 WILLIAM HOWE FORMER BOARD 0.00 40.00 X 0 313655 46537 KATIE RYAN PHYSICIAN 40.00 0.00 X 294415 0 45507 MARK BRISBOE FORMER OFFIC 0.00 40.00 X 0 279440 40568 BETH DAUGHERTY PRESIDENT 40.00 0.00 X X 278718 0 35256 BRUCE SHIVELY CFO 10.00 40.00 X 0 233131 39560 MATTHEW NOBIS TREASURER 1.00 40.00 X X 0 218136 38584 MARK BRETT FORMER BOARD 0.00 0.00 X 0 254091 0 ANDREA KOSLOSKI FORMER BOARD 0.00 40.00 X 0 193952 29285 CHRISTOPHER BEAL DO BOARD MEMBER 1.00 0.00 X 2501 0 0 CRAIG BISHOP BOARD MEMBER 1.00 0.00 X 0 0 0 KIMBERLY BRZOZOWSKI SECRETARY 1.00 0.00 X X 0 0 0 JOEL CONN BOARD MEMBER 1.00 0.00 X 0 0 0 DANIEL COSS CHAIR 1.00 0.00 X X 0 0 0 TOM FRENCH BOARD MEMBER 1.00 0.00 X 0 0 0 CURTIS KECK BOARD MEMBER 1.00 0.00 X 0 0 0 AMY PALUS VICE CHAIR 1.00 0.00 X X 0 0 0 2671402 3606407 795259 34 true true false GRANGER CONSTRUCTION CO 6267 AURELIUS RD LANSING MI 489114230 CONSTRUCTION 987369 FASTAFF LLC 6399 S FIDDLERS GREEN CIR STE 100 GREENWOOD VILLAGE CO 801114974 NURSING AGENCY 715002 ALLIANCE-HNI LEASING CO LLC 18201 VON KARMAN SUITE 600 IRVINE CA 926121176 MRI SERVICES 635766 PETROWITZ ENTERPRISES INC 6043 DAWN AVE EAST LANSING MI 488235601 CRNA COVERAGE 483186 NOUVUS ANESTHESIA PARTNERS 2510 W CERVANTES ST PENSACOLA FL 32505 CRNA COVERAGE 201384 10 20000 84081 104081 PATIENT SERVICE REVENUE 621990 46416182 46416182 RETAIL PHARMACY/LAB 446110 6270401 6270401 340B CONTRACTED PHARMACY NI 446110 26712 26712 52713295 2991759 2991759 58814 15631 43183 43183 43183 11494990 4272 11494990 -4272 11490718 11490718 47742 33437 14305 14305 QUALITY INCENTIVES 900099 325672 325672 CAFETERIA REVENUE 900099 121771 121771 WELLNESS REVENUE 900099 35055 35055 69708 69708 552206 67909547 47009405 6270401 14525660 X 313974 313974 17392837 15204133 2188704 1053045 904208 148837 2244927 1680340 564587 1188549 997245 191304 463334 463334 11199969 6182710 5016478 781 105001 83190 21811 2605639 2205403 397826 2410 512048 55518 456530 4421 3614 807 55294 51096 4048 150 1377933 1377933 477063 477063 COGS 3698077 3698077 DRUGS 3482384 3482384 QAAP TAX 1199541 1199541 MISCELLANEOUS EXPENSE 43102 31864 10731 507 74952 27177 45341 2434 47492090 35723310 11740687 28093 2542705 5936983 17579725 21395215 1177120 962027 13080 9884 41229892 30495975 10218852 10733917 134587228 147735693 1835105 1642080 167953815 188415799 5893736 6404993 4776271 5371560 10670007 11776553 X 156450534 176639246 833274 157283808 176639246 167953815 188415799 X 20417457 1094965 -2156984 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5606321 561053 129658 6297032 4912247 237860 456214 5606321 4700296 39943 