2021-11-12T08:46:25-06:00 2020-12-31 383133790 ANDREWS HOOPER PAVLIK PLC 4295 OKEMOS RD STE 200 OKEMOS MI 488646201 990 2020-01-01 382007629 SPARROW EATON HOSPITAL SPAR 5175431050 321 EAST HARRIS STREET CHARLOTTE MI 48813 PAULA REICHLE SR VP - CFO - SHS 5175431050 2021-11-03 true PAULA REICHLE 999009999 JULIE M PFEIFLE P00751307 5177060800 2021-11-03 2020 2022-09-23 18:48:47Z HAYES GREEN BEACH MEMORIAL HOSPITAL KIRA CARTER-ROBERTSON 1215 E MICHIGAN AVENUE LANSING MI 48912 64344523 false X WWW.SPARROWEATONHOSPITAL.ORG X 1972 MI SPARROW EATON HOSPITAL PROVIDES NEEDED MEDICAL CARE TO THE COMMUNITY REGARDLESS OF THE INDIVIDUALS ABILITY TO PAY. THESE SERVICES ARE PROVIDED TO HOSPITAL INPATIENTS AND OUTPATIENTS IN ADDITION TO 24 HOUR EMERGENCY ROOM AND AMBULANCE SERVICES. 12 7 517 99 0 280752 5684039 56380279 51318693 1203923 3289452 7634456 4023531 65499410 64315715 0 0 31046622 29064687 0 133241 31265146 29307666 62311768 58372353 3187642 5943362 95108058 101056397 40886703 39485825 54221355 61570572 X SPARROW EATON HOSPITAL PROVIDES NEEDED MEDICAL CARE TO THE COMMUNITY REGARDLESS OF THE INDIVIDUALS ABILITY TO PAY. THESE SERVICES ARE PROVIDED TO HOSPITAL INPATIENTS AND OUTPATIENTS IN ADDITION TO 24 HOUR EMERGENCY ROOM AND AMBULANCE SERVICES. false false 3694408 3671219 INPATIENT CARE OFFERS INPATIENT ACUTE CARE SERVICES WITH ADMISSIONS OF 413 PATIENTS PROVIDING 1,059 DAYS OF CARE. 26139747 42596827 OUTPATIENT CARE INCLUDES LABORATORY, RADIOLOGY, REHAB, RESPIRATORY THERAPY, URGENT CARE, AND 24 HOUR EMERGENCY CARE. THESE INCLUDED 10,868 EMERGENCY ROOM VISITS, 11,1564 URGENT CARE VISITS, 32,466 RADIOLOGY PROCEDURES, 205,847 LABORATORY TESTS, AND 53,985 THERAPY PROCEDURES. IN ADDITION, 3,395 AMBULANCE RUNS WERE PROVIDED. 11214443 6114526 PHYSICIAN PRACTICE VISITS OF 54,396 WERE PROVIDED IN FAMILY PRACTICE, INTERNAL MEDICINE, ORTHOPEDICS, GENERAL SURGERY, ONMM AND PAIN MANAGEMENT. 41048598 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 true false false false false false false false false false false false false false true true false false false true 76 0 true 517 true false false false false false false false false false false false false X 12 7 false false true false true true true true true false false true true true true true true true true false MI X KIM A CAPPS 5175431050 321 E HARRIS STREET CHARLOTTE MI 48813 JAMES F DOVER BOARD MEMBER 1.00 40.00 X 0 850757 172522 NICHOLAS DOMAN PHYSICIAN 40.00 0.00 X 820101 0 58461 JEREMY PASCOTTO PHYSICIAN 40.00 0.00 X 788202 0 59439 JOSEPH RUTH FORMER BOARD 0.00 40.00 X 0 569821 111949 SCOT RANDALL PHYSICIAN 