SPARROW CARSON HOSPITAL: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
SPARROW CARSON HOSPITAL (EIN 38-1490180)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-12
IRS object ID
202123169349302127
Schema version
2020v4.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2021-11-12T08:46:25-06:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN383133790PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ANDREWS HOOPER PAVLIK PLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14295 OKEMOS RD STE 200AddressLine1Txt
CityOKEMOSCityNm
State AbbreviationMIStateAbbreviationCd
ZIP488646201ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN381490180EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SPARROW CARSON HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSPARBusinessNameControlTxt
Phone9895843971PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1406 E ELM STREET PO BOX 879AddressLine1Txt
CityCARSON CITYCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48811ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPAULA REICHLEPersonNm
Person TitleSR VP - CFO - SHSPersonTitleTxt
Phone9895843971PhoneNum
Signature2021-11-05SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstPAULAPersonFirstNm
Person LastREICHLEPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJULIE M PFEIFLEPreparerPersonNm
PTINP00751307PTIN
Phone5177060800PhoneNum
Preparation2021-11-05PreparationDt
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKIRA CARTER-ROBERTSONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11215 E MICHIGAN AVENUEAddressLine1Txt
CityLANSINGCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48912ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$46,702,548GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SPARROW.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1938FormationYr
Legal Domicile StateMILegalDomicileStateCd
Activity Or MissionTHE 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.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee368TotalEmployeeCnt
Total Volunteers35TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$36,805PYContributionsGrantsAmt
CY Contributions Grants$5,650,067CYContributionsGrantsAmt
PY Program Service Revenue$41,575,485PYProgramServiceRevenueAmt
CY Program Service Revenue$39,096,482CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$3,065,057PYOtherRevenueAmt
CY Other Revenue$1,955,999CYOtherRevenueAmt
PY Total Revenue$44,677,347PYTotalRevenueAmt
CY Total Revenue$46,702,548CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$27,854,613PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$27,090,648CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$23,005,909PYOtherExpensesAmt
CY Other Expenses$21,492,873CYOtherExpensesAmt
PY Total Expenses$50,860,522PYTotalExpensesAmt
CY Total Expenses$48,583,521CYTotalExpensesAmt
PY Revenues Less Expenses-$6,183,175PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,880,973CYRevenuesLessExpensesAmt
Total Assets BOY$36,206,235TotalAssetsBOYAmt
Total Assets EOY$35,994,682TotalAssetsEOYAmt
Total Liabilities BOY$30,933,475TotalLiabilitiesBOYAmt
Total Liabilities EOY$31,720,585TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$5,272,760NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$4,274,097NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE 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.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$26,916,467ExpenseAmt
Revenue$25,215,286RevenueAmt
DescSPARROW 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 IN A FOUR-COUNTY AREA. SCCH CURRENTLY OPERATES A SHORT-TERM, ACUTE-CARE FACILITY AND SEVERAL SATELLITE CLINICS OFFERING INPATIENT AND OUTPATIENT HEALTHCARE SERVICES, PHYSICIAN SERVICES, AND HOME HEALTH CARE, PRIMARILY TO PATIENTS IN THE CARSON CITY, MICHIGAN AREA, INCLUDING GRATIOT, MONTCALM, CLINTON, AND IONIA COUNTIES. SCCH PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. BECAUSE SCCH DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE UNDER ARRANGEMENTS WITH VARIOUS GOVERNMENTAL INSURANCE PROGRAMS. SCCH PROVIDES SIGNIFICANT CARE TO THE LOCAL INDIGENT POPULATION FOR WHICH REIMBURSEMENT FOR SERVICES RENDERED IS GENERALLY, LESS THAN THE COST OF PROVIDING SUCH SERVICES AS PART OF ITS OBLIGATION TO THE LOCAL COMMUNITY. SCCH ALSO PROVIDES SERVICES TO INDIGENT PATIENTS UNDER THE MEDICAID PROGRAM AT PAYMENT AMOUNTS LESS THAN THE COST OF THE SERVICES PROVIDED. FOR THE YEAR ENDED DECEMBER 31, 2020, SCCH PROVIDED OVER 2 MILLION IN UNCOMPENSATED CARE. THE ESTIMATED ANNUAL TOTAL LOCAL ECONOMIC IMPACT IS 30,000,000.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$3,018,373ExpenseAmt
Revenue$3,076,184RevenueAmt
DescCARSON APOTHECARY SHOPPE IS A FULL-SERVICE RETAIL PHARMACY THAT OFFERS A SELECTION OF OVER-THE-COUNTER HEALTHCARE ITEMS AND MEDICATIONS. PHARMACIST PRESCRIPTION CONSULTATION AND A FREE HEALTH INFORMATION STATION WITH TAKE- HOME BROCHURES ARE AVAILABLE. THE CARSON APOTHECARY SHOPPE ALSO OFFERS A SELECTION OF NEWBORN GIFTS, SEASONAL ITEMS, CARDS AND SNACKS. IT IS OPEN MONDAY THROUGH FRIDAY AND SATURDAY MORNING.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$1,514,432ExpenseAmt
