2014-11-17T15:20:09-06:00 2013-12-31 383133790 ANDREWS HOOPER PAVLIK PLC 4295 OKEMOS RD STE 200 OKEMOS MI 488646201 990 2013-01-01 381360584 EDWARD W SPARROW HOSPITAL EDWA 5173646060 1215 E MICHIGAN AVENUE LANSING MI 48912 PAULA REICHLE CHIEF FINANCIAL OFFICER 5173646060 2014-11-13 true MARK E HOOPER P00039887 5177060800 2014-11-17 2013 2015-11-30 17:44:51Z DENNIS SWAN 1215 E MICHIGAN AVENUE LANSING MI 48912 913850774 false X WWW.SPARROW.ORG X 1896 MI IMPROVING THE HEALTH OF THE PEOPLE IN OUR COMMUNITIES BY PROVIDING QUALITY, COMPASSIONATE CARE TO EVERYONE, EVERY TIME. 16 11 6451 2200 25289027 541450 1082772 1701800 828794200 856935113 17938653 24634426 22684056 28446820 870499681 911718159 0 0 442504326 461148031 0 0 389211287 401530898 831715613 862678929 38784068 49039230 1044015063 1135510386 677309224 596463390 366705839 539046996 X IMPROVING THE HEALTH OF THE PEOPLE IN OUR COMMUNITIES BY PROVIDING QUALITY, COMPASSIONATE CARE TO EVERYONE, EVERY TIME. false false 305980687 434975312 SPARROW HOSPITAL HAS, SINCE ITS INCEPTION IN 1896, PROVIDED CARE TO PEOPLE REGARDLESS OF THEIR RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. SPARROW IS A NON-PROFIT, COMMUNITY-GOVERNED HOSPITAL AND THE FLAGSHIP OF THE SPARROW HEALTH SYSTEM, A COMPREHENSIVE INTEGRATED HEALTH DELIVERY SYSTEM COMMITTED WITHIN ITS RESOURCES TO IMPROVING THE HEALTH STATUS OF ALL PEOPLE THROUGHOUT THE MID-MICHIGAN REGION BY PROVIDING QUALITY, COMPASSIONATE CARE TO EVERYONE, EVERY TIME. SPARROW HOSPITAL IS A 676-BED, MAJOR TEACHING HOSPITAL (AFFILIATED WITH MICHIGAN STATE UNIVERSITY'S COLLEGES OF OSTEOPATHIC MEDICINE, HUMAN MEDICINE AND NURSING) AND THE MOST COMPREHENSIVE, ACUTE CARE CENTER IN MID-MICHIGAN. SPARROW IS THE REGIONAL MEDICAL CENTER FOR: PEDIATRICS, CANCER CARE INCLUDING RADIATION THERAPY, TRAUMA CARE, NEUROLOGICAL CARE, HIGH-RISK OBSTETRICS, NEONATAL INTENSIVE CARE, BEHAVIORAL HEALTH, AND CARDIOVASCULAR SERVICES. SPARROW TREATED NEARLY 35,000 INPATIENTS, HAD APPROXIMATELY 1 MILLION OUTPATIENT ENCOUNTERS, AND PROVIDED SERVICES TO MORE THAN 125,500 EMERGENCY MEDICINE PATIENTS IN 2013. TODAY'S SPARROW HEALTH SYSTEM BLENDS THE KNOWLEDGE AND EXPERTISE OF OVER 900 PHYSICIANS, 7,500 CAREGIVERS AND APPROXIMATELY 2,000 VOLUNTEERS WITH THE MOST ADVANCED TECHNOLOGY, SERVING AS A COMPREHENSIVE HEALTH SYSTEM FOR AN EIGHT-COUNTY POPULATION. IN ADDITION, MORE PEOPLE CHOOSE SPARROW FOR THEIR MATERNITY NEEDS (MORE THAN 4,200 DELIVERIES ANNUALLY), REHABILITATION, AND EMERGENCY TREATMENT THAN ANY OTHER HOSPITAL IN MID-MICHIGAN. SPARROW HEALTH SYSTEM'S REACH EXTENDS FAR BEYOND THE ACUTE CARE SETTING OF THE HOSPITAL. THERE ARE MANY WAYS OUR STAFF PROACTIVELY SUPPORTS THE COMMUNITY, ESPECIALLY THOSE WHO HAVE THE GREATEST NEED. BECAUSE OF SPARROW'S COMMITMENT, THE PEOPLE OF MID-MICHIGAN HAVE ACCESS TO THE FULL RANGE OF COMPREHENSIVE ACUTE CARE SERVICES AND THE LATEST MEDICAL ADVANCES WITHOUT TRAVELING GREAT DISTANCES. THESE SERVICES ARE AVAILABLE TO ALL MID-MICHIGAN RESIDENTS, REGARDLESS OF THEIR ABILITY TO PAY. PROVIDING ACCESS TO PRIMARY CARE: SPARROW RECOGNIZES THAT IF WE ARE TO ACHIEVE OUR VISION OF BEING A NATIONALLY RECOGNIZED LEADER IN QUALITY AND THE PATIENT EXPERIENCE, WE HAVE A RESPONSIBILITY TO TAKE THE LEAD IN FUNDAMENTALLY TRANSFORMING HEALTH CARE IN MICHIGAN. IN ORDER TO ADDRESS THE CHALLENGES OF INCREASING PREVALENCE OF CHRONIC DISEASE AND AN AGING POPULATION, AND TO IMPROVE THE QUALITY OF CARE AND THE PATIENT EXPERIENCE WHILE ALSO ENSURING GREATER AFFORDABILITY FOR PAYORS, SPARROW NEEDS TO IMPLEMENT PROFOUND CHANGES IN HOW CARE IS PROVIDED. SPARROW IS COMMITTED TO SEEKING NEW WAYS TO