SPARROW CARSON HOSPITAL: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- SPARROW CARSON HOSPITAL (EIN 38-1490180)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-11-14
- IRS object ID
- 201813189349310956
- Schema version
- 2017v2.3
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-11-14T16:52:27-05:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 383133790 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANDREWS HOOPER PAVLIK PLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4295 OKEMOS RD STE 200 | AddressLine1Txt |
| City | OKEMOS | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 488646201 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 381490180 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SPARROW CARSON HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SPAR | BusinessNameControlTxt |
| Phone | 9895843971 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 406 E ELM STREET PO BOX 879 | AddressLine1Txt |
| City | CARSON CITY | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48811 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PAULA REICHLE | PersonNm |
| Person Title | SR VP - CFO - SHS | PersonTitleTxt |
| Phone | 9895843971 | PhoneNum |
| Signature | 2018-11-06 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MARK E HOOPER | PreparerPersonNm |
| PTIN | P00039887 | PTIN |
| Phone | 5177060800 | PhoneNum |
| Preparation | 2018-11-06 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 167.68.16.49 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-11-14 | IPDt |
| IP Tm | 15:52:27 | IPTm |
| IP Timezone | CS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 80068F944CACDA910C931033D0123EB22FEB5640 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | F54AA8E5C2852FAB473639AD7A0166FAFED196F4 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DENNIS SWAN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1215 E MICHIGAN AVENUE | AddressLine1Txt |
| City | LANSING | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48912 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $49,354,698 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SPARROW.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1938 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or Mission | 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. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 501 | TotalEmployeeCnt |
| Total Volunteers | 75 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| CY Contributions Grants | $7,907 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $53,101,672 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $46,882,761 | CYProgramServiceRevenueAmt |
| CY Investment Income | $388,460 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,763,983 | PYOtherRevenueAmt |
| CY Other Revenue | $2,075,570 | CYOtherRevenueAmt |
| PY Total Revenue | $54,865,655 | PYTotalRevenueAmt |
| CY Total Revenue | $49,354,698 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $31,702,879 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $32,969,927 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $23,865,932 | PYOtherExpensesAmt |
| CY Other Expenses | $27,062,031 | CYOtherExpensesAmt |
| PY Total Expenses | $55,568,811 | PYTotalExpensesAmt |
| CY Total Expenses | $60,031,958 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$703,156 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$10,677,260 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $56,872,392 | TotalAssetsBOYAmt |
| Total Assets EOY | $53,593,075 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $24,304,642 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $26,612,233 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $32,567,750 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $26,980,842 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $45,571,231 | ExpenseAmt |
| Revenue | $33,747,246 | RevenueAmt |
| Desc | 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, 2017, 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,001,450 | ExpenseAmt |
| Revenue | $3,115,032 | RevenueAmt |
| Desc | CARSON 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,333,898 | ExpenseAmt |
| Revenue | $927,101 | RevenueAmt |
| Desc | SMG ORTHOPEDIC SURGERY CLINIC PROVIDES CARE FOR FRACTURES, HAND SURGERY, KNEE ARTHROSCOPY, SHOULDER ARTHROSCOPY, SHOULDER INJURIES, SPORTS INJURIES, AND TOTAL HIP, KNEE, OR SHOULDER REPLACEMENT. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,793,509 | ExpenseAmt |
