2025-05-14T09:40:04-04:00 2024-06-30 383133790 ANDREWS HOOPER PAVLIK PLC 4295 OKEMOS RD STE 200 OKEMOS MI 488646201 990 2023-07-01 381490180 SPARROW CARSON HOSPITAL SPAR 9895843971 406 E ELM STREET PO BOX 879 CARSON CITY MI 48811 MARGARET DIMOND PHD REGIONAL PRESIDENT 9895843971 2025-05-09 true true JULIE M PFEIFLE P00751307 5177060800 2025-05-09 2023 2025-03-06 01:10:19Z UNIV OF MI HEALTH - SPARROW CARSON MARGARET DIMOND PHD 1215 E MICHIGAN AVENUE LANSING MI 48912 51736269 false X WWW.UOFMHEALTHSPARROW.ORG X 1938 MI THE MISSION OF SPARROW CARSON HOSPITAL (SCCH) IS TO PROVIDE HIGH QUALITY & ACCESSIBLE HEALTH CARE SERVICES TO COMMUNITIES WE SERVE. SCCH PROVIDES CHARITY CARE TO PATIENTS WHO MEET CERTAIN CRITERIA. 10 5 353 8 0 249182 68783 21518585 50105905 252740 727835 251506 646659 22272013 51549182 0 0 14059509 29102028 0 0 10902285 22710504 24961794 51812532 -2689781 -263350 31994581 35868961 35274439 38956665 -3279858 -3087704 X THE MISSION OF SPARROW CARSON HOSPITAL (SCCH) IS TO PROVIDE HIGH QUALITY & ACCESSIBLE HEALTH CARE SERVICES TO COMMUNITIES WE SERVE. SCCH PROVIDES CHARITY CARE TO PATIENTS WHO MEET CERTAIN CRITERIA. false false 20382163 35710654 UM HEALTH - SPARROW CARSON'S OUTPATIENT SERVICES ARE TYPICAL OF A 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. UM HEALTH - SPARROW CARSON ACCEPTS ALL GOVERNMENTAL PAYERS INCLUDING MEDICARE, MEDICAID, AND TRICARE WITH REIMBURSEMENT AT OR BELOW COSTS. ADDITIONALLY, UM HEALTH - SPARROW CARSON'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, 2024, UM HEALTH - SPARROW CARSON RECORDED 9,028 EMERGENCY ROOM VISITS; 75,409 LAB TESTS; 24,085 RADIOLOGY PROCEDURES; 6,643 CARDIO/RESPIRATORY PROCEDURES; 9,820 PHYSICAL THERAPY PROCEDURES; 1,067 SURGERIES/1,049 SCOPES; AND 1,411 INFUSION/ONCOLOGY VISITS. 15023335 9693185 UM HEALTH - SPARROW CARSON OPERATES FIVE PRIMARY CARE PHYSICIAN OFFICES WITHIN MONTCALM, CLINTON AND GRATIOT COUNTIES, AS WELL AS SOME SPECIALTY CARE WITHIN AREAS SUCH AS OB/GYN, GENERAL SURGERY, ORTHOPEDICS, PAIN MANAGEMENT, GASTROENTEROLOGY, UROLOGY AND GYNECOLOGICAL ONCOLOGY. THE PRIMARY CARE PRACTICES ARE LOCATED IN THE COMMUNITIES OF CARSON CITY, FOWLER, STANTON, ITHACA, AND GREENVILLE AND ARE DESIGNATED AS RURAL HEALTH CENTERS. UM HEALTH - SPARROW CARSON ACCEPTS ALL GOVERNMENTAL PAYERS INCLUDING MEDICARE, MEDICAID, AND TRICARE, WITH REIMBURSEMENT RATES AT OR BELOW COSTS. ADDITIONALLY, UM HEALTH - SPARROW CARSON'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, 2024, THERE WERE 68,365 VISITS IN OUR PHYSICIAN OFFICES. 5328861 4702066 UM HEALTH - SPARROW CARSON IS A 61-BED ACUTE CARE HOSPITAL LOCATED IN RURAL MONTCALM COUNTY, SERVING THE RESIDENTS OF THE FOUR COUNTY AREA SURROUNDING CARSON CITY (MONTCALM, GRATIOT, CLINTON AND IONIA COUNTIES). UM HEALTH - SPARROW CARSON PROVIDES NURSING AND PHYSICIAN SERVICES 24 HOURS A DAY, 7 DAYS A WEEK. FOR THE YEAR ENDED JUNE 30, 2024, THERE WERE 487 ADMISSIONS WITH 1,397 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. UM HEALTH - SPARROW CARSON 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. 