PARTNER WITH QUALITY CARE PROVIDERS TO CREATE GREATER ALIGNMENT AROUND IMPROVED QUALITY AND PATIENT EXPERIENCE, WORK JOINTLY TO DEVELOP CLINICAL GUIDELINES TO ENSURE THE HIGHEST QUALITY OF CARE FOR PATIENTS WHO NEED TO BE TRANSFERRED TO DIFFERENT LEVELS OF CARE AND TO ENSURE THAT CARE IS ALWAYS DELIVERED IN THE BEST QUALITY AND MOST COST-ADVANTAGEOUS CLINICAL SETTING AS CLOSE TO THE PATIENTS HOME AS POSSIBLE. SPARROW WAS SELECTED AS THE FIRST IN MICHIGAN TO BECOME A MEMBER OF THE MAYO CLINIC CARE NETWORK, SOLIDIFYING OUR DEDICATION TO MEETING OUR PATIENTS' HEALTHCARE NEEDS RIGHT HERE IN MID- MICHIGAN. SPARROW ALSO HOLDS AFFILIATIONS WITH SPARROW CLINTON MEMORIAL HOSPITAL, SPARROW IONIA HOSPITAL, CARSON CITY HOSPITAL, AND HAYES GREEN BEACH HOSPITAL EXTENDING OUR REACH THROUGHOUT THE REGION. IN 2013, SPARROW OPENED SPARROW EAST LANSING, A NEW URGENT CARE FACILITY, AND SPARROW MEDICAL GROUP HOLT, A FAMILY PRACTICE, IN SUPPORT OF OUR GOAL OF TRANSFORMING HOW CARE IS PROVIDED. BY PROACTIVELY LOCATING SERVICES IN OUR SURROUNDING COMMUNITIES, WE ENSURE THAT RESIDENTS AND THEIR FAMILIES HAVE ACCESS TO THE CARE NECESSARY TO SAFEGUARD THEIR HEALTH. SPARROW ALSO BROKE GROUND ON A NEW REPLACEMENT HOSPITAL IN IONIA, THE FIRST NEW HOSPITAL IN THE MID-MICHIGAN REGION IN DECADES. SPARROW COMMUNITY CARE IS A NON-PROFIT ENTITY COMPRISING OF THE FORMER SPARROW MEDICAL SUPPLY, SPARROW HOME CARE, SPARROW LABORATORIES AND SPARROW PHARMACY PLUS, WHICH TOGETHER ROUND OUT SPARROW HEALTH SYSTEM'S NETWORK OF FACILITIES AND PRIMARY CARE SERVICES. THEY ARE DESIGNED TO PROVIDE QUALITY, CONVENIENT, COST EFFECTIVE HEALTH CARE TO THE PEOPLE OF MID- MICHIGAN. EMERGENCY PREPAREDNESS: SPARROW HAS DISTINGUISHED ITSELF AS A RECOGNIZED LEADER IN EMERGENCY PREPAREDNESS. THE HOSPITAL VIEWS PREPAREDNESS AS AN ONGOING PROCESS LED BY A MULTIDISCIPLINARY TEAM THAT INVOLVES ALL ASPECTS OF HOSPITAL OPERATIONS, INCLUDING MEDICAL AND NON-MEDICAL SERVICES. DRILLS ARE CONDUCTED YEAR- ROUND IN COLLABORATION WITH LOCAL, STATE AND FEDERAL AGENCIES TO ENSURE SPARROW IS PREPARED FOR ANY DISASTER, WHETHER IT IS THE RESULT OF A TERRORIST ACT OR A NATURAL DISASTER. SPARROW'S EMERGENCY PREPAREDNESS COMMITTEE REGULARLY TESTS THE HOSPITAL'S RESPONSE SKILLS INDEPENDENT OF ANY AGENCY OR GOVERNING BODY. THE HOSPITAL ALSO WORKS WITH LOCAL GOVERNMENT AGENCIES, INCLUDING THE POLICE DEPARTMENT, FIRE DEPARTMENT AND PUBLIC HEALTH DEPARTMENT TO COORDINATE A PLANNED RESPONSE IN THE EVENT OF A TRUE EMERGENCY. SUPPORTING OUR COMMUNITY AND NEIGHBORHOODS: SPARROW IS THE UNQUESTIONED LEADER IN MID-MICHIGAN IN PROVIDING HEALTHCARE SERVICES AND PROMOTING HEALTH-RELATED ACTIVITIES. SPARROW PROVIDES FIRST- AID SERVICES AT MANY SPECIAL EVENTS INCLUDING MICHIGAN STATE UNIVERSITY FOOTBALL GAMES, LANSING LUGNUTS BASEBALL GAMES AND THE CITY OF LANSING'S ANNUAL COMMON GROUND MUSIC FESTIVAL. SPARROW ALSO SPONSORS DOZENS OF HEALTH-RELATED ACTIVITIES, INCLUDING THE ANNUAL HIKE FOR HOSPICE, THE FEELIN' GOOD MILEAGE CLUB FOR ELEMENTARY SCHOOLS, FITKIDS AND THE SPARROW MICHIGAN MILE. SPARROW ALSO HAS A PARTNERSHIP WITH THE UNIVERSITY OF MICHIGAN HEALTH SYSTEM'S SURVIVAL FLIGHT AIR MEDICAL TRANSPORT SERVICE. SURVIVAL FLIGHT PROVIDES 24-HOUR AIR MEDICAL TRANSPORT SERVICES FOR IMPROVED ACCESS TO PATIENTS WHO NEED CRITICAL CARE. AS A TEACHING HOSPITAL, SPARROW HAS CONTINUED TO STRENGTHEN ITS AFFILIATION WITH MICHIGAN STATE UNIVERSITY (MSU) THROUGH A JOINT INITIATIVE, THE CENTER FOR INNOVATION, BY SUPPORTING FELLOWSHIPS AND RECRUITING ESTABLISHED RESEARCHERS TO DEVELOP, TEST, IMPLEMENT AND EVALUATE INNOVATIVE APPROACHES IN HEALTHCARE. SPARROW HAS MANY