40.00 0.00 X 563921 0 56875 ERICA MAGERS PHYSICIAN 40.00 0.00 X 493332 0 49343 KIMBERLY FRIAR PHYSICIAN 40.00 0.00 X 488209 0 48450 KIRA CARTER-ROBERTSON VP-AFFILIATE 1.00 40.00 X X 0 365009 84442 JOHN SAUCHAK PHYSICIAN/BO 1.00 40.00 X 0 350796 41672 MATTHEW RUSH FORMER PRESI 40.00 0.00 X X 361462 0 28874 ANTHONY MARL DO PHYSICIAN/BO 1.00 40.00 X 0 327004 46528 KIM A CAPPS CFO/ACTING P 40.00 0.00 X X 228802 0 23868 ED DOBBS BOARD CHAIRM 1.00 0.00 X 0 0 0 CHARLES GRUNDSTROM BOARD MEMBER 1.00 0.00 X 0 0 0 SHARON KUBICA BOARD MEMBER 1.00 0.00 X 0 0 0 MARTIN LATCHAW TREASURER 1.00 0.00 X 0 0 0 FRED DARIN OD BOARD MEMBER 1.00 0.00 X 0 0 0 HARPER WILDERN OD BOARD MEMBER 1.00 0.00 X 0 0 0 LEONORE PRAY SECRETARY 1.00 0.00 X 0 0 0 DENISE WHEATON BOARD MEMBER 1.00 0.00 X 0 0 0 3744029 2463387 782423 35 true true false EPMG OF MICHIGAN PC 7032 COLLECTION CENTER DRIVE CHICAGO IL 60693 ED PHYSICIAN 1044302 LANSING SURGICAL ASSOCIATES 3937 PATIENT CARE DRIVE SUITE 106 LANSING MI 489114287 SURGICAL 379029 AKG-HGB INC 3937 PATIENT CARE DRIVE SUITE 102 LANSING MI 48911 PATIENT CARE 281087 WILLIAM R TRULUCK II DO PLLC 3945 OKEMOS RD STE B4 OKEMOS MI 48864 ORTHO PHYSICIAN 210000 MEDICAL SOLUTIONS LLC 1010 NORTH 102ND STREET SUITE 300 OMAHA NE 681142122 STAFFING 133584 5 11149 5314846 358044 5684039 SERVICES TO OUTPATIENTS 621110 42596827 42596827 PHYSICIAN PRACTICE SERVICES 621110 6114526 6114526 SERVICES TO INPATIENTS 621110 3671219 3671219 BAD DEBT PATIENT REVENUE 621110 -1063879 -1063879 51318693 3289452 3289452 240192 28808 211384 211384 211384 340B PHARMACY REVENUE 621990 2048949 2048949 QUALITY INCENTIVE REVENUE 900099 770025 770025 CAFETERIA REVENUE 900099 48630 48630 944543 944543 3812147 64315715 55082210 3549466 X 558510 115551 442959 23278251 20471896 2731207 75148 3693875 2971695 709255 12925 1534051 1319750 208203 6098 10291 10291 11470 11470 68323 68323 6713432 5449788 1249546 14098 132935 14075 117843 1017 503816 441096 58476 4244 1637627 866934 770693 131859 80732 51089 38 1534551 1534551 3555739 3555739 4247634 1564984 2666021 16629 749703 155163 594540 MEDICAL SUPPLIES 4453000 4218491 232261 2248 DRUGS & PHARMACEUTICALS 2551085 2551085 MAINT & REPAIR 1449262 800820 648442 MEDICAID QAAP/UNCOMPENSAT 1298400 1298400 258539 26538 231205 796 58372353 41048598 17190514 133241 9894320 7111425 6407888 2305943 282128 8758444 6786625 632276 3449153 1061677 1124198 568858 408996 96746499 52753047 45315246 43993452 22187221 35827793 48812 95108058 101056397 4944793 4487575 34487543 32192302 1454367 2805948 40886703 39485825 X 52453724 59833638 1767631 1736934 