40734359 true true false false false false false false false true true false false true true false false true false false false false false false false false true true false false true false false false false false false true false false false false false false true true true false false true 35 0 true 353 true false false false false false false false false false false false false X 10 5 false false false false true true true true true false false true true true true true true true true false MI X CHRISTOPHER SHEMES 9895843971 406 E ELM STREET CARSON CITY MI 48811 PAULA REICHLE FRMR SRVP/CF 2.00 40.00 X 0 721275 115729 KIRA CARTER-ROBERTSON COO 2.00 40.00 X X 0 591593 109916 MICHELLE BECHER PHYSICIAN 40.00 0.00 X 570646 0 74914 PARUTAPPA BHIMALLI MD PHYSICIAN 40.00 0.00 X 541895 0 72125 SUSAN OTT PHYSICIAN 40.00 0.00 X 515620 0 48827 SARAH STRADEL PHYSICIAN 40.00 0.00 X 444573 0 65108 MICHAEL RACINE MD BOARD MBR/PH 40.00 0.00 X 432026 0 65707 DAVID J FREESTONE MD BOARD MBR/PH 40.00 0.00 X 402606 0 58512 ELISSA YARNOLD PHYSICIAN 40.00 0.00 X 342182 0 46651 HELEN JOHNSON BOARD MEMBER 20.00 20.00 X 0 335711 43570 CONSTANCE O'MALLEY COO 2.00 40.00 X 0 313284 39605 MARK BRISBOE PRESIDENT 20.00 20.00 X X 294579 0 47040 BRUCE SHIVELY FORMER OFFIC 0.00 40.00 X 0 245009 50381 RUSSEL ANDERSON FORMER BOARD 40.00 0.00 X 237395 0 32176 KIM CAPPS CFO/TREASURE 20.00 20.00 X X 0 223012 27577 RICHARD SCHROEDER BOARD MEMBER 2.00 0.00 X 0 2337 0 RICK COY BRD MMBR/SEC 2.00 0.00 X 0 1440 0 CHRISTOPHER COPP BOARD MEMBER 2.00 0.00 X 0 0 0 DANIYEL MCALVEY BRD MMBR/VIC 2.00 0.00 X X 0 0 0 AMY MURPHY BOARD MEMBER 2.00 0.00 X 0 0 0 RENEE SOPEL BOARD MMBR/S 2.00 0.00 X X 0 0 0 CAROL PRIEBE WILES BOARD MEMBER 2.00 0.00 X X 0 0 0 BRENT WILSON BOARD MEMBER 2.00 0.00 X 0 0 0 3781522 2433661 897838 46 true true false ROYAL ROOFING CO 2445 BROWN RD ORION MI 48359 CONTRACTING SVC 1365810 AYA HEALTHCARE 5930 CORNERSTONE CT W 300 SAN DIEGO CA 92121 AGENCY STAFFING 578458 ANDY J EGAN COMPANY INC 2001 WALDORF NW GRAND RAPIDS MI 495441495 CONTRACTING SVC 307201 AMERICAN HEALTHCARE STAFFING 226 E SIXTEEN ST STE A TRAVERSE CITY MI 49684 AGENCY STAFFING 206700 CUTTING EDGE LAWN CARE 8752 FERRIS ROAD CARSON CITY MI 48811 GROUNDSKEEPING 163704 6 68783 68783 NET PATIENT SERVICE REVENUE 621300 50105905 50105905 50105905 363353 363353 305335 305335 305335 305335 115025 436544 187087 115025 249457 364482 364482 ALL OTHER REVENUE 900099 200372 200372 COFFEE SHOP, CAFETERIA, OTHER 722210 140952 140952 341324 51549182 50306277 1174122 341619 341619 23230667 22012706 1217961 1386662 1294918 91744 2683734 2506174 177560 1459346 1360129 99217 462 462 907681 907681 23979 92 23887 56811 49018 7793 938183 760197 177986 129059 111080 17979 106395 9307 97088 1847753 167526 1680227 524793 70920 453873 SUPPLIES 8354619 8321037 