2025-08-26T14:24:37-04:00 2022-12-31 383133790 ANDREWS HOOPER PAVLIK PLC 4295 OKEMOS RD STE 200 OKEMOS MI 488646201 990 2022-01-01 381360584 EDWARD W SPARROW HOSPITAL EDWA 5173641000 1215 E MICHIGAN AVENUE LANSING MI 48912 MARGARET DIMOND PHD REGIONAL PRESIDENT 5173646060 2025-08-19 true false JULIE M PFEIFLE P00751307 5177060800 2025-08-19 2022 2025-03-06 01:10:19Z X UNIV OF MI HEALTH - SPARROW LANSING MARGARET DIMOND PHD 1215 E MICHIGAN AVE LANSING MI 48912 1032875724 false X WWW.SPARROW.ORG X 1896 MI IMPROVING THE HEALTH OF THE PEOPLE IN OUR COMMUNITIES BY PROVIDING QUALITY, COMPASSIONATE CARE TO EVERYONE, EVERY TIME. 16 12 6599 908 21466669 2428500 23353796 16273792 997595132 931971078 61448692 47289154 42045838 35946261 1124443458 1031480285 69473 0 0 622969708 652828760 0 0 493554001 492771701 1116593182 1145600461 7850276 -114120176 1648951609 1418560977 986709530 897645775 662242079 520915202 X IMPROVING THE HEALTH OF THE PEOPLE IN OUR COMMUNITIES BY PROVIDING QUALITY, COMPASSIONATE CARE TO EVERYONE, EVERY TIME. false false 408730382 399438110 E.W. SPARROW HOSPITAL HAS, SINCE ITS INCEPTION IN 1896, PROVIDED CARE TO PEOPLE REGARDLESS OF THEIR RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. SPARROW IS A NON-PROFIT COMMUNITY-GOVERNED HOSPITAL AND THE FLAGSHIP OF SPARROW HEALTH SYSTEM, A COMPREHENSIVE INTEGRATED HEALTH DELIVERY SYSTEM COMMITTED WITHIN ITS RESOURCES TO IMPROVING THE HEALTH STATUS OF ALL PEOPLE THROUGHOUT THE MID-MICHIGAN REGION BY PROVIDING QUALITY, COMPASSIONATE CARE TO EVERYONE, EVERY TIME. E.W. SPARROW HOSPITAL IS A 703-BED, MAJOR TEACHING HOSPITAL (AFFILIATED WITH MICHIGAN STATE UNIVERSITY'S COLLEGES OF OSTEOPATHIC MEDICINE, HUMAN MEDICINE AND NURSING) AND THE MOST COMPREHENSIVE, ACUTE CARE CENTER IN MID-MICHIGAN. SPARROW IS THE REGIONAL MEDICAL CENTER FOR: PEDIATRICS CANCER CARE, INCLUDING RADIATION THERAPY TRAUMA CARE NEUROLOGICAL CARE HIGH-RISK OBSTETRICS NEONATAL INTENSIVE CARE BEHAVIORAL HEALTH CARDIOVASCULAR SERVICES IN 2022, SPARROW TREATED OVER 30,000 INPATIENTS, PROVIDED SERVICES TO NEARLY 146,590 EMERGENCY MEDICINE PATIENTS, OVER 80,000 URGENT CARE PATIENTS, AND CONDUCTED OVER 38,000 VIDEO VISITS. TODAY'S SPARROW HEALTH SYSTEM BLENDS THE KNOWLEDGE AND EXPERTISE OF OVER 1,240 PHYSICIANS, NEARLY 9,000 CAREGIVERS AND ABOUT 1,500 VOLUNTEERS WITH THE MOST ADVANCED TECHNOLOGY, SERVING AS A COMPREHENSIVE HEALTH SYSTEM FOR A CORE EIGHT- COUNTY POPULATION AND BEYOND. IN ADDITION, MORE PEOPLE CHOOSE SPARROW FOR THEIR MATERNITY NEEDS (OVER 3,500 DELIVERIES ANNUALLY), REHABILITATION, AND EMERGENCY TREATMENT THAN ANY OTHER HOSPITAL IN MID-MICHIGAN. SPARROW HAS ACHIEVED A NATIONAL BENCHMARK IN QUALITY CARE FOR MOTHERS AND BABIES, AS MID-MICHIGAN'S ONLY BABY-FRIENDLY HOSPITAL, A GLOBAL PROGRAM OF THE WORLD HEALTH ORGANIZATION (WHO) AND THE UNITED NATIONS CHILDREN'S FUND (UNICEF). SPARROW HAS UNDERTAKEN A VARIETY OF MEASURES TO IMPROVE MATERNAL AND INFANT HEALTH. AN OUTPATIENT BREASTFEEDING CLINIC SUPPORTING BREASTFEEDING MOTHERS AND INFANTS IS HELD TWICE A WEEK IN OUR PEDIATRICS SUBSPECIALTY CLINIC. SPARROW ALSO SPONSORS THE BABY CAF, A COMMUNITY RESOURCE FREE OF CHARGE TO NURSING MOTHERS TO OBTAIN BREASTFEEDING SUPPORT, AS WELL AS PEER SUPPORT FROM OTHER NEW MOTHERS. WE ALSO WORK WITH VALUABLE PARTNERS TO OFFER FREE SERVICES TO PARENTS AND CHILDREN. SPARROW WORKS WITH UNIVERSITY OF MICHIGAN PEDIATRIC OPHTHALMOLOGY TO PROVIDE AN EYE CLINIC WEEKLY IN OUR PEDIATRICS SUBSPECIALTY CLINIC. SPARROW ALSO PARTNERS WITH THE INGHAM COUNTY HEALTH DEPARTMENT AND HEALTHY START TO PROVIDE A FREE MONTHLY CLASS FOR HEALTH DEPARTMENT PATIENTS, INCLUDING A TOUR OF SPARROW LABOR AND DELIVERY, AND INFORMATION ABOUT WHAT TO EXPECT WHEN YOU COME TO THE HOSPITAL TO HAVE YOUR BABY. SPARROW ALSO HAS A PARTNERSHIP WITH MICHIGAN MEDICINE (THE UNIVERSITY OF MICHIGAN) TO OVERSEE THE SPARROW CHILDREN'S CENTER. THIS ALLOWS BROADENED PEDIATRIC SPECIALTY SERVICES FOR THE REGION AND HELP ENSURE FAMILIES STAY CLOSE TO HOME, INSTEAD OF TRAVELING GREAT DISTANCES TO SEEK CARE FOR THEIR CHILDREN. SPARROW HEALTH SYSTEM'S REACH EXTENDS FAR BEYOND THE ACUTE CARE SETTING OF THE HOSPITAL. THERE ARE MANY WAYS OUR STAFF PROACTIVELY SUPPORTS THE COMMUNITY, ESPECIALLY THOSE WHO HAVE THE GREATEST NEED. BECAUSE OF SPARROW'S COMMITMENT, THE PEOPLE OF MID MICHIGAN HAVE ACCESS TO THE FULL RANGE OF COMPREHENSIVE ACUTE CARE SERVICES AND THE LATEST MEDICAL ADVANCES WITHOUT TRAVELING GREAT DISTANCES. THESE SERVICES ARE AVAILABLE TO ALL MID MICHIGAN RESIDENTS, REGARDLESS OF THEIR ABILITY TO PAY. PROVIDING ACCESS TO COVID-19 TESTING AND VACCINES IN 2022, SPARROW WAS A NATIONAL LEADER IN PROVIDING ACCESS TO COVID-19 TESTING AND VACCINES TO PEOPLE FROM THROUGHOUT THE STATE. SPARROW WAS AMONG THE FIRST HOSPITALS TO OFFER INPATIENT TESTING FOR THE VIRUS AND OPENED AN INNOVATIVE DRIVE-THRU TESTING/VACCINE SITE AT AN OLD SEARS AUTOMOTIVE CENTER IN LANSING. IT HAS ALSO DISTRIBUTED THE VACCINE THROUGH HIGH SCHOOL CLINICS AND TO UNDERSERVED AREAS THROUGH A MOBILE HEALTH CLINIC. SPARROW HAS PERFORMED MORE THAN 930,000 COVID TESTS AND GIVEN MORE THAN 130,000 VACCINES. 