2020-11-12T12:26:34-06:00 2019-12-31 383133790 ANDREWS HOOPER PAVLIK PLC 4295 OKEMOS RD STE 200 OKEMOS MI 488646201 990 2019-01-01 381490180 SPARROW CARSON HOSPITAL SPAR 9895843971 406 E ELM STREET PO BOX 879 CARSON CITY MI 48811 PAULA REICHLE SR VP - CFO - SHS 9895843971 2020-10-23 true JULIE M PFEIFLE P00751307 5177060800 2020-10-23 52.38.98.93 2020-11-12 12:26:34 CS P 7EAAAA8737DE4B218ECA784B8663C2F42330AC2A B61FCFACF4DC7316CEEE1EFA998B902DB577BE66 2019 2021-01-29 14:40:06Z KIRA CARTER-ROBERTSON 1215 E MICHIGAN AVENUE LANSING MI 48912 44677347 false X WWW.SPARROW.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. 13 7 401 33 0 40169 36805 44533585 41575485 0 2445429 3065057 47019183 44677347 0 0 30792334 27854613 0 0 23116552 23005909 53908886 50860522 -6889703 -6183175 37620945 36206235 29756568 30933475 7864377 5272760 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 34520463 29056024 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 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, 2019, SCCH PROVIDED OVER 2 MILLION IN UNCOMPENSATED CARE. THE ESTIMATED ANNUAL TOTAL LOCAL ECONOMIC IMPACT IS 30,000,000. 3156406 3258455 CARSON APOTHECARY SHOPPE IS A FULL-SERVICE RETAIL PHARMACY THAT OFFERS A SELECTION OF OVER-THE-COUNTER HEALTHCARE ITEMS AND MEDICATIONS. PHARMACIST PRESCRIPTION CONSULATION 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. 1580639 2209568 SMG 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. 8291245 7051438 OTHER PROGRAM SERVICES INCLUDE THE OPERATION OF THE FOLLOWING FACILITIES: SPARROW MEDICAL GROUP (SMG) ASHLEY, SPARROW CARSON HOSPITAL, SMG GENERAL SURGERY, PHYSICAL REHABILITATION CENTER, SMG FOWLER, SMG GREENVILLE, HOSPITALISTS, SMG PEDIATRICS CARSON CITY, SMG STANTON, SMG PAIN MANAGEMENT. 8291245 7051438 47548753 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 33 0 true 401 true false false false false false false false false false false false false X 13 7 false false false false true true true true true false false true true true true true true true true false MI X MARK BRISBOE 9895843971 406 E ELM STREET CARSON CITY MI 48811 X PAULA REICHLE SR VP - CFO 2.00 40.00 X X 0 535378 103598 MARK BRETT FORMER BOARD 0.00 40.00 X 0 547175 55281 PARUTAPPA BHIMALLI MD PHYSICIAN 40.00 X 516084 0 58859 CHRISTOPHER E HERALD MD CHIEF OF STA 40.00 X 465521 0 53641 MICHELLE BECHER PHYSICIAN 40.00 X 430369 0 62696 MICHAEL RACINE MD PHYSICIAN 40.00 X 414507 0 53248 KIRA CARTER-ROBERTSON VP-AFFILIATE 2.00 40.00 X X 0 366221 79555 THOMAS OSTRANDER FORMER BOARD 0.00 40.00 X 0 340073 78714 WILLIAM ROESER PRESIDENT/CE 2.00 40.00 X X 0 356308 48272 DAVID J FREESTONE MD BOARD MBR/PH 40.00 X 340217 0 45249 WILLIAM HOWE BOARD MEMBER 2.00 40.00 X 0 323335 50265 SUSAN OTT PHYSICIAN 40.00 X 331295 0 30212 MANUEL NAVAS PHYSICIAN 40.00 X 305005 0 49778 LINDA REETZ PRES SPARROW 2.00 40.00 X 0 283395 33775 RUSSELL ANDERSON DO BOARD MEMBER 40.00 X 248437 0 29230 DOUGLAS POFF DO FORMER BOARD X 231640 