33582 PURCHASED SERVICES 6799719 1382896 5416823 OTHER 1680839 440875 1239964 REPAIRS 1340211 1339803 408 51812532 40734359 11078173 0 222158 1161153 4896555 4984699 586384 640744 94437 89497 40814006 24425882 15411703 16388124 9314204 10281596 1469140 2323148 31994581 35868961 34018891 37636876 1255548 1319789 35274439 38956665 X -3279858 -3087704 -3279858 -3087704 31994581 35868961 -263350 455504 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 9785856 321482 130539 10237877 9199222 273470 313164 9785856 6297032 5192208 -280050 11209190 5606321 561053 129658 6297032 4912247 237860 456214 5606321 1.00000 false true true 545000 545000 16297353 6550927 9746426 69670 69670 22051817 17805285 4246532 1850166 1850166 16388124 OTHER AR 2040287 LEASE RIGHT TO USE ASSET 128289 OTHER ASSETS 120636 JOINT VENTURES 33936 2323148 PROFESSIONAL LIABILITY CLAIMS RESERV 1170000 LEASE LIABILITY PAYABLE 137795 DEFERRED INFLOW 11994 1319789 SCHEDULE D, PAGE 2, PART V, LINE 4 SPARROW CARSON HOSPITAL DOES NOT HOLD ENDOWMENTS. THE ENDOWMENTS ARE HELD BY SPARROW FOUNDATION. SPARROW HEALTH SYSTEM IS THE SOLE MEMBER OF SPARROW CARSON 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 ENDOWMENT. true true true X true X true true false true true 209697 209697 0.00400 7808971 6154595 1654376 0.03190 8018668 6154595 1864073 0.03600 8018668 6154595 1864073 0.03600 true 534754 71122 9356009 18655600 -9299591 X true true 1 1 SPARROW CARSON HOSPITAL 406 E ELM STREET CARSON CITY MI 48811 WWW.UOFMHEALTHSPARROW.ORG 1060000095 X X X X WALK-IN CLINIC SPARROW CARSON HOSPITAL 1 false false true X X X X X X X X 22 true true true true X WWW.UOFMHEALTHSPARROW.ORG X true 22 false true false true X 200.000000000000 200.000000000000 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 true X false true FACILITY 1, SPARROW CARSON HOSPITAL - PART V, LINE 3E THE SIGNIFICANT HEALTH NEEDS WERE PRIORITIZED AND DOCUMENTED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT. FACILITY 1, SPARROW CARSON 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 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 WERE CONDUCTED VIRTUALLY AS WELL AS IN VARIOUS LOCATIONS THROUGHOUT THE THREE 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. WHILE HEALTHY CAPITAL COUNTIES WAS COLLECTING DATA, MONTCALM COUNTY, WHICH IS WITHIN SPARROW CARSON HOSPITAL'S AREA, WAS ALSO CONDUCTING A SIMILAR COMMUNITY ASSESSMENT. IN NOVEMBER 2021, AFTER DATA WAS COLLECTED AND ANALYZED, MONTCALM COUNTY HELD TWO COMMUNITY EVENTS TO SHARE ASSESSMENT DATA AND VOTE ON PRIORITY HEALTH NEEDS. COMMUNITY PARTICIPANTS REVIEWED AND VOTED ON THE LIST OF 16 PRIORITY NEEDS. THE FOLLOWING ARE THE TOP FIVE NEEDS IDENTIFIED BY THE COMMUNITY PARTICIPANTS: -SUBSTANCE ABUSE (TOBACCO, ALCOHOL, ILLICIT SUBSTANCES) -MENTAL HEALTH -TRANSPORTATION -HEALTHY LIFESTYLES -FINANCIAL SECURITY/ECONOMIC STABILITY 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 PREVENTION'S 