2026-05-14T20:34:57-04:00 2025-06-30 383133790 ANDREWS HOOPER PAVLIK PLC 4295 OKEMOS RD STE 200 OKEMOS MI 488646201 990 2024-07-01 383218134 SPARROW IONIA HOSPITAL SPAR 6165231400 3565 S STATE ROAD IONIA MI 48846 MARGARET DIMOND PHD REGIONAL PRESIDENT 2026-05-12 true true JULIE M PFEIFLE P00751307 5177060800 2026-05-12 2024 2025-03-06 01:10:19Z UNIV OF MI HEALTH - SPARROW IONIA MARGARET DIMOND PHD 1215 E MICHIGAN AVENUE LANSING MI 48912 77568449 false X WWW.UOFMHEALTHSPARROW.ORG/ X 1995 MI TO ADVANCE HEALTH TO SERVE MICHIGAN AND THE WORLD. 15 10 383 22 0 1197578 54382 72740563 76526808 108418 390641 480474 430399 74527033 77402230 0 0 31682501 31201457 0 0 28895054 32630780 60577555 63832237 13949478 13569993 86112054 105314987 9228811 15742717 76883243 89572270 X TO ADVANCE HEALTH TO SERVE MICHIGAN AND THE WORLD. false false 25532093 54955354 UMH-SPARROW IONIA'S OUTPATIENT SERVICES ARE TYPICAL OF A SMALL RURAL FACILITY. THE EMERGENCY DEPARTMENT PROVIDES NURSING AND PHYSICIAN SERVICES 24 HOURS A DAY, 7 DAYS A WEEK, WITH PHYSICIANS ON SITE 100% OF THE TIME. SCREENING EXAMS ARE PROVIDED TO EVERYONE WHO PRESENTS FOR SERVICES PRIOR TO ANY FINANCIAL INFORMATION BEING OBTAINED OR CHARGES DISCUSSED WITH PATIENTS IN ACCORDANCE WITH EMERGENCY MEDICAL TREATMENT AND ACTIVE LABOR ACT (EMTALA). LABORATORY, RADIOLOGY, RESPIRATORY SERVICES, SURGERY, AS WELL AS INFUSION/ONCOLOGY ARE TYPICAL OF OTHER OUTPATIENT SERVICES PROVIDED. UMH- SPARROW IONIA ACCEPTS ALL GOVERNMENTAL PAYERS INCLUDING MEDICARE, MEDICAID, AND TRICARE WITH REIMBURSEMENT AT OR BELOW COSTS. ADDITIONALLY, UMH-SPARROW IONIA'S CHARITY CARE POLICY COVERS SERVICES IN THE OUTPATIENT SETTING, IN TURN PROVIDING FREE CARE TO THOSE IN THE COMMUNITY WHO QUALITY. FOR THE YEAR ENDED JUNE 30, 2025, UMH-SPARROW IONIA RECORDED 17,705 EMERGENCY ROOM VISITS; 270,724 LAB TESTS; 37,618 RADIOLOGY PROCEDURES;15,978 RESPIRATORY PROCEDURES; 871 SURGERIES/1,146 SCOPES; AND 4,521 INFUSION/ONCOLOGY VISITS. 16690208 14355094 UMH-SPARROW IONIA OPERATES THREE PHYSICIAN PRACTICE OFFICES WITHIN IONIA COUNTY, OFFERING PRIMARY CARE AS WELL AS SOME SPECIALTY CARE WITHIN AREAS SUCH AS OB/GYN, GENERAL SURGERY, ORTHOPEDICS, CARDIOLOGY, GASTROENTEROLOGY, UROLOGY, PULMONOLOGY AND NEPHROLOGY. THE PRIMARY CARE PRACTICES ARE LOCATED IN THE COMMUNITIES OF IONIA, SARANAC, AND PORTLAND, AND ARE DESIGNATED AS RURAL HEALTH CENTERS AS WELL AS PATIENT-CENTERED MEDICAL HOMES. UMH-SPARROW IONIA ACCEPTS ALL GOVERNMENT PAYERS INCLUDING MEDICARE, MEDICAID, AND TRICARE, WITH REIMBURSEMENT RATES AT OR BELOW COSTS. ADDITIONALLY, UMH- SPARROW IONIA'S CHARITY CARE POLICY COVERS SERVICES IN THE OUTPATIENT SETTING, IN TURN PROVIDING FREE CARE TO THOSE IN THE COMMUNITY WHO QUALIFY. FOR THE YEAR ENDED JUNE 30, 2025, THERE WERE 76,159 VISITS IN OUR PHYSICIAN OFFICES. 