172008 4912247 3236464 314065 55042 3605571 3070379 114433 51652 3236464 1.00000 false true true 951940 951940 24581136 17212497 7368639 394216 140503 253713 14800125 13142975 1657150 502475 502475 10733917 INVESTMENTS 147735693 F 147735693 POST RETIREMENT BENEFITS PAYABLE 3878629 DISASTER RELIEF GRANTS 625105 LONG TERM LEASE PAYABLE 388874 DUE TO RELATED ORGANIZATION 360307 SHORT TERM LEASE LIABILITY 118645 5371560 SCHEDULE D, PAGE 2, PART V, LINE 4 SPARROW CLINTON HOSPITAL DOES NOT HOLD ENDOWMENTS. THE ENDOWMENTS ARE HELD BY SPARROW FOUNDATION. SPARROW HEALTH SYSTEM IS THE SOLE MEMBER OF SPARROW CLINTON HOSPITAL AND SPARROW FOUNDATION. THE ENDOWMENTS ARE MAINTAINED TO PROVIDE A PERMANENT SOURCE OF INCOME, WITH THE STIPULATION THE PRINCIPAL IS KEPT INTACT IN PERPETUITY AND THE INCOME GENERATED FROM INVESTMENTS OF THE ENDOWMENT FUNDS CAN BE USED FOR THE PURPOSE OF ESTABLISHED BY THE ENDOWMENTS. THE TEMPORARILY RESTRICTED FUNDS ARE BEING MAINTAINED AND USED FOR THE PURPOSE ESTABLISHED BY THE FUND, INCLUDING PURCHASING NECESSARY FUNDS FOR THE HOSPITAL, ETC. true true true X true X true true true false true true 420126 765780 6871348 5031364 1839984 0.03870 7291474 5797144 1839984 0.03870 22864 22864 0.00050 21031 21031 0.00040 28115 28115 0.00060 72010 72010 0.00150 7363484 5797144 1911994 0.04030 8000 8000 0.00020 16459 16459 0.00030 24459 24459 0.00050 true 226904 33986 5989899 6112293 -122394 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 19 true true true true X WWW.SPARROW.ORG/SPARROWCLINTON X true 19 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 AS 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 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 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 24 ALL PATIENTS AND INSURANCES ARE CHARGED THE SAME GROSS CHARGE FROM OUR FEE SCHEDULE. DISCOUNTS ARE THEN PROVIDED TO UNINSURED PATIENTS BASED ON OUR FINANCIAL ASSISTANCE POLICY AND/OR INDIVIDUAL CIRCUMSTANCES. 2 SPARROW CLINTON REHAB & WELLNESS 1079 S BUSINESS 127 ST JOHNS MI 48879 SPEECH, PHYSICAL & OCCUPATIONAL THERAPY SPARROW CLINTON ST JOHNS MED BLDG 901 S OAKLAND ST JOHNS MI 48879 MED PRACTICE, SPECIALTY CLINIC, PHARMACY SCHEDULE H, PART I, LINE 7 A COST TO CHARGE RATIO WAS USED TO COMPLETE THE CHARITY CARE (LINE 7A) AND MEANS-TESTED GOVERNMENT PROGRAMS (LINE 7B). THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 THAT ACCOMPANIES THE INSTRUCTIONS TO THIS SCHEDULE. THE HOSPITAL'S COST ACCOUNTING RECORDS WERE USED TO COMPLETE THE COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS (LINE 7E), HEALTH PROFESSIONS