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 COMMUNITY'S 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. FACILITY 1, SPARROW CARSON HOSPITAL - PART V, LINE 6A SPARROW HEALTH SYSTEM, CONSISTING OF SIX COMMUNITY HOSPITALS, THREE OF WHICH ARE LOCATED IN THE THREE-COUNTY GREATER LANSING REGION: - EDWARD W SPARROW HOSPITAL, LANSING, MI - SPARROW SPECIALTY HOSPITAL, LANSING, MI - SPARROW CLINTON HOSPITAL, ST. JOHNS, MI - SPARROW IONIA HOSPITAL, IONIA, MI - SPARROW CARSON HOSPITAL, CARSON CITY, MI - SPARROW EATON HOSPITAL, CHARLOTTE, MI - MCLAREN GREATER LANSING - EATON RAPIDS MEDICAL CENTER FACILITY 1, SPARROW CARSON 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 CARSON HOSPITAL - PART V, LINE 11 SPARROW CARSON HOSPITAL HAS DEVELOPED AN IMPLEMENTATION STRATEGY FOR THE TOP TWO PRIORITY NEEDS THAT WERE IDENTIFIED IN THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT. THE TOP NEEDS IDENTIFIED WERE HEALTH CARE ACCESS AND QUALITY 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 WERE IDENTIFIED IN THE CHNA BUT NOT ADDRESSED IN THE IMPLEMENTATION STRATEGY DUE TO LIMITED RESOURCES AND THE NEED TO ALLOCATE SIGNIFICANT RESOURCES TO THE TOP TWO NEEDS IDENTIFIED. FACILITY 1, SPARROW CARSON HOSPITAL - PART V, LINE 24 ALL PATIENTS AND INSURANCES ARE CHARGED THE SAME GROSS CHARGE FROM THE HOSPITAL'S FEE SCHEDULE. DISCOUNTS ARE THEN PROVIDED TO UNINSURED PATIENTS BASED UPON OUR FINANCIAL ASSISTANCE POLICY AND/OR INDIVIDUAL CIRCUMSTANCES. 10 SMG ITHACA 114 N MAIN ST ITHACA MI 48847 GENERAL MEDICAL OUTPATIENT CLINIC SMG CARSON 102 S THIRD ST SUITE 100 BOX 277 CARSON CITY MI 48811 GENERAL MEDICAL OUTPATIENT CLINIC PHYSICAL REHABILITATION CARE CENTER 602 E ELM STREET CARSON CITY MI 48811 GENERAL MEDICAL OUTPATIENT CLINIC SMG GREENVILLE 1014 E WASHINGTON GREENVILLE MI 48838 GENERAL MEDICAL OUTPATIENT CLINIC SMG STANTON 545 N STATE ST BOX 638 STANTON MI 48888 GENERAL MEDICAL OUTPATIENT CLINIC SMG PAIN MANAGEMENT 102 S THIRD ST SUITE 300 CARSON CITY MI 48811 GENERAL MEDICAL OUTPATIENT CLINIC SMG ORTHOPEDICS AND GENERAL SURGERY 102 S THIRD ST SUITE 400 BOX 326 CARSON CITY MI 48811 GENERAL MEDICAL OUTPATIENT CLINIC HOSPITALISTS 406 E ELM STREET CARSON CITY MI 48811 GENERAL MEDICAL OUTPATIENT CLINIC SMG FOWLER 11017 W THIRD ST BOX 19 FOWLER MI 48835 GENERAL MEDICAL OUTPATIENT CLINIC SMG CARSON OBGYN 639 E MAIN ST CARSON CITY MI 48811 GENERAL MEDICAL OUTPATIENT CLINIC SCHEDULE H, PART I, LINE 7 THE DEFINITION OF A COMMUNITY BENEFIT IS A SERVICE OR PROGRAM THAT THE HOSPITAL PROVIDES TO PROMOTE HEALTH AND HEALING AS A RESPONSE TO COMMUNITY NEEDS. COMMUNITY BENEFITS USUALLY GENERATE A LOW OR NEGATIVE FINANCIAL RETURN, RESPOND TO PUBLIC HEALTH NEEDS, INVOLVE EDUCATION OR RESEARCH THAT IMPROVES THE OVERALL COMMUNITY HEALTH, AND RESPOND TO THE NEEDS OF SPECIAL POPULATIONS SUCH AS PERSONS LIVING IN POVERTY AND OTHER DISENFRANCHISED PERSONS. THE COSTING METHODOLOGY USED IS COST TO CHARGE RATIO. THE COST TO CHARGE RATIO IS FIGURED BY TAKING THE TOTAL EXPENSES EXCLUSIVE OF BAD DEBT AND DIVIDING THAT BY GROSS PATIENT REVENUE AND OTHER OPERATING REVENUE. 