466001688 539244504 ANCILLARY SERVICES INCLUDING LABORATORY, RADIOLOGY, DIALYSIS, SOCIAL SERVICES AND CLINICS (SEE NARRATIVE FROM 4A FOR FURTHER EXPLANATION) 89212345 5377771 GENERAL SERVICES INCLUDING FOOD SERVICE, ENVIRONMENTAL SERVICES, LAUNDRY AND PLANT. 963944415 true true false true false false false false false true true false false true true false false true false false true false false false false false true true false false true true false false false false false false false false true false true false false false false true true true true false true 179 0 true 6599 true true true false false false false false false false false false false false X 16 12 false false false false true true true true true false false true true true true true true true true true true MI X WILLIAM HOWE 5173646102 1215 E MICHIGAN AVENUE LANSING MI 48912 X ARA PRIDJIAN MD PHYSICIAN 40.00 0.00 X 1337786 0 93132 JAMES F DOVER PRES/CEO - 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EXCESS LAYER 23900000 457 PLAN ACCUMULATIONS 20397373 OTHER AR 19906423 PHARMACY DRUG DEPOSIT 12516536 OTHER ASSETS 7113508 LEASE RIGHT TO USE ASSET 5146011 DEFERRED FINANCING COSTS 2220321 212872733 UNFUNDED PENSION OBLIGATION 185101111 MEDICAL MALPRACTICE CLAIMS RESERVE 29999403 INSURANCE - EXCESS LAYER 16875000 PREMIUM ON 2015 BONDS 14555330 PREMIUM ON 2012 BONDS 11336116 LEASE LIABILITY PAYABLE 5099804 ASBESTOS ABATEMENT 2977058 INTEREST PAYABLE 1523575 POST RETIREMENT BENEFITS PAYABLE 1371052 268838449 SCHEDULE D, PAGE 2, PART V, LINE 4 EDWARD W SPARROW HOSPITAL DOES NOT HOLD ENDOWMENTS. THE ENDOWMENTS ARE HELD BY SPARROW FOUNDATION. SPARROW HEALTH SYSTEM IS THE SOLE MEMBER OF EDWARD W SPARROW HOSPITAL AND SPARROW FOUNDATION. THE ENDOWMENTS ARE MAINTAINED TO PROVIDE A PERMANENT SOURCE OF INCOME, WITH THE STIPULATION THE PRINCIPAL IS KEPT INTACT IN PERPETUITY AND THE INCOME GENERATED FROM INVESTMENTS OF THE ENDOWMENT FUNDS CAN BE USED FOR THE PURPOSE ESTABLISHED BY THE ENDOWMENTS. CENTRAL AMERICA AND THE CARIBBEAN INVESTMENTS 350000 350000 350000 true false true false false false SCHEDULE F, PAGE 1, PART I, LINE 3 CENTRAL AMERICA AND THE CARIBBEAN 0 350,000 true true X true X true X true true false true true 12060537 12060537 0.01050 220705946 168490165 52215781 0.04560 232766483 168490165 64276318 0.05610 30835658 13473376 17362282 0.01520 9739328 5327346 4411982 0.00390 286123 286123 0.00020 40861109 18800722 22060387 0.01930 273627592 187290887 86336705 0.07540 true 6355743 289239430 333683773 -44444343 X true true MID-MI REG DIALYSIS RENTAL ACTIVITIES 0.37000 0.25000 2 1 EWSH - MAIN CAMPUS 1215 E MICHIGAN AVE LANSING MI 48912 WWW.SPARROW.ORG 1060000091 X X X X X X URGENT CARE A 2 EWSH - ST LAWRENCE CAMPUS 1210 W SAGINAW LANSING MI 48915 WWW.SPARROW.ORG 1060000143 X X X BEHAVIORAL HLTH HOSPICE SR SVC A A 12 false false true X X X X X X X X 22 true true true true X WWW.SPARROW.ORG X true 22 false true false true X 200.000000000000 200.000000000000 X X true true X X X true X WWW.SPARROW.ORG X WWW.SPARROW.ORG X WWW.SPARROW.ORG X X X true X false X true X false true GROUP A, FACILITY 1, EWSH - MAIN CAMPUS - PART V, LINE 3E THE SIGNIFICANT HEALTH NEEDS WERE PRIORITIZED AND DOCUMENTED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT. GROUP A, FACILITY 1, EWSH - MAIN CAMPUS - PART V, LINE 5 HEALTHY CAPITAL COUNTIES FOCUS GROUPS: IN ORDER TO GATHER INFORMATION FROM TRADITIONALLY HARD TO SURVEY POPULATIONS AND TO DOCUMENT THE EXPERIENCES, THOUGHTS, BELIEFS, AND STORIES OF THE COMMUNITY, HEALTHY CAPITAL COUNTIES CONDUCTED A SERIES OF FOCUS GROUPS FOR THE PROJECT. SIX FOCUS GROUPS WERE HELD BETWEEN JUNE AND JULY OF 2021 AND TOOK PLACE IN VARIOUS LOCATIONS THROUGHOUT THE THREE-COUNTY FOCUS AREA (CLINTON, EATON, AND INGHAM COUNTIES). GROUPS THAT WERE ACTIVELY SOLICITED FOR INPUT INCLUDED: - PEOPLE WITH DISABILITIES; - PEOPLE RECOVERED/RECOVERING FROM SUBSTANCE ADDICTION; - PEOPLE WHO DO NOT HAVE HEALTH INSURANCE; - PEOPLE