| Revenue | $9,093,382 | RevenueAmt |
| Desc | 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 LYONS, SMG PEDIATRICS CARSON CITY, SMG STANTON, CARSON HOME CARE, SMG PAIN MANAGEMENT, AND SMG ITHACA. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $3,793,509 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $9,093,382 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $53,700,088 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 52 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 501 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MI | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARK BRISBOE | PersonNm |
| Phone | 9895843971 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 406 E ELM STREET | AddressLine1Txt |
| City | CARSON CITY | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48811 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| MARK BRETT | |||||||||
| BOARD MEMBER | 2.00 | 40.00 | Yes (X) | $0 | $707,603 | $144,320 | |||
| THOMAS OSTRANDER | |||||||||
| BOARD MEMBER | 2.00 | 40.00 | Yes (X) | $0 | $376,493 | $62,598 | |||
| DAVID J FREESTONE MD | |||||||||
| BOARD MBR/PH | 40.00 | Yes (X) | $321,489 | $0 | $43,864 | ||||
| KIRA CARTER-ROBERTSON | |||||||||
| BOARD MEMBER | 2.00 | 40.00 | Yes (X) | $0 | $320,139 | $37,548 | |||
| MATTHEW J THOMPSON | |||||||||
| PRESIDENT/CE | 40.00 | 0.00 | Yes (X) | $317,245 | $0 | $49,910 | Yes (X) | ||
| ROBERT SEALS | |||||||||
| SECR/MED DIR | 40.00 | Yes (X) | $291,050 | $0 | $71,106 | Yes (X) | |||
| DOUGLAS POFF DO | |||||||||
| BOARD MBR/PH | 40.00 | Yes (X) | $250,616 | $0 | $39,574 | ||||
| CINDA KOSLOSKI | |||||||||
| BOARD MEMBER | 2.00 | 40.00 | Yes (X) | $0 | $204,590 | $37,035 | |||
| GARY REETZ | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $29,128 | $0 | ||||
| HAROLD HOUSE | |||||||||
| CHAIR | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| BRENT WILSON | |||||||||
| BOARD MEMEBE | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| RODERICK COY | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| RICHARD SCHROEDER | |||||||||
| VICE CHAIR/T | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| CAROL PRIEBE WILES | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| DENNIS SWAN | |||||||||
| PRES & CEO - | 0.00 | 40.00 | $0 | $1,479,664 | $241,534 | Yes (X) | |||
| PAULA REICHLE | |||||||||
| SR VP - CFO | 0.00 | 40.00 | $0 | $693,098 | $113,951 | Yes (X) | |||
| BARBARA MCQUILLAN | |||||||||
| CNO | 40.00 | $220,465 | $0 | $52,021 | Yes (X) | ||||
| MARK BRISBOE | |||||||||
| CFO | 40.00 | $203,003 | $0 | $27,932 | Yes (X) | ||||
| RICHARD REID | |||||||||
| CFO (RESIGNE | 40.00 | 1.00 | $202,346 | $0 | $28,189 | Yes (X) | |||
| CHRISTOPHER E HERALD MD | |||||||||
| CHIEF OF STA | 40.00 | $410,939 | $0 | $53,898 | Yes (X) | ||||
| ADAM Z COTE DO | |||||||||
| PHYSICIAN | 40.00 | $1,011,420 | $0 | $77,686 | Yes (X) | ||||
| PARUTAPPA BHIMALLI MD | |||||||||
| PHYSICIAN | 40.00 | $548,138 | $0 | $60,733 | Yes (X) | ||||
| MICHAEL RACINE MD | |||||||||
| PHYSICIAN | 40.00 | $383,331 | $0 | $53,808 | Yes (X) | ||||
| JOSE MALDONADO MD | |||||||||
| PHYSICIAN | 40.00 | $342,885 | $0 | $50,623 | Yes (X) | ||||
| KENNETH MARKIEWICZ DO | |||||||||
| PHYSICIAN | 40.00 | $319,593 | $0 | $39,688 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,822,520 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,810,715 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,286,018 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 51 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| PHYSICIAN ANESTHESIA SRV PC | |||||
| 1200 E MICHIGAN AVE STE 370 | LANSING | MI | 489121897 | STAFFING SERVCS | $845,456 |
| AMERICAN HEALTHCARE SERVICES ASSOC | |||||
| PO BOX 945 | TRAVERSE CITY | MI | 496850945 | STAFFING SERVCS | $754,176 |
| AUREUS RADIOLOGY LLC | |||||
| PO BOX 3037 | OMAHA | NE | 681030037 | STAFFING SERVS | $187,943 |
| COMPREHENSIVE PHARMACY SERVICE | |||||
| PO BOX 638316 | CINCINNATI | OH | 452638316 | CONSULTING SRVS | $169,262 |
| JONNIE D VANDERHOEF | |||||
| 6950 W GALWAY CIRCLE | DIMONDALE | MI | 488219454 | STAFFING SERVCS | $167,858 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 7 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $7,907 | RelatedOrganizationsAmt |
| Total Contributions | $7,907 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SERVICE REVENUE | Desc |
| Business | 621300 | BusinessCd |