54221355 61570572 95108058 101056397 5943362 1405855 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4912247 237860 456214 5606321 4700296 39943 172008 4912247 1162999 -78093 1084906 1087603 75396 1162999 1036315 51288 1087603 1.00000 true false 1370000 1370000 63916775 32713525 31203250 28454027 20039522 8414505 3005697 3005697 43993452 OTHER LIABILITIES 1743324 CURRENT PORTION OF LT DEBT 1062624 2805948 SCHEDULE D, PAGE 2, PART V, LINE 4 SPARROW EATON HOSPITAL HOLDS ENDOWMENTS. THE ENDOWMENTS REPORTED ARE ENDOWMENTS OF SPARROW EATON HOSPITAL, CARSON FOUNDATION INC, AND SPARROW FOUNDATION. SPARROW HEALTH SYSTEM IS THE SOLE MEMBER OF SPARROW EATON HOSPITAL, CARSON FOUNDATION INC, 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. true true true X true X true true false true true 569960 569960 0.00980 6724439 5132737 1591702 0.02730 7294399 5132737 2161662 0.03700 7294399 5132737 2161662 0.03700 324430 324430 0.00560 324430 324430 0.00560 true 1063879 569960 7706999 7743317 -36318 X true true 1 1 SPARROW EATON HOSPITAL 321 EAST HARRIS STREET CHARLOTTE MI 48813 WWW.SPARROWEATONHOSPITAL.ORG 1060000163 X X X PHYS PRAC, INTERNAL MED, FAMIL SPARROW EATON HOSPITAL 1 false false true X X X X X X X X 19 true true true true X WWW.SPARROWEATONHOSPITAL.ORG X true 19 false true false true X 200.000000000000 200.000000000000 X X X X true true X X X true X WWW.SPARROWEATONHOSPITAL.ORG X WWW.SPARROWEATONHOSPITAL.ORG X WWW.SPARROWEATONHOSPITAL.ORG X X X X X X true X false X true X false true FACILITY 1, SPARROW EATON HOSPITAL - PART V, LINE 3E THE SIGNIFICANT HEALTH NEEDS WERE PRIORITIZED AND DOCUMENTED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT. FACILITY 1, SPARROW EATON HOSPITAL - PART V, LINE 5 THE PRIMARY METHOD OF DETERMINING THE HEALTH NEEDS OF THE REGION WAS THROUGH FOCUS GROUPS AND COMMUNITY DIALOGUE SESSIONS HOSTED IN NUMEROUS COMMUNITIES INCLUDING CHARLOTTE AND EATON RAPIDS. UPON COMPLETING THE ASSESSMENT, SPARROW EATON, AS WELL AS OTHER PARTICIPATING HOSPITALS, VALIDATED THESE FINDINGS BY CONDUCTING BOTH A WRITTEN AND ELECTRONIC SURVEY LISTING ALL KEY PRIORITY AREAS IDENTIFIED. THIS VALIDATION PROCESS PROVIDED AN OPPORTUNITY FOR SPARROW EATON PHYSICIANS, EMPLOYEES, AND BOARD OF TRUSTEES TO PROVIDE INPUT ON DETERMINING THE TOP THREE PRIORITIES. FACILITY 1, SPARROW EATON HOSPITAL - PART V, LINE 6A SPARROW HOSPITAL, CONSISTING OF SIX COMMUNITY HOSPITALS, THREE OF WHICH ARE LOCATED IN THE THREE-COUNTY GREAT 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 EATON 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 EATON HOSPITAL - PART V, LINE 11 THE HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT IS A THREE YEAR PLAN AND THEREFORE RESOURCES WILL BE ALLOCATED OVER THAT TIME PERIOD SO NOT ALL COMMUNITY NEEDS IDENTIFIED HAVE BEEN ADDRESSED TO DATE. IN ADDITION, SOME OF THE COMMUNITIES NEEDS WILL BE ADDRESSED IN COLLABORATION WITH OTHER AGENCIES. FACILITY 1, SPARROW EATON 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 UPON OUR FINANCIAL ASSISTANCE POLICY AND/OR INDIVIDUAL CIRCUMSTANCES. SCHEDULE H, PART I, LINE 7 USED WORKSHEET 2 PROVIDED IN SCHEDULE H INSTRUCTIONS TO CALCULATE COST TO CHARGE RATIO RELATED TO PATIENT CARE. IN RESPONSE TO COVID-19 PANDEMIC THE HOSPITAL RECEIVED GENERAL AND TARGETED DISTRIBUTIONS UNDER THE CARES ACT PROVIDER RELIEF FUNDING. THE HOSPITAL HAS MET THE CONDITIONS AND RESTRICTIONS NECESSARY TO RETAIN THE DISTRIBUTIONS ENTIRELY THROUGH A CALCULATION OF LOST REVENUE DURING THE YEAR ENDED 12/31/2020. AS A RESULT, THE PROVIDER RELIEF FUNDING DISTRIBUTIONS RECEIVED BY THE HOSPITAL ARE NOTE INCLUDED AS OFFSETTING REVENUE IN THE SCHEDULE H. SCHEDULE H, PART II SPARROW EATON HOSPITAL TAKES AND ACTIVE ROLE IN SUPPORTING COMMUNITY ORGANIZATIONS AND ACTIVITIES THAT CAN IMPACT COMMUNITY HEALTH AND PREVENTION AS WELL AS ECONOMIC DEVELOPMENT EFFORTS THAT WILL FOSTER SUPPORT FOR RESOURCES NEEDED BY HEALTH COMMUNITIES. SOME EXAMPLES ARE PROVIDING STAFF RESOURCES FOR LOCAL COMMUNITY ORGANIZATIONS, ACCESS TO AN INDOOR WALKING PATH THAT PROMOTES HEALTH AND WELL-BEING, SUPPORTING MOBILE MEALS FOR HOUSE-BOUND COMMUNITY MEMBERS AND PROVIDING RESOURCES FOR SUPPORT GROUPS SUCH AS CANCER SURVIVORS. 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 ALL OF THE MEDICARE SHORTFALL WILL BE CONSIDERED AS PART OF OUR COMMUNITY BENEFIT IN THE CURRENT YEAR. MEDICARE ALLOWABLE COSTS AND MEDICARE REIMBURSEMENT FROM THE MEDICARE COST REPORT WERE USED TO ARRIVE AT THE AMOUNTS ON LINES 5 & 6. SCHEDULE H, PART III, LINE 9B IF A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, THE AMOUNT THEY OWE WILL NOT EXCEED 115% OF THE AMOUNT ALLOWED BY MEDICARE. ADDITIONALLY, PATIENTS MAY BE ELIGIBLE FOR CHARITY CARE IN WHICH UP TO 100% OF THE BALANCE WILL BE WRITTEN OFF TO CHARITY CARE. SCHEDULE H, PART VI, LINE 2 SPARROW EATON HOSPITAL HAS ASSESSED THE HEALTH CARE NEEDS OF THE COMMUNITY THROUGH THE DEVELOPMENT OF THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT WAS COMPLIED IN COLLABORATION WITH FOUR HOSPITAL SYSTEMS AND LOCAL HEALTH DEPARTMENTS. IN ADDITION, SPARROW EATON ALSO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITIES WE SERVE BY UTILIZING DATA