WHO HAVE LOW INCOMES OR ARE UNEMPLOYED; - PEOPLE WHO IDENTIFY AS SPANISH-SPEAKING HISPANIC OR LATINO/A; AND - PEOPLE WHO IDENTIFY AS PERSONS OF COLOR. CAPITAL AREA BEHAVIORAL RISK FACTOR & SOCIAL CAPITAL SURVEY (BRFS): SINCE 2000, THE CAPITAL AREA UNITED WAY, BARRY-EATON DISTRICT HEALTH DEPARTMENT, INGHAM COUNTY HEALTH DEPARTMENT, AND MID-MICHIGAN DISTRICT HEALTH DEPARTMENT HAVE CONDUCTED A TELEPHONE HEALTH SURVEY OF THE ADULT POPULATION IN THEIR JURISDICTIONS (BARRY, EATON, INGHAM, CLINTON, GRATIOT, AND MONTCALM COUNTIES) ON VARIOUS BEHAVIORS, MEDICAL CONDITIONS, AND PREVENTIVE HEALTH CARE PRACTICES. THE SURVEY WAS CONDUCTED USING THE CAPITAL AREA BEHAVIORAL RISK FACTOR & SOCIAL CAPITAL SURVEY INSTRUMENT, WHICH INCLUDES QUESTIONS FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTIONS BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM QUESTIONNAIRE AS WELL AS QUESTIONS DEVELOPED BY THE HEALTH DEPARTMENTS TO COLLECT INFORMATION OF INTEREST TO THE LOCAL COMMUNITY. DURING THE 2017-2019 DATA COLLECTION CYCLE, A TOTAL OF 2,634 ADULTS IN CLINTON, EATON, AND INGHAM COUNTIES RESPONDED TO THE LANDLINE/MOBILE PHONE SURVEY. COMMUNITY AND HEALTH CARE PROVIDER SURVEYS: IN ORDER TO GATHER INPUT ABOUT THE COMMUNITYS HEALTH NEEDS FROM STAKEHOLDERS AND THE GENERAL PUBLIC, TWO ONLINE SURVEYS WERE ADMINISTERED BETWEEN FEBRUARY AND MAY OF 2021. ONE SURVEY WAS FOR ANY COMMUNITY RESIDENT WHO LIVED AND/OR WORKED IN THE TRI-COUNTY AREA, AND THE SECOND SURVEY WAS FOR HEALTH CARE PROVIDERS ASSOCIATED WITH THE HOSPITAL SYSTEMS PARTNERS. GROUP A, FACILITY 1, EWSH - MAIN CAMPUS - 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 GROUP A, FACILITY 1, EWSH - MAIN CAMPUS - PART V, LINE 6B - MICHIGAN PUBLIC HEALTH INSTITUTE - BARRY-EATON DISTRICT HEALTH DEPARTMENT - INGHAM COUNTY HEALTH DEPARTMENT - MID MICHIGAN DISTRICT HEALTH DEPARTMENT GROUP A, FACILITY 1, EWSH - MAIN CAMPUS - PART V, LINE 11 EDWARD W SPARROW HOSPITAL HAS DEVELOPED AN IMPLEMENTATION STRATEGY FOR THE TOP PRIORITIES THAT WERE IDENTIFIED IN ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENTS. THE TOP NEEDS IDENTIFIED WERE ACCESS TO HEALTH CARE AND BEHAVIORAL HEALTH. FOR EACH OF THE NEEDS IDENTIFIED MULTIPLE KEY OBJECTIVES WERE IDENTIFIED TO CREATE A STRATEGY ON HOW TO MEET THE NEEDS. FOR EACH KEY OBJECTIVE AN IMPLEMENTATION STRATEGY WAS CREATED, INCLUDING TIMING FOR THE IMPLEMENTATION AND GOALS TO MONITOR THE SUCCESS OF MEETING THE NEEDS. OTHER NEEDS IDENTIFIED IN THE CHNA BUT NOT ADDRESSED IN THIS STRATEGY INCLUDED COMMUNITY SAFETY AND AFFORDABLE HOUSING. THIS HEALTH NEED IS IMPORTANT BUT IT IS NOT WITHIN THE SCOPE OF THE HOSPITAL'S CORE COMPETENCIES. GROUP A, FACILITY 1, EWSH - MAIN CAMPUS - 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. GROUP A, FACILITY 2, EWSH - ST. LAWRENCE CAMPUS - 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. 38 EWSH MEDICAL ARTS BUILDING 1322 E MICHIGAN LANSING MI 48912 OCC HEALTH WOUND CLINIC EWSH SPARROW PROF BUILDING 1200 E MICHIGAN AVE LANSING MI 48912 CLINICS PHARMACY REHAB EWSH MASON COMMUNITY CENTER 800 E COLUMBIA MASON MI 48854 URGENT CARE/FMLY PRACTICE/RADIOLOGY LAB EWSH LANSING URGENT CARE 1600 W GRAND RIVER OKEMOS MI 48864 FAMILY PRACTICE OB/GYN LAB RADIOLOGY EWSH OP REHAB 1288 W GRAND RIVER WILLIAMSTON MI 48895 PHYSICAL THERAPY EWSH SMG MASON 230 TEMPLE ST STE 3 MASON MI 48854 FAMILY PRACTICE EWSH SMG WEST 7335 WESTSHIRE DR STE 10 LANSING MI 48912 FAMILY PRACTICE EWSH SMG POTTERVILLE 133 W LANSING RD POTTERVILLE MI 48876 FAMILY PRACTICE EWSH SPARROW REGIONAL LAB 1650 RAMBLEWOOD DR EAST LANSING MI 48823 LABORATORY EWSH OKEMOS DIAGNOSTIC CENTER 1600 W GRAND RIVER OKEMOS MI 48864 RADIOLOGY/LAB EWSH SPARROW REGIONAL LAB 6254 W SAGINAW LANSING MI 48912 LABORATORY EWSH SOUTHPOINT MALL STE A14-A17 ST JOHNS MI 48879 PHYSICAL THERAPY EWSH SMG DEWITT 13191 SCHAVEY RD DEWITT MI 48820 FAMILY PRACTICE LAB RADIOLOGY EWSH 138 SERVICE ROAD EAST LANSING MI 48823 PHYSICAL THERAPY EWSH SPARROW PHARMACY PLUS 1015 CHARLEVOIX DRIVE GRAND LEDGE MI 48837 PHARMACY EWSH SPARROW PHARMACY PLUS 1200 E MICHIGAN STE 310 LANSING MI 48912 PHARMACY EWSH SMG EAST LANSING 2682 E GRAND RIVER EAST LANSING MI 48823 LABORATORY & URGENT CARE EWSH SMG HOLT 2040 N AURELIUS HOLT MI 48842 FAMILY PRACTICE EWSH SMG GRAND LEDGE 1015 CHARLEVOIX DRIVE GRAND LEDGE MI 48837 URGENT CARE & PHYSICAL THERAPY TCI HEART CLINIC & DIAGNOSTIC 300 HEALTH PARK DRIVE OWOSSO MI 48867 HEART CLINIC & DIAGNOSTICS EWSH SPARROW REGIONAL LAB 1650 HASLETT ROAD HASLETT MI 48840 LABORATORY EWSH SPARROW REGIONAL LAB 5303 