6476957 7521222 UMH-SPARROW IONIA'S INPATIENT SERVICES ARE TYPICAL OF A SMALL RURAL FACILITY. OPERATING 22 BEDS, UMH-SPARROW IONIA PROVIDES NURSING AND PHYSICIAN SERVICES 24 HOURS A DAY, 7 DAYS A WEEK. FOR THE YEAR ENDED JUNE 30, 2025, THERE WERE 882 ADMISSIONS WITH 2,471 INPATIENT DAYS OF CARE. NURSING STAFF ARE ON SITE 100% OF THE TIME, AND HOSPITALIST COVERAGE IS AVAILABLE ON AN ON-CALL BASIS 100% OF THE TIME WHEN NOT IN THE HOSPITAL. UMH-SPARROW IONIA ACCEPTS ALL GOVERNMENTAL PAYERS INCLUDING MEDICARE, MEDICAID, AND TRICARE WITH REIMBURSEMENT AT OR BELOW COSTS. ADDITIONALLY, THE HOSPITAL'S CHARITY CARE POLICY COVERS ALL INPATIENT SERVICES, IN TURN PROVIDING FREE CARE TO THOSE IN THE COMMUNITY WHO QUALIFY. ALL OTHER PROGRAM SERVICES INCLUDE SERVICES SUCH AS RADIOLOGY, LABORATORY, RESPIRATORY THERAPY, PHYSICAL THERAPY, INFUSION SERVICES, AS WELL AS INPATIENT HOSPITAL SERVICES. 48699258 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 true false false true 21 0 true 383 true false false false false false false false false false false false false X 15 10 false false false false true true true true true false false true true true true true true true true false MI X BRUCE SHIVELY 6165231400 3565 S STATE ROAD IONIA MI 48846 ERIC STRUCKO TREASURER 1.00 40.00 X 0 1414102 224131 MARGARET DIMOND PHD REGIONAL PRE 1.00 40.00 X X 0 1369566 94544 MATTHEW WILCOX DO BOARD MEMBER 1.00 40.00 X 0 757846 81177 MICHAEL VACCARIELLO MD PHYSICIAN 40.00 0.00 X 633672 0 85280 ALICIA BALLARD DO PHYSICIAN 40.00 0.00 X 529982 0 101672 BHAGYA VENKATESH MD PHYSICIAN 40.00 0.00 X 504516 0 67945 KIRA CARTER-ROBERTSON FORMER DIREC 1.00 40.00 X 0 489299 80141 GREG HOLZHEI DO SECRETARY 1.00 40.00 X X 0 498617 50584 RONALD HYDE DO FRMR PHYS PR 1.00 40.00 X 462387 0 78239 AMY JENTZ MD PHYSICIAN 40.00 0.00 X 457420 0 68337 PAULA REICHLE FRMR SRVP/CF 1.00 40.00 X 0 472508 27205 CHRISTOPHER ERSKIN DO PHYSICIAN 40.00 0.00 X 405002 0 48614 LINDA REETZ RN LEGACY BOARD 1.00 40.00 X 378805 0 47053 MARK BRISBOE FORMER CFO 40.00 X 0 356435 52486 HELEN JOHNSON FORMER REGIO 1.00 40.00 X 0 345010 25356 AMI KIHN FORMER TREAS 1.00 40.00 X 0 323613 32153 BRUCE SHIVELY CFO 10.00 30.00 X 0 270278 56213 WILLIAM HOWE FRMR VP FINA 1.00 40.00 X 0 182936 43011 LAKEEYA TUCKER DO BOARD MEMBER 2.00 0.00 X 0 78060 0 CANDACE METCALF DO BOARD MEMBER 2.00 0.00 X 0 1560 0 DANIEL BALICE VICE CHAIR 2.00 X X 0 0 0 VIRGIL BIGGS LEGACY BOARD 1.00 X 0 0 0 BRUCE COURTADE BOARD MEMBER 2.00 X 0 0 0 BRETT REICH DO LEGACY BOARD 1.00 X 0 0 0 TOM DICKINSON LEGACY BOARD 1.00 X 0 0 0 JOHN HENDRICKSON CHAIR 2.00 X X 0 0 0 AMY HERBRUCK LEGACY BOARD 1.00 X 0 0 0 RYAN HESCHE LEGACY BOARD 1.00 X 0 0 0 LAURA HOPSON BOARD MEMBER 2.00 X 0 0 0 JOHN MILEWSKI II BOARD MEMBER 2.00 X 0 0 0 ELLE LEHMAN-LAY LEGACY BOARD 1.00 X 0 0 0 ANTHONY MAZZALI BOARD MEMBER 2.00 X 0 0 0 HARPER WILDERN OD BOARD MEMBER 2.00 X 0 0 0 BRANDON RICHMOND LEGACY BOARD 1.00 X 0 0 0 BRIAN TALBOT LEGACY BOARD 1.00 X 0 0 0 MEG WHEELER LEGACY BOARD 1.00 X 0 0 0 CAROL PRIEBE WILES BOARD MEMBER 2.00 X 0 0 0 TIMOTHY