| Total Revenue Column | $46,882,761 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $46,882,761 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $46,882,761 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $388,460 | TotalRevenueColumnAmt |
| Exclusion | $388,460 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $57,816 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $57,816 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $57,816 | TotalRevenueColumnAmt |
| Exclusion | $57,816 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| COFFEE SHOP, CAFETERIA, OTHER | 722210 | $1,081,120 | $1,081,120 | |
| CONTRACTED PHARMACY 340B REV | 900099 | $936,634 | $936,634 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,017,754 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $49,354,698 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $47,819,395 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $1,527,396 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $870,176 | TotalAmt |
| Management And General | $870,176 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,353,000 | TotalAmt |
| Program Services | $22,976,241 | ProgramServicesAmt |
| Management And General | $2,376,759 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,204,505 | TotalAmt |
| Management And General | $1,204,505 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,807,070 | TotalAmt |
| Program Services | $2,928,287 | ProgramServicesAmt |
| Management And General | $878,783 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,735,176 | TotalAmt |
| Program Services | $1,577,845 | ProgramServicesAmt |
| Management And General | $157,331 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $185,750 | TotalAmt |
| Program Services | $13,108 | ProgramServicesAmt |
| Management And General | $172,642 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,019 | TotalAmt |
| Management And General | $3,019 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,550 | TotalAmt |
| Management And General | $44,550 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $96,838 | TotalAmt |
| Program Services | $64,395 | ProgramServicesAmt |
| Management And General | $32,443 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $68,981 | TotalAmt |
| Program Services | $68,981 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,651,934 | TotalAmt |
| Program Services | $3,603,816 | ProgramServicesAmt |
| Management And General | $48,118 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $236,486 | TotalAmt |
| Program Services | $220,987 | ProgramServicesAmt |
| Management And General | $15,499 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,397,973 | TotalAmt |
| Program Services | $2,248,131 | ProgramServicesAmt |
| Management And General | $149,842 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $300,792 | TotalAmt |
| Program Services | $259,228 | ProgramServicesAmt |
| Management And General | $41,564 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,273 | TotalAmt |
| Program Services | $1,208 | ProgramServicesAmt |
| Management And General | $10,065 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $141,510 | TotalAmt |
| Program Services | $141,510 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,601,000 | TotalAmt |
| Program Services | $4,601,000 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,705,558 | TotalAmt |
| Program Services | $3,705,558 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $523,501 | TotalAmt |
| Program Services | $452,074 | ProgramServicesAmt |
| Management And General | $71,427 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| DRUGS & PHARMACEUTICALS | $4,653,240 | $4,653,240 |
| QUALITY ASSURANCE TAXES | $1,189,681 | $1,189,681 |
| ORTHO JOINT REPLACEMENT | $708,439 | $708,439 |
| IMPLANTS | $506,813 | $506,813 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,034,693 | TotalAmt |
| Program Services | $3,779,546 | ProgramServicesAmt |
| Management And General | $255,147 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,031,958 | TotalAmt |
| Program Services | $53,700,088 | ProgramServicesAmt |
| Management And General | $6,331,870 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,830 | BOYAmt |
| EOY | $2,231 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,619,744 | BOYAmt |
| EOY | $990,835 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,124,816 | BOYAmt |