Revenue$2,094,842RevenueAmt
DescSMG CARSON PAIN MANAGEMENT'S MISSION IS TO ACTIVELY IMPROVE OUR PATIENTS QUALITY OF LIFE BY TREATING THE PHYSICAL, FUNCTIONAL, EMOTIONAL AND PSYCHOLOGICAL NEEDS OF THOSE WITH ACUTE AND CHRONIC PAIN, INCLUDING HEADACHES AND BACK PAIN.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$12,019,967ExpenseAmt
Revenue$8,710,170RevenueAmt
DescOTHER PROGRAM SERVICES INCLUDE THE OPERATION OF THE PHYSICAL REHABILITATION CENTER AND THE FOLLOWING SPARROW MEDICAL GROUP (SMG) FACILITIES INCLUDING: SMG CARSON GENERAL SURGERY,SMG CARSON ORTHOPEDICS, SMG CARSON OBGYN, SMG ASHLEY, SMG CARSON, SMG FOWLER, SMG GREENVILLE, SMG ITHACA, SMG PEDIATRICS CARSON CITY, AND SMG STANTON.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$12,019,967TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$8,710,170TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$43,469,239TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document36IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee368EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldMIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonBRUCE SHIVELYPersonNm
Phone9895843971PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1406 E ELM STREETAddressLine1Txt
CityCARSON CITYCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48811ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
MARK BRETT
FORMER BOARD0.000.00Yes (X)$0$363,011$290,522
PAULA REICHLE
SR VP - CFO2.0040.00$0$528,386$103,935Yes (X)Yes (X)
PARUTAPPA BHIMALLI MD
PHYSICIAN40.000.00$524,576$0$60,609Yes (X)
CHRISTOPHER E HERALD MD
FORMER BOARD40.000.00Yes (X)$480,540$0$56,204
MICHELLE BECHER
PHYSICIAN40.000.00$441,915$0$60,852Yes (X)
SUSAN OTT
PHYSICIAN40.000.00$463,343$0$33,793Yes (X)
MICHAEL RACINE MD
PHYSICIAN40.000.00$438,215$0$55,594Yes (X)
KIRA CARTER-ROBERTSON
BOARD MEMBER2.0040.00$0$365,009$84,442Yes (X)
THOMAS OSTRANDER
FORMER BOARD0.0040.00Yes (X)$0$355,192$81,947
JANET ENG
PHYSICIAN40.000.00$347,165$0$28,187Yes (X)
DAVID J FREESTONE MD
BOARD MBR/PH40.000.00$308,254$0$45,806Yes (X)
WILLIAM HOWE
FORMER BOARD0.0040.00Yes (X)$0$269,330$49,203
MARK BRISBOE
CFO40.000.00$238,769$0$37,361Yes (X)Yes (X)
LINDA REETZ
FORMER OFFIC0.0040.00Yes (X)$0$240,614$34,282
DOUGLAS POFF DO
FORMER BOARD40.000.00Yes (X)$230,462$0$43,706
RUSSELL ANDERSON DO
BOARD MEMBER40.000.00$237,656$0$28,993Yes (X)
NANCY WEAVER
FORMER OFFIC40.000.00Yes (X)$0$119,227$20,278
GARY REETZ
BOARD MEMBER2.000.00$0$32,670$0Yes (X)
RODERICK COY
SECRETARY2.000.00$658$0$0Yes (X)Yes (X)
CHRISTOPHER COPP
BOARD MEMBER2.000.00$0$0$0Yes (X)
DANIYEL MCALVEY
BOARD MEMBER2.000.00$0$0$0Yes (X)
RICHARD SCHROEDER
CHAIR2.000.00$0$0$0Yes (X)Yes (X)
JEAN SOUTHWARD
BOARD MEMBER2.000.00$0$0$0Yes (X)
CAROL PRIEBE WILES
VICE CHAIR2.000.00$0$0$0Yes (X)Yes (X)
BRENT WILSON
BOARD MEMBER2.000.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,711,553TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,273,439TotReportableCompRltdOrgAmt
Total Other Compensation$1,115,714TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K42IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PHYSICIAN ANESTHESIA SRV PCBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line11200 E MICHIGAN AVE STE 370AddressLine1Txt
CityLANSINGCityNm
State AbbreviationMIStateAbbreviationCd
ZIP489121897ZIPCd
FieldValueIRS element (for citing)
ServicesSTAFFING SERVCSServicesDesc
Compensation$192,514CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Government Grants$5,650,067GovernmentGrantsAmt
Total Contributions$5,650,067TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT SERVICE REVENUEDesc
Business621300BusinessCd
Total Revenue Column$39,096,482TotalRevenueColumnAmt
Related Or Exempt Func Income$39,096,482RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$39,096,482TotalProgramServiceRevenueAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$99,036RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$99,036RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$99,036TotalRevenueColumnAmt
Exclusion$99,036ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
COFFEE SHOP, CAFETERIA, OTHER900099$1,079,061$1,079,061
CONTRACTED PHARMACY 340B REV722210$777,902$777,902
FieldValueIRS element (for citing)
Other Revenue Total$1,856,963OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$46,702,548TotalRevenueColumnAmt
Related Or Exempt Func Income$39,874,384RelatedOrExemptFuncIncomeAmt
Exclusion$1,178,097ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$276,789TotalAmt
Management And General$276,789ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$21,123,391TotalAmt
Program Services$19,495,037ProgramServicesAmt
Management And General$1,628,354ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,941,940TotalAmt
Program Services$2,941,940ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,748,528TotalAmt
Program Services$1,248,829ProgramServicesAmt