WILLIAMS BOARD MEMBER 2.00 X 0 0 0 3371784 6559830 1264141 49 true true false ALLIANCE-HNI LEASING CO LLC 18201 VON KARMAN SUITE 600 IRVINE CA 926121176 MOBILE MRI SVC 738874 AYA HEALTHCARE INC 5930 CORNERSTONE CT W 300 SAN DIEGO CA 92121 AGENCY STAFFING 434164 FASTAFF INC 6399 S FIDDLERS GREEN CIR STE 100 GREENWOOD VILLAGE CO 801114974 AGENCY STAFFING 404651 ANDY J EGAN COMPANY INC 2001 WALDORF NW GRAND RAPIDS MI 495441495 CONTRACTING 315052 WOLVERINE BUILDING GROUP 4045 BARDEN SE GRAND RAPIDS MI 49512 GEN. CONTRACTOR 301421 7 42420 11962 54382 PATIENT SERVICE REVENUE 621990 75213921 75213921 EMPLOYEE PRESCRIPTIONS (340B) 900099 1312887 1312887 76526808 85253 85253 89037 89037 89037 89037 138118 320000 152730 138118 167270 305388 305388 11267 13489 -2222 -2222 E.H.R. AND QUALITY INCENTIVES 621990 192019 192019 MISCELLANEOUS 900099 115065 115065 ATHLETIC TRAINER REVENUE 900099 36500 36500 343584 77402230 76868170 479678 25670470 23859458 1811012 1171888 1089213 82675 2755005 2560644 194361 1604094 1490928 113166 7622 7622 981075 981075 51422 5671 45751 82781 67000 15781 773851 767949 5902 103725 91324 12401 8190 8190 1962453 257391 1705062 700002 700002 SUPPLIES 12303299 12281425 21874 PURCHASED SERVICES 8957860 3009083 5948777 BAD DEBT EXPENSE 4431742 4431742 SERVICE CONTRACTS/REPAIRS 1140501 1138104 2397 1126257 1091803 34454 63832237 48699258 15132979 0 4107336 2627817 52685528 74247646 975376 1142704 41250 48750 45761957 23636541 22595060 22125416 2542262 2803877 3165242 2318777 86112054 105314987 9208043 15602040 20768 140677 9228811 15742717 X 76883243 89572270 76883243 89572270 86112054 105314987 13569993 45989 -926955 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 10237877 305193 305450 10848520 9785856 321482 130539 10237877 9199222 273470 313164 9785856 6297032 5192208 -280050 11209190 5606321 561053 129658 6297032 1.00000 false true true 568592 568592 30602381 11650255 18952126 14549546 11986286 2563260 41438 41438 22125416 LONG TERM LEASE PAYABLE 78917 LEASES PAYABLE 61760 140677 SCHEDULE D, PAGE 2, PART V, LINE 4 UMH-SPARROW IONIA DOES NOT HOLD ENDOWMENTS. THE ENDOWMENTS ARE HELD BY UMH-SPARROW FOUNDATION. UMH-SPARROW HEALTH SYSTEM IS THE SOLE MEMBER OF UMH-SPARROW IONIA AND UMH-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 3.000000000000 true X true true true false true true 1402490 1402490 0.02200 10195721 11700680 11598211 11700680 1402490 0.02200 5360 5360 0.00010 5360 5360 0.00010 11603571 11700680 1407850 0.02210 true 1590194 238529 19779809 22480556 -2700747 X true true 1 1 SPARROW IONIA HOSPITAL 3565 S STATE ROAD IONIA MI 48846 WWW.UOFMHEALTHSPARROW.ORG/ 1060000167 X X X X SPARROW IONIA HOSPITAL 1 false false true X X X X X X X X X X 25 true true true true X WWW.UOFMHEALTHSPARROW.ORG/ X true 25 false true false true X 300.000000000000 300.000000000000 X X true true X X X true X WWW.UOFMHEALTHSPARROW.ORG/ X WWW.UOFMHEALTHSPARROW.ORG/ X