| EOY | $4,945,806 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,737,912 | BOYAmt |
| EOY | $1,403,928 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,002,947 | BOYAmt |
| EOY | $264,365 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $44,540,365 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $8,639,386 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,749,030 | BOYAmt |
| EOY | $35,900,979 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,882,419 | BOYAmt |
| EOY | $7,343,490 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,750,694 | BOYAmt |
| EOY | $2,741,441 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,872,392 | BOYAmt |
| EOY | $53,593,075 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,430,016 | BOYAmt |
| EOY | $23,894,569 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,199,353 | BOYAmt |
| EOY | $5,010 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,375,273 | BOYAmt |
| EOY | $2,387,654 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $300,000 | BOYAmt |
| EOY | $325,000 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,304,642 | BOYAmt |
| EOY | $26,612,233 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,172,612 | BOYAmt |
| EOY | $26,980,842 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $395,138 | BOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,567,750 | BOYAmt |
| EOY | $26,980,842 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,872,392 | BOYAmt |
| EOY | $53,593,075 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$10,677,260 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $90,352 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $5,000,000 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,986,792 | BeginningYearBalanceAmt |
| Contributions | $114,433 | ContributionsAmt |
| Investment Earnings Or Losses | $211,750 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $15,000 | GrantsOrScholarshipsAmt |
| End Year Balance | $4,297,975 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,707,924 | BeginningYearBalanceAmt |
| Contributions | $191,313 | ContributionsAmt |
| Investment Earnings Or Losses | $102,555 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $15,000 | GrantsOrScholarshipsAmt |
| End Year Balance | $3,986,792 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,411,165 | BeginningYearBalanceAmt |
| Contributions | $361,583 | ContributionsAmt |
| Investment Earnings Or Losses | -$49,824 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $15,000 | GrantsOrScholarshipsAmt |
| End Year Balance | $3,707,924 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $615,000 | OtherCostOrOtherBasisAmt |
| Book Value | $615,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $26,610,578 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,235,929 | DepreciationAmt |
| Book Value | $23,374,649 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $17,115,103 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,393,137 | DepreciationAmt |
| Book Value | $11,721,966 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $199,684 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,320 | DepreciationAmt |
| Book Value | $189,364 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $35,900,979 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| LONG TERM DEPOSITS | $2,404,623 |
| JOINT VENTURES | $336,818 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $2,741,441 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PROFESSIONAL LIABILITY CLAIMS RESERV | Desc |
| Amt | $325,000 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $325,000 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PAGE 2, PART V, LINE 4 | FormAndLineReferenceDesc |
| Explanation | SPARROW CARSON HOSPITAL DOES NOT HOLD ENDOWMENTS. THE ENDOWMENTS ARE HELD BY SPARROW FOUNDATION AND SPARROW CLINTON HOSPITAL. SPARROW HEALTH SYSTEM IS THE SOLE MEMBER OF SPARROW CARSON HOSPITAL, SPARROW FOUNDATION, AND SPARROW CLINTON 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $329,802 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $329,802 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00550 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,737,180 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,576,264 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,160,916 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11930 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,066,982 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,576,264 