0 45033 DENNIS SWAN FORMER PRES/ X 0 123529 121269 MARK BRISBOE CFO 40.00 13.00 X X 200886 0 35982 NANCY WEAVER FORMER OFFIC X 0 132561 21689 GARY REETZ BOARD MEMBER 2.00 X 0 32673 0 RODERICK COY SECRETARY 2.00 X 1416 0 0 CHRISTOPHER COPP BOARD MEMBER 2.00 X 0 0 0 DANIYEL MCALVEY BOARD MEMBER 2.00 X 0 0 0 RICHARD SCHROEDER CHAIR 2.00 X X 0 0 0 JEAN SOUTHWARD BOARD MEMBER 2.00 X 0 0 0 CAROL PRIEBE WILES VICE CHAIR 2.00 X 0 0 0 BRENT WILSON BOARD MEMBER 2.00 X 0 0 0 3485377 3040648 1056346 44 true true false PHYSICIAN ANESTHESIA SRV PC 1200 E MICHIGAN AVE STE 370 LANSING MI 489121897 STAFFING SERVCS 405484 AMERICAN HEALTHCARE SERVICES ASSOC PO BOX 945 TRAVERSE CITY MI 496850945 STAFFING SERVCS 110492 2 36805 36805 NET PATIENT SERVICE REVENUE 621300 41575485 41575485 41575485 98528 98528 98528 98528 CONTRACTED PHARMACY 340B REV 900099 1488430 1488430 COFFEE SHOP, CAFETERIA, OTHER 722210 1478099 1478099 2966529 44677347 43063915 1576627 154251 154251 21926425 20393002 1533423 1110454 1026955 83499 3232631 2629613 603018 1430852 1302787 128065 2080545 2080545 16995 16995 14938 14909 29 78179 78179 3048023 3016722 31301 1184023 1007568 176455 184825 155887 28938 153752 153752 3887055 3887055 3035403 3035403 487281 85238 402043 DRUGS & PHARMACEUTICALS 5721227 5721227 REPAIRS AND SERVICE MAINT 1127570 1127570 IMPLANTS 400986 400986 ORTHO JOINT REPLACEMENT 159533 159533 1425574 1425574 50860522 47548753 3311769 0 1897 1152 670654 720145 4991354 4981066 1407909 1280979 259939 181202 33555765 15026249 20835945 18529516 7006421 8088541 2446826 2423634 37620945 36206235 27008110 28048901 2308458 2324574 440000 560000 29756568 30933475 X 7864377 5272760 7864377 5272760 37620945 36206235 X -6183175 822848 2768710 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4700296 39943 232639 4972878 3236464 314065 55042 3605571 3070379 114433 51652 3236464 2839263 191313 39803 3070379 2481728 361583 -4048 2839263 1.00000 false true true 615000 615000 15552528 5032085 10520443 17339522 9994164 7345358 48715 48715 18529516 LONG TERM DEPOSITS 2109757 JOINT VENTURES 313877 2423634 PROFESSIONAL LIABILITY CLAIMS RESERV 560000 560000 SCHEDULE D, PAGE 2, PART V, LINE 4 SPARROW 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. SCHEDULE D, PAGE 4, PART XIII DURING THE PREPARATION OF THE 2019 FORM 990, IT WAS DETERMINED THAT AMOUNTS WERE BEING REPORTED ON PART V ENDOWMENT FUNDS FROM AN AFFILIATED HOSPITAL THAT DID NOT MEET THE DEFINITION OF AN ENDOWMENT FUND. THESE AMOUNTS HAVE BEEN REMOVED FROM THE CURRENT SCHEDULE, INCLUDING PREVIOUS YEARS' REPORTING. true true true X true X true true false true true 893853 893853 0.01760 16653613 3566221 13087392 0.25730 17547466 3566221 13981245 0.27490 35383 35383 0.00070 116289 29562 86727 0.00170 151672 29562 122110 0.00240 17699138 3595783 14103355 0.27730 true 710854 37320 7585540 7386789 198751 X true true 1 1 SPARROW CARSON HOSPITAL 406 E ELM STREET CARSON CITY MI 48811 WWW.SPARROW.ORG 1060000095 X X X X