WWW.UOFMHEALTHSPARROW.ORG/ X X X true X false X false X X false true FACILITY 1, SPARROW IONIA HOSPITAL - PART V, LINE 3E THE SIGNIFICANT HEALTH NEEDS WERE PRIORITIZED AND DOCUMENTED THROUGH THE CHNA. FACILITY 1, SPARROW IONIA HOSPITAL - PART V, LINE 5 HEALTHY CAPITAL COUNTIES FOCUS GROUPS: IN ORDER TO GATHER INFORMATION FROM TRADITIONALLY HARD TO SURVEY POPULATIONS AND TO DOCUMENT THE EXPERIENCE, THOUGHTS, BELIEFS, AND STORIES OF THE COMMUNITY, A SERIES OF FOCUS GROUPS WERE CONDUCTED FOR THE PROJECT. EIGHT FOCUS GROUPS WERE CONDUCTED BETWEEN MARCH AND MAY 2024 AND WERE CONDUCTED VIRTUALLY AS WELL AS IN VARIOUS LOCATIONS THROUGHOUT THE THREE COUNTIES. GROUPS THAT WERE ACTIVELY SOLICITED FOR INPUT WERE: - PERSONS WITH LIVED EXPERIENCE OF SUBSTANCE USE DISORDER - REFUGEE AND NEWCOMER PERSONS - SPANISH SPEAKING PERSONS - PERSONS UNDER 18 YEARS OF AGE - BLACK, INDIGENOUS, AND OTHER PEOPLE OF COLOR (BIPOC) - PERSONS ELIGIBLE FOR MEDICAID/UNINSURED - UNHOUSED PERSONS - PERSONS WITH DISABILITIES 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 PREVENTATIVE HEALTH CARE PRACTICES. THE SURVEY WAS CONDUCTED USING THE CAPITAL AREA BEHAVIORAL RISK FACTOR & SOCIAL CAPITAL SURVEY INSTRUMENT, WHICH INCLUDES QUESTIONS FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION'S BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM QUESTIONNAIRE AS WELL AS QUESTION DEVELOPED BY THE HEALTH DEPARTMENTS TO COLLECT INFORMATION OF INTEREST TO THE LOCAL COMMUNITY. DURING THE 2020-2022 SAMPLING PERIOD, A TOTAL OF 2,492 ADULTS IN CLINTON, EATON, AND INGHAM COUNTIES RESPONDED TO THE LANDLINE/MOBILE PHONE SURVEY. COMMUNITY, PARTNER, AND HEALTH CARE PROVIDER SURVEYS: IN ORDER TO GATHER INPUT ABOUT THE COMMUNITY'S HEALTH NEEDS FROM STAKEHOLDERS AND THE GENERAL PUBLIC, AN ONLINE SURVEY WAS ADMINISTERED DURING APRIL-MAY 2024. THIS SURVEY WAS BROKEN DOWN INTO THREE DIFFERENT SECTIONS: THE COMMUNITY SURVEY SECTION WAS FOR ANY COMMUNITY RESIDENT WHO LIVED AND/OR WORKED IN THE TRI- COUNTY AREA; THE COMMUNITY PARTNER SURVEY FOR STAKEHOLDERS AND COMMUNITY ORGANIZATIONS WHO SERVE RESIDENTS IN THE TRI-COUNTY AREA; AND THE HEALTH CARE PROVIDER SURVEY WAS FOR HEALTH CARE PROVIDERS INCLUDING PROVIDERS WHO ARE NOT ASSOCIATED WITH THE PROJECT'S HOSPITAL SYSTEM PARTNERS. FACILITY 1, SPARROW IONIA HOSPITAL - PART V, LINE 6A UNIVERSITY OF MICHIGAN HEALTH-SPARROW, CONSISTING OF SIX COMMUNITY HOSPITALS, FOUR 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 IONIA HOSPITAL - PART V, LINE 6B - BARRY-EATON DISTRICT HEALTH DEPARTMENT - INGHAM COUNTY HEALTH DEPARTMENT - MID MICHIGAN DISTRICT HEALTH DEPARTMENT FACILITY 1, SPARROW IONIA HOSPITAL - PART V, LINE 11 SPARROW IONIA HOSPITAL HAS DEVELOPED AN IMPLEMENTATION STRATEGY FOR THE TOP PRIORITY NEED THAT WAS IDENTIFIED IN ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT. THE TOP NEED IDENTIFIED WAS HEALTH CARE ACCESS AND QUALITY. 