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,490,718 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.12480 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $28,182 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $28,182 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $213,813 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $21,039 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $192,774 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00320 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $241,995 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $21,039 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $220,956 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00370 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,308,977 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,597,303 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,711,674 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.12850 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,515,940 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $20,386 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $8,372,806 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $8,784,574 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$411,768 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SPARROW CARSON HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 406 E ELM STREET | AddressLine1Txt |
| City | CARSON CITY | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48811 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.SPARROW.ORG | WebsiteAddressTxt |
| State License | 1060000095 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Emergency Room Other | Yes (X) | EmergencyRoomOtherInd |
| Other | URGENT CARE | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SPARROW CARSON HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 16 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.SPARROW.ORG | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.SPARROW.ORG | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 200.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.SPARROW.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.SPARROW.ORG | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.SPARROW.ORG | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | Yes (true) | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FACILITY 1, SPARROW CARSON HOSPITAL - PART V, LINE 3E | THE SIGNIFICANT HEALTH NEEDS WERE PRIORITIZED AND DOCUMENTED THROUGH THE CHNA. |
| 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. |
| FACILITY 1, SPARROW CARSON HOSPITAL - PART V, LINE 6A | SPARROW HEALTH SYSTEM, CONSISTING OF FIVE 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 - MCLAREN GREATER LANSING - HAYES GREEN BEACH MEMORIAL HOSPITAL - 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 PRIORITIES THAT WERE IDENTIFIED IN THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT. THE TOP NEEDS IDENTIFIED WERE ACCESS TO HEALTH CARE, CHRONIC DISEASE - DIABETES, AND MENTAL HEALTH CARE. 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 THIS STRATEGY INCLUDED FINANCIAL STABILITY. THIS HEALTH NEED IS IMPORTANT BUT IT IS NOT WITHIN THE SCOPE OF THE HOSPITAL'S CORE COMPETENCIES. |
| 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. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 13 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (13 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 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 LYONS | ||||
| 505 E BRIDGE ST BOX 186 | LYONS | MI | 48851 | GENERAL MEDICAL OUTPATIENT CLINIC |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION | 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. |
| PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY | 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. |
| PART III, LINE 3 BAD DEBT EXPENSE, PATIENTS ELIGIBLE FOR ASSISTANCE | 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. |
| BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS | BAD DEBT FOOTNOTE - SEE THE ATTACHED AUDITED FINANCIAL STATEMENTS. |