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. CARING FOR MEDICARE PATIENTS FULFILLS A COMMUNITY NEED AND RELIEVES A GOVERNMENT BURDEN AS THESE PATIENTS TYPICALLY HAVE LOW AND/OR FIXED INCOMES. SCHEDULE H, PART III, LINE 9B THE CHARGES FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE ARE WRITTEN OFF THE SYSTEM TO CHARITY CARE AT THE TIME THE PATIENT'S CHARITY CARE STATUS IS DETERMINED. AS SUCH, NO FURTHER COLLECTION EFFORTS TAKE PLACE. SCHEDULE H, PART VI, LINE 2 SPARROW CARSON HOSPITAL RESPONDS TO THE HEALTHCARE NEEDS OF ITS ENTIRE SERVICE AREA. ITS DOORS ARE OPEN TO ALL THOSE WHO NEED HEALTHCARE SERVICES. INFORMATION ABOUT HEALTHCARE NEEDS IS RECEIVED THROUGH PARTNERSHIPS WITH LOCAL NON-PROFITS, GOVERNMENT AGENCIES AND OTHER HEALTHCARE ORGANIZATIONS, SUCH AS THE MID-MICHIGAN DISTRICT HEALTH DEPARTMENT AND THE IONIA COUNTY HEALTH DEPARTMENT - WHICH, TOGETHER, MONITOR THE MORTALITY RATES AND CAUSES IN CLINTON, GRATIOT, IONIA AND MONTCALM COUNTIES. HOSPITAL SERVICE RECORDS AND PATIENT SATISFACTION SURVEYS - MANAGED BY PRESS GANEY - ALSO PROVIDE FEEDBACK TO HOSPITAL STAFF ABOUT THE NEEDS OF THE COMMUNITY. SCHEDULE H, PART VI, LINE 3 ALTHOUGH NOT SPECIFICALLY OUTLINED IN THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, THE HOSPITAL USES THE FOLLOWING METHODS TO PUBLICIZE ITS FINANCIAL ASSISTANCE POLICY: WITHIN THE COMMUNITY SERVED THE POLICY WAS POSTED ON THE HOSPITAL FACILITY'S WEBSITE; THE POLICY WAS POSTED IN THE HOSPITAL FACILITY'S EMERGENCY ROOMS OR WAITING ROOMS; THE POLICY WAS POSTED IN THE HOSPITAL FACILITY'S ADMISSIONS OFFICE; THE POLICY WAS AVAILABLE UPON REQUEST. PATIENTS WERE MADE AWARE OF THE POLICY UPON ADMISSION. THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY IS CURRENTLY UNDER REVIEW, AND THE HOSPITAL IS CONSIDERING ADDING SPECIFIC INFORMATION RELATED TO THE METHODS USED TO PUBLICIZE ITS FINANCIAL ASSISTANCE POLICY WITHIN THE COMMUNITY SERVED. SCHEDULE H, PART VI, LINE 4 SPARROW CARSON HOSPITAL (SCCH) IS A 61-BED, ACUTE CARE HOSPITAL LOCATED IN CENTRAL MICHIGAN. IT IS THE OLDEST OSTEOPATHIC HOSPITAL IN MICHIGAN, FOUNDED IN 1936 BY EMMETT BINKERT, DO. SINCE THIS TIME SCCH HAS BEEN COMMITTED TO SERVING THE RESIDENTS OF COMMUNITIES IN A FOUR-COUNTY AREA. THE HOSPITAL'S GOVERNING BODY CONSISTS PRIMARILY OF VOLUNTEER MEMBERS WHO RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA. IN THE FALL OF 1996, SPARROW CARSON BECAME A PART OF CARSON HEALTH NETWORK (CHN). CHN WAS INTRODUCED TO WORK AS AN UMBRELLA UNDER WHICH ALL THE INDIVIDUAL HEALTHCARE ENTITIES ARE CONTAINED. CHN INCLUDES SPARROW CARSON HOSPITAL, FAMILY MEDICINE PRACTICES AND SEVERAL SPECIALTY CLINICS OFFERING A WIDE VARIETY OF SERVICES. THE FAMILY MEDICINE PROFESSIONAL, MEDICAL STAFF, IN COOPERATION WITH HOSPITAL BASED SPECIALISTS, SERVES PATIENTS IN