Management And General$1,499,699ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,892,153TotalAmt
Program Services$1,886,030ProgramServicesAmt
Management And General$6,123ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total-$28,528TotalAmt
Program Services$1,782ProgramServicesAmt
Management And General-$30,310ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$15,042TotalAmt
Program Services$15,042ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$42,780TotalAmt
Program Services$756ProgramServicesAmt
Management And General$42,024ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$62,596TotalAmt
Program Services$52,375ProgramServicesAmt
Management And General$10,221ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,123,779TotalAmt
Program Services$821,297ProgramServicesAmt
Management And General$302,482ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$80,946TotalAmt
Program Services$72,748ProgramServicesAmt
Management And General$8,198ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$141,589TotalAmt
Management And General$141,589ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$3,555,739TotalAmt
Program Services$3,555,739ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,927,936TotalAmt
Program Services$2,927,936ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$622,386TotalAmt
Program Services$87,178ProgramServicesAmt
Management And General$535,208ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
DRUGS & PHARMACEUTICALS$6,118,671$6,118,671
SUPPLIES$2,666,913$2,615,316$51,597
REPAIRS AND SERVICE MAINT$1,110,399$1,110,399
OTHER EXPENSES$886,508$244,200$642,308

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$273,964TotalAmt
Program Services$273,964ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$48,583,521TotalAmt
Program Services$43,469,239ProgramServicesAmt
Management And General$5,114,282ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,152BOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$720,145BOYAmt
EOY$1,718,895EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,981,066BOYAmt
EOY$4,895,981EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,280,979BOYAmt
EOY$1,285,830EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$181,202BOYAmt
EOY$196,660EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$34,602,162LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$17,749,838LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$18,529,516BOYAmt
EOY$16,852,324EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$8,088,541BOYAmt
EOY$8,932,275EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,423,634BOYAmt
EOY$2,112,717EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$36,206,235BOYAmt
EOY$35,994,682EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$28,048,901BOYAmt
EOY$28,347,440EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$2,324,574BOYAmt
EOY$2,593,145EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$560,000BOYAmt
EOY$780,000EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$30,933,475BOYAmt
EOY$31,720,585EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,272,760BOYAmt
EOY$4,274,097EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,272,760BOYAmt
EOY$4,274,097EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$36,206,235BOYAmt
EOY$35,994,682EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$1,880,973ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$882,310NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,912,247BeginningYearBalanceAmt
Contributions$237,860ContributionsAmt
Investment Earnings Or Losses$456,214InvestmentEarningsOrLossesAmt
End Year Balance$5,606,321EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,700,296BeginningYearBalanceAmt
Contributions$39,943ContributionsAmt
Investment Earnings Or Losses$172,008InvestmentEarningsOrLossesAmt
End Year Balance$4,912,247EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,236,464BeginningYearBalanceAmt
Contributions$314,065ContributionsAmt
Investment Earnings Or Losses$55,042InvestmentEarningsOrLossesAmt
End Year Balance$3,605,571EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,070,379BeginningYearBalanceAmt
Contributions$114,433ContributionsAmt
Investment Earnings Or Losses$51,652InvestmentEarningsOrLossesAmt
End Year Balance$3,236,464EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,839,263BeginningYearBalanceAmt
Contributions$191,313ContributionsAmt
Investment Earnings Or Losses$39,803InvestmentEarningsOrLossesAmt
End Year Balance$3,070,379EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$615,000OtherCostOrOtherBasisAmt
Book Value$615,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$15,501,299OtherCostOrOtherBasisAmt
Depreciation$5,372,071DepreciationAmt
Book Value$10,129,228BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$69,670OtherCostOrOtherBasisAmt
Depreciation$69,595DepreciationAmt
Book Value$75BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$18,367,478OtherCostOrOtherBasisAmt
Depreciation$12,308,172DepreciationAmt