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. PLEASE FIND ENCLOSED A COPY OF THE IMPLEMENTATION STRATEGY. OTHER NEEDS IDENTIFIED IN THE CHNA BUT NOT ADDRESSED IN THIS STRATEGY INCLUDED ACCESS TO HEALTHY FOODS, BEHAVIORAL HEALTH, TRANSPORTATION AND HOUSING. THESE HEALTH NEEDS ARE IMPORTANT BUT WERE NOT INCLUDED IN THE ATTACHED IMPLEMENTATION STRATEGY DUE TO LIMITED RESOURCES AND THE NEED TO ALLOCATE SIGNIFICANT RESOURCES TO SPARROW IONIA HOSPITAL'S TOP PRIORITY HEALTH NEEDS. FACILITY 1, SPARROW IONIA 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. 5 SMG IONIA 550 E WASHINGTON ST IONIA MI 48846 PHYSICIAN PRACTICES SMG PORTLAND 1850 HYLAND DR PORTLAND MI 48875 PHYSICIAN PRACTICES IONIA OUTPATIENT REHABILITATION 205 S DEXTER IONIA MI 48846 PHYSICAL THERAPY SMG SARANAC 107 N BRIDGE STREET SARANAC MI 48881 PHYSICIAN PRACTICES IONIA ORTHOPEDICS & SPORTS MED 537 W MAIN STREET IONIA MI 48846 PHYSICIAN SPECIALTY ORTHOPEDICS SCHEDULE H, PART I, LINE 7 A COST TO CHARGE RATIO WAS USED TO COMPLETE THE CHARITY CARE (LINE 7A). SCHEDULE H, PART II THE MAJORITY OF COMMUNITY BUILDING ACTIVITIES INVOLVE THE VOLUNTEER EFFORTS OF OUR STAFF, WITH MINIMAL DIRECT COSTS TO THE ORGANIZATION. A SAMPLE OF THE ACTIVITIES SUPPORTED BY SPARROW IONIA HOSPITAL INCLUDE: ADOPT-A-HIGHWAY PROGRAM, WHERE AREA ROADS ARE CLEANED OF TRASH; WORKING WITH AREA HIGH SCHOOL STUDENTS IN THE VOCATIONAL/TECHNICAL PROGRAM; CONDUCTING MOCK INTERVIEWS WITH LOCAL STUDENTS TO SHARPEN THEIR EMPLOYMENT INTERVIEW SKILLS; MICHIGAN HARVEST GATHERING (WITH FOOD & MONEY DONATED TO LOCAL FOOD PANTRIES AND DOMESTIC VIOLENCE SHELTER); TEACHING BASIC LIFE SUPPORT TO AREA SERVICE GROUPS; RELAY FOR LIFE TEAM AND UNITED WAY FUND DRIVES; MEMBERSHIP ON THE GREAT START COLLABORATIVE STEERING COMMITTEE; UNITED WAY DAY OF CARING. 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 IN SCHEDULE H, PART III, LINE 3, REFLECTS PATIENTS WHO HAD PREVIOUSLY QUALIFIED FOR MEDICAID OR OTHER MEANS-TESTED SUPPORT, BUT WHO AT TIME OF SERVICE, 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 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 REVENUE AND COSTS REPORTED IN THIS SECTION ARE STRICTLY FACILITY COSTS AND REIMBURSEMENT FOR TRADITIONAL MEDICARE AND MEDICARE ADVANTAGE PLANS. MEDICARE ADVANTAGE PLANS DO NOT PROVIDE FOR A SETTLEMENT PROCESS. 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 IONIA HOSPITAL 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, INGHAM REGIONAL MEDICAL CENTER, 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 THE ORGANIZATION EMPLOYS FINANCIAL COUNSELORS TO ASSIST PATIENTS AND THEIR FAMILIES WITH THE CHARITY APPLICATION PROCESS, THE MEDICAID APPLICATION PROCESS, AS WELL AS FORMALIZING PAYMENT ARRANGEMENTS WHEN NECESSARY. WHEN PRACTICAL, FOR NON-EMERGENT SCHEDULED PROCEDURES, PATIENTS ARE MADE AWARE OF THEIR FINANCIAL RESPONSIBILITY AS WELL AS ALL AVAILABLE OPTIONS, INCLUDING POSSIBLE CHARITY CARE. FOR EMERGENCY SERVICES, PATIENTS WITH