ASHLEY, CARSON CITY, FOWLER, GREENVILLE, ITHACA, AND STANTON. THESE OFFICES FALL INTO 4 COUNTIES WHICH INCLUDE MONTCALM, IONIA, CLINTON AND GRATIOT COUNTIES. ALL AREAS ARE DESIGNATED AS RURAL BASED WITH AN AVERAGE OF 20,210 HOUSEHOLDS WITH AN AVERAGE HOUSEHOLD SIZE OF 2-7 PEOPLE. THE AVERAGE INCOME PER HOUSEHOLD IS 42,590 WHILE 6.20% OF ALL FAMILIES ARE BELOW THE POVERTY LEVEL. ALSO INCLUDED IN THIS GEOGRAPHIC AREA ARE 5 OTHER HOSPITALS: SPARROW CLINTON HOSPITAL, SPARROW IONIA HOSPITAL, SPECTRUM HEALTH UNITED CAMPUS, SHERIDAN COMMUNITY HOSPITAL, AND MID-MICHIGAN MEDICAL CENTER GRATIOT. IN ADDITION TO ACUTE HOSPITAL CARE, SCCH PROVIDES A VARIETY OF ADVANCED SERVICES, RANGING FROM AN INTENSIVE/CORONARY CARE UNIT TO MULTIPLE OUTPATIENT SERVICES. SCCH ALSO PROVIDES 24 - HOUR EMERGENCY ROOM CARE. PHYSICIANS ARE AVAILABLE TO YOU ANY TIME AT THE HOSPITAL, DAY OR NIGHT FOR EMERGENCY OR NON-EMERGENCY MEDICAL ASSISTANCE. ANY SURPLUS FUNDS AVAILABLE TO THE HOSPITAL ARE USED FOR FACILITY AND EQUIPMENT IMPROVEMENTS IN ORDER TO PROVIDE BETTER PATIENT CARE. THE AMERICAN RECOVERY AND REINVESTMENT ACT OF 2009 INCLUDED PROVISIONS FOR IMPLEMENTING HEALTH INFORMATION TECHNOLOGY UNDER THE HEALTH INFORMATION TECHNOLOGY FOR ECONOMIC AND CLINICAL HEALTH ACT("HITECH"). THESE PROVISIONS WERE DESIGNED TO INCREASE THE USE OF ELECTRONIC HEALTH RECORDS("EHR") TECHNOLOGY AND ESTABLISH REQUIREMENTS FOR A MEDICARE AND MEDICAID INCENTIVE PAYMENTS PROGRAM BEGINNING IN 2011 FOR ELIGIBLE HOSPITALS AND PROVIDERS THAT ADOPT AND MEANINGFULLY USE CERTIFIED EHR TECHNOLOGY. DURING 2012, SPARROW CARSON HOSPITAL DEMONSTRATED THE MEANINGFUL USE OF ITS CERTIFIED EHR TECHNOLOGY AND WAS ABLE TO RECOGNIZE APPROXIMATELY 1.3 MILLION IN REVENUE FOR HITECH INCENTIVES FROM MEDICARE AND MEDICAID. THESE INCENTIVE PAYMENTS ALLOW THE HOSPITAL TO PROVIDE ADDITIONAL QUALITY SERVICES TO THOSE IN THE COMMUNITY. SCHEDULE H, PART VI, LINE 5 SPARROW CARSON HOSPITAL PROVIDES A SPEAKERS BUREAU LIST OF PHYSICIANS AND STAFF MEMBERS WHO ARE WILLING TO GO OUT INTO THE COMMUNITY AND SPEAK ON A VARIETY OF HEALTHCARE, QUALITY-OF-LIFE, AND GENERAL-INTEREST TOPICS TO SCHOOL CHILDREN, BUSINESS CLUBS, AND OTHER NON-PROFIT ORGANIZATIONS. SPARROW CARSON HOSPITAL'S ACTIVITIES PROMOTE THE HEALTHCARE OF THE COMMUNITY BY EDUCATING AND PROVIDING EASY ACCESSIBLE HEALTHCARE WITH A 24- HOUR EMERGENCY DEPARTMENT. OUTSIDE PHYSICIANS CAN APPLY FOR PRIVILEGES AT SPARROW CARSON HOSPITAL THROUGH A PROCESS TO TREAT AND PROVIDE MEDICAL CARE AT THE HOSPITAL. IN ADDITION, SPARROW CARSON HOSPITAL IS COMPRISED OF SEVEN HOSPITAL-OWNED PHYSICIAN CLINICS IN A RURAL SETTING. FREE AND REDUCED RATE SPORTS PHYSICALS ARE PROVIDED AT SELECTED CLINICS. SCHEDULE H, PART VI, LINE 6 SPARROW CARSON HOSPITAL IS A CONTROLLED SUBSIDIARY OF SPARROW HEALTH SYSTEM. SPARROW HEALTH SYSTEM IS A NON-PROFIT, COMMUNITY GOVERNED, INTEGRATED HEALTH DELIVERY AND FINANCIAL 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 SPECIALTY HOSPITAL, SPARROW CARSON HOSPITAL, SPARROW DEVELOPMENT, INC, SPARROW COMMUNITY CARE, SPARROW IONIA HOSPITAL, SPARROW FOUNDATION, SPARROW EATON HOSPITAL, AND SPARROW CLINICAL RESEARCH INSTITUTE. 