OTHER LONGSTANDING ARRANGEMENTS WITH MSU'S COLLEGES OF HUMAN MEDICINE, OSTEOPATHIC MEDICINE AND NURSING. SPARROW WORKS WITH MSU TO FACILITATE THE RECRUITMENT, TRAINING AND RETENTION OF CURRENT AND FUTURE GENERATIONS OF PHYSICIANS AND NURSES THROUGH FUTURE DOCS AND OTHER SUMMER ENRICHMENT PROGRAMS FOR AREA YOUTH. SPARROW IS THE CLINICAL CENTER FOR A MULTITUDE OF HEALTH EDUCATION PROGRAMS, INCLUDING GRADUATE MEDICAL RESIDENCY AND NURSING INTERNSHIPS. SPARROW ALSO SPONSORS DOZENS OF HEALTH SCREENING PROGRAMS, WHICH ARE FREE TO THE PUBLIC. FREE DIABETES TESTING, PROSTATE SCREENING, BREAST EXAMS AND BLOOD PRESSURE CHECKS ARE BUT A FEW OF THE MANY SUCH PROGRAMS SPARROW PROVIDES TO THE COMMUNITY EACH YEAR. SPARROW ALSO PROVIDES MEETING FACILITIES FOR MANY HEALTH EDUCATION AND SUPPORT GROUPS. AS INDIVIDUAL VOLUNTEERS, AND AS AN ORGANIZATION, SPARROW HEALTH SYSTEM SUPPORTED MORE THAN 200 COMMUNITY ORGANIZATIONS WITH SPONSORSHIPS, IN-KIND SERVICES, AND/OR VOLUNTEER SERVICE. AS MID-MICHIGAN'S LEADING HEALTHCARE SYSTEM, SPARROW HAS A RESPONSIBILITY TO DELIVER QUALITY, COMPASSIONATE CARE TO ALL PEOPLE. AS THE LEADING REGIONAL PROVIDER OF UNCOMPENSATED AND CHARITY CARE IN 2013, SPARROW PROVIDED APPROXIMATELY 37 MILLION IN CHARITY, BAD DEBT AND COMMUNITY BENEFITS AND ABSORBED THE COST OF MORE THAN 33 MILLION IN MEDICARE AND MEDICAID UNDER-FUNDING. A BRIEF FINANCIAL SUMMARY OF THE ABOVE ACCOMPLISHMENTS IS: CHARITY AND BAD DEBTS 37 MILLION COMMUNITY BENEFITS (SUBSIDIZED PROGRAMS AND COMMUNITY OUTREACH) 19.7 MILLION, AND MEDICARE AND MEDICAID UNDER-FUNDING 33 MILLION. 352805491 425207033 ANCILLARY SERVICES INCLUDING LABORATORY, RADIOLOGY, DIALYSIS, SOCIAL SERVICES AND CLINICS. 80950434 3803021 GENERAL SERVICES INCLUDING FOOD SERVICE, ENVIRONMENTAL SERVICES, LAUNDRY AND PLANT. 739736612 true true false true false false false false false true true false false true true false false true false false false false false false false false true true false false true true false false false false false false false false true false false false false false false true true true true false true 297 0 true 6451 true true true false false false false false false false false false X 16 11 false false false false true true true true true false false true true true true true true true true true true MI X WILLIAM HOWE 5173646049 1215 E MICHIGAN AVENUE LANSING MI 48912 X DENNIS SWAN PRES/CEO 40.00 X X 1394403 0 33278 GREG BROGAN CHAIRMAN-SE 2.00 X 1349 457892 0 JOHN ARMSTRONG MD BOARD MEMBER 2.00 X 62842 0 0 MAUDE GUERIN MD BOARD MEMBER 2.00 X 44187 0 0 TIMOTHY HODGE DO BOARD MEMBER 2.00 0.00 X 2500 0 0 DAVID KAUFMAN DO BOARD MEMBER 2.00 X 1449 0 0 NANCY MCKEAGUE BOARD MEMBER 2.00 X 1449 0 0 JAMES BUTLER III BOARD MEMBER 2.00 X 1394 0 0 DAVE HUNT BOARD MEMBER 2.00 X 1394 0 0 RICHARD BRUNER BOARD MEMBER 2.00 X 0 0 0 PATRICK GRIBBEN BOARD MEMBER 2.00 X 0 0 0 CURTIS KECK BOARD MEMBER 2.00 X 0 0 0 BARBARA GIVEN PHD VICE CHAIR 2.00 X 0 0 0 MIKE KING BOARD MEMBER 2.00 X 0 0 0 ZOE SLAGLE BOARD MEMBER 2.00 X 0 0 0 MATT RUSH BOARD MEMBER 2.00 X 0 0 0 JEFF BENSON BOARD MEMBER 2.00 X 0 0 0 JOE RUTH VP/COO 40.00 X 676173 0 35346 THOMAS BRES VP/CIO 40.00 X 655093 0 30786 PAULA REICHLE VP/CFO 40.00 X 649299 0 39103 MARK BRETT SR VP/AFFILI 40.00 X 596203 0 39195 BRIAN SCHROEDER SVP/CHIEF ME 40.00 X 432191 0 38336 ELIZABETH HENRY VP/CNO 40.00 X 378249 0 33585 SCOTT WILKERSON PRESIDENT - 40.00 X 375173 0 33828 MICHAEL ZAROUKIAN VP/CHIEF MED 40.00 X 361510 0 27982 THOMAS OSTRANDER VP PROFESSIO 40.00 X 360008 0 39220 DAVE KRUGER VP - TCI 40.00 X 331090 0 39030 PETER GRAHAM MD VP - SMG 40.00 X 306305 0 34249 CAROL DWYER