EDUCATION (LINE 7F), AND CASH AND IN-KIND CONTRIBUTIONS (LINE 7I). SCHEDULE H, PART II SPARROW CLINTON HOSPITAL PROVIDES THE FOLLOWING COMMUNITY ACTIVITIES TO PROMOTE HEALTHY LIFESTYLES: ANNUAL HEALTH FAIR; VACCINATION CLINICS; CLINTON COUNTY FOOD DISTRIBUTION; SAFE KIDS BICYCLE HELMET AND CAR SEAT FITTINGS; AMERICAN CANCER SOCIETY LOOK GOOD, FEEL BETTER PROGRAM; DIABETES EDUCATIONAL PROGRAMS; HEALTHCARE CAREER SCHOLARSHIPS; EXPIRED MEDICATION COLLECTIONS; AREA AGENCY AND ORGANIZATION EVENTS AND PROGRAMS THAT SUPPORT HEALTHY LIFESTYLES. PROGRAMS AND EVENTS OFFERED BY SPARROW CLINTON HOSPITAL ARE PROVIDED TO THE PUBLIC FREE OR AT COST, WITH ASSISTANCE FROM VOLUNTEERS, INCLUDING MEDICAL STAFF, HOSPITAL LEADERSHIP, ASSOCIATES, HOSPITAL BOARD AND COMMITTEE MEMBERS, COMMUNITY VOLUNTEERS AND HOSPITAL AUXILIANS. SCHEDULE H, PART III, LINE 2 THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGH THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE AND CURRENT MARKET CONDITIONS. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, THE HEALTH SYSTEM FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST DUE PATIENT BALANCES WITH COLLECTION AGENCIES. SCHEDULE H, PART III, LINE 3 IN REVIEWING ACCOUNTS CLASSIFIED AS BAD DEBT, THE AMOUNT REPORTED ON SCHEDULE H, PART III, LINE 3, REFLECTS PATIENTS WHO HAD PREVIOUSLY QUALIFIED FOR MEDICAID OR OTHER MEANS-TESTED SUPPORT, BUT WHO AT THE TIME OF SERVICES, WERE NO LONGER ELIGIBLE FOR MEDICAID OR OTHER MEANS-TESTED SUPPORT OR THE SERVICES PROVIDED WERE NOT COVERED BENEFITS. THE HOSPITAL FURTHER REVIEWED THESE PATIENTS TO MAKE A DETERMINATION OF THE PATIENTS' ELIGIBILITY FOR ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY. SCHEDULE H, PART III, LINE 4 BAD DEBT FOOTNOTE - SEE THE ATTACHED AUDITED FINANCIAL STATEMENTS. SCHEDULE H, PART III, LINE 8 THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS, REPORTED IN THE ORGANIZATION'S MEDICARE COST REPORT, IS A RATIO OF COSTS TO CHARGES. CARING FOR MEDICARE PATIENTS FULFILLS A COMMUNITY NEED AND RELIEVES A GOVERNMENT BURDEN AS THESE PATIENTS TYPICALLY HAVE LOW AND/OR FIXED INCOMES. SCHEDULE H, PART III, LINE 9B THE CHARGES FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE ARE WRITTEN OFF THE SYSTEM TO CHARITY CARE AT THE TIME THE PATIENT'S CHARITY STATUS IS DETERMINED. AS SUCH, NO FURTHER COLLECTION EFFORTS TAKE PLACE. SCHEDULE H, PART VI, LINE 2 SPARROW CLINTON HOSPITAL DETERMINES THE HEALTH CARE NEEDS OF THE COMMUNITY BY USING THE FOLLOWING: ACCUMULATING AND REVIEWING THE RESULTS AND FEEDBACK FROM EXTERNALLY PREPARED PATIENT SATISFACTION SURVEYS