S CEDAR LANSING MI 48910 LABORATORY EWSH SMG EASTSIDE 1651 W LAKE LANSING ROAD EAST LANSING MI 48823 OB/GYN PRACTICE EWSH SMG NEPHROLOGY 123 LANSING RD CHARLOTTE MI 48813 NEPHROLOGY EWSH FASTCARE 716 N CLIPPERT ST LANSING MI 48910 FASTCARE EWSH HEALTH SCIENCE PAVILION 2900 HANNAH BLVD EAST LANSING MI 48823 OFFICES/ATHLETIC CLUB SPARROW HEALTH CENTER 2909 E GRAND RIVER AVE LANSING MI 48912 LAB/OBGYN/MEDICAL OFFICE EWSH MICHIGAN AVE URGENT CARE 1120 E MICHIGAN AVE LANSING MI 48912 URGENT CARE EWSH EAST LANSING URGENT CARE 2682 E GRAND RIVER EAST LANSING MI 48823 URGENT CARE SPARROW LAB 804 SERVICE RD A203 EAST LANSING MI 48824 LAB SPARROW LAB 6200 PINE HOLLOW EAST LANSING MI 48823 LAB SPARROW LAB 2316 S CEDAR ST LANSING MI 48911 LAB SPARROW LAB 2380 CEDAR ST HOLT MI 48842 LAB SPARROW LAB 3955 PATIENT CARE DRIVE LANSING MI 48911 LAB SMG ORTHOPEDICS AND SPORTS MED 3394 E JOLLY RD LANSING MI 48910 ORTHO/ SPORTS MED SMG WILLIAMSTON 301 WILLIAMSTON CENTER RD WILLIAMSTON MI 48895 FAMILY PRACTICE SPARROW LAB 3131 E MICHIGAN AVE LANSING MI 48912 LAB SPARROW EMERGENCY CENTER OKEMOS 2446 JOLLY RD STE A OKEMOS MI 48864 EMERGENCY ROOM 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 HEALTH PROFESSIONS EDUCATION (LINE 7F), SUBSIDIZED HEALTH SERVICES (LINE 7G) AND RESEARCH (LINE 7H). IN RESPONSE TO THE COVID-19 PANDEMIC THE HOSPITAL RECEIVED GENERAL AND TARGETED DISTRIBUTIONS UNDER THE AMERICAN RESCUE PLAN RELIEF FUNDING. THE HOSPITAL MET THE CONDITIONS AND RESTRICTIONS NECESSARY TO RETAIN THE DISTRIBUTIONS ENTIRELY THROUGH A CALCULATION OF LOST REVENUE DURING THE YEAR ENDED 12/31/2022. AS A RESULT, THE PROVIDER RELIEF FUNDING DISTRIBUTIONS RECEIVED BY THE HOSPITAL ARE NOT INCLUDED AS OFFSETTING REVENUE IN THE SCHEDULE H. SCHEDULE H, PART II SPARROW HEALTH SYSTEM'S REACH EXTENDS FAR BEYOND THE ACUTE CARE SETTING OF THE HOSPITAL. THERE ARE MANY WAYS OUR STAFF PROACTIVELY SUPPORTS THE COMMUNITY, ESPECIALLY THOSE WHO HAVE THE GREATEST NEED. WHETHER THROUGH CHARITABLE CARE, SUBSIDIZED HOSPITAL PROGRAMS AND SERVICES, MEDICAL EDUCATION OR COMMUNITY HEALTH EDUCATION, SPARROW STRIVES TO RESPOND TO THE REGION'S MOST PRESSING HEALTH NEEDS. FOR MORE THAN 114 YEARS, SPARROW HAS BEEN DISTINGUISHED BY ITS PASSIONATE COMMITMENT TO CARE FOR ALL, REGARDLESS OF THEIR ABILITY TO PAY. FINANCIAL ASSISTANCE IS AVAILABLE TO PATIENTS WHO MEET CERTAIN QUALIFICATIONS. SPARROW ALSO PROVIDES "SUBSIDIZED HEALTH SERVICES." THESE ARE SERVICES THAT ARE OFFERED DESPITE FINANCIAL LOSS BECAUSE THE COMMUNITY NEEDS THEM, BECAUSE OTHER PROVIDERS ARE NOT WILLING TO OFFER THEM, OR BECAUSE THE SERVICES WOULD OTHERWISE NOT BE ABLE TO MEET PATIENT DEMAND. THESE SERVICES INCLUDE HOSPICE AND PALLIATIVE CARE; MENTAL HEALTH SERVICES; NEONATAL INTENSIVE CARE; OBSTETRICS; REHABILITATION; EMERGENCY AND TRAUMA SERVICES; GERIATRICS CLINICS; AND PEDIATRIC CLINICS. SCHEDULE H, PART III, LINE 2 THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE AND CURRENT MARKET CONDITIONS. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, THE HEALTH SYSTEM FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST DUE PATIENT BALANCES WITH COLLECTION AGENCIES. THE COST TO CHARGE RATIO IS USED IN DETERMINING BAD DEBT INFORMATION. SCHEDULE H, PART III, LINE 3 IN REVIEWING ACCOUNTS CLASSIFIED AS BAD DEBT, THE AMOUNT REPORTED ON SCHEDULE H, PART III, LINE 3, REFLECTS PATIENTS WHO HAD PREVIOUSLY QUALIFIED FOR MEDICAID OR OTHER MEANS-TESTED SUPPORT, BUT WHO AT THE TIME OF SERVICES, WERE NO LONGER ELIGIBLE FOR MEDICAID OR OTHER MEANS-TESTED SUPPORT OR THE SERVICES PROVIDED WERE NOT COVERED BENEFITS. THE HOSPITAL FURTHER REVIEWED THESE PATIENTS TO MAKE A DETERMINATION OF THE PATIENTS' ELIGIBILITY FOR ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY. SCHEDULE H, PART III, LINE 4 BAD DEBT FOOTNOTE - SEE THE ATTACHED AUDITED FINANCIAL STATEMENTS. SCHEDULE H, PART III, LINE 8 THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE ORGANIZATION'S MEDICARE COST REPORT, IS A RATIO OF COSTS TO CHARGES. THE HOSPITAL BELIEVES THE FULL AMOUNT OF THE SHORTFALL REPORTED ON PART III, SECTION B, LINE 7 SHOULD BE TREATED AS COMMUNITY BENEFIT. CARING FOR MEDICARE PATIENTS FULFILLS A COMMUNITY NEED AND RELIEVES A GOVERNMENT BURDEN AS THESE PATIENTS TYPICALLY HAVE LOW AND/OR FIXED INCOMES. MEDICARE DOES NOT PROVIDE SUFFICIENT REIMBURSEMENT TO COVER THE COST OF PROVIDING CARE FOR THESE PATIENTS AND THAT SHORTFALL OF 44,444,343 SHOULD BE COUNTED AS COMMUNITY BENEFIT. SCHEDULE H, PART III, LINE 9B THE CHARGES FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE ARE WRITTEN OFF THE SYSTEM TO CHARITY CARE AT THE TIME THE PATIENT'S CHARITY CARE STATUS IS DETERMINED. AS SUCH, NO FURTHER COLLECTION EFFORTS TAKE PLACE. SCHEDULE H, PART VI, LINE 2 THROUGH CONTINUAL ANALYSIS OF OUR ANNUAL CASE MIX AND COLLABORATION WITH COMMUNITY PARTNERS, SPARROW IS ABLE TO MAKE ACCURATE ASSESSMENTS OF THE HEALTH CARE NEEDS OF THE REGION IT SERVES. FOR EXAMPLE, OUR REGIONAL COLLABORATION OF AREA HEALTH PARTNERS, WHICH INCLUDES SPARROW, MICHIGAN STATE UNIVERSITY, MCLAREN HEALTH CARE, LANSING COMMUNITY COLLEGE, THE MICHIGAN STATE AND INGHAM COUNTY MEDICAL SOCIETIES, THE INGHAM COUNTY HEALTH DEPARTMENT, THE LANSING SCHOOL DISTRICT, THE ACCIDENT FUND, THE CAPITAL AREA HEALTH ALLIANCE AND OTHER ORGANIZATIONS RECENTLY ADOPTED A NEW GOAL OF DEVELOPING THE HEALTH PLAN CHAPTER FOR THE GREATER LANSING NEXT INITIATIVE. ASSESSING THE REGION'S HEALTH CARE NEEDS IS A KEY COMPONENT OF THIS STRATEGIC PLAN WHICH IS FOCUSED ON ECONOMIC DEVELOPMENT FOR THE REGION. SCHEDULE H, PART VI, LINE 3 SPARROW 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 SERVES THE MID-MICHIGAN REGION WHICH CONSISTS OF THE GREATER LANSING AREA (A POPULATION OF APPROXIMATELY 450,000). STRATEGICALLY LOCATED IN THE HEART OF MICHIGAN, SPARROW IS LOCATED WITHIN 90 MINUTES OF 90 PERCENT OF THE STATE'S POPULATION OF APPROXIMATELY 10 MILLION PEOPLE. THE STATE CAPITAL, MICHIGAN STATE UNIVERSITY, AND TWO GENERAL MOTORS ASSEMBLY FACILITIES MAKE THE LANSING REGION AMONG THE MOST STABLE AND DIVERSE ECONOMIES IN MICHIGAN. THE REGION IS EVOLVING AS A LEADING ECONOMIC FORCE IN RESEARCH AND DEVELOPMENT, WAREHOUSING AND DISTRIBUTION, INFORMATION TECHNOLOGY, BIO-TECHNOLOGY, HEALTHCARE, INSURANCE, AND FINANCIAL SERVICES. SCHEDULE H, PART VI, LINE 5 AS NOTED ABOVE, THE ORGANIZATION'S COMMUNITY BUILDING ACTIVITIES PROMOTE THE HEALTH OF THE COMMUNITIES THE ORGANIZATION SERVES. THESE SERVICES ARE PROVIDED UNDER THE MISSION OF THE ORGANIZATION - "IMPROVING THE HEALTH OF THE PEOPLE IN OUR COMMUNITIES BY PROVIDING QUALITY, COMPASSIONATE CARE TO EVERYONE, EVERY TIME." SCHEDULE H, PART VI, LINE 6 EDWARD W SPARROW 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 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 false false false false true false ARA PRIDJIAN MD PHYSICIAN 846859 462903 28024 27755 65377 1430918 JAMES F DOVER PRES/CEO - SHS 955742 185782 84525 1226049 JOSEPH RAKOWSKI PHYSICIAN 985760 91882 21640 60848 1160130 HISHAM QANDEEL PHYSICIAN 913646 170623 1026 46917 1132212 KIRILL ZAKHAROV PHYSICIAN 792070 139754 912 9150 63769 1005655 ROY MILLER PHYSICIAN 479189 458485 1273 9150 52001 1000098 ALAN VIERLING DNP FMR PRES/CEO SPARROW 650408 176121 60819 31065 918413 JOSEPH RUTH FORMER BOARD MEMBER 612061 124541 90542 38495 865639 PAULA REICHLE SRVP/CFO 561901 86588 8400 53209 710098 KAREN KENT-VAN GORDER MD FORMER OFFICER 295127 253423 77664 26213 652427 DENNY MARTIN CHIEF MEDICAL OFFI. 494606 785 17550 52696 565637 PAUL ENTLER FORMER OFFICER 413433 20413 8400 37757 480003 THOMAS OSTRANDER VP PROFESSIONAL SRVC 355721 100 27355 36155 50256 469587 MICHAEL ZAROUKIAN MD VP CHIEF MED INF OFC 392605 200 20121 8400 34456 455782 THEODORE GLYNN MD VP MEDICAL EDUCATION 345230 1767 8400 55484 410881 WILLIAM HOWE VP FINANCE/CFO/TREAS 295049 2843 15305 33507 346704 AMY BROWN CHIEF NRSING OFFICER 276521 13750 2095 15275 37158 344799 CHRISTOPHER MATHEWS VP SUPPORT SERVICES 251019 100 1345 5479 29686 287629 LISA PASCOE FORMER SEC 182044 3672 14432 19418 219566 ROBIN DEMUTH MD FORMER BOARD MEMBER 35000 35000 SCHEDULE J, PAGE 1, PART I, LINE 1A CERTAIN BOARD MEMBERS- AND EXECUTIVES' MICHIGAN ATHLETIC CLUB DUES ARE PAID BY THE ENTITY. THESE AMOUNTS ARE CONSIDERED TAXABLE COMPENSATION. SCHEDULE J, PAGE 1, PART I, LINE 3 SPARROW HEALTH SYSTEM IS THE SOLE MEMBER OF EDWARD W SPARROW HOSPITAL. 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 0 136,389 0 ALAN VIERLING, D.N.P. 468,752 60,819 0 JOSEPH RUTH 0 62,787 0 PAULA REICHLE 0 57,307 0 KAREN KENT-VAN GORDER, MD 0 49,909 0 MICHAEL ZAROUKIAN, MD 55,986 0 0 CHRISTOPHER MATHEWS 46,656 0 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 JOSEPH RUTH, KAREN KENT-VAN GORDER MD, PAUL ENTLER, LISA PASCOE AND ROBIN DEMUTH MD ARE FORMER BOARD MEMBERS AND OFFICERS OF EDWARD W. SPARROW HOSPITAL. THESE FORMER BOARD MEMBERS AND OFFICERS ARE BEING COMPENSATED BY SPARROW HEALTH SYSTEM AND AFFILIATES FOR SERVICES PROVIDED TO SPARROW HEALTH SYSTEM AND AFFILIATES IN POSITIONS OTHER THAN BOARD MEMBERS AND OFFICERS. THE FORMER BOARD MEMBERS AND OFFICERS ARE NOT BEING COMPENSATED FOR ANY PAST SERVICES PROVIDED TO EDWARD W. SPARROW HOSPITAL AS FORMER BOARD MEMBERS OR OFFICERS. 