COLLECTED BOTH INTERNALLY AND FROM A VARIETY OF EXTERNAL SOURCES INCLUDING THE MICHIGAN HOSPITAL ASSOCIATION, MICHIGAN DEPARTMENT OF COMMUNITY HEALTH, BARRY-EATON HEALTH DEPARTMENT, LOCAL SOCIAL SERVICE AGENCIES, AND OUR PAYORS. THE BARRY-EATON HEALTH DEPARTMENT COMPLETED A BEHAVIORAL RISK FACTOR SURVEY WHICH SOUGHT TO MEASURE THE HEALTH STATUS, RISK BEHAVIORS, CLINICAL PREVENTATIVE CARE PRACTICES, AND CHRONIC DISEASE RATES OF BARRY AND EATON COUNTY RESIDENTS. THE SURVEY PROVIDED CRUCIAL DATA TO IDENTIFY PRIORITY HEALTH ISSUES IN OUR COMMUNITY. THE RESULTS OF THE SURVEY HAVE BEEN USED IN PLANNING EFFORTS AND EFFECTIVE TARGETING OF RESOURCES TO SUPPORT INTERVENTION PROGRAMS. IN ADDITION, THE HOSPITAL UTILIZED THE HEALTH STATISTICS AND REPORTS PUBLISHED BY THE MICHIGAN DEPARTMENT OF COMMUNITY HEALTH (MDCH). THESE REPORTS SHOW STATE, COUNTY, AND COMMUNITY LEVEL DATA FOR SUCH STATISTICS AS INFANT MORTALITY, CANCER INCIDENCE AND MORTALITY, COMMUNICABLE DISEASE, AND LEADING HOSPITALIZATIONS. THIS INFORMATION IS USEFUL TO IDENTIFY EMERGING HEALTH ISSUES AND HOSPITAL TRENDS SO THAT HEALTH PROGRAMS CAN BE TARGETED. SCHEDULE H, PART VI, LINE 3 SPARROW EATON HOSPITAL STRIVES TO INFORM AND EDUCATE OUR PATIENTS OR GUARANTORS REGARDING ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE HOSPITAL'S CHARITY CARE POLICY. WE EMPLOY A FULL TIME PATIENT ACCOUNT REPRESENTATIVE WHO IS RESPONSIBLE FOR ADDRESSING PAYMENT QUESTIONS FROM PATIENTS AND ASSISTING WITH PAYMENT ARRANGEMENTS, COMPLETING PAPERWORK TO QUALIFY FOR CHARITY CARE ORE COMPLETING FORMS FOR GOVERNMENT ASSISTANCE. OUR WEBSITE ALSO REFERENCES THE NUMBER TO CALL FOR PAYMENT ASSISTANCE. IN ADDITION, WE HAVE A PATIENT RIGHTS AND RESPONSIBILITIES BROCHURE THAT IS GIVEN TO EVERY INPATIENT AND MADE AVAILABLE TO OUTPATIENTS. IT STATES THAT "YOU ARE ENTITLED TO RECEIVE AND EXAMINE AN EXPLANATION OF YOUR BILL AND TO RECEIVE, UPON REQUEST, INFORMATION RELATING TO FINANCIAL ASSISTANCE AVAILABLE THROUGH THE HOSPITAL. SCHEDULE H, PART VI, LINE 4 SPARROW EATON HOSPITAL IS LOCATED IN CENTRAL MICHIGAN APPROXIMATELY 22 MILES SOUTHWEST OF LANSING. SPARROW EATON IS ALSO IN CLOSE PROXIMITY TO MICHIGAN STATE UNIVERSITY AND GENERAL MOTORS ASSEMBLY FACILITY. CHARLOTTE IS A COUNTY SEAT FOR EATON COUNTY AND IS THE PRIMARY SERVICE AREA FOR THE HOSPITAL. THERE ARE OVER 110,000 PEOPLE IN THE COUNTY WITH 20,000 IN THE HOSPITAL'S PRIMARY SERVICE AREA. THE MEDIAN HOUSEHOLD INCOME FOR EATON COUNTY IS 64,348 AND FOR CHARLOTTE IT IS 50,907. 