AND BY CONDUCTING SMALL FOCUS GROUPS. SCHEDULE H, PART VI, LINE 3 SPARROW CLINTON HOSPITAL EMPLOYS SEVERAL METHODS TO COMMUNICATE ELIGIBILITY FOR ASSISTANCE TO PATIENTS. ALL UNINSURED INPATIENTS ARE DIRECTLY SCREENED FOR POTENTIAL MEDICAID ELIGIBILITY AND ANY OTHER GOVERNMENT PROGRAMS (COBRA BENEFITS, ETC). SIGNAGE IS POSTED IN OUR PATIENT REGISTRATION AREAS REGARDING AVAILABILITY OF SPARROW COMMUNITY FINANCIAL AID (CFA) PROGRAM (CHARITY CARE). ALL PATIENT BILLING STATEMENTS HAVE A NOTE REGARDING THE CFA PROGRAM AND OUR WEBSITE CONTAINS LINKS TO OUR CFA POLICY AND APPLICATION. SCHEDULE H, PART VI, LINE 4 SPARROW CLINTON HOSPITAL SERVES THE PEOPLE OF CLINTON COUNTY AND SURROUNDING AREAS. CLINTON COUNTY IS 566 SQUARE MILES, WITH A POPULATION OF 75,382 AS OF THE 2010 CENSUS. IT IS ESTIMATED THAT 33% OF COUNTY RESIDENTS HAD EITHER PUBLIC COVERAGE OR NO HEALTH COVERAGE IN 2010. SCHEDULE H, PART VI, LINE 5 PROGRAMS AND EVENTS OFFERED BY SPARROW CLINTON HOSPITAL ARE PROVIDED TO THE PUBLIC FREE OR AT COST WITH ASSISTANCE FROM VOLUNTEERS, INCLUDING THE MEDICAL STAFF, HOSPITAL LEADERSHIP, ASSOCIATES, HOSPITAL BOARD AND COMMITTEE MEMBERS, COMMUNITY VOLUNTEERS, AND HOSPITAL AUXILIARIES. SCHEDULE H, PART VI, LINE 6 SPARROW CLINTON HOSPITAL IS A WHOLLY-OWNED SUBSIDIARY OF SPARROW HEALTH SYSTEM. SPARROW HEALTH SYSTEM IS A NON-PROFIT, COMMUNITY-GOVERNED, INTEGRATED HEALTH DELIVERY SYSTEM SERVING MID-MICHIGAN. SPARROW HEALTH SYSTEM PROVIDES SERVICES TO THE COMMUNITIES IT SERVES THROUGH ITS WHOLLY OWNED AND CONTROLLED SUBSIDIARIES: PHYSICIANS HEALTH PLAN OF MID-MICHIGAN, SPARROW PHYSICIANS HEALTH NETWORK, EDWARD W. SPARROW HOSPITAL, SPARROW CLINTON HOSPITAL, SPARROW IONIA HOSPITAL. SPARROW EATON HOSPITAL, SPARROW SPECIALTY HOSPITAL, SPARROW DEVELOPMENT, INC, SPARROW COMMUNITY CARE, SPARROW FOUNDATION, SPARROW CARSON HOSPITAL, AND SPARROW CLINICAL RESEARCH INSTITUTE. SCHEDULE H, PART VI, LINE 7 MICHIGAN X true true X X X X X X false true false false false false false true false PAULA REICHLE SR VP - CFO - SHS 539467 56917 414209 54678 56026 1121297 MATTHEW WILCOX BOARD MEMBER 651139 19106 8550 58437 737232 MARK WEISMILLER MD PHYSICIAN 487440 44047 798 17250 41658 591193 KIRA CARTER-ROBERTSON BOARD MEMBER 390120 41713 1331 35654 52701 521519 GREGORY HOLZHEI DO BOARD MEMBER 295219 148286 2179 17250 24296 487230 BRADLEY GARRETT PHYSICIAN 395222 8871 557 8550 42227 455427 MICHAEL DEGRAND PHYSICIAN 355441 8585 694 17250 31556 413526 NABIL BAHU PHYSICIAN 347505 924 8700 45179 402308 WILLIAM HOWE FORMER BOARD MEMBER 285319 26869 1467 14729 31808 360192 KATIE RYAN PHYSICIAN 