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 PAULA REICHLE FRMR SRVP/CFO/TREAS 590250 49613 81412 61554 54175 837004 KIRA CARTER-ROBERTSON COO 415934 32583 143076 39667 70249 701509 MICHELLE BECHER PHYSICIAN 392311 176228 2107 17750 57164 645560 PARUTAPPA BHIMALLI MD PHYSICIAN 481240 19102 41553 9150 62975 614020 SUSAN OTT PHYSICIAN 499017 16603 14554 34273 564447 SARAH STRADEL PHYSICIAN 422404 18743 3426 9900 55208 509681 MICHAEL RACINE MD BOARD MBR/PHYSICIAN 389851 19342 22833 18308 47399 497733 DAVID J FREESTONE MD BOARD MBR/PHYSICIAN 252275 144619 5712 9150 49362 461118 ELISSA YARNOLD PHYSICIAN 334588 7594 6757 39894 388833 HELEN JOHNSON BOARD MEMBER 317021 16900 1790 7848 35722 379281 CONSTANCE O'MALLEY COO 259931 53353 27938 11667 352889 MARK BRISBOE PRESIDENT 265903 27558 1118 7667 39373 341619 BRUCE SHIVELY FORMER OFFICER 231730 12312 967 6840 43541 295390 RUSSEL ANDERSON FORMER BOARD MEMBER 208396 25411 3588 7302 24874 269571 KIM CAPPS CFO/TREASURER 210457 10531 2024 27577 250589 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 4 PAULA REICHLE 157,503 52,404 0 KIRA CARTER-ROBERTSON 0 30,517 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 BRUCE SHIVELY AND RUSSEL ANDERSON ARE FORMER BOARD MEMBERS/OFFICERS 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 CARSON 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). PAULA REICHLE: -52,404 KIRA CARTER-ROBERTSON: -141,657 JAN KING FAMILY 50361 EMPLOYEE false TARA BUTLER FAMILY 65146 EMPLOYEE false FORM 990 FULL WEBSITE - HTTPS://WWW.UOFMHEALTHSPARROW.ORG/OUR-HOSPITALS-SERVICES/UM-HEALTH- SPARROW-HOSPITALS/CARSON 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. THE PRIOR YEAR FINANCIAL INFORMATION REPORTED THROUGHOUT FORM 990 AND SUPPORTING SCHEDULES IS BASED ON A 6-MONTH SHORT PERIOD RETURN FOR 6/30/2023. PART IV, QUESTION 4 - THE ORGANIZATION HAS MEMBERSHIPS IN VARIOUS 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 UM HEALTH - SPARROW CARSON'S OUTPATIENT SERVICES ARE TYPICAL OF A 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. UM HEALTH - SPARROW CARSON ACCEPTS ALL GOVERNMENTAL PAYERS INCLUDING MEDICARE, MEDICAID, AND TRICARE WITH REIMBURSEMENT AT OR BELOW COSTS. ADDITIONALLY, UM HEALTH - SPARROW CARSON'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, 2024, UM HEALTH - SPARROW CARSON RECORDED 9,028 EMERGENCY ROOM VISITS; 75,409 LAB TESTS; 24,085 RADIOLOGY PROCEDURES; 6,643 CARDIO/RESPIRATORY PROCEDURES; 9,820 PHYSICAL THERAPY PROCEDURES; 1,067 SURGERIES/1,049 SCOPES; AND 1,411 INFUSION/ONCOLOGY VISITS. FORM 990, PAGE 2, PART III, LINE 4B UM HEALTH - SPARROW CARSON OPERATES FIVE PRIMARY CARE PHYSICIAN OFFICES WITHIN MONTCALM, CLINTON AND GRATIOT COUNTIES, AS WELL AS SOME SPECIALTY CARE