7.5% OF PEOPLE IN EATON COUNTY ARE BELOW THE POVERTY LEVEL COMPARED TO 13% IN MICHIGAN. SCHEDULE H, PART VI, LINE 5 THE MISSION OF SPARROW EATON HOSPITAL IS TO IMPROVE THE HEALTH OF THE PEOPLE IN OUR COMMUNITIES BY PROVIDING QUALITY, COMPASSIONATE CARE TO EVERYONE, EVERY TIME. THE HOSPITAL HAS A LONG AND SUCCESSFUL HISTORY OF REINVESTING SURPLUS FUNDS IN EXPANDING ITS SERVICES TO MEET THE CURRENT AND ANTICIPATED HEALTH CARE DEMANDS OF THE COMMUNITY. IN 2011, THE HOSPITAL OPENED A COMMUNITY HEALTH PARK WHICH INCLUDES OUTPATIENT REHABILITATION, A WALKING PATH AND GYM FOR COMMUNITY USE. MOST RECENTLY, THE HOSPITAL COMPLETED CONSTRUCTION OF THE PROMISE PROJECT AT THE MAIN HOSPITAL WHICH CENTRALIZED ITS SURGICAL SERVICES TO IMPROVE OPERATIONAL EFFICIENCY. THE HOSPITAL IS GOVERNED BY A TWELVE MEMBER BOARD OF TRUSTEES WITH VARYING BACKGROUNDS. THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. THE MEDICAL STAFF OF SPARROW EATON CONSISTS OF ACTIVE STAFF MEMBERS IN SPECIALTIES INCLUDING EMERGENCY MEDICINE, FAMILY PRACTICE, INTERNAL MEDICINE, ORTHOPEDICS, GENERAL SURGERY, URGENT CARE, ANESTHESIA, OB/GYN, PATHOLOGY, AND RADIOLOGY. SCHEDULE H, PART VI, LINE 6 SPARROW EATON 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: PHYSICIAN HEALTH PLAN, PHYSICIAN HEALTH NETWORK, EDWARD W SPARROW HOSPITAL, SPARROW CLINTON HOSPITAL, SPARROW SPECIALTY HOSPITAL, SPARROW CARSON HOSPITAL, SPARROW DEVELOPMENT, INC., SPARROW COMMUNITY CARE, INC., SPARROW IONIA HOSPITAL, SPARROW FOUNDATION, SPARROW CLINICAL RESEARCH INSTITUTE, AND SPARROW EATON HOSPITAL. SCHEDULE H, PART VI, LINE 7 MICHIGAN X true true X X X X X X true true false true true true true true false JAMES F DOVER BOARD MEMBER 823407 27350 101283 71239 1023279 NICHOLAS DOMAN PHYSICIAN 632488 186725 888 8550 49911 878562 JEREMY PASCOTTO PHYSICIAN 620509 166694 999 6554 52885 847641 JOSEPH RUTH FORMER BOARD MEMBER 545744 24077 78163 33786 681770 SCOT RANDALL PHYSICIAN 549035 10450 4436 8550 48325 620796 ERICA MAGERS PHYSICIAN 458070 14425 20837 49343 542675 KIMBERLY FRIAR PHYSICIAN 429820 37013 21376 48450 536659 KIRA CARTER-ROBERTSON VP-AFFILIATE OPER 363534 200 1275 35504 48938 449451 JOHN SAUCHAK PHYSICIAN/BOARD MBR 328045 22751 41672 392468 MATTHEW RUSH FORMER PRESIDENT 359873 1589 11631 17243 390336 ANTHONY MARL DO PHYSICIAN/BOARD MBR 299380 26800 824 8550 37978 373532 KIM A CAPPS CFO/ACTING PRES/MBR 192022 34455 2325 23868 252670 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 3 SPARROW HEALTH SYSTEM IS AN INTEGRATED NON-PROFIT ORGANIZATION THAT INCLUDES A NUMBER OF NON-PROFIT ENTITIES. THE METHODS SELECTED FOR DETERMINING THE COMPENSATION OF THE CEO/EXECUTIVE DIRECTOR ARE METHODS WHICH ARE BEING