VP NURSING 40.00 X 306099 0 26804 SHERRY TAUNT VP QUALITY/P 40.00 X 262481 0 25754 LARRY WILHITE VP - LEGAL 40.00 X 260667 0 20630 STELLA CASH VICE PRESIDE 40.00 X 255372 0 39138 TIM ELDER VP - FACILIT 40.00 X 241729 0 31110 DONALD DAVIS VP/CHIEF HR 40.00 X 240607 0 11007 ANDREA KOSLOSKI EXECUTIVE DI 40.00 X 223436 0 34271 RICHARD FELLOWS VP - CORP CO 40.00 X 215760 0 30396 DENNIS REESE ACTING CEO - 40.00 X 213957 0 28807 LISA PASCOE CORPORATE DI 20.00 X 84951 0 7528 PAUL STURGIS VP/CHIEF HR 40.00 X 68926 0 1421 MARY LOU WESELY VP/CNO 40.00 X 6346 0 0 ALONSO COLLAR DO PHYSICIAN 40.00 X 721367 0 35187 ARA PRIDJIAN MD PHYSICIAN 40.00 X 721055 0 35379 NORBERT BAUMGARTNER MD PHYSICIAN 40.00 X 702165 0 42837 JOEL COHN MD PHYSICIAN 40.00 X 674916 0 39479 DARYL MELVIN MD PHYSICIAN 40.00 X 674767 0 38975 STEPHEN GUERTIN MD FORMER BOARD 40.00 X 358264 0 33048 LARRY RAWSTHORNE MD FORMER OFFIC 40.00 X 282448 0 33770 DAWN SPRINGER MD FORMER BOARD 40.00 X 193621 0 15034 13341195 457892 954513 429 true true false GRANGER CONSTRUCTION COMPANY 6267 AURELIUS ROAD LANSING MI 48911 CONSTRUCTION 15916744 ARAMARK HEALTHCARE 10510 TWIN LAKES PARKWAY CHARLOTTE NC 28269 MAINTENANCE CON 6642903 EPIC SYSTEMS CORPORATION 1979 MILKY WAY VERONA WI 53593 EMR CONTRACT 5269917 JOHNSON & JOHNSON HEALTHCARE SYS 425 HOES LANE PISCATAWAY NJ 08854 CONSULTING 2834553 DISKRITER INC 2840 LIBRARY RD STE 300 PITTSBURGH PA 15234 CODING, TRANS 1853090 123 1701800 1976 1701800 PATIENT SERVICE REVENUE 621990 832063411 832063411 NONPATIENT SERVICE REVENUE 621500 24871702 24871702 856935113 9028742 9028742 2835539 2132615 702924 702924 120029 582895 15605684 15605684 15605684 15605684 FOOD SERVICE 900099 3029823 3029823 SPARROW SPECIALTY REVENUE 623990 2249418 2249418 DAYCARE REVENUE 900099 773198 773198 21691457 21394161 297296 27743896 911718159 856480188 25289027 28247144 10151288 10151288 353652919 312426318 41226601 31323003 27314433 4008570 38503490 33349063 5154427 27517331 23675528 3841803 1197553 1197553 366040 366040 11881 11881 892395 892395 12451522 12102720 348802 3987913 2297837 1690076 11658996 8893024 2765972 47331057 36102270 11228787 33110487 33110487 SUPPLIES 150201063 149084393 1116670 BAD DEBT 59659694 59659694 MISCELLANEOUS 51455436 26455159 25000277 RENT & REPAIRS 26734450 14584979 12149471 2472411 680707 1791704 862678929 739736612 122942317 0 15736054 59693534 342599631 356254431 100330885 116567997 15718419 17829957 19693135 27115488 1024654659 598795384 421783875 425859275 80900020 56015589 47253044 76174115 1044015063 1135510386 91427277 94925160 311010000 306065000 8923228 11003576 265948719 184469654 677309224 596463390 X 366705839 539046996 366705839 539046996 1044015063 1135510386 49039230 11520834 111781093 X false true X true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 11881 false false 11881 false SCHEDULE C, PART IV SCHEDULE C, PART II-B, LINE 1G EMPLOYED GCSI TO REPRESENT THE ISSUES OF SPARROW HEALTH SYSTEM BEFORE PUBLIC OFFICIALS AND POLICY MAKERS IN THE STATE OF MICHIGAN. 2926676 82387 187643 12000 3184706 2641860 147795 149021 12000 2926676 1779759 796243 97691 30000 1833 2641860 1550687 163793 65279 1779759 1307182 134195 109310 1550687 1.00000 false true true 12463508 12463508 487822138 208734573 279087565 12728225 6089713 6638512 485875180 383971098 101904082 752977 25012631 25765608 425859275 INSURANCE - EXCESS LAYER 30088497 DEFERRED PENSION 20714652 OTHER ASSETS 14275289 INVESTMENTS IN JOINT VENTURES 6903435 DEFERRED FINANCING COSTS 4192242 76174115 UNFUNDED PENSION OBLIGATION 109920106 MEDICAL MALPRACTICE CLAIMS RESERVE 40686068 INSURANCE - EXCESS