2017-11-15T15:04:03-05:00 2016-12-31 383133790 ANDREWS HOOPER PAVLIK PLC 4295 OKEMOS RD STE 200 OKEMOS MI 488646201 990 2016-01-01 381490180 SPARROW CARSON HOSPITAL SPAR 9895843971 406 E ELM STREET PO BOX 879 CARSON CITY MI 48811 PAULA REICHLE SR VP - CFO - SHS 9895843971 2017-11-13 true MARK E HOOPER P00039887 5177060800 2017-11-13 53D458C82320E5CA4BCA37F288A6CEEB15A0A3C7 EADF335CDCC02AF3145A3DBA48E742EC09FBC239 2016 2021-01-29 14:40:06Z DENNIS SWAN 1215 E MICHIGAN AVENUE LANSING MI 48912 54865655 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 5 544 85 0 0 54058245 53101672 0 3319251 1763983 57377496 54865655 0 0 32701104 31702879 0 0 23334677 23865932 56035781 55568811 1341715 -703156 53975771 56872392 20890971 24304642 33084800 32567750 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 40277106 41681851 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, 2016, SCCH PROVIDED OVER 2 MILLION IN UNCOMPENSATED CARE. THE ESTIMATED ANNUAL TOTAL LOCAL ECONOMIC IMPACT IS 30,000,000. 2820108 3146214 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. 1645435 856472 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. 5136556 7417135 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. 5136556 7417135 49879205 true false false false false false false false false true true false false false true false false true false false false false false false false false true true false false true true false false false false false false false false true false false false false false false true true true false false true 55 0 true 544 true false false false false false false false false false false X 13 5 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 MARK BRETT BOARD MEMBER 2.00 40.00 X 0 601711 101973 THOMAS OSTRANDER BOARD MEMBER 2.00 40.00 X 0 398722 47665 MATTHEW J THOMPSON PRESIDENT/CE 40.00 0.20 X X 309818 0 53683 DAVID J FREESTONE MD BOARD MBR/PH 40.00 0.00 X 293621 0 55025 ROBERT SEALS SECR/MED DIR 40.00 0.00 X X 242795 0 51183 DOUGLAS POFF DO BOARD MBR/PH 40.00 0.00 X 239114 0 45933 CINDA KOSLOSKI BOARD MEMBER 2.00 40.00 X 0 194118 48491 GARY REETZ BOARD MEMBER 2.00 X 0 23023 0 HAROLD HOUSE CHAIR 2.00 X X 0 0 0 BRENT WILSON BOARD MEMEBE 2.00 X 0 0 0 RODERICK COY BOARD MEMBER 2.00 X 0 0 0 RICHARD SCHROEDER VICE CHAIR/T 2.00 X X 0 0 0 CAROL PRIEBE WILES BOARD MEMBER 2.00 0.00 X 0 0 0 DENNIS SWAN PRES & CEO - 0.00 40.00 X 0 1327029 217230 PAULA REICHLE SR VP - CFO 0.00 40.00 X 0 607364 120546 RICHARD REID CFO 40.00 1.00 X 255612 0 36645 BARBARA MCQUILLAN CNO 40.00 0.00 X 221436 0 58315 RICHARD D TERRY VP/CIO 40.00 X 185911 0 24858 CHRISTOPHER E HERALD MD CHIEF OF STA 40.00 X 362803 0 57350 ADAM Z COTE DO PHYSICIAN 40.00 X 730045 0 76868 PARUTAPPA BHIMALLI MD PHYSICIAN 40.00 X 487802 0 64582 KENNETH MARKIEWICZ DO PHYSICIAN 40.00 X 403417 0 45079 JOSEPH B WHITE MD PHYSICIAN 40.00 X 382990 0 49401 BRIAN NGO DO PHYSICIAN 40.00 X 369562 0 49975 4484926 3151967 1204802 46 false true false PHYSICIAN ANESTHESIA SRV PC 1200 E MICHIGAN AVE STE 370 LANSING MI 489121897 STAFFING SERVCS 450628 AMERICAN HEALTHCARE SERVICES ASSOC PO BOX 945 TRAVERSE CITY MI 496850945 STAFFING SERVCS 302102 INTEGRITY CONSULTING GROUP LLC PO BOX 475 ST JOHNS MI 488790475 CONSULTING 235782 ACCOUNT RECEIVABLE SOLUTIONS PO BOX 184 ST JOHNS MI 488790184 COLLECTION SRVS 211014 THE CLARO GROUP LLC 321 N CLARK ST STE 1200 CHICAGO IL 60654 CONSULTING 167755 8 NET PATIENT SERVICE REVENUE 621300 53101672 53101672 53101672 57161 57161 57161 57161 COFFEE SHOP/CAFETERIA/OTHER 722210 1209923 1209923 CONTRACTED PHARMACY 340B REV 900099 496899 496899 1706822 54865655 53101672 1763983 2494100 2494100 22881215 22881215 1176114 1176114 3432028 2815756 616272 1719422 1565827 153595 137318 137318 88951 88951 79070 79070 2648623 2587810 60813 216386 213915 2471 3773377 3697106 76271 234631 207563 27068 3299597 2924653 374944 301902 