Book Value$6,059,306BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$48,715OtherCostOrOtherBasisAmt
Book Value$48,715BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$16,852,324TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
LONG TERM DEPOSITS$1,798,507
JOINT VENTURES$314,210
FieldValueIRS element (for citing)
Total Book Value Other Assets$2,112,717TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescPROFESSIONAL LIABILITY CLAIMS RESERVDesc
Amt$780,000Amt
FieldValueIRS element (for citing)
Total Liability$780,000TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PAGE 2, PART V, LINE 4FormAndLineReferenceDesc
ExplanationSPARROW CARSON HOSPITAL DOES NOT HOLD ENDOWMENTS. THE ENDOWMENTS ARE HELD BY SPARROW FOUNDATION, CARSON FOUNDATION INC, AND SPARROW EATON HOSPITAL. SPARROW HEALTH SYSTEM IS THE SOLE MEMBER OF SPARROW CARSON HOSPITAL, CARSON FOUNDATION INC, SPARROW FOUNDATION, AND SPARROW EATON HOSPITAL. 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.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent200 DYes (X)Percent200DInd
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$730,241TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$730,241NetCommunityBenefitExpnsAmt
Total Expense0.01500TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$15,384,214TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,867,017DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,517,197NetCommunityBenefitExpnsAmt
Total Expense0.23710TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$16,114,455TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,867,017DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,247,438NetCommunityBenefitExpnsAmt
Total Expense0.25210TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Direct Offsetting Revenue$10,000DirectOffsettingRevenueAmt

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$21,746TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$35,178DirectOffsettingRevenueAmt

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$21,746TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$45,178DirectOffsettingRevenueAmt

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$16,136,201TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,912,195DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,247,438NetCommunityBenefitExpnsAmt
Total Expense0.25210TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$621,891BadDebtExpenseAmt
Bad Debt Expense Attributable$32,649BadDebtExpenseAttributableAmt
Reimbursed By Medicare$6,512,000ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$6,041,704CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$470,296MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SPARROW CARSON HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1406 E ELM STREETAddressLine1Txt
CityCARSON CITYCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48811ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.SPARROW.ORGWebsiteAddressTxt
State License1060000095StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
Emergency Room OtherYes (X)EmergencyRoomOtherInd
OtherWALK-IN CLINICOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1SPARROW CARSON HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted19CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.SPARROW.ORGOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsitefalseStrategyPostedWebsiteInd
Strategy AttachedYes (true)StrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care200.000000000000FPGFamilyIncmLmtDscntCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.SPARROW.ORGFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.SPARROW.ORGFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.SPARROW.ORGFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesYes (true)GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FACILITY 1, SPARROW CARSON HOSPITAL - PART V, LINE 3ETHE SIGNIFICANT HEALTH NEEDS WERE PRIORITIZED AND DOCUMENTED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT.
FACILITY 1, SPARROW CARSON HOSPITAL - PART V, LINE 5AS A SUPPLEMENT TO THE HEALTHY CAPITAL COUNTIES (HCC) COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), INTERVIEWEES AND FOCUS GROUP PARTICIPANTS WERE SOLICITED FROM A WIDE VARIETY OF COMMUNITY RESIDENTS WITHIN THE PRINCIPAL AREAS SERVED BY SPARROW HEALTH SYSTEM HOSPITALS. AMONG THOSE SOLICITED WERE COMMUNITY LEADERS AND HEALTH CARE LEADERS; STATE AND LOCAL ELECTED OFFICIALS; PHYSICIANS AND OTHER HEALTH CARE PROVIDERS OR WORKERS; LEADERS AND MEMBERS OF RACIAL, ETHNIC, AND RELIGIOUS MINORITIES; EDUCATORS; STUDENTS; RETIREES; SOCIAL SERVICE PROVIDERS; AND OTHERS. MINORITY GROUPS WITH WHOM THESE ISSUES WERE DISCUSSED INCLUDED AFRICAN AMERICANS, MEMBERS OF THE MUSLIM COMMUNITY FROM SEVERAL DIFFERENT ETHNIC BACKGROUNDS, INTERNATIONAL STUDENTS, AND MEMBERS OF THE EAST INDIAN COMMUNITY. HEALTHCARE ISSUES WITHIN THE HISPANIC COMMUNITY WERE ADDRESSED BY A PHYSICIAN THAT SERVES THE HISPANIC COMMUNITY. INTERNATIONAL STUDENTS WERE FROM CHINA AND THE MIDDLE EAST.