NO INSURANCE COVERAGE IS GIVEN A CHARITY CARE APPLICATION/INSTRUCTIONS UPON DISCHARGE. SCHEDULE H, PART VI, LINE 4 SPARROW IONIA HOSPITAL IS THE ONLY HOSPITAL IN IONIA COUNTY TO SERVE THE PEOPLE OF IONIA COUNTY AND SURROUNDING AREAS. IONIA COUNTY TOTALS 580 SQUARE MILES, WITH A POPULATION OF 66,804 AS OF THE 2020 CENSUS. THE MEDIAN HOUSEHOLD INCOME IN IONIA COUNTY IS 57,043 IN 2020, COMPARED WITH A NATIONAL AVERAGE MEDIAN OF 65,712. SCHEDULE H, PART VI, LINE 5 THE MAJORITY OF COMMUNITY BUILDING ACTIVITIES INVOLVE THE VOLUNTEER EFFORTS OF OUR STAFF, WITH MINIMAL DIRECT COSTS TO THE ORGANIZATION. A SAMPLE OF THE ACTIVITIES SUPPORTED BY SPARROW IONIA HOSPITAL INCLUDE: ADOPT-A-HIGHWAY PROGRAM, WHERE AREA ROADS ARE CLEANED OF TRASH; WORKING WITH AREA HIGH SCHOOL STUDENTS IN THE VOCATIONAL/TECHNICAL PROGRAM; CONDUCTING MOCK INTERVIEWS WITH LOCAL STUDENTS TO SHARPEN THEIR EMPLOYMENT INTERVIEW SKILLS; MICHIGAN HARVEST GATHERING (WITH FOOD & MONEY DONATED TO LOCAL FOOD PANTRIES AND DOMESTIC VIOLENCE SHELTER); TEACHING BASIC LIFE SUPPORT TO AREA SERVICE GROUPS; RELAY FOR LIFE TEAM AND UNITED WAY FUND DRIVES; MEMBERSHIP ON THE GREAT START COLLABORATIVE STEERING COMMITTEE; UNITED WAY DAY OF CARING. AS NOTED PREVIOUSLY, 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 AND MAINTAINING THE HEALTH OF THE PEOPLE IN THE COMMUNITIES WE SERVE". SCHEDULE H, PART VI, LINE 6 SPARROW IONIA HOSPITAL IS A WHOLLY OWNED SUBSIDIARY OF SPARROW HEALTH SYSTEM. SPARROW HEALTH SYSTEM IS A NON-PROFIT, COMMUNITY GOVERNED, INTEGRATED HEALTH DELIVERY AND FINANCING SYSTEM SERVING MID-MICHIGAN. SPARROW HEALTH SYSTEM PROVIDES SERVICES TO THE COMMUNITIES IT SERVES THROUGH ITS CONTROLLED SUBSIDIARIES: EDWARD W. SPARROW HOSPITAL, SPARROW CLINTON HOSPITAL, SPARROW EATON HOSPITAL, SPARROW SPECIALTY HOSPITAL, SPARROW DEVELOPMENT INC, SPARROW COMMUNITY CARE, SPARROW IONIA HOSPITAL, SPARROW FOUNDATION, SPARROW CLINICAL RESEARCH INSTITUTE, AND SPARROW CARSON HOSPITAL. SCHEDULE H, PART VI, LINE 7 MICHIGAN X true false X X X X X X true true false false false false false true false ERIC STRUCKO TREASURER 1396852 17250 211685 12446 1638233 MARGARET DIMOND PHD REGIONAL PRESIDENT 986774 297811 84981 94544 1464110 MATTHEW WILCOX DO BOARD MEMBER 712229 26511 19106 9900 71277 839023 MICHAEL VACCARIELLO MD PHYSICIAN 632532 1140 9900 75380 718952 ALICIA BALLARD DO PHYSICIAN 528982 1000 9900 91772 631654 BHAGYA VENKATESH MD PHYSICIAN 309135 194340 1041 20250 47695 572461 KIRA CARTER-ROBERTSON FORMER DIRECTOR 423926 63926 1447 9900 70241 569440 GREG HOLZHEI DO SECRETARY 329853 165665 3099 9900 40684 549201 RONALD HYDE DO FRMR PHYS PRACT LEAD 455927 6460 20250 57989 540626 AMY JENTZ MD PHYSICIAN 453378 4042 9900 58437 525757 PAULA REICHLE FRMR SRVP/CFO/TREAS 472508 9900 17305 499713 CHRISTOPHER ERSKIN DO PHYSICIAN 217240 187380 382 7437 41177 453616 LINDA REETZ RN LEGACY BOARD MEMBER 323017 49128 6660 8775 38278 425858 MARK BRISBOE