239457 62445 57098 5052 52046 157849 157849 2777052 2777052 573575 493816 79759 OTHER EXPENSES 4747003 4538634 208369 DRUGS & PHARMACEUTICALS 2580613 2580613 ORTHO JOINT REPLACEMENT 1344379 1344379 IMPLANTS 848508 848508 55568811 49879205 5689606 0 4737 4830 5903991 3619744 5027711 11124816 78611 1832900 1737912 477587 1002947 34881336 5132306 31484523 29749030 6653774 6882419 1775286 736651 2750694 53975771 56872392 10397483 14430016 7700733 7199353 1976442 2375273 816313 300000 20890971 24304642 X 32734272 32172612 350528 395138 33084800 32567750 53975771 56872392 -703156 186106 X false true X true X 3707924 191313 102555 15000 3986792 3411165 361583 -49824 15000 3707924 1.00000 false true true 615000 615000 25509576 2073509 23436067 8125976 3053637 5072339 630784 5160 625624 29749030 PROFESSIONAL LIABILITY CLAIMS RESERV 300000 300000 SCHEDULE D, PAGE 2, PART V, LINE 4 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. true true X true X 2.500000000000 true X true true false true true 283774 283774 0.00510 11771368 5707482 6063886 0.10910 12055142 5707482 6347660 0.11420 20189 20189 0.00040 205127 14188 190939 0.00340 225316 14188 211128 0.00380 12280458 5721670 6558788 0.11800 true 1739334 45172 10305892 11078929 -773037 X true true 1 1 SPARROW CARSON HOSPITAL 406 E ELM STREET CARSON CITY MI 48811 WWW.SPARROW.ORG 1060000095 X X X X SPARROW CARSON HOSPITAL 1 false false true X X X X X X X X 16 true true true true X WWW.SPARROW.ORG X true 16 true WWW.SPARROW.ORG false false true X 250.000000000000 350.000000000000 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 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. 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 LYONS 505 E BRIDGE ST BOX 186 LYONS MI 48851 GENERAL MEDICAL OUTPATIENT CLINIC 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 AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ESTABLISHED ON AN AGGREGATE BASIS BY USING HISTORICAL WRITE-OFF RATE FACTORS APPLIED TO UNPAID ACCOUNTS BASED ON AGING. LOSS RATE FACTORS ARE BASED ON HISTORICAL LOSS EXPERIENCE ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE HOSPITAL'S ABILITY TO COLLECT OUTSTANDING AMOUNTS. UNCOLLECTIBLE AMOUNTS ARE WRITTEN OFF AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE. PART III, LINE 3 BAD DEBT EXPENSE, PATIENTS ELIGIBLE FOR ASSISTANCE THE AMOUNT OF BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY REPORTED IN PART III, LINE 3 IS DETERMINED BY USING A PERCENTAGE (2.75%) OF THE ORGANIZATION'S TOTAL BAD DEBT EXPENSE AT COST. THIS PERCENTAGE IS DETERMINED BY ANALYZING THE HOSPITAL'S WRITE-OFFS COMPARED TO ITS TOTAL GROSS REVENUE. 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 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. ANY SHORTFALLS THAT RESULT FROM MEDICARE ALLOWABLE COSTS EXCEEDING MEDICARE REVENUE CAN BE CONSIDERED A COMMUNITY BENEFIT. IF THE ACTIVITY IS SOMETHING THAT SPARROW CARSON HOSPITAL IS DOING TO CREATE THE AWARENESS AND WELL- BEING OF THE HOSPITAL COMMUNITY. PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION SPARROW CARSON HOSPITAL INITIATES COLLECTION AT THE POINT OF SERVICE THROUGH THE PATIENT ACCESS DEPARTMENT. PATIENTS ARE ADVISED OF THEIR CO-PAY AND DEDUCTIBLE AND ASKED FOR A DEPOSIT ON THESE SELF-PAY CONTRIBUTIONS. PATIENTS WHO DO NOT HAVE INSURANCE ARE ADVISED OF ESTIMATED COST, AND ASSISTANCE PROGRAMS ARE OFFERED ALONG WITH CONTACT INFORMATION TO OBTAIN FURTHER INFORMATION. THE PATIENT'S BILL IS CHARGED, CODED, AND PROCESSED WITH THE APPROPRIATE PAYERS, IF APPLICABLE, AND AT THE POINT ALL THIRD PAYERS HAVE MADE PAYMENT, THE REMAINING BALANCE IS BILLED ON A STATEMENT TO THE PATIENT. AT THE POINT THAT THE PATIENT RECEIVES THE STATEMENT, THEY MAY CHOOSE TO MAKE PAYMENT ARRANGEMENTS THROUGH A PAYMENT PLAN, OR MAY CHOOSE TO APPLY FOR ASSISTANCE. THE PATIENT WHO DOES NOT MAKE PAYMENT ARRANGEMENTS OR DOES NOT APPLY FOR ASSISTANCE, WILL RECEIVE THREE STATEMENTS OVER A 90-DAY PERIOD. IF NO RESOLUTION IS ACHIEVED THE ACCOUNT WILL BE REFERRED TO AN OUTSIDE AGENCY FOR COLLECTION. THE PATIENT HAS 60 DAYS AT THE AGENCY BEFORE THEIR ACCOUNT IS RECORDED AS BAD DEBT. THE PATIENT STILL HAS THE OPTION OF APPLYING FOR ASSISTANCE OR MAKING PAYMENT ARRANGEMENTS WITH THE AGENCY. 