FACILITY 1, SPARROW CARSON HOSPITAL - PART V, LINE 6ASPARROW 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 11SPARROW 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 IMPROVED ACCESS TO HEALTHCARE AND INCREASED AWARENESS OF EXISTING COMMUNITY RESOURCES. 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 24ALL 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.
FieldValueIRS element (for citing)
Facility11FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
SMG ITHACA
114 N MAIN STITHACAMI48847GENERAL MEDICAL OUTPATIENT CLINIC
SMG CARSON
102 S THIRD ST SUITE 100 BOX 277CARSON CITYMI48811GENERAL MEDICAL OUTPATIENT CLINIC
PHYSICAL REHABILITATION CARE CENTER
602 E ELM STREETCARSON CITYMI48811GENERAL MEDICAL OUTPATIENT CLINIC
SMG GREENVILLE
1014 E WASHINGTONGREENVILLEMI48838GENERAL MEDICAL OUTPATIENT CLINIC
SMG STANTON
545 N STATE ST BOX 638STANTONMI48888GENERAL MEDICAL OUTPATIENT CLINIC
SMG ASHLEY
320 S STERLING ST BOX 96ASHLEYMI48806GENERAL MEDICAL OUTPATIENT CLINIC
SMG PAIN MANAGEMENT
102 S THIRD ST SUITE 300CARSON CITYMI48811GENERAL MEDICAL OUTPATIENT CLINIC
SMG ORTHOPEDICS AND GENERAL SURGERY
102 S THIRD ST SUITE 400 BOX 326CARSON CITYMI48811GENERAL MEDICAL OUTPATIENT CLINIC
HOSPITALISTS
406 E ELM STREETCARSON CITYMI48811GENERAL MEDICAL OUTPATIENT CLINIC
SMG FOWLER
11017 W THIRD ST BOX 19FOWLERMI48835GENERAL MEDICAL OUTPATIENT CLINIC
SMG CARSON OBGYN
639 E MAIN STCARSON CITYMI48811GENERAL MEDICAL OUTPATIENT CLINIC

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART I, LINE 7THE 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. IN RESPONSE TO THE COVID-19 PANDEMIC THE HOSPITAL RECEIVED GENERAL AND TARGETED DISTRIBUTIONS UNDER THE CARES ACT PROVIDER RELIEF FUNDING. THE HOSPITAL HAS MET THE CONDITIONS AND RESTRICTIONS NECESSARY TO RETAIN THE DISTRIBUTIONS ENTIRELY THROUGH A CALCULATION OF LOST REVENUE DURING THE YEAR ENDED 12/31/2020. AS A RESULT THE PROVIDER RELIEF FUNDING DISTRIBUTIONS RECEIVED BY THE HOSPITAL ARE NOT INCLUDED AS OFFSETTING REVENUE IN THE SCHEDULE H.
SCHEDULE H, PART III, LINE 2THE 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 3IN 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 4BAD DEBT FOOTNOTE - SEE THE ATTACHED AUDITED FINANCIAL STATEMENTS.
SCHEDULE H, PART III, LINE 8THE 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 9BTHE 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 2SPARROW 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 3ALTHOUGH 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 THE METHODS USED TO PUBLICIZE ITS FINANCIAL ASSISTANCE POLICY WITHIN THE COMMUNITY SERVED.
SCHEDULE H, PART VI, LINE 4SPARROW 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 5SPARROW 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 6SPARROW CARSON HOSPITAL IS A WHOLLY-OWNED 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 WHOLLY-OWNED AND CONTROLLED SUBSIDIARIES: PHYSICIAN HEALTH PLAN, PHYSICIAN HEALTH NETWORK, EDWARD W SPARROW HOSPITAL, SPARROW CLINTON HOSPITAL, SPARROW SPECIALTY HOSPITAL, SPARROW CARSON HOSPITAL, SPARROW DEVELOPMENT, INC, SPARROW COMMUNITY CARE, SPARROW IONIA HOSPITAL, SPARROW FOUNDATION, SPARROW EATON HOSPITAL, AND SPARROW CLINICAL RESEARCH INSTITUTE.