| PART III, LINE 8 - MEDICARE EXPLANATION | THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS, REPORTED IN THE ORGANIZATION'S MEDICARE COST REPORT, IS A RATIO OF COSTS TO CHARGES. THE HOSPITAL BELIEVES THE FULL AMOUNT OF THE SHORTFALL REPORTED ON PART III, SECTION B, LINE 7 SHOULD BE TREATED AS COMMUNITY BENEFIT. CARING FOR MEDICARE PATIENTS FULFILLS A COMMUNITY NEED AND RELIEVES A GOVERNMENT BURDEN AS THESE PATIENTS TYPICALLY HAVE LOW AND/OR FIXED INCOMES. MEDICARE DOES NOT PROVIDE SUFFICIENT REIMBURSEMENT TO COVER THE COST OF PROVIDING CARE FOR THESE PATIENTS AND THAT SHORTFALL OF 411,768 SHOULD BE COUNTED AS COMMUNITY BENEFIT. |
| PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION | 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. |
| PART VI, LINE 2 - NEEDS ASSESSMENT | 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. |
| PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | 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. |
| PART VI, LINE 4 - COMMUNITY INFORMATION | 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. |
| PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH | 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. |
| PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM | 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, AND SPARROW CLINICAL RESEARCH INSTITUTE. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | Yes (true) | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | Yes (true) | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (true) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | Yes (true) | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 entries)
| TitleTitleTxt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MARK BRETT | ||||||||||||
| BOARD MEMBER | $513,921 | $189,701 | $3,981 | $87,714 | $56,606 | $851,923 | ||||||
| THOMAS OSTRANDER | ||||||||||||
| BOARD MEMBER | $305,279 | $48,841 | $22,373 | $38,460 | $24,138 | $439,091 | ||||||
| DAVID J FREESTONE MD | ||||||||||||
| BOARD MBR/PHYSICIAN | $246,346 | $74,006 | $1,137 | $7,950 | $35,914 | $365,353 | ||||||
| KIRA CARTER-ROBERTSON | ||||||||||||
| BOARD MEMBER | $280,896 | $38,639 | $604 | $7,950 | $29,598 | $357,687 | ||||||
| MATTHEW J THOMPSON | ||||||||||||
| PRESIDENT/CEO | $241,851 | $74,279 | $1,115 | $7,950 | $41,960 | $367,155 | ||||||
| ROBERT SEALS | ||||||||||||
| SECR/MED DIRECTOR | $285,931 | $2,438 | $2,681 | $35,683 | $35,423 | $362,156 | ||||||
| DOUGLAS POFF DO | ||||||||||||
| BOARD MBR/PHYSICIAN | $172,041 | $67,745 | $10,830 | $8,589 | $30,985 | $290,190 | ||||||
| CINDA KOSLOSKI | ||||||||||||
| BOARD MEMBER | $163,129 | $24,016 | $17,445 | $5,980 | $31,055 | $241,625 | ||||||
| DENNIS SWAN | ||||||||||||
| PRES & CEO - SHS | $924,728 | $487,986 | $66,950 | $185,394 | $56,140 | $1,721,198 | ||||||
| PAULA REICHLE | ||||||||||||
| SR VP - CFO - SHS | $472,500 | $196,328 | $24,270 | $61,779 | $52,172 | $807,049 | ||||||
| BARBARA MCQUILLAN | ||||||||||||
| CNO | $191,494 | $28,573 | $398 | $13,382 | $38,639 | $272,486 | ||||||
| MARK BRISBOE | ||||||||||||
| CFO | $179,089 | $23,559 | $355 | $5,619 | $22,313 | $230,935 | ||||||
| RICHARD REID | ||||||||||||
| CFO (RESIGNED) | $173,418 | $28,405 | $523 | $12,661 | $15,528 | $230,535 | ||||||
| CHRISTOPHER E HERALD MD | ||||||||||||
| CHIEF OF STAFF | $409,527 | $375 | $1,037 | $16,050 | $37,848 | $464,837 | ||||||
| ADAM Z COTE DO | ||||||||||||
| PHYSICIAN | $717,263 | $275,025 | $19,132 | $7,950 | $69,736 | $1,089,106 | ||||||
| PARUTAPPA BHIMALLI MD | ||||||||||||
| PHYSICIAN | $523,029 | $25,109 | $7,950 | $52,783 | $608,871 | |||||||
| MICHAEL RACINE MD | ||||||||||||
| PHYSICIAN | $382,635 | $696 | $15,700 | $38,108 | $437,139 | |||||||
| JOSE MALDONADO MD | ||||||||||||
| PHYSICIAN | $334,134 | $8,751 | $11,620 | $39,003 | $393,508 | |||||||
| KENNETH MARKIEWICZ DO | ||||||||||||
| PHYSICIAN | $313,580 | $6,013 | $7,950 | $31,738 | $359,281 | |||||||
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 | MARK BRETT 0 57,354 0 CINDA KOSLOSKI 40,632 0 0 GARY REETZ 0 29,128 0 PAULA REICHLE 0 53,829 0 RICHARD REID 37,084 0 0 |
| SCHEDULE J, PAGE 1, PART I, LINE 5A | THERE WERE NO INCENTIVE COMPENSATION ACCRUALS FOR 2017. THE 2016 INCENTIVE COMPENSATION PLAN PAYMENTS WERE ACCRUED IN 2016 AND WERE PAID IN 2017. 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 5B | THERE WERE NO INCENTIVE COMPENSATION ACCRUALS FOR 2017. THE 2016 INCENTIVE COMPENSATION PLAN PAYMENTS WERE ACCRUED IN 2016 AND WERE PAID IN 2017. 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 6A | THERE WERE NO INCENTIVE COMPENSATION ACCRUALS FOR 2017. THE 2016 INCENTIVE COMPENSATION PLAN PAYMENTS WERE ACCRUED IN 2016 AND WERE PAID IN 2017. 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 6B | THERE WERE NO INCENTIVE COMPENSATION ACCRUALS FOR 2017. THE 2016 INCENTIVE COMPENSATION PLAN PAYMENTS WERE ACCRUED IN 2016 AND WERE PAID IN 2017. 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 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 L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | NANCY SEALS | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | FAMILY | RelationshipDescriptionTxt |