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. X X false true false true true true true true false MARK BRETT BOARD MEMBER 481950 115867 3894 62956 39017 703684 THOMAS OSTRANDER BOARD MEMBER 301865 74542 22315 23850 23815 446387 MATTHEW J THOMPSON PRESIDENT/CEO 218350 90389 1079 12283 41400 363501 DAVID J FREESTONE MD BOARD MBR/PHYSICIAN 234274 58225 1122 13250 41775 348646 ROBERT SEALS SECR/MED DIRECTOR 239190 1328 2277 17616 33567 293978 DOUGLAS POFF DO BOARD MBR/PHYSICIAN 161211 67544 10359 16165 29768 285047 CINDA KOSLOSKI BOARD MEMBER 150735 25040 18343 11705 36786 242609 DENNIS SWAN PRES & CEO - SHS 909306 376849 40874 164658 52572 1544259 PAULA REICHLE SR VP - CFO - SHS 466036 117161 24167 66455 54091 727910 RICHARD REID CFO 205288 49943 381 19329 17316 292257 BARBARA MCQUILLAN CNO 188905 32133 398 20217 38098 279751 RICHARD D TERRY VP/CIO 146662 38862 387 6682 18176 210769 CHRISTOPHER E HERALD MD CHIEF OF STAFF 361879 15 909 21200 36150 420153 ADAM Z COTE DO PHYSICIAN 562054 148913 19078 13250 63618 806913 PARUTAPPA BHIMALLI MD PHYSICIAN 462804 15 24983 13250 51332 552384 KENNETH MARKIEWICZ DO PHYSICIAN 397528 15 5874 13250 31829 448496 JOSEPH B WHITE MD PHYSICIAN 365656 17334 13250 36151 432391 BRIAN NGO DO PHYSICIAN 368831 15 716 13250 36725 419537 SCHEDULE J, PAGE 1, PART I, LINE 4 MARK BRETT 0 47,056 0 GARY REETZ 0 23,023 0 PAULA REICHLE 0 50,555 0 SCHEDULE J, PAGE 1, PART I, LINE 5A THE 2016 INCENTIVE COMPENSATION PLAN PAYMENTS WERE ACCRUED IN 2016 AND WILL BE PAID IN 2017. THE INCENTIVE COMPENSATION PLAN IS BASED, IN PART, ON THE OPERATING MARGIN OF SPARROW HEALTH SYSTEM WHICH INCLUDES SPARROW CARSON HOSPITAL AS WELL AS AFFILIATED COMPANIES. SCHEDULE J, PAGE 1, PART I, LINE 5B THE 2016 INCENTIVE COMPENSATION PLAN PAYMENTS WERE ACCRUED IN 2016 AND WILL BE PAID IN 2017. THE INCENTIVE COMPENSATION PLAN IS BASED, IN PART, ON THE OPERATING MARGIN OF SPARROW HEALTH SYSTEM WHICH INCLUDES SPARROW CARSON HOSPITAL AS WELL AS AFFILIATED COMPANIES. SCHEDULE J, PAGE 1, PART I, LINE 6A THE 2016 INCENTIVE COMPENSATION PLAN PAYMENTS WERE ACCRUED IN 2016 AND WILL BE PAID IN 2017. THE INCENTIVE COMPENSATION PLAN IS BASED, IN PART, ON THE OPERATING MARGIN OF SPARROW HEALTH SYSTEM WHICH INCLUDES SPARROW CARSON HOSPITAL AS WELL AS AFFILIATED COMPANIES. SCHEDULE J, PAGE 1, PART I, LINE 6B THE 2016 INCENTIVE COMPENSATION PLAN PAYMENTS WERE ACCRUED IN 2016 AND WILL BE PAID IN 2017. THE INCENTIVE COMPENSATION PLAN IS BASED, IN PART, ON THE OPERATING MARGIN OF SPARROW HEALTH SYSTEM WHICH INCLUDES SPARROW CARSON HOSPITAL 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. A MICHIGAN STATE HOSPITAL FIN AUTH 382889417 54965HKS4 2006-02-01 18000000 HOSP EQUIP LOAN PRGM false false true A 10294454 18000000 133000 14012600 3854400 2009 false false true true A false false false false false false true A false false false true true false false false true A true SCHEDULE K - DATE REBATE COMPUTATION PERFORMED MICHIGAN STATE HOSPITAL FIN. AUTH. 02/01/11 NANCY SEALS FAMILY 98976 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 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, 2016, 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. 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 2016 FORM 990 ARE REVIEWED BY MANAGEMENT. ONCE MANAGEMENT COMPLETED ITS REVIEW OF FORM 990 COPIES WERE PROVIDED AT THE OCTOBER 2017 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. 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