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). JAMES F. DOVER - NONQUALIFIED DISTRIBUTIONS -136,389 PAULA REICHLE - NONQUALIFIED DISTRIBUTIONS -57,307 JOSEPH RUTH - NONQUALIFIED DISTRIBUTIONS -99,020 KAREN KENT-VAN GORDER, MD - NONQUALIFIED DISTRIBUTIONS -239,606 ALAN VIERLING, D.N.P. - NONQUALIFIED DISTRIBUTIONS -168,947 A MICHIGAN STATE HOSPITAL FINANCE 382889417 59447PQF1 2012-08-21 106840434 SEE PART VI, SUPPLEMENTAL INFORMATION false false false B MICHIGAN FINANCE AUTHORITY 800596186 59447TCT8 2015-04-23 202482721 SEE PART VI, SUPPLEMENTAL INFORMATION false false false C MICHIGAN FINANCE AUTHORITY 800596186 59447TCT8 2017-10-12 51230000 SEE PART VI, SUPPLEMENTAL INFORMATION false false false D MICHIGAN FINANCE AUTHORITY 800596186 59447TCT8 2017-10-12 51230000 SEE PART VI, SUPPLEMENTAL INFORMATION false false false A 98205000 106962665 1247782 105714883 2014 false false true true B 33145000 202482721 140461696 2021025 60000000 2017 true true true true C 51230000 38672622 194789 14500000 2017 false true true true D 51230000 38672622 194789 14500000 2017 false true true true A false false false false false false true B false false false false false false true C false false false false false false true D false false false false false false true A false true false false false false false false true B false true false false false false false true true C false true false false false false false false true D false true false false true false false false true A true B true C true D true PURPOSE OF ISSUE DESCRIPTION MICHIGAN STATE HOSPITAL FINANCE SEE PART VI, SUPPLEMENTAL INFORMATION PURPOSE OF ISSUE DESCRIPTION MICHIGAN FINANCE AUTHORITY SEE PART VI, SUPPLEMENTAL INFORMATION PURPOSE OF ISSUE DESCRIPTION MICHIGAN FINANCE AUTHORITY SEE PART VI, SUPPLEMENTAL INFORMATION PURPOSE OF ISSUE DESCRIPTION MICHIGAN FINANCE AUTHORITY SEE PART VI, SUPPLEMENTAL INFORMATION ADDITIONAL INFORMATION MICHIGAN STATE HOSPITAL FINANCE LINE A, COLUMN F, PART I: COMPLETE 9TH & 10TH FLOOR BUILDOUT, NEW FAMILY PRACTICE, NEW CAFETERIA, SURGERY REMODEL, ETC. LINE B, COLUMN F, PART I: REFUND 2005 BONDS; PARTIAL REFUND OF 2007 BONDS; NEW CANCER CENTER CONSTRUCTION LINE C, COLUMN F, PART I: REFUND 2007 BONDS; REPAYMENT OF THE HELP LOAN; FUND CAPITAL PROJECTS LINE D, COLUMN F, PART I: REFUND 2007 BONDS; REPAYMENT OF THE HELP LOAN; FUND CAPITAL PROJECTS A MICHIGAN FINANCE AUTHORITY 800596186 59447TV42 2022-02-28 13456049 2022B - PREPAY A CERTAIN INSURED MORTGAGE LOAN TO SPARROW EATON HOSPITAL (FORMERLY KNOWN AS HAYES-GR false false false B MICHIGAN FINANCE AUTHORITY 800596186 59447TT52 2022-08-17 88394373 2022A - CURRENT REFUND THE OUTSTANDING PRINCIPAL AMOUNT OF THE AUTHORITY'S HOSPITAL REVENUE BONDS (S false false false A 13456049 23368 134090 13298591 false true true true B 88394373 33700 817365 87543308 true false true true A false false false false false false true B false false false false false false true A false false true true false false false false true B false false true true false false false false true A true B true PURPOSE OF ISSUE DESCRIPTION MICHIGAN FINANCE AUTHORITY 2022B - PREPAY A CERTAIN INSURED MORTGAGE LOAN TO SPARROW EATON HOSPITAL (FORMERLY KNOWN AS HAYES-GREEN BEACH MEMORIAL HOSPITAL) PROVIDED BY THE US DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT, AND PAY COSTS OF ISSUANCE OF THE BONDS. NOTE REGARDING THE REBATE COMPUTATION: SINCE THE BOND PROCEEDS HAVE BEEN SPENT, A SPENDING EXCEPTION WAS MET, AND THE DEBT SERVICE FUND WAS OPERATED ON A BONA FIDE BASIS, NO FURTHER REBATE CALCULATIONS ARE NECESSARY. PURPOSE OF ISSUE DESCRIPTION MICHIGAN FINANCE AUTHORITY 2022A - CURRENT REFUND THE OUTSTANDING PRINCIPAL AMOUNT OF THE AUTHORITY'S HOSPITAL REVENUE BONDS (SPARROW OBLIGATED GROUP), SERIES 2012, ISSUED ON AUGUST 21, 2012 AND PAY COSTS OF ISSUANCE. NOTE REGARDING THE REBATE COMPUTATION: SINCE THE BOND PROCEEDS HAVE BEEN SPENT, A SPENDING EXCEPTION WAS MET, AND THE DEBT SERVICE FUND WAS OPERATED ON A BONA FIDE BASIS, NO FURTHER REBATE CALCULATIONS ARE NECESSARY. DATE REBATE COMPUTATION PERFORMED MICHIGAN FINANCE AUTHORITY 08/28/22 DATE REBATE COMPUTATION PERFORMED MICHIGAN FINANCE AUTHORITY 11/30/22 JAMES DEMUTH FAMILY MEMBER 139582 EMPLOYEE false X PROPERTY & EQUI 15 926021 COST false false false FORM 990, PAGE 1, ITEM B RETURN IS BEING AMENDED TO REPORT THE FOREIGN INVESTMENT ACTIVITY ON SCHEDULE F AND ATTACH FORMS 5471 AND 926 THAT WERE