SCHEDULE H, PART VI, LINE 7MICHIGAN

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgYes (true)CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsYes (true)CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (true)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (true)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtBonus Related OrganizationsBonusRelatedOrganizationsAmt
MARK BRETT
FORMER BOARD MEMBER$363,011$273,157$17,365$653,533
PAULA REICHLE
SR VP - CFO - SHS$500,829$54,528$49,407$632,321$27,557
PARUTAPPA BHIMALLI MD
PHYSICIAN$473,946$23,638$26,992$8,400$52,209$585,185
CHRISTOPHER E HERALD MD
FORMER BOARD MEMBER$462,463$16,896$1,181$16,950$39,254$536,744
MICHELLE BECHER
PHYSICIAN$346,285$94,474$1,156$16,950$43,902$502,767
SUSAN OTT
PHYSICIAN$463,233$110$8,341$25,452$497,136
MICHAEL RACINE MD
PHYSICIAN$420,138$16,896$1,181$16,950$38,644$493,809
KIRA CARTER-ROBERTSON
BOARD MEMBER$363,534$35,504$48,938$449,451$1,275$200
THOMAS OSTRANDER
FORMER BOARD MEMBER$328,599$35,760$46,187$437,139$23,493$3,100
JANET ENG
PHYSICIAN$345,069$2,096$8,550$19,637$375,352
DAVID J FREESTONE MD
BOARD MBR/PHYSICIAN$236,788$69,227$2,239$8,400$37,406$354,060
WILLIAM HOWE
FORMER BOARD MEMBER$267,918$16,541$32,662$318,533$1,412
MARK BRISBOE
CFO$231,640$6,150$979$6,015$31,346$276,130
LINDA REETZ
FORMER OFFICER$239,428$8,400$25,882$274,896$986$200
DOUGLAS POFF DO
FORMER BOARD MEMBER$187,397$39,867$3,198$13,681$30,025$274,168
RUSSELL ANDERSON DO
BOARD MEMBER$197,683$38,165$1,808$7,479$21,514$266,649
NANCY WEAVER
FORMER OFFICER$116,606$7,561$12,717$139,505$2,621

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PAGE 1, PART I, LINE 4MARK BRETT 363,011 245,797 0 PAULA REICHLE 0 46,128 0 KIRA CARTER-ROBERTSON 0 27,104 0 GARY REETZ 0 32,670 0
SCHEDULE J, PAGE 1, PART I, LINE 5ATHE 2020 INCENTIVE COMPENSATION PLAN PAYMENTS WERE ACCRUED IN 2020 AND WILL BE PAID IN 2021. THE INCENTIVE COMPENSATION PLAN IS BASED, IN PART, ON THE OPERATING MARGIN OF SPARROW HEALTH SYSTEM AS WELL AS AFFILIATED COMPANIES.
SCHEDULE J, PAGE 1, PART I, LINE 5BTHE 2020 INCENTIVE COMPENSATION PLAN PAYMENTS WERE ACCRUED IN 2020 AND WILL BE PAID IN 2021. THE INCENTIVE COMPENSATION PLAN IS BASED, IN PART, ON THE OPERATING MARGIN OF SPARROW HEALTH SYSTEM AS WELL AS AFFILIATED COMPANIES.
SCHEDULE J, PAGE 1, PART I, LINE 6ATHE 2020 INCENTIVE COMPENSATION PLAN PAYMENTS WERE ACCRUED IN 2020 AND WILL BE PAID IN 2021. THE INCENTIVE COMPENSATION PLAN IS BASED, IN PART, ON THE OPERATING MARGIN OF SPARROW HEALTH SYSTEM AS WELL AS AFFILIATED COMPANIES.
SCHEDULE J, PAGE 1, PART I, LINE 6BTHE 2020 INCENTIVE COMPENSATION PLAN PAYMENTS WERE ACCRUED IN 2020 AND WILL BE PAID IN 2021. THE INCENTIVE COMPENSATION PLAN IS BASED, IN PART, ON THE OPERATING MARGIN OF SPARROW HEALTH SYSTEM AS WELL AS AFFILIATED COMPANIES.