LAYER 12500000 PREMIUM ON 2007 BONDS 11728320 ASBESTOS ABATEMENT 3952322 POST RETIREMENT BENEFITS PAYABLE 3256078 PREMIUM ON 2005 BONDS 2426760 184469654 SCHEDULE D, PAGE 2, PART V, LINE 4 EDWARD W. SPARROW HOSPITAL DOES NOT HOLD ENDOWMENTS. THE ENDOWMENTS ARE HELD BY SPARROW FOUNDATION AND SPARROW CLINTON HOSPITAL. SPARROW HEALTH SYSTEM IS THE SOLE MEMBER OF EDWARD W. SPARROW HOSPITAL, SPARROW CLINTON HOSPITAL, AND SPARROW FOUNDATION. THE ENDOWMENTS ARE MAINTAINED TO PROVIDE A PERMANENT SOURCE OF INCOME WITH THE STIPULATION THE PRINCIPAL IS KEPT INTACT IN PERPETUITY AND THE INCOME GENERATED FROM INVESTMENTS OF THE ENDOWMENT FUNDS CAN BE USED FOR THE PURPOSE ESTABLISHED BY THE ENDOWMENT. true true X true X true X true true true false true true 20202813 20202813 0.02340 144713711 119130963 25582748 0.02970 164916524 119130963 45785561 0.05310 16664275 16664275 0.01930 5873945 2902460 2971485 0.00340 22538220 2902460 19635760 0.02280 187454744 122033423 65421321 0.07580 3213 3213 12643 12643 1000 1000 26605 26605 1586 1586 1442 1442 46489 46489 0.00010 true 16817950 236348867 243546266 -7197399 X true true LANSING MED DENTAL MEDICAL BUILDING OWNERSHIP 0.68000 0.32000 MID-MI REG DIALYSIS RENTAL ACTIVITIES 0.37000 0.25000 2 1 EWSH - MAIN CAMPUS 1215 E MICHIGAN AVE LANSING MI 48912 X X X X X URGENT CARE A 2 EWSH - ST LAWRENCE CAMPUS 1210 W SAGINAW LANSING MI 48915 X X X BEHAVIORAL HLTH HOSPICE SR SVC A A true X X X X X X X X X X 13 true true true X WWW.SPARROW.ORG X X X X X true false true true 200.000000000000 true 300.000000000000 true X X X X true true X X X true false X X X X true X false true FACILITY 1, EWSH - MAIN CAMPUS - PART V, LINE 3 AS A SUPPLEMENT TO THE HEALTHY CAPITAL COUNTIES (HCC) COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), INTERVIEWEES AND FOCUS GROUP PARTICIPANTS WERE SOLICITED FROM A WIDE VARIETY OF COMMUNITY RESIDENTS WITHIN THE PRINCIPAL AREAS SERVED BY SPARROW HEALTH SYSTEM HOSPITALS. AMONG THOSE SOLICITED WERE COMMUNITY LEADERS AND HEALTH CARE LEADERS; STATE AND LOCAL ELECTED OFFICIALS; PHYSICIANS AND OTHER HEALTH CARE PROVIDERS OR WORKERS; LEADERS AND MEMBERS OF RACIAL, ETHNIC, AND RELIGIOUS MINORITIES; EDUCATORS; STUDENTS; RETIREES; SOCIAL SERVICE PROVIDERS; AND OTHERS. MINORITY GROUPS WITH WHOM THESE ISSUES WERE DISCUSSED INCLUDED AFRICAN AMERICANS, MEMBERS OF THE MUSLIM COMMUNITY FROM SEVERAL DIFFERENT ETHNIC BACKGROUNDS, INTERNATIONAL STUDENTS, AND MEMBERS OF THE EAST INDIAN COMMUNITY. HEALTH CARE ISSUES WITHIN THE HISPANIC COMMUNITY WERE ADDRESSED BY A PHYSICIAN THAT SERVES THE HISPANIC COMMUNITY. INTERNATIONAL STUDENTS WERE FROM CHINA AND THE MIDDLE EAST. FACILITY 1, EWSH - MAIN CAMPUS - PART V, LINE 4 SPARROW HOSPITAL, CONSISTING OF FOUR 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 - MCLAREN GREATER LANSING - HAYES GREEN BEACH MEMORIAL HOSPITAL - EATON RAPIDS MEDICAL CENTER FACILITY 1, EWSH - MAIN CAMPUS - PART V, LINE 20D ALL PATIENTS AND INSURANCES ARE CHARGED THE SAME GROSS CHARGE FROM OUR FEE SCHEDULE. DISCOUNTS ARE THEN PROVIDED TO UNINSURED PATIENTS BASED ON OUR FINANCIAL ASSISTANCE POLICY AND/OR INDIVIDUAL CIRCUMSTANCES. FACILITY 1, EWSH - MAIN CAMPUS - PART V, LINE 22 ALL PATIENTS AND INSURANCES ARE CHARGED THE SAME GROSS CHARGE FROM OUR FEE SCHEDULE. DISCOUNTS ARE THEN PROVIDED TO UNINSURED PATIENTS BASED ON OUR FINANCIAL ASSISTANCE POLICY AND/OR INDIVIDUAL CIRCUMSTANCES. FACILITY 2, EWSH - ST. LAWRENCE CAMPUS - PART V, LINE 20D ALL PATIENTS AND INSURANCES ARE CHARGED THE SAME GROSS CHARGE FROM OUR FEE SCHEDULE. DISCOUNTS ARE THEN PROVIDED TO UNINSURED PATIENTS BASED ON OUR FINANCIAL ASSISTANCE POLICY AND/OR INDIVIDUAL CIRCUMSTANCES. FACILITY 2, EWSH - ST. LAWRENCE CAMPUS - PART V, LINE 22 ALL PATIENTS AND INSURANCES ARE CHARGED THE SAME GROSS CHARGE FROM OUR FEE SCHEDULE. DISCOUNTS ARE THEN PROVIDED TO UNINSURED PATIENTS BASED ON OUR FINANCIAL ASSISTANCE POLICY AND/OR INDIVIDUAL CIRCUMSTANCES. 