| Transaction | $99,135 | TransactionAmt |
| Transaction | EMPLOYEE | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 | 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, 2017, 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 LYONS, SMG PEDIATRICS CARSON CITY, SMG STANTON, CARSON HOME CARE, SMG PAIN MANAGEMENT, AND SMG ITHACA. |
| 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 2017 FORM 990 ARE REVIEWED BY MANAGEMENT. ONCE MANAGEMENT COMPLETED ITS REVIEW OF FORM 990 COPIES WERE PROVIDED AT THE SEPTEMBER 2018 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 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 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. DENNIS SWAN IS THE PRESIDENT & CHIEF EXECUTIVE OFFICER OF SPARROW HEALTH SYSTEM AND THEREBY SERVES AS THE PRINCIPAL OFFICER WITH ULTIMATE RESPONSIBILITY FOR IMPLEMENTING THE DECISIONS OF THE GOVERNING BODY OR SUPERVISING THE MANAGEMENT, ADMINISTRATION OR OPERATION OF ENTITIES WITHIN THE SYSTEM. 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 | EPIC - PY PURCHASE PRICE ADJUSTMENT 5,000,000 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| CARSON FOUNDATION INC | ||||||||||
| 406 E ELM STREET | CARSON CITY | MI | 48811 | 460877509 | FUNDRAISE | MI | 501C3 | 12A | CCH | Yes (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 | Yes (true) |
| PHYSICIANS HEALTH PLAN | ||||||||||
| 1400 E MICHIGAN AVENUE | LANSING | MI | 48912 | 382356288 | INSURANCE | MI | 501C4 | SHS | Yes (true) | |
| SPARROW PHP | ||||||||||
| 1400 E MICHIGAN AVENUE | LANSING | MI | 48912 | 364497604 | HMO | MI | 501C4 | PHP | Yes (true) | |
| PHYSICIANS HEALTH NETWORK | ||||||||||
| 1400 E MICHIGAN AVENUE | LANSING | MI | 48912 | 382594856 | HMO | MI | 501C4 | SHS | Yes (true) | |
| SPARROW FOUNDATION | ||||||||||
| 1215 E MICHIGAN AVENUE | LANSING | MI | 48912 | 386100687 | FUNRAISE | MI | 501C3 | 12B | SHS | Yes (true) |
| SPARROW CLINTON HOSPITAL | ||||||||||
| 805 S OAKLAND | ST JOHNS | MI | 48879 | 381358172 | HLTH CARE | MI | 501C3 | 3 | SHS | Yes (true) |
| SPARROW SPECIALTY HOSPITAL | ||||||||||
| 1215 E MICH AVE 8W SPARROW TOWER | LANSING | MI | 48912 | 141885340 | LT CARE | MI | 501C3 | 3 | SHS | Yes (true) |
| SPARROW IONIA HOSPITAL | ||||||||||
| 3565 S STATE RD | IONIA | MI | 48846 | 383218134 | HLTH CARE | MI | 501C3 | 3 | SHS | Yes (true) |
| SPARROW CLINICAL RESEARCH INSTITUTE | ||||||||||
| 1200 E MICHIGAN AVENUE | LANSING | MI | 48912 | 383075242 | RESEARCH | MI | 501C3 | 4 | SHS | Yes (true) |
| EDWARD W SPARROW HOSPITAL | ||||||||||
| 1215 E MICHIGAN AVENUE | LANSING | MI | 48912 | 381360584 | HLTH CARE | MI | 501C3 | 3 | SHS | Yes (true) |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|
| SPARROW DEVELOPMENT INC | ||||||||
| 1215 E MICHIGAN AVENUE | LANSING | MI | 48912 | 382595963 | RENTAL | MI | N/A | Yes (true) |
| MEDICAL CENTER WEST CONDO ASSOC | ||||||||
| 1322 E MICHIGAN AVENUE | LANSING | MI | 48912 | 382635630 | CONDO ASSC | MI | N/A | Yes (true) |
| PHP INSURANCE COMPANY | ||||||||
| 1400 E MICHIGAN AVENUE | LANSING | MI | 48912 | 205565219 | INSURANCE | MI | N/A | Yes (true) |
| PHP SERVICE COMPANY | ||||||||
| 1400 E MICHIGAN AVENUE | LANSING | MI | 48912 | 383344741 | MED SRVCS | MI | N/A | Yes (true) |
| EAST LANSING ATHLETIC CLUB | ||||||||
| 2900 HANNAH BLVD | LANSING | MI | 48823 | 382886420 | HLTH CLUB | MI | N/A | Yes (true) |
| MAC RESTAURANT LLC | ||||||||
| 2900 HANNAH BLVD | EAST LANSING | MI | 48823 | 205120690 | RESTAURANT | MI | N/A | Yes (true) |
| CLINTON SERVICES CORPORATION | ||||||||
| 805 S OAKLAND | ST JOHNS | MI | 48879 | 382494110 | SERVICES | MI | N/A | Yes (true) |
| EAST LANSING HLTH ATH CLUB & HSP | ||||||||
| 1200 E MICHIGAN AVENUE STE 600 | LANSING | MI | 48912 | 813131851 | CONDO ASSO | MI | N/A | Yes (true) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EDWARD W SPARROW HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | P | TransactionTypeTxt |
| Involved | $323,160 | InvolvedAmt |
| Method Of Amount Determination | COST | MethodOfAmountDeterminationTxt |