202943 91123 349 12899 32608 339922 MARK BRISBOE FORMER OFFICER 244346 34069 1025 7216 33352 320008 BETH DAUGHERTY PRESIDENT 249043 27969 1706 13663 21593 313974 BRUCE SHIVELY CFO 216001 16254 876 5824 33736 272691 MATTHEW NOBIS TREASURER 207903 9946 287 3026 35558 256720 MARK BRETT FORMER BOARD MEMBER 254091 254091 ANDREA KOSLOSKI FORMER BOARD MEMBER 164677 28408 867 14229 15056 223237 SCHEDULE J, PAGE 1, PART I, LINE 1A CERTAIN BOARD MEMBERS- AND EXECUTIVES' MICHIGAN ATHLETIC CLUB DUES ARE PAID BY THE ORGANIZATION. THESE AMOUNTS ARE CONSIDERED TAXABLE COMPENSATION. SCHEDULE J, PAGE 1, PART I, LINE 4 PAULA REICHLE 0 46,128 0 KIRA CARTER-ROBERTSON 0 27,104 0 SCHEDULE J, PAGE 1, PART I, LINE 7 COMPENSATION INCLUDES BOTH BASE AND VARIABLE COMPENSATION (NON-FIXED PAYMENTS). IN ACCORDANCE WITH ITS POLICIES, ALL ELEMENTS (BASE, VARIABLE, BENEFITS, AND PERQUISITES) ARE COMPARED TO MARKET. SCHEDULE J, PART III WILLIAM HOWE, MARK BRISBOE, 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 FORM 990 ALL LINES LEFT BLANK ARE NOT APPLICABLE TO THE ORGANIZATION. PART IV, QUESTION 4 - THE ORGANIZATION DOES NOT ENGAGE IN DIRECT LOBBYING ACTIVITIES. THE ORGANIZATION DOES HAVE MEMBERSHIPS IN VARIOUS TRADE ASSOCIATIONS THAT USE A PORTION OF THE DUES PAID TO THE TRADE ASSOCIATIONS FOR LOBBYING ACTIVITIES ON BEHALF OF THE APPLICABLE TRADE ASSOCIATION INDUSTRIES, THUS INDIRECTLY BENEFITING THE ORGANIZATION. THE PERCENTAGE OF DUES ALLOCATED TO THIS INDUSTRY-WIDE LOBBYING ACTIVITY IS MINOR AND IS NOT CONSIDERED BY THE ORGANIZATION AS LOBBYING ACTIVITIES REQUIRED FOR DISCLOSURE ON SCHEDULE C, PART II. FORM 990, PAGE 2, PART III, LINE 4D OTHER PROGRAM SERVICES INCLUDE INPATIENT ROUTINE CARE, RADIOLOGY, CARDIOPULMONARY, RESPIRATORY THERAPY, HOSPITAL AND RETAIL PHARMACY, INFUSION THERAPY, PHYSICIANS' PRACTICE, PHYSICAL/OCCUPATIONAL/SPEECH THERAPY, AND SLEEP STUDIES. FORM 990, PAGE 6, PART VI, LINE 6 SPARROW HEALTH SYSTEM IS THE SOLE MEMBER OF SPARROW CLINTON HOSPITAL AND HAS 100% OWNERSHIP. FORM 990, PAGE 6, PART VI, LINE 7A SPARROW HEALTH SYSTEM HAS THE RIGHT TO ELECT, REPLACE, OR REMOVE DIRECTORS OF THE SPARROW CLINTON HOSPITAL BOARD. THE PRESIDENT OF THE MEDICAL STAFF, WHICH IS A MEMBER OF THE GOVERNING BODY, IS ELECTED BY THE MEDICAL STAFF OF SPARROW CLINTON HOSPITAL. FORM 990, PAGE 6, PART VI, LINE 7B SPARROW HEALTH SYSTEM HAS THE RIGHT TO ELECT, REPLACE, AND REMOVE DIRECTORS OF SPARROW CLINTON HOSPITAL. SPARROW HEALTH SYSTEM ALSO HAS THE AUTHORITY TO APPROVE DECISIONS OF THE SPARROW CLINTON HOSPITAL BOARD WHEN IT IS DEEMED NECESSARY. FORM 990, PAGE 6, PART VI, LINE 11B