30 EWSH MEDICAL ARTS BUILDING 1322 E MICHIGAN LANSING MI 48912 OCC HEALTH WOUND CLINIC OB/GYN EWSH SPARROW PROF BUILDING 1200 E MICHIGAN AVE LANSING MI 48912 CLINICS PHARMACY REHAB EWSH MED CENTER WEST 1100 W SAGINAW LANSING MI 48915 PHARMACY PLUS OB/GYN CLINIC EWSH MASON COMMUNITY CENTER 800 E COLUMBIA MASON MI 48854 URGENT CARE/FAMILY PRACTICE/RADIOLOGY EWSH LANSING OBGYN 1600 W GRAND RIVER OKEMOS MI 48864 FAMILY PRACTICE OB/GYN LAB RADIOLOGY EWSH SPARROW REG LAB 2035 ASHER CT STE 200 EAST LANSING MI 48823 LABORATORY EWSH SMG NORTH 2035 ASHER CT STE 200 EAST LANSING MI 48823 FAMILY PRACTICE PHYSICAL THERAPY RADIOLO EWSH OP REHAB 1288 W GRAND RIVER WILLIAMSTON MI 48895 PHYSICAL THERAPY EWSH SMG MASON 230 TEMPLE ST STE 3 MASON MI 48854 FAMILY PRACTICE EWSH SMG WEST 7335 WESTSHIRE DR STE 10 LANSING MI 48912 FAMILY PRACTICE EWSH SPARROW REGIONAL LAB 11615 HARTEL GRAND LEDGE MI 48837 LABORATORY EWSH SMG POTTERVILLE 133 W LANSING RD POTTERVILLE MI 48876 FAMILY PRACTICE EWSH RAMBLEWOOD IMG CENTER 1575 RAMBLEWOOD DR EAST LANSING MI 48823 RADIOLOGY EWSH SPARROW REGIONAL LAB 2199 JOLLY ROAD STE 120 OKEMOS MI 48864 LABORATORY EWSH SPARROW REGIONAL LAB 1650 RAMBLEWOOD DR EAST LANSING MI 48823 LABORATORY EWSH OKEMOS URGENT CARE 1600 W GRAND RIVER OKEMOS MI 48864 URGENT CARE EWSH SPARROW REGIONAL LAB 6254 W SAGINAW LANSING MI 48912 LABORATORY EWSH SPARROW REGIONAL LAB 6030 S PENNSYLVANIA LANSING MI 48913 LABORATORY EWSH 11653 HARTEL STE 1000 GRAND LEDGE MI 48837 PHYSICAL THERAPY EWSH OUTPATIENT REHAB 13105 SCHAVEY ROAD DEWITT MI 48820 PHYSICAL THERAPY EWSH SOUTHPOINT MALL STE A14-A17 ST JOHNS MI 48879 PHYSICAL THERAPY EWSH SMG DEWITT 13191 SCHAVEY RD DEWITT MI 48820 FAMILY PRACTICE LAB RADIOLOGY EWSH 138 SERVICE ROAD EAST LANSING MI 48823 LABORATORY EWSH SPARROW PHARMACY PLUS 129 S PUTNAM WILLIAMSTON MI 48895 PHARMACY EWSH SPARROW PHARMACY PLUS 1015 CHARLEVOIX DR GRAND LEDGE MI 48837 PHARMACY EWSH SPARROW PHARMACY PLUS 915 E MICHIGAN LANSING MI 48912 PHARMACY EWSH SPARROW PHARMACY PLUS 1200 E MICHIGAN STE 310 LANSING MI 48912 PHARMACY EWSH SMG EAST LANSING 2682 E GRAND RIVER EAST LANSING MI 48823 LABORATORY & URGENT CARE EWSH SMG HOLT 2040 N AURELIUS HOLT MI 48842 FAMILY PRACTICE EWSH SMG GRAND LEDGE 1015 CHARLEVOIX DR GRAND LEDGE MI 48837 URGENT CARE & PHARMACY PART II - COMMUNITY BUILDING ACTIVITIES SPARROW HEALTH SYSTEM'S REACH EXTENDS FAR BEYOND THE ACUTE CARE SETTING OF THE HOSPITAL. THERE ARE MANY WAYS OUR STAFF PROACTIVELY SUPPORTS THE COMMUNITY, ESPECIALLY THOSE WHO HAVE THE GREATEST NEED. WHETHER THROUGH CHARITABLE CARE, SUBSIDIZED HOSPITAL PROGRAMS AND SERVICES, MEDICAL EDUCATION OR COMMUNITY HEALTH EDUCATION, SPARROW STRIVES TO RESPOND TO THE REGION'S MOST PRESSING HEALTH NEEDS. FOR MORE THAN 114 YEARS, SPARROW HAS BEEN DISTINGUISHED BY ITS PASSIONATE COMMITMENT TO CARE FOR ALL, REGARDLESS OF THEIR ABILITY TO PAY. FINANCIAL ASSISTANCE IS AVAILABLE TO PATIENTS WHO MEET CERTAIN QUALIFICATIONS. SPARROW ALSO PROVIDES "SUBSIDIZED HEALTH SERVICES." THESE ARE SERVICES THAT ARE OFFERED DESPITE FINANCIAL LOSS BECAUSE THE COMMUNITY NEEDS THEM, BECAUSE OTHER PROVIDERS ARE NOT WILLING TO OFFER THEM, OR BECAUSE THE SERVICES WOULD OTHERWISE NOT BE ABLE TO MEET PATIENT DEMAND. THESE SERVICES INCLUDE HOSPICE AND PALLIATIVE CARE; MENTAL HEALTH SERVICES; SUBSTANCE ABUSE SERVICES; NEONATAL INTENSIVE CARE; OBSTETRICS; REHABILITATION; EMERGENCY AND TRAUMA SERVICES; GERIATRICS CLINICS; AND PEDIATRIC CLINICS. 