URGENT CARE SPARROW CARSON HOSPITAL 1 false false true X X X X X X X X 19 true true true true X WWW.SPARROW.ORG X true 19 false true false true X 200.000000000000 200.000000000000 X X true true X X X true X WWW.SPARROW.ORG X WWW.SPARROW.ORG X WWW.SPARROW.ORG X X X true X false 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 AS 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 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 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 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. 13 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 SPARROW CARSON HOME CARE 406 E ELM STREET CARSON CITY MI 48811 GENERAL MEDICAL OUTPATIENT CLINIC SMG GREENVILLE 1014 E WASHINGTON GREENVILLE MI 48838 GENERAL MEDICAL OUTPATIENT CLINIC SMG PEDIATRIC ADOLESCENT SPECIALIST 245 S SECOND ST BOX 847 CARSON CITY MI 48811 GENERAL MEDICAL OUTPATIENT CLINIC SMG STANTON 545 N STATE ST BOX 638 STANTON MI 48888 GENERAL MEDICAL OUTPATIENT CLINIC SMG ASHLEY 320 S STERLING ST BOX 96 ASHLEY MI 48806 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 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, LYONS, MAPLE RAPIDS 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. THE HOSPITAL ALSO MAINTAINS A MONTHLY BROWN BAG LUNCH SERIES FEATURING SIMILAR TOPICS, WHICH IS HELD INSIDE THE HOSPITAL AND OPEN TO THE COMMUNITY. 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 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 7 MICHIGAN X true true X X X X X X true true false false false false false true false PAULA REICHLE SR VP - CFO - SHS 507438 27940 55319 48279 638976 MARK BRETT FORMER BOARD MEMBER 546252 923 34570 20711 602456 PARUTAPPA BHIMALLI MD PHYSICIAN 470625 19008 26451 8250 50609 574943 CHRISTOPHER E HERALD MD CHIEF OF STAFF 449284 14877 1360 16650 36991 519162 MICHELLE BECHER PHYSICIAN 339888 89349 1132 16650 46046 493065 MICHAEL RACINE MD PHYSICIAN 400556 13202 749 16636 36612 467755 KIRA CARTER-ROBERTSON VP-AFFILIATE OPER 365197 200 824 35934 43621 445776 THOMAS OSTRANDER FORMER BOARD MEMBER 316319 100 23654 42970 35744 418787 WILLIAM ROESER PRESIDENT/CEO 295959 52942 7407 26320 21952 404580 DAVID J FREESTONE MD BOARD MBR/PHYSICIAN 228877 109186 2154 8250 36999 385466 WILLIAM HOWE BOARD MEMBER 306852 15100 1383 16419 33846 373600 SUSAN OTT PHYSICIAN 331003 292 8400 21812 361507 MANUEL NAVAS PHYSICIAN 297598 3051 4356 15727 34051 354783 LINDA REETZ PRES SPARROW IONIA 231737 50716 942 6599 27176 317170 RUSSELL ANDERSON DO BOARD MEMBER 190326 56370 1741 8250 20980 277667 DOUGLAS POFF DO FORMER BOARD MEMBER 182782 46028 2830 11013 34020 276673 DENNIS SWAN FORMER PRES/CEO SHS 122043 1486 109627 11642 244798 MARK BRISBOE CFO 200013 100 773 5819 30163 236868 NANCY WEAVER FORMER OFFICER 130068 2213 280 7873 13816 154250 SCHEDULE J, PAGE 1, PART I, LINE 1A CERTAIN BOARD MEMBERS- AND EXECUTIVES' MICHIGAN ATHLETIC CLUB DUES ARE PAID BY THE ENTITY. THESE AMOUNTS ARE CONSIDERED TAXABLE