FORMER CFO 307600 46788 2047 8925 43561 408921 HELEN JOHNSON FORMER REGIONAL COO 345010 9900 15456 370366 AMI KIHN FORMER TREASURER 287780 30000 5833 9187 22966 355766 BRUCE SHIVELY CFO 239997 29276 1005 7486 48727 326491 WILLIAM HOWE FRMR VP FINANCE/TRS. 181170 1766 15447 27564 225947 SCHEDULE J, PAGE 1, PART I, LINE 1A CERTAIN BOARD MEMBERS- AND EXECUTIVES' MICHIGAN ATHLETIC CLUB DUES ARE PAID BY THE ORGANIZATION OR RELATED ORGANIZATIONS. THESE AMOUNTS ARE CONSIDERED TAXABLE COMPENSATION. SCHEDULE J, PAGE 1, PART I, LINE 4 MARGARET DIMOND, PHD 0 51,577 0 PAULA REICHLE 472,508 0 0 HELEN JOHNSON 345,010 0 0 AMI KIHN 226,624 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 KIRA CARTER-ROBERTSON, RONALD HYDE, PAULA REICHLE, MARK BRISBOE, HELEN JOHNSON, AMI KIHN, AND WILLIAM HOWE ARE FORMER BOARD MEMBERS/OFFICERS OF UMH - SPARROW IONIA. THE FORMER BOARD MEMBERS/OFFICERS ARE BEING COMPENSATED BY UMH - SPARROW AND AFFILIATES FOR SERVICES PROVIDED TO UMH - SPARROW AND AFFILIATES IN POSITIONS OTHER THAN BOARD MEMBERS/OFFICERS. THE FORMER BOARD MEMBERS/OFFICERS ARE NOT BEING COMPENSATED FOR ANY PAST SERVICES PROVIDED TO UMH - SPARROW IONIA AS FORMER BOARD MEMBERS/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). MARGARET DIMOND: -51,577 FORM 990 FULL WEBSITE - HTTPS://WWW.UOFMHEALTHSPARROW.ORG/OUR-HOSPITALS-SERVICES/UM-HEALTH- SPARROW-HOSPITALS/IONIA ALL LINES LEFT BLANK ARE NOT APPLICABLE TO THE ORGANIZATION. ON APRIL 1, 2023, SPARROW HEALTH SYSTEM, THE REGENTS OF THE UNIVERSITY OF MICHIGAN, AND UM HEALTH CONSUMMATED THEIR AFFILIATION. AS A RESULT OF THE TRANSACTION UM HEALTH CORP BECAME THE SOLE CORPORATE MEMBER OF SPARROW HEALTH SYSTEM. DUE TO AFFILIATION, THE ORGANIZATION CHANGED ITS YEAR END TO A FISCAL YEAR ENDING 6/30. 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 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 UMH-SPARROW IONIA'S OUTPATIENT SERVICES ARE TYPICAL OF A SMALL RURAL FACILITY. THE EMERGENCY DEPARTMENT PROVIDES NURSING AND PHYSICIAN SERVICES 24 HOURS A DAY, 7 DAYS A WEEK, WITH PHYSICIANS ON SITE 100% OF THE TIME. SCREENING EXAMS ARE PROVIDED TO EVERYONE WHO PRESENTS FOR SERVICES PRIOR TO ANY FINANCIAL INFORMATION BEING OBTAINED OR CHARGES DISCUSSED WITH PATIENTS IN ACCORDANCE WITH EMERGENCY MEDICAL TREATMENT AND ACTIVE LABOR ACT (EMTALA). LABORATORY, RADIOLOGY, RESPIRATORY SERVICES, SURGERY, AS WELL AS INFUSION/ONCOLOGY ARE TYPICAL OF OTHER OUTPATIENT SERVICES PROVIDED. UMH- SPARROW IONIA ACCEPTS ALL GOVERNMENTAL PAYERS INCLUDING MEDICARE, MEDICAID, AND TRICARE WITH REIMBURSEMENT AT OR BELOW COSTS. ADDITIONALLY, UMH-SPARROW IONIA'S CHARITY CARE POLICY COVERS SERVICES IN THE OUTPATIENT SETTING, IN TURN PROVIDING FREE CARE TO THOSE IN THE COMMUNITY WHO QUALITY. FOR THE YEAR ENDED JUNE 30, 2025, UMH-SPARROW IONIA RECORDED 17,705 EMERGENCY ROOM VISITS; 270,724 LAB TESTS; 37,618 RADIOLOGY PROCEDURES;15,978 RESPIRATORY PROCEDURES; 871 SURGERIES/1,146 