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. 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 PAGE 13 OF 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 7,197,399 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 THROUGH CONTINUAL ANALYSIS OF OUR ANNUAL CASE MIX AND COLLABORATION WITH COMMUNITY PARTNERS SPARROW IS ABLE TO MAKE ACCURATE ASSESSMENTS OF THE HEALTH CARE NEEDS OF THE REGION IT SERVES. FOR EXAMPLE, OUR REGIONAL COLLABORATION OF AREA HEALTH PARTNERS, WHICH INCLUDES SPARROW, MICHIGAN STATE UNIVERSITY, INGHAM REGIONAL MEDICAL CENTER, LANSING COMMUNITY COLLEGE, THE MICHIGAN STATE AND INGHAM COUNTY MEDICAL SOCIETIES, THE INGHAM COUNTY HEALTH DEPARTMENT, THE LANSING SCHOOL DISTRICT, THE ACCIDENT FUND, THE CAPITAL AREA HEALTH ALLIANCE AND OTHER ORGANIZATIONS RECENTLY ADOPTED A NEW GOAL OF DEVELOPING THE HEALTH PLAN CHAPTER FOR THE GREATER LANSING NEXT INITIATIVE. ASSESSING THE REGION'S HEALTH CARE NEEDS IS A KEY COMPONENT OF THIS STRATEGIC PLAN WHICH IS FOCUSED ON ECONOMIC DEVELOPMENT FOR THE REGION. PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE SPARROW HOSPITAL EMPLOYS SEVERAL METHODS TO COMMUNICATE ELIGIBILITY FOR ASSISTANCE TO PATIENTS. ALL UNINSURED IN-PATIENTS ARE DIRECTLY SCREENED FOR POTENTIAL MEDICAID ELIGIBILITY AND ANY OTHER GOVERNMENT PROGRAMS (COBRA BENEFITS, ETC). SIGNAGE IS POSTED IN OUR PATIENT REGISTRATION AREAS REGARDING AVAILABILITY OF SPARROW COMMUNITY FINANCIAL AID (CFA) PROGRAM (CHARITY CARE). ALL PATIENT BILLING STATEMENTS HAVE A NOTE REGARDING THE CFA PROGRAM AND OUR WEBSITE CONTAINS LINKS TO OUR CFA POLICY AND APPLICATION. PART VI, LINE 4 - COMMUNITY INFORMATION SPARROW SERVES THE MID-MICHIGAN REGION WHICH CONSISTS OF THE GREATER LANSING AREA (A POPULATION OF APPROXIMATELY 450,000). STRATEGICALLY LOCATED IN THE HEART OF MICHIGAN, SPARROW IS LOCATED WITHIN 90 MINUTES OF 90 PERCENT OF THE STATE'S POPULATION OF APPROXIMATELY 10 MILLION PEOPLE. THE STATE CAPITAL, MICHIGAN STATE UNIVERSITY AND TWO GENERAL MOTORS ASSEMBLY FACILITIES MAKE THE LANSING REGION AMONG THE MOST STABLE AND DIVERSE ECONOMIES IN MICHIGAN. THE REGION IS EVOLVING AS A LEADING ECONOMIC FORCE IN RESEARCH AND DEVELOPMENT, WAREHOUSING AND DISTRIBUTION, INFORMATION TECHNOLOGY, BIO-TECHNOLOGY, HEALTHCARE, INSURANCE AND FINANCIAL SERVICES. PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH AS NOTED ABOVE, THE ORGANIZATION'S COMMUNITY BUILDING ACTIVITIES PROMOTE THE HEALTH OF THE COMMUNITIES THE ORGANIZATION SERVES. THESE SERVICES ARE PROVIDED UNDER THE MISSION OF THE ORGANIZATION - "IMPROVING THE HEALTH OF THE PEOPLE IN OUR COMMUNITIES BY PROVIDING QUALITY, COMPASSIONATE CARE TO EVERYONE, EVERY TIME." PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM EDWARD W SPARROW HOSPITAL IS A WHOLLY-OWNED SUBSIDIARY OF SPARROW HEALTH SYSTEM. SPARROW HEALTH SYSTEM IS A NON-PROFIT, COMMUNITY GOVERNED, INTEGRATED HEALTH DELIVERY AND FINANCING 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 DEVELOPMENT, INC., SPARROW COMMUNITY CARE, SPARROW IONIA HOSPITAL, SPARROW FOUNDATION, AND SPARROW CLINICAL RESEARCH INSTITUTE. PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT MICHIGAN X X true true X X X X X X true false false true true true true true false DENNIS SWAN PRES/CEO 785333 574149 34921 18870 14408 1427681 GREG BROGAN CHAIRMAN-SEE SCH O 1349 457892 1349 457892 JOE RUTH VP/COO 451686 203199 21288 18870 16476 711519 THOMAS BRES VP/CIO 445908 206357 2828 15150 15636 685879 PAULA REICHLE VP/CFO 423052 206445 19802 