COMPENSATION. SCHEDULE J, PAGE 1, PART I, LINE 3 SPARROW HEALTH SYSTEM IS THE SOLE MEMBER OF SPARROW CARSON HOSPITAL. SPARROW HEALTH SYSTEM IS AN INTEGRATED NON-PROFIT ORGANIZATION THAT INCLUDES A NUMBER OF NON-PROFIT ENTITIES. THE METHODS SELECTED FOR DETERMINING THE COMPENSATION OF THE CEO/EXECUTIVE DIRECTOR ARE METHODS WHICH ARE BEING USED BY ALL SPARROW HEALTH SYSTEM RELATED ENTITIES. SCHEDULE J, PAGE 1, PART I, LINE 4 PAULA REICHLE 0 47,069 0 MARK BRETT 469,779 0 0 KIRA CARTER-ROBERTSON 0 27,687 0 GARY REETZ 0 32,673 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 MARK BRETT, THOMAS OSTRANDER, DENNIS SWAN, NANCY WEAVER, AND DOUGLAS POFF ARE FORMER BOARD MEMBERS BEING COMPENSATED BY SPARROW HEALTH SYSTEM AND AFFILIATES FOR SERVICES PROVIDED TO SPARROW HEALTH SYSTEM AND AFFILIATES IN POSITIONS OTHER THAN BOARD MEMBERS. THE FORMER BOARD MEMBERS ARE NOT BEING COMPENSATED FOR ANY PAST SERVICES PROVIDED TO SPARROW CARSON HOSPITAL AS FORMER BOARD MEMBERS. JASSE AKIN FAMILY 66677 EMPLOYEE false FORM 990 ALL 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 4A 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 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, 2019, 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 4D OTHER PROGRAM SERVICES INCLUDE THE OPERATION OF THE FOLLOWING FACILITIES: SPARROW MEDICAL GROUP (SMG) ASHLEY, SPARROW CARSON HOSPITAL, SMG GENERAL SURGERY, PHYSICAL REHABILITATION CENTER, SMG FOWLER, SMG GREENVILLE, HOSPITALISTS, SMG PEDIATRICS CARSON CITY, SMG STANTON, SMG PAIN MANAGEMENT. FORM 990, PAGE 6, PART VI, LINE 6 SPARROW HEALTH SYSTEM IS THE SOLE MEMBER OF SPARROW CARSON HOSPITAL AND HAS 100% OWNERSHIP. FORM 990, PAGE 6, PART VI, LINE 7A SPARROW 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 7B SPARROW 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 11B COPIES OF THE 2019 FORM 990 ARE REVIEWED BY MANAGEMENT. ONCE MANAGEMENT COMPLETED ITS REVIEW OF FORM 990 COPIES WERE PROVIDED AT THE FALL 2020 BOARD MEETING FOR ALL BOARD MEMBERS TO REVIEW AND COMMENT ON. FORM 990, PAGE 6, PART VI, LINE 12C 1) CORPORATE COMPLIANCE SENDS OUT THE CONFLICT OF INTEREST POLICY AND QUESTIONNAIRES TO ALL VOTING BOARD MEMBERS AND THE EXECUTIVE TEAM ANNUALLY. 2) ALL DISCLOSURES ARE RECEIVED AND REVIEWED BY CORPORATE COMPLIANCE. 3) ALL DISCLOSURES ARE GIVEN A RESOLUTION CODE AND PRESENTED TO THE CEO AND GOVERNANCE COMMITTEE OF THE BOARD. 4) ALL BOARD/COMMITTEE LEVEL DISCLOSURES ARE PROVIDED TO THE RESPECTIVE BOARD CHAIR AND EXECUTIVE LIAISON TO ENSURE ISSUES CAN BE ADDRESSED ON A TRANSACTIONAL LEVEL (I.E. IF A VOTE IS REQUIRED ON A TRANSACTION INVOLVING AN INTERESTED PERSON). FORM 990, PAGE 6, PART VI, LINE 15A THE PROCESS FOR DETERMINING COMPENSATION FOR THE CEO INVOLVED THE FOLLOWING: UTILIZING THE COMPENSATION COMMITTEE, USING INDEPENDENT CONSULTANTS, REVIEWING OTHER SIMILAR ORGANIZATIONS' 990S, USING COMPENSATION SURVEYS, AND FINAL APPROVAL BY THE SHS BOARD OF DIRECTORS, AS WELL AS FINALIZING