SCOPES; AND 4,521 INFUSION/ONCOLOGY VISITS. FORM 990, PAGE 2, PART III, LINE 4B UMH-SPARROW IONIA OPERATES THREE PHYSICIAN PRACTICE OFFICES WITHIN IONIA COUNTY, OFFERING PRIMARY CARE AS WELL AS SOME SPECIALTY CARE WITHIN AREAS SUCH AS OB/GYN, GENERAL SURGERY, ORTHOPEDICS, CARDIOLOGY, GASTROENTEROLOGY, UROLOGY, PULMONOLOGY AND NEPHROLOGY. THE PRIMARY CARE PRACTICES ARE LOCATED IN THE COMMUNITIES OF IONIA, SARANAC, AND PORTLAND, AND ARE DESIGNATED AS RURAL HEALTH CENTERS AS WELL AS PATIENT-CENTERED MEDICAL HOMES. UMH-SPARROW IONIA ACCEPTS ALL GOVERNMENT PAYERS INCLUDING MEDICARE, MEDICAID, AND TRICARE, WITH REIMBURSEMENT RATES AT OR BELOW COSTS. ADDITIONALLY, UMH- SPARROW IONIA'S CHARITY CARE POLICY COVERS SERVICES IN THE OUTPATIENT SETTING, IN TURN PROVIDING FREE CARE TO THOSE IN THE COMMUNITY WHO QUALIFY. FOR THE YEAR ENDED JUNE 30, 2025, THERE WERE 76,159 VISITS IN OUR PHYSICIAN OFFICES. FORM 990, PAGE 2, PART III, LINE 4D ALL OTHER PROGRAM SERVICES INCLUDE SERVICES SUCH AS RADIOLOGY, LABORATORY, RESPIRATORY THERAPY, PHYSICAL THERAPY, INFUSION SERVICES, AS WELL AS INPATIENT HOSPITAL SERVICES. FORM 990, PAGE 6, PART VI, LINE 6 UNIVERSITY OF MICHIGAN HEALTH CORP IS THE SOLE MEMBER OF UMH-SPARROW. UMH- SPARROW IS THE SOLE MEMBER OF UMH-SPARROW IONIA AND HAS 100% OWNERSHIP. FORM 990, PAGE 6, PART VI, LINE 7A UMH-SPARROW HAS THE RIGHT TO ELECT, REPLACE, AND REMOVE DIRECTORS OF UMH- SPARROW IONIA. THE PRESIDENT OF THE MEDICAL STAFF, WHICH IS A MEMBER OF THE GOVERNING BODY, IS ELECTED BY THE MEDICAL STAFF OF UMH-SPARROW IONIA. FORM 990, PAGE 6, PART VI, LINE 7B UMH CORP AND UMH-SPARROW HAVE THE RIGHT TO ELECT, REPLACE, AND REMOVE DIRECTORS OF UMH-SPARROW IONIA AS WELL AS HAVE THE AUTHORITY TO APPROVE DECISIONS OF THE UMH-SPARROW IONIA BOARD WHEN IT IS DEEMED NECESSARY. FORM 990, PAGE 6, PART VI, LINE 11B COPIES OF THE FISCAL YEAR FORM 990 ARE REVIEWED BY MANAGEMENT. THE FORM 990 COPIES WERE PROVIDED AT THE BOARD MEETING FOR ALL BOARD MEMBERS TO REVIEW AND COMMENT ON PRIOR TO FILING. FORM 990, PAGE 6, PART VI, LINE 12C 1) CORPORATE COMPLIANCE SENDS OUT THE CONFLICT OF INTEREST POLICY AND QUESTIONNAIRES TO ALL VOTING BOARD MEMBERS AND THE EXECUTIVE TEAM ANNUALLY. 2) ALL DISCLOSURES ARE RECEIVED AND REVIEWED BY CORPORATE COMPLIANCE. 3) ALL DISCLOSURES ARE GIVEN A RESOLUTION CODE AND PRESENTED TO THE CEO AND GOVERNANCE COMMITTEE OF THE BOARD. 4) ALL BOARD/COMMITTEE LEVEL DISCLOSURES ARE PROVIDED TO THE RESPECTIVE BOARD CHAIR AND EXECUTIVE LIAISON TO ENSURE ISSUES CAN BE ADDRESSED ON A TRANSACTIONAL LEVEL (I.E. IF A VOTE IS REQUIRED ON A TRANSACTION INVOLVING AN INTERESTED PERSON). FORM 990, PAGE 6, PART VI, LINE 15A THE PROCESS FOR DETERMINING COMPENSATION FOR THE CEO 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 NMSIR AND MSHFA WEBSITES, AS WELL AS AVAILABLE UPON REQUEST. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. 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