SCHEDULE J, PART IIICHRISTOPHER HERALD, THOMAS OSTRANDER, WILLIAM HOWE, LINDA REETZ, NANCY WEAVER, AND DOUGLAS POFF ARE FORMER BOARD MEMBERS/OFFICERS BEING COMPENSATED BY SPARROW HEALTH SYSTEM AND AFFILIATES FOR SERVICES PROVIDED TO SPARROW HEALTH SYSTEM AND AFFILIATES IN POSITIONS OTHER THAN BOARD MEMBERS/OFFICERS. THE FORMER BOARD MEMBERS ARE NOT BEING COMPENSATED FOR ANY PAST SERVICES PROVIDED TO SPARROW CARSON HOSPITAL AS FORMER BOARD MEMBERS.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonJASSE AKINPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionFAMILYRelationshipDescriptionTxt
Transaction$61,575TransactionAmt
TransactionEMPLOYEETransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990ALL LINES LEFT BLANK ARE NOT APPLICABLE TO THE ORGANIZATION. 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 4ASPARROW 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 IN A FOUR-COUNTY AREA. SCCH CURRENTLY OPERATES A SHORT-TERM, ACUTE-CARE FACILITY AND SEVERAL SATELLITE CLINICS OFFERING INPATIENT AND OUTPATIENT HEALTHCARE SERVICES, PHYSICIAN SERVICES, AND HOME HEALTH CARE, PRIMARILY TO PATIENTS IN THE CARSON CITY, MICHIGAN AREA, INCLUDING GRATIOT, MONTCALM, CLINTON, AND IONIA COUNTIES. SCCH PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. BECAUSE SCCH DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE UNDER ARRANGEMENTS WITH VARIOUS GOVERNMENTAL INSURANCE PROGRAMS. SCCH PROVIDES SIGNIFICANT CARE TO THE LOCAL INDIGENT POPULATION FOR WHICH REIMBURSEMENT FOR SERVICES RENDERED IS GENERALLY, LESS THAN THE COST OF PROVIDING SUCH SERVICES AS PART OF ITS OBLIGATION TO THE LOCAL COMMUNITY. SCCH ALSO PROVIDES SERVICES TO INDIGENT PATIENTS UNDER THE MEDICAID PROGRAM AT PAYMENT AMOUNTS LESS THAN THE COST OF THE SERVICES PROVIDED. FOR THE YEAR ENDED DECEMBER 31, 2020, SCCH PROVIDED OVER 2 MILLION IN UNCOMPENSATED CARE. THE ESTIMATED ANNUAL TOTAL LOCAL ECONOMIC IMPACT IS 30,000,000.
FORM 990, PAGE 2, PART III, LINE 4DOTHER PROGRAM SERVICES INCLUDE THE OPERATION OF THE PHYSICAL REHABILITATION CENTER AND THE FOLLOWING SPARROW MEDICAL GROUP (SMG) FACILITIES INCLUDING: SMG CARSON GENERAL SURGERY,SMG CARSON ORTHOPEDICS, SMG CARSON OBGYN, SMG ASHLEY, SMG CARSON, SMG FOWLER, SMG GREENVILLE, SMG ITHACA, SMG PEDIATRICS CARSON CITY, AND SMG STANTON.
FORM 990, PAGE 6, PART VI, LINE 6SPARROW HEALTH SYSTEM IS THE SOLE MEMBER OF SPARROW CARSON HOSPITAL AND HAS 100% OWNERSHIP.
FORM 990, PAGE 6, PART VI, LINE 7ASPARROW HEALTH SYSTEM HAS THE RIGHT TO ELECT MEMBERS OF THE SPARROW CARSON HOSPITAL BOARD. THE PRESIDENT OF THE MEDICAL STAFF, WHICH IS A MEMBER OF THE GOVERNING BODY, IS ELECTED BY THE MEDICAL STAFF OF SPARROW CARSON HOSPITAL.
FORM 990, PAGE 6, PART VI, LINE 7BSPARROW HEALTH SYSTEM HAS THE RIGHT TO ELECT, REPLACE, AND REMOVE DIRECTORS OF SPARROW CARSON HOSPITAL BOARD. SPARROW HEALTH SYSTEM ALSO HAS THE AUTHORITY TO APPROVE DECISIONS OF THE SPARROW CARSON HOSPITAL BOARD WHEN IT IS DEEMED NECESSARY.
FORM 990, PAGE 6, PART VI, LINE 11BCOPIES OF THE 2020 FORM 990 ARE REVIEWED BY MANAGEMENT. ONCE MANAGEMENT COMPLETED ITS REVIEW OF FORM 990 COPIES WERE PROVIDED AT THE FALL 2021 BOARD MEETING FOR ALL BOARD MEMBERS TO REVIEW AND COMMENT ON.