INADVERTENTLY OMITTED ON THE ORIGINALLY FILED RETURN. EDWARD SPARROW HOSPITAL IS A MEMBER OF CAYMICH INSURANCE COMPANY, LTD A CAYMAN ISLAND COMPANY. EDWARD SPARROW HOSPITAL'S OWNERSHIP INTEREST IS GREATER THAN 10% IN THE FOREIGN ENTITY AND THEREFORE IS REQUIRED TO FILE FORM 5471. DUE TO EDWARD SPARROW HOSPITAL HAVING A 10% OR GREATER INTEREST IN THE FOREIGN ENTITY ANY TRANSFERS TO THE ORGANIZATION ARE REQUIRED TO BE REPORTED ON FORM 926. FORMS 5471 AND 926 WERE INADVERTENTLY MISSED WITH THE ORIGINAL FILING AND ARE ATTACHED TO THE AMENDED RETURN. SCHEDULE F HAS BEEN UPDATED TO REPORT THE FOREIGN INVESTMENT OVER 100,000 AS WELL AS TO INDICATE THE REQUIRED FORMS TO BE FILED FORM 5471 AND 926 DURING 2023 AN AGREEMENT WAS SIGNED BY BOTH SPARROW HEALTH SYSTEM (INCLUDING EDWARD SPARROW HOSPITAL) AND THE REGENTS OF THE UNIVERSITY OF MICHIGAN. THIS AGREEMENT RESTRUCTURED THE ORGANIZATION TO HAVE UM HEALTH AS THE SOLE MEMBER OF SPARROW HEALTH SYSTEM. ALONG WITH THE RESTRUCTURING, A DUE DILIGENCE PROCESS WAS IMPLEMENTED TO REVIEW ALL TAX RETURNS, INVESTMENTS, AND REQUIRED FILINGS OF THE ORGANIZATION. IT WAS DISCOVERED DURING THIS DUE DILIGENCE PROCESS THAT FORM 5471 THAT WAS REQUIRED TO BE FILED WAS NOT INCLUDED WITH THE ORIGINAL FILING. UPON DISCOVERY, EDWARD SPARROW HOSPITAL STARTED THE PROCESS OF TAKING CORRECTIVE ACTION. THIS ACTION INCLUDED COMPLETING ALL REQUIRED FORMS 926 AND 5471 AND FILING THE NECESSARY AMENDMENTS TO BE IN COMPLIANCE WITH ITS FILING REQUIREMENTS. THIS WAS AN INADVERTENT OVERSIGHT. SEE THE REASONABLE CAUSE STATEMENT AS NOTED IN THE PENALTY WAIVER REQUEST LETTER DATED JUNE 27, 2025 (COPY ATTACHED). FORM 990 ALL LINES LEFT BLANK ARE NOT APPLICABLE TO THE ORGANIZATION. PART IV, QUESTION 4 - THE ORGANIZATION HAS MEMBERSHIPS IN VARIOUS TRADE ASSOCIATIONS THAT USE A PORTION OF 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 4A E.W. SPARROW HOSPITAL HAS, SINCE ITS INCEPTION IN 1896, PROVIDED CARE TO PEOPLE REGARDLESS OF THEIR RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. SPARROW IS A NON-PROFIT COMMUNITY-GOVERNED HOSPITAL AND THE FLAGSHIP OF SPARROW HEALTH SYSTEM, A COMPREHENSIVE INTEGRATED HEALTH DELIVERY SYSTEM COMMITTED WITHIN ITS RESOURCES TO IMPROVING THE HEALTH STATUS OF ALL PEOPLE THROUGHOUT THE MID-MICHIGAN REGION BY PROVIDING QUALITY, COMPASSIONATE CARE TO EVERYONE, EVERY TIME. E.W. SPARROW HOSPITAL IS A 703-BED, MAJOR TEACHING HOSPITAL (AFFILIATED WITH MICHIGAN STATE UNIVERSITY'S COLLEGES OF OSTEOPATHIC MEDICINE, HUMAN MEDICINE AND NURSING) AND THE MOST COMPREHENSIVE, ACUTE CARE CENTER IN MID-MICHIGAN. SPARROW IS THE REGIONAL MEDICAL CENTER FOR: PEDIATRICS CANCER CARE, INCLUDING RADIATION THERAPY TRAUMA CARE NEUROLOGICAL CARE HIGH-RISK OBSTETRICS NEONATAL INTENSIVE CARE BEHAVIORAL HEALTH CARDIOVASCULAR SERVICES IN 2022, SPARROW TREATED OVER 30,000 INPATIENTS, PROVIDED SERVICES TO NEARLY 146,590 EMERGENCY MEDICINE PATIENTS, OVER 80,000 URGENT CARE PATIENTS, AND CONDUCTED OVER 38,000 VIDEO VISITS. TODAY'S SPARROW HEALTH SYSTEM BLENDS THE KNOWLEDGE AND EXPERTISE OF OVER 1,240 PHYSICIANS, NEARLY 9,000 CAREGIVERS AND ABOUT 1,500 VOLUNTEERS WITH THE MOST ADVANCED TECHNOLOGY, SERVING AS A COMPREHENSIVE HEALTH SYSTEM FOR A CORE EIGHT- COUNTY POPULATION AND BEYOND. IN ADDITION, MORE PEOPLE CHOOSE SPARROW FOR THEIR MATERNITY NEEDS (OVER 3,500 DELIVERIES ANNUALLY), REHABILITATION, AND EMERGENCY TREATMENT THAN ANY OTHER HOSPITAL IN MID-MICHIGAN. SPARROW HAS ACHIEVED A NATIONAL BENCHMARK IN QUALITY CARE FOR MOTHERS AND BABIES, AS MID-MICHIGAN'S ONLY BABY-FRIENDLY HOSPITAL, A GLOBAL PROGRAM OF THE WORLD HEALTH ORGANIZATION (WHO) AND THE UNITED NATIONS CHILDREN'S FUND (UNICEF). SPARROW HAS UNDERTAKEN A VARIETY OF MEASURES TO IMPROVE MATERNAL AND INFANT HEALTH. AN OUTPATIENT BREASTFEEDING CLINIC SUPPORTING BREASTFEEDING MOTHERS AND INFANTS IS HELD TWICE A WEEK IN OUR PEDIATRICS SUBSPECIALTY CLINIC. SPARROW ALSO SPONSORS THE BABY CAF, A COMMUNITY RESOURCE FREE OF CHARGE TO NURSING MOTHERS TO OBTAIN BREASTFEEDING SUPPORT, AS WELL AS PEER SUPPORT FROM OTHER NEW MOTHERS. WE ALSO WORK WITH VALUABLE PARTNERS TO OFFER FREE SERVICES TO PARENTS AND CHILDREN. SPARROW WORKS WITH UNIVERSITY OF MICHIGAN PEDIATRIC OPHTHALMOLOGY TO PROVIDE AN EYE CLINIC WEEKLY IN OUR PEDIATRICS SUBSPECIALTY CLINIC. SPARROW ALSO PARTNERS WITH THE INGHAM COUNTY HEALTH DEPARTMENT AND HEALTHY START TO PROVIDE A FREE MONTHLY CLASS FOR HEALTH DEPARTMENT PATIENTS, INCLUDING A TOUR OF SPARROW LABOR AND DELIVERY, AND INFORMATION ABOUT WHAT TO EXPECT WHEN YOU COME TO THE HOSPITAL