USED BY ALL SPARROW HEALTH SYSTEM RELATED ENTITIES. SCHEDULE J, PAGE 1, PART I, LINE 4 JAMES F. DOVER 0 101,283 0 JOSEPH RUTH 0 50,803 0 KIRA CARTER-ROBERTSON 0 27,104 0 MATTHEW RUSH 252,180 0 0 SCHEDULE J, PAGE 1, PART I, LINE 5A THE 2020 INCENTIVE COMPENSATION PLAN PAYMENTS WERE ACCRUED IN 2020 AND WILL BE PAID IN 2021. THE INCENTIVE COMPENSATION PLAN IS BASED, IN PART, ON THE OPERATING MARGIN OF SPARROW HEALTH SYSTEM AS WELL AS AFFILIATED COMPANIES. SCHEDULE J, PAGE 1, PART I, LINE 5B THE 2020 INCENTIVE COMPENSATION PLAN PAYMENTS WERE ACCRUED IN 2020 AND WILL BE PAID IN 2021. THE INCENTIVE COMPENSATION PLAN IS BASED, IN PART, ON THE OPERATING MARGIN OF SPARROW HEALTH SYSTEM AS WELL AS AFFILIATED COMPANIES. SCHEDULE J, PAGE 1, PART I, LINE 6A THE 2020 INCENTIVE COMPENSATION PLAN PAYMENTS WERE ACCRUED IN 2020 AND WILL BE PAID IN 2021. THE INCENTIVE COMPENSATION PLAN IS BASED, IN PART, ON THE OPERATING MARGIN OF SPARROW HEALTH SYSTEM AS WELL AS AFFILIATED COMPANIES. SCHEDULE J, PAGE 1, PART I, LINE 6B THE 2020 INCENTIVE COMPENSATION PLAN PAYMENTS WERE ACCRUED IN 2020 AND WILL BE PAID IN 2021. THE INCENTIVE COMPENSATION PLAN IS BASED, IN PART, ON THE OPERATING MARGIN OF SPARROW HEALTH SYSTEM AS WELL AS AFFILIATED COMPANIES. 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 JOSEPH RUTH IS A FORMER BOARD MEMBER OF SPARROW EATON HOSPITAL. THE FORMER BOARD MEMBER IS BEING COMPENSATED BY SPARROW HEALTH SYSTEM AND AFFILIATES FOR SERVICES PROVIDED TO SPARROW HEALTH SYSTEM AND AFFILIATES IN A POSITION OTHER THAN BOARD MEMBER. THE FORMER BOARD MEMBER IS NOT BEING COMPENSATED FOR ANY PAST SERVICES PROVIDED TO SPARROW EATON HOSPITAL AS A FORMER BOARD MEMBER. FORM 990 - ORGANIZATION'S MISSION SPARROW EATON HOSPITAL PROVIDES NEEDED MEDICAL CARE TO THE COMMUNITY REGARDLESS OF THE INDIVIDUALS ABILITY TO PAY. THESE SERVICES ARE PROVIDED TO HOSPITAL INPATIENTS AND OUTPATIENTS IN ADDITION TO 24 HOUR EMERGENCY ROOM AND AMBULANCE SERVICES. 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 6, PART VI, LINE 4 THE BYLAWS WERE UPDATED TO REFLECTS CHANGES WITHIN THE GOVERNANCE OF THE ORGANIZATION. THE CHANGES WERE MADE TO MATCH OTHER COMMUNITY HOSPITALS OWNED BY SPARROW HEALTH SYSTEM, THE SOLE MEMBER OF SPARROW EATON HOSPITAL. A SUMMARY OF THE CHANGES TO THE BYLAWS INCLUDED THE FOLLOWING: - ELECTING/REPLACING BOARD MEMBERS - APPROVAL OF AMENDMENTS TO BYLAWS AND ARTICLES OF ORGANIZATION - APPOINTMENT OF OFFICERS, AUDITORS, STRATEGIES, BUDGETS, BORROWINGS, ETC - APPROVAL OF STRUCTURE INCLUDING MERGERS, DISSOLUTIONS & SALE OR FORMATION OF NEW ENTITIES - CHANGES TO