FORM 990, PAGE 6, PART VI, LINE 12C1) 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 15ATHE 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 15BTHE 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 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART VIISPARROW HEALTH SYSTEM IS AN INTEGRATED NON-PROFIT ORGANIZATION AND IS THE PARENT CORPORATION OF SPARROW CARSON HOSPITAL AND OTHER RELATED ENTITIES. PAULA REICHLE IS THE VICE PRESIDENT & CHIEF FINANCIAL OFFICER OF SPARROW HEALTH SYSTEM AND THEREBY HAS ULTIMATE RESPONSIBILITY FOR MANAGING THE FINANCIAL OPERATIONS OF THE SYSTEM AND THEREFORE IS THE SIGNATURE OFFICER OF THE HEALTH SYSTEM.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (14 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
CARSON FOUNDATION INC
406 E ELM STREETCARSON CITYMI48811460877509FUNDRAISEMI501C312ACCHYes (true)
SPARROW HEALTH SYSTEM
1215 E MICHIGAN AVENUELANSINGMI48912382542859PARENTMI501C312ANAfalse
SPARROW COMMUNITY CARE
3315 E MICHIGAN AVENUE STE 4LANSINGMI48912382543305HLTH CAREMI501C310SHSYes (true)
PHYSICIANS HEALTH PLAN
1400 E MICHIGAN AVENUELANSINGMI48912382356288INSURANCEMI501C4PHP HO LLCYes (true)
PHP MEDICARE
1400 E MICHIGAN AVENUELANSINGMI48912832766121HMOMI501C4PHPYes (true)
PHYSICIANS HEALTH NETWORK
1400 E MICHIGAN AVENUELANSINGMI48912382594856HMOMI501C4PHP HO LLCYes (true)
SPARROW FOUNDATION
1215 E MICHIGAN AVENUELANSINGMI48912386100687FUNRAISEMI501C312BSHSYes (true)
SPARROW CLINTON HOSPITAL
805 S OAKLANDST JOHNSMI48879381358172HLTH CAREMI501C33SHSYes (true)
SPARROW SPECIALTY HOSPITAL
1215 E MICH AVE 8W SPARROW TOWERLANSINGMI48912141885340LT CAREMI501C33SHSYes (true)
SPARROW IONIA HOSPITAL
3565 S STATE RDIONIAMI48846383218134HLTH CAREMI501C33SHSYes (true)
SPARROW CLINICAL RESEARCH INSTITUTE
1200 E MICHIGAN AVENUELANSINGMI48912383075242RESEARCHMI501C34SHSYes (true)
EDWARD W SPARROW HOSPITAL
1215 E MICHIGAN AVENUELANSINGMI48912381360584HLTH CAREMI501C33SHSYes (true)
SPARROW EATON HOSPITAL
321 E HARRIS STCHARLOTTEMI48813382007629HLTH CAREMI501C33SHSYes (true)
SPARROW EATON HOSPITAL AUXILIARY
321 E HARRIS STCHARLOTTEMI48813382377160FUNDRAISEMI501C33SHSYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1PHP HOLDINGS LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11400 E MICHIGAN AVEAddressLine1Txt
CityLANSINGCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48912ZIPCd
FieldValueIRS element (for citing)
EIN833965697EIN
Primary ActivitiesHOLDING COPrimaryActivitiesTxt
Legal Domicile StateMILegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Disproportionate AllocationsfalseDisproportionateAllocationsInd
General Or Managing PartnerfalseGeneralOrManagingPartnerInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
SPARROW DEVELOPMENT INC
1215 E MICHIGAN AVENUELANSINGMI48912382595963RENTALMIN/AYes (true)
PHP INSURANCE COMPANY
1400 E MICHIGAN AVENUELANSINGMI48912205565219INSURANCEMIN/AYes (true)
PHP SERVICE COMPANY
1400 E MICHIGAN AVENUELANSINGMI48912383344741MED SRVCSMIN/AYes (true)
EAST LANSING ATHLETIC CLUB
2900 HANNAH BLVDLANSINGMI48823382886420HLTH CLUBMIN/AYes (true)
MAC RESTAURANT LLC
2900 HANNAH BLVDEAST LANSINGMI48823205120690RESTAURANTMIN/AYes (true)
CLINTON SERVICES CORPORATION
805 S OAKLANDST JOHNSMI48879382494110SERVICESMIN/AYes (true)
EAST LANSING HLTH ATH CLUB & HSP
1200 E MICHIGAN AVENUE STE 600LANSINGMI48912813131851CONDO ASSOMIN/AYes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
EDWARD W SPARROW HOSPITAL
P$336,000COST
EDWARD W SPARROW HOSPITAL
R$141,589COST

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