THE SALARY PACKAGE WITH A WRITTEN EMPLOYMENT CONTRACT. FORM 990, PAGE 6, PART VI, LINE 15B THE PROCESS FOR DETERMINING COMPENSATION FOR OFFICERS OR KEY EMPLOYEES OF THE ORGANIZATION INVOLVED THE FOLLOWING: UTILIZING THE COMPENSATION COMMITTEE, USING INDEPENDENT CONSULTANTS, REVIEWING OTHER SIMILAR ORGANIZATIONS' 990S, USING COMPENSATION SURVEYS, AND FINAL APPROVAL BY THE SHS BOARD OF DIRECTORS, AS WELL AS FINALIZING THE SALARY PACKAGE WITH A WRITTEN EMPLOYMENT CONTRACT. FORM 990, PAGE 6, PART VI, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART VII SPARROW 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. FORM 990, PART XI, LINE 9 SHS ACQUISITION AGREEMENT INV 2,768,710 CARSON FOUNDATION INC 406 E ELM STREET CARSON CITY MI 48811 460877509 FUNDRAISE MI 501C3 12A CCH true SPARROW HEALTH SYSTEM 1215 E MICHIGAN AVENUE LANSING MI 48912 382542859 PARENT MI 501C3 12A NA false SPARROW COMMUNITY CARE 3315 E MICHIGAN AVENUE STE 4 LANSING MI 48912 382543305 HLTH CARE MI 501C3 10 SHS true PHYSICIANS HEALTH PLAN 1400 E MICHIGAN AVENUE LANSING MI 48912 382356288 INSURANCE MI 501C4 SHS true PHP MEDICARE 1400 E MICHIGAN AVENUE LANSING MI 48912 832766121 HMO MI 501C4 PHP true PHYSICIANS HEALTH NETWORK 1400 E MICHIGAN AVENUE LANSING MI 48912 382594856 HMO MI 501C4 SHS true SPARROW FOUNDATION 1215 E MICHIGAN AVENUE LANSING MI 48912 386100687 FUNRAISE MI 501C3 12B SHS true SPARROW CLINTON HOSPITAL 805 S OAKLAND ST JOHNS MI 48879 381358172 HLTH CARE MI 501C3 3 SHS true SPARROW SPECIALTY HOSPITAL 1215 E MICH AVE 8W SPARROW TOWER LANSING MI 48912 141885340 LT CARE MI 501C3 3 SHS true SPARROW IONIA HOSPITAL 3565 S STATE RD IONIA MI 48846 383218134 HLTH CARE MI 501C3 3 SHS true SPARROW CLINICAL RESEARCH INSTITUTE 1200 E MICHIGAN AVENUE LANSING MI 48912 383075242 RESEARCH MI 501C3 4 SHS true EDWARD W SPARROW HOSPITAL 1215 E MICHIGAN AVENUE LANSING MI 48912 381360584 HLTH CARE MI 501C3 3 SHS true SPARROW EATON HOSPITAL 321 E HARRIS ST CHARLOTTE MI 48813 382007629 HLTH CARE MI 501C3 3 SHS true SPARROW EATON HOSPITAL AUXILIARY 321 E HARRIS ST CHARLOTTE MI 48813 382377160 FUNDRAISE MI 501C3 3 SHS true SPARROW DEVELOPMENT INC 1215 E MICHIGAN AVENUE LANSING MI 48912 382595963 RENTAL MI N/A true PHP INSURANCE COMPANY 1400 E MICHIGAN AVENUE LANSING MI 48912 205565219 INSURANCE MI N/A true PHP SERVICE COMPANY 1400 E MICHIGAN AVENUE LANSING MI 48912 383344741 MED SRVCS MI N/A true EAST LANSING ATHLETIC CLUB 2900 HANNAH BLVD LANSING MI 48823 382886420 HLTH CLUB MI N/A true MAC RESTAURANT LLC 2900 HANNAH BLVD EAST LANSING MI 48823 205120690 RESTAURANT MI N/A true CLINTON SERVICES CORPORATION 805 S OAKLAND ST JOHNS MI 48879 382494110 SERVICES MI N/A true EAST LANSING HLTH ATH CLUB & HSP 1200 E MICHIGAN AVENUE STE 600 LANSING MI 48912 813131851 CONDO ASSO MI N/A true false true true false false false false false false false false false true true true true false false false EDWARD W SPARROW HOSPITAL P 336000 COST CARSON FOUNDATION INC C 36805 COST