TO HAVE YOUR BABY. SPARROW ALSO HAS A PARTNERSHIP WITH MICHIGAN MEDICINE (THE UNIVERSITY OF MICHIGAN) TO OVERSEE THE SPARROW CHILDREN'S CENTER. THIS ALLOWS BROADENED PEDIATRIC SPECIALTY SERVICES FOR THE REGION AND HELP ENSURE FAMILIES STAY CLOSE TO HOME, INSTEAD OF TRAVELING GREAT DISTANCES TO SEEK CARE FOR THEIR CHILDREN. SPARROW HEALTH SYSTEM'S REACH EXTENDS FAR BEYOND THE ACUTE CARE SETTING OF THE HOSPITAL. THERE ARE MANY WAYS OUR STAFF PROACTIVELY SUPPORTS THE COMMUNITY, ESPECIALLY THOSE WHO HAVE THE GREATEST NEED. BECAUSE OF SPARROW'S COMMITMENT, THE PEOPLE OF MID MICHIGAN HAVE ACCESS TO THE FULL RANGE OF COMPREHENSIVE ACUTE CARE SERVICES AND THE LATEST MEDICAL ADVANCES WITHOUT TRAVELING GREAT DISTANCES. THESE SERVICES ARE AVAILABLE TO ALL MID MICHIGAN RESIDENTS, REGARDLESS OF THEIR ABILITY TO PAY. PROVIDING ACCESS TO COVID-19 TESTING AND VACCINES IN 2022, SPARROW WAS A NATIONAL LEADER IN PROVIDING ACCESS TO COVID-19 TESTING AND VACCINES TO PEOPLE FROM THROUGHOUT THE STATE. SPARROW WAS AMONG THE FIRST HOSPITALS TO OFFER INPATIENT TESTING FOR THE VIRUS AND OPENED AN INNOVATIVE DRIVE-THRU TESTING/VACCINE SITE AT AN OLD SEARS AUTOMOTIVE CENTER IN LANSING. IT HAS ALSO DISTRIBUTED THE VACCINE THROUGH HIGH SCHOOL CLINICS AND TO UNDERSERVED AREAS THROUGH A MOBILE HEALTH CLINIC. SPARROW HAS PERFORMED MORE THAN 930,000 COVID TESTS AND GIVEN MORE THAN 130,000 VACCINES. FORM 990, PAGE 6, PART VI, LINE 6 SPARROW HEALTH SYSTEM IS THE SOLE MEMBER OF EDWARD W. SPARROW HOSPITAL AND HAS 100% OWNERSHIP. FORM 990, PAGE 6, PART VI, LINE 7A SPARROW HEALTH SYSTEM HAS THE RIGHT TO ELECT MEMBERS OF THE EDWARD W. SPARROW HOSPITAL BOARD. THE PRESIDENT OF THE MEDICAL STAFF, WHICH IS A MEMBER OF THE GOVERNING BODY, IS ELECTED BY THE MEDICAL STAFF OF EDWARD W. SPARROW HOSPITAL. FORM 990, PAGE 6, PART VI, LINE 7B SPARROW HEALTH SYSTEM HAS THE RIGHT TO ELECT, REPLACE, AND REMOVE DIRECTORS OF EDWARD W. SPARROW HOSPITAL. SPARROW HEALTH SYSTEM ALSO HAS THE AUTHORITY TO APPROVE DECISIONS OF THE EDWARD W. SPARROW HOSPITAL BOARD WHEN IT IS DEEMED NECESSARY. FORM 990, PAGE 6, PART VI, LINE 11B COPIES OF THE 2022 FORM 990 ARE REVIEWED BY MANAGEMENT. THE FORM 990 COPIES WERE PROVIDED AT THE FALL 2023 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 TRANSACTION 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 OF THE ORGANIZATION INVOLVED THE FOLLOWING: UTILIZING THE COMPENSATION COMMITTEE, INDEPENDENT CONSULTANTS, REVIEWING OTHER SIMILAR ORGANIZATIONS' 990S, 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, INDEPENDENT CONSULTANTS, REVIEWING OTHER SIMILAR ORGANIZATIONS' 990S, 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 ON SEVERAL INTERNET WEBSITES, INCLUDING THE EMMA.MSRB AND MHA WEBSITES, AS WELL AS AVAILABLE UPON REQUEST. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9 CHANGE IN UNFUNDED PENSION OBLIG 88,575,181 CHANGE IN UNFUNDED POSTRETIREMENT OBLIGATION 483,143 TOTAL 89,058,324 SPARROW HEALTH SYSTEM 1215 E MICHIGAN 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 SPARROW CLINTON HOSPITAL 805 S OAKLAND ST JOHNS MI 48879 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 WOMEN'S HOSPITAL ASSOCIATIO 1215 E MICHIGAN AVENUE LANSING MI 48912 386091657 VOLUNTEER MI 501C3 12D N/A false SPARROW CARSON HOSPITAL 406 E ELM STREET 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 HOLD CO MI N/A false false SPARROW DEVELOPMENT INC 1215 E MICHIGAN AVE LANSING MI 48912 382595963 RENTAL PRO MI N/A true PHP INSURANCE COMPANY 1400 E MICHIGAN AVE LANSING MI 48912 205565219 INSURANCE MI N/A true PHP SERVICE COMPANY 1400 E MICHIGAN AVE 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 AVE STE 600 LANSING MI 48912 813131851 CONDO ASSO MI N/A true true true true true false false true false false true true true true false true true true false false SPARROW SPECIALTY HOSPITAL A 524162 COST SPARROW SPECIALTY HOSPITAL L 1812405 COST SPARROW SPECIALTY HOSPITAL Q 1442225 COST SPARROW SPECIALTY HOSPITAL M 852000 COST SPARROW COMMUNITY CARE G 118105 COST SPARROW FOUNDATION C 1752785 COST PHYSICIANS HEALTH PLAN P 17847740 COST PHYSICIANS HEALTH PLAN M 106353 COST PHYSICIANS PHP SERVICE CO M 3585000 COST SPARROW CARSON HOSPITAL Q 336000 COST SPARROW CARSON HOSPITAL A 116648 COST SPARROW IONIA HOSPITAL L 289439 COST SPARROW IONIA HOSPITAL Q 1951209 COST SPARROW CLINTON HOSPITAL Q 1988436 COST SPARROW CLINTON HOSPITAL L 602640 COST SPARROW HEALTH SYSTEM O 65996773 COST SPARROW HEALTH SYSTEM P 49863548 COST SPARROW EATON HOSPITAL Q 695070 COST SPARROW EATON HOSPITAL A 357369 COST