THE BOARD OF DIRECTORS GENERAL POWERS, NUMBER OF MEMBERS, EX- OFFCIIO VOTING MEMBERS, DIVISIONS, LENGTH OF TERM, VACANCIES, REGULAR MEETING SCHEDULE, SPECIAL MEETING SCHEDULE, QUORUM, VOTING RIGHTS, ATTENDANCE, BOARD ACTIONS, ETC. FORM 990, PAGE 6, PART VI, LINE 6 SPARROW HEALTH SYSTEM IS THE SOLE MEMBER OF SPARROW EATON 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 EATON HOSPITAL BOARD. FORM 990, PAGE 6, PART VI, LINE 7B SPARROW HEALTH SYSTEM HAS THE RIGHT TO ELECT, REPLACE, AND REMOVE DIRECTORS OF SPARROW EATON HOSPITAL. SPARROW HEALTH SYSTEM ALSO HAS THE AUTHORITY TO APPROVE DECISIONS OF THE SPARROW EATON HOSPITAL WHEN IT IS DEEMED NECESSARY. FORM 990, PAGE 6, PART VI, LINE 11B COPIES OF THE 2020 FORM 990 ARE REVIEWED BY MANAGEMENT. THE FORM 990 COPIES WERE PROVIDED AT THE FALL 2021 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 GOVERNANCE DOCUMENTS AND THE CONFLICT OF INTEREST POLICY IS MADE AVAILABLE UPON ADVICE OF ATTORNEYS. FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G LEASES/RENTALS 481,656 93,779 0 OUTSIDE PURCHASES 543,202 156,518 0 PROFESSIONAL SERVICES 1,682,753 841,561 14,098 OTHER FEES 822,525 118,388 0 PAYMENT TO INDEPENDENT PROVID 1,919,652 39,300 0 TOTAL 5,449,788 1,249,546 14,098 SPARROW HEALTH SYSTEM 1215 E MICHIGAN AVENUE LANSING MI 48912 382542859 PARENT MI 501C3 12A NA false EDWARD W SPARROW HOSPITAL 1215 E MICHIGAN AVENUE LANSING MI 48912 381360584 HLTH CARE MI 501C3 3 SHS true PHYSICIANS HEALTH PLAN 1400 E MICHIGAN AVENUE LANSING MI 48912 382356288 INSURANCE MI 501C4 PHP HO LLC true PHP MEDICARE 1400 E MICHIGAN AVENUE LANSING MI 48912 832766121 HMO MI 501C4 PHP true PHYSICIANS HEALTH NETWORK 1400 E MICHIGAN AVENUE LANSING MI 48912 382594856 HMO MI 501C4 PHP HO LLC true SPARROW FOUNDATION 1215 E MICHIGAN AVENUE LANSING MI 48912 386100687 FUNDRAISE MI 501C3 12B SHS true SPARROW CLINTON HOSPITAL 805 S OAKLAND ST JOHNS MI 48979 381358172 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 STREET PO BOX 879 CARSON CITY MI 48811 381490180 HLTH CARE MI 501C3 3 SHS true CARSON CITY FOUNDATION 406 E ELM STREET PO BOX 879 CARSON CITY MI 48811 460877509 FUNDRAISE MI 501C3 12A CCH true SPARROW COMMUNITY CARE 2909 E GRAND RIVER LANSING MI 48912 382543305 HOME HLTH MI 501C3 10 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 SOUTH OAKLAND ST JOHNS MI 48879 382494110 SERVICES MI N/A true EAST LANSING HLTH ATH CLUB & HSP 1200 E MICHIGAN AVENUE STE 600 LANSING MI 48912 813131851 CONDO ASSO MI N/A true false true true false false false false false false false false false false false false false false false false