COPIES OF THE 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 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 VII SPARROW 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 11G LABORATORY 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 9 TRANSFER OF FOUNDATION TO LANSING - RESTRICTED -833,274 TRANSFER OF FOUNDATION TO LANSING - UNRESTRICTED -1,323,710 TOTAL -2,156,984 SPARROW HEALTH SYSTEM 1215 E MICHGAN AVENUE LANSING MI 48912 382542859 PARENT MI 501C3 12A NA false SPARROW COMMUNITY CARE 3315 E MICHIGAN AVENUE STE 4 LANSING MI 48912 382543305 HOME HLTH MI 501C3 10 SHS true PHYSICIANS HEALTH PLAN 1400 E MICHIGAN AVENUE LANSING MI 48912 382356288 INSURANCE MI 501C4 PHP HO LLC true PHP MEDICARE 1400 E MICHIGAN AVENUE LANSING MI 48912 832766121 HMO MI 501C4 PHP true PHYSICIANS HEALTH NETWORK 1400 E MICHIGAN AVENUE LANSING MI 48912 382594856 HMO MI 501C4 PHP HO LLC true SPARROW FOUNDATION 1215 E MICHIGAN AVENUE LANSING MI 48912 386100687 FUNDRAISE MI 501C3 12B SHS true EDWARD W SPARROW HOSPITAL 1215 E MICHIGAN AVENUE LANSING MI 48912 381360584 HLTH CARE MI 501C3 3 SHS true SPARROW SPECIALTY HOSPITAL 1215 E MICH AVE 8W SPARROW TOWER LANSING MI 48912 141885340 LT ACUTE C MI 501C3 3 SHS true SPARROW IONIA HOSPITAL 3565 S STATE RD IONIA MI 48846 383218134 HLTH CARE MI 501C3 3 SHS true SPARROW CLINICAL RESEARCH INSTITUTE 1200 E MICHIGAN AVENUE LANSING MI 48912 383075242 RESEARCH MI 501C3 4 SHS true SPARROW CARSON HOSPITAL 406 E ELM ST PO BOX 879 CARSON CITY MI 48811 381490180 HLTH CARE MI 501C3 3 SHS true SPARROW EATON HOSPITAL 321 E HARRIS ST CHARLOTTE MI 48813 382007629 HLTH CARE MI 501C3 3 SHS true SPARROW EATON HOSPITAL AUXILIARY 321 E HARRIS ST CHARLOTTE MI 48813 382377160 FUNDRAISE MI 501C3 3 SHS true PHP HOLDINGS LLC 1400 E MICHIGAN AVE LANSING MI 48912 833965697 HOLDING CO MI N/A false false SPARROW DEVELOPMENT INC 1215 E MICHIGAN AVENUE LANSING MI 48912 382595963 RENTAL PRO MI N/A true PHP INSURANCE COMPANY 1400 E MICHIGAN AVENUE LANSING MI 48912 205565219 INSURANCE MI N/A true PHP SERVICE COMPANY 1400 E MICHIGAN AVENUE LANSING MI 48912 383344741 MED SERV MI N/A true EAST LANSING ATHLETIC CLUB 2900 HANNAH BLVD EAST LANSING MI 48823 382886420 HLTH CLUB MI N/A true MAC RESTAURANT LLC 2900 HANNAH BLVD EAST LANSING MI 48823 205120690 RESTAURANT MI N/A true CLINTON SERVICES CORPORATION 805 S OAKLAND STREET ST JOHNS MI 48879 382494110 SERVICES MI CMH C CORP 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 true true EDWARD W SPARROW HOSPITAL P 1991818 COST EDWARD W SPARROW HOSPITAL M 602640 COST SPARROW FOUNDATION S 2156984 COST