WITHIN AREAS SUCH AS OB/GYN, GENERAL SURGERY, ORTHOPEDICS, PAIN MANAGEMENT, GASTROENTEROLOGY, UROLOGY AND GYNECOLOGICAL ONCOLOGY. THE PRIMARY CARE PRACTICES ARE LOCATED IN THE COMMUNITIES OF CARSON CITY, FOWLER, STANTON, ITHACA, AND GREENVILLE AND ARE DESIGNATED AS RURAL HEALTH CENTERS. UM HEALTH - SPARROW CARSON ACCEPTS ALL GOVERNMENTAL PAYERS INCLUDING MEDICARE, MEDICAID, AND TRICARE, WITH REIMBURSEMENT RATES AT OR BELOW COSTS. ADDITIONALLY, UM HEALTH - SPARROW CARSON'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, 2024, THERE WERE 68,365 VISITS IN OUR PHYSICIAN OFFICES. FORM 990, PAGE 2, PART III, LINE 4C UM HEALTH - SPARROW CARSON IS A 61-BED ACUTE CARE HOSPITAL LOCATED IN RURAL MONTCALM COUNTY, SERVING THE RESIDENTS OF THE FOUR COUNTY AREA SURROUNDING CARSON CITY (MONTCALM, GRATIOT, CLINTON AND IONIA COUNTIES). UM HEALTH - SPARROW CARSON PROVIDES NURSING AND PHYSICIAN SERVICES 24 HOURS A DAY, 7 DAYS A WEEK. FOR THE YEAR ENDED JUNE 30, 2024, THERE WERE 487 ADMISSIONS WITH 1,397 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. UM HEALTH - SPARROW CARSON 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. FORM 990, PAGE 6, PART VI, LINE 6 UNIVERSITY OF MICHIGAN HEALTH CORP IS THE SOLE MEMBER OF UNIVERSITY OF MICHIGAN HEALTH - SPARROW. UNIVERSITY OF MICHIGAN HEALTH SPARROW IS THE SOLE MEMBER OF UNIVERSITY OF MICHIGAN HEALTH - SPARROW CARSON AND HAS 100% OWNERSHIP. FORM 990, PAGE 6, PART VI, LINE 7A UNIVERSITY OF MICHIGAN HEALTH - SPARROW HAS THE RIGHT TO ELECT, REPLACE, AND REMOVE DIRECTORS OF UMH - SPARROW CARSON. THE PRESIDENT OF THE MEDICAL STAFF, WHICH IS A MEMBER OF THE GOVERNING BODY, IS ELECTED BY THE MEDICAL STAFF OF UMH - SPARROW CARSON. FORM 990, PAGE 6, PART VI, LINE 7B UMH CORP AND UNIVERSITY OF MICHIGAN HEALTH - SPARROW HAVE THE RIGHT TO ELECT, REPLACE, AND REMOVE DIRECTORS OF UMH - SPARROW CARSON AS WELL AS HAVE THE AUTHORITY TO APPROVE DECISIONS OF THE UMH - SPARROW CARSON BOARD WHEN IT IS DEEMED NECESSARY. FORM 990, PAGE 6, PART VI, LINE 11B COPIES OF THE FISCAL YEAR 6/30/2024 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 INVOLVED THE FOLLOWING: UTILIZING THE COMPENSATION COMMITTEE, USING INDEPENDENT CONSULTANTS, REVIEWING OTHER SIMILAR ORGANIZATIONS' 990S, USING COMPENSATION SURVEYS, AND FINAL APPROVAL BY THE SHS BOARD OF DIRECTORS, AS WELL AS FINALIZING THE SALARY PACKAGE WITH A WRITTEN EMPLOYMENT CONTRACT. FORM 990, PAGE 6, PART VI, LINE 15B THE PROCESS FOR DETERMINING COMPENSATION FOR OFFICERS OR KEY EMPLOYEES OF THE ORGANIZATION INVOLVED THE FOLLOWING: UTILIZING THE COMPENSATION COMMITTEE, USING INDEPENDENT CONSULTANTS, REVIEWING OTHER SIMILAR ORGANIZATIONS' 990S, USING COMPENSATION SURVEYS, AND FINAL APPROVAL BY THE SHS BOARD OF DIRECTORS, AS WELL AS FINALIZING THE SALARY PACKAGE WITH A WRITTEN EMPLOYMENT CONTRACT. FORM 990, PAGE 6, PART VI, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. 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