22800 16303 688402 MARK BRETT SR VP/AFFILIATE OPER 398564 177369 20270 22800 16395 635398 BRIAN SCHROEDER SVP/CHIEF MED OFC 343163 66961 22067 22800 15536 470527 ELIZABETH HENRY VP/CNO 309378 58967 9904 18870 14715 411834 SCOTT WILKERSON PRESIDENT - PHP 345529 12166 17478 18870 14958 409001 MICHAEL ZAROUKIAN VP/CHIEF MED INF OFC 282197 57647 21666 22800 5182 389492 THOMAS OSTRANDER VP PROFESSIONAL SRVC 283627 56037 20344 22800 16420 399228 DAVE KRUGER VP - TCI 261241 50943 18906 22800 16230 370120 PETER GRAHAM MD VP - SMG 247948 56438 1919 18870 15379 340554 CAROL DWYER VP NURSING 254761 48710 2628 22065 4739 332903 SHERRY TAUNT VP QUALITY/PERF IMPR 217618 41545 3318 18684 7070 288235 LARRY WILHITE VP - LEGAL 220082 37540 3045 18870 1760 281297 STELLA CASH VICE PRESIDENT - FDN 173363 64843 17166 37950 1188 294510 TIM ELDER VP - FACILITIES 216813 22495 2421 14958 16152 272839 DONALD DAVIS VP/CHIEF HR OFFICER 236618 3989 10843 164 251614 ANDREA KOSLOSKI EXECUTIVE DIRECTOR 186474 35043 1919 18198 16073 257707 RICHARD FELLOWS VP - CORP COMPLIANCE 163146 33542 19072 15966 14430 246156 DENNIS REESE ACTING CEO - PHP 200671 11915 1371 13306 15501 242764 ALONSO COLLAR DO PHYSICIAN 524806 189138 7423 15150 20037 756554 ARA PRIDJIAN MD PHYSICIAN 534611 165120 21324 18870 16509 756434 NORBERT BAUMGARTNER MD PHYSICIAN 548247 151296 2622 22800 20037 745002 JOEL COHN MD PHYSICIAN 613507 40958 20451 22800 16679 714395 DARYL MELVIN MD PHYSICIAN 608785 40958 25024 22800 16175 713742 STEPHEN GUERTIN MD FORMER BOARD MEMBER 347812 5077 5375 18870 14178 391312 LARRY RAWSTHORNE MD FORMER OFFICER 263850 18598 18870 14900 316218 DAWN SPRINGER MD FORMER BOARD MEMBER 148179 42328 3114 14328 706 208655 SCHEDULE J, PAGE 1, PART I, LINE 1A PRESIDENT/CEO DENNIS SWAN RECEIVED A LIFE INSURANCE GROSS-UP PAYMENT OF 22,251. CERTAIN BOARD MEMBERS' AND EXECUTIVES' MICHIGAN ATHLETIC CLUB DUES ARE PAID BY EDWARD W. SPARROW HOSPITAL. THESE AMOUNTS ARE CONSIDERED TAXABLE COMPENSATION. SCHEDULE J, PAGE 1, PART I, LINE 3 SPARROW HEALTH SYSTEM IS THE SOLE MEMBER OF SPARROW 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 SCOTT WILKERSON 26,962 0 0 SCHEDULE J, PAGE 1, PART I, LINE 5A THE 2013 INCENTIVE COMPENSATION PLAN PAYMENTS WERE ACCRUED IN 2013 AND WILL BE PAID IN 2014. THE INCENTIVE COMPENSATION PLAN IS BASED, IN PART, ON THE OPERATING MARGIN OF SPARROW HEALTH SYSTEM, WHICH INCLUDES EDWARD W SPARROW HOSPITAL AS WELL AS AFFILIATED COMPANIES. SCHEDULE J, PAGE 1, PART I, LINE 5B THE 2013 INCENTIVE COMPENSATION PLAN PAYMENTS WERE ACCRUED IN 2013 AND WILL BE PAID IN 2014. THE INCENTIVE COMPENSATION PLAN IS BASED, IN PART, ON THE OPERATING MARGIN OF SPARROW HEALTH SYSTEM, WHICH INCLUDES EDWARD W SPARROW HOSPITAL AS WELL AS AFFILIATED COMPANIES. SCHEDULE J, PAGE 1, PART I, LINE 6A THE 2013 INCENTIVE COMPENSATION PLAN PAYMENTS WERE ACCRUED IN 2013 AND WILL BE PAID IN 2014. THE INCENTIVE COMPENSATION PLAN IS BASED, IN PART, ON THE OPERATING MARGIN OF SPARROW HEALTH SYSTEM, WHICH INCLUDES EDWARD W SPARROW HOSPITAL AS WELL AS AFFILIATED COMPANIES. SCHEDULE J, PAGE 1, PART I, LINE 6B THE 2013 INCENTIVE COMPENSATION PLAN PAYMENTS WERE ACCRUED IN 2013 AND WILL BE PAID IN 2014. THE INCENTIVE COMPENSATION PLAN IS BASED, IN PART, ON THE OPERATING MARGIN OF SPARROW HEALTH SYSTEM, WHICH INCLUDES EDWARD W SPARROW 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. SCHEDULE J, PART III LARRY RAWSTHORNE IS A FORMER OFFICER AND STEPHEN GUERTIN AND DAWN SPRINGER ARE FORMER BOARD MEMBERS OF EDWARD W. SPARROW HOSPITAL. THE FORMER OFFICER AND BOARD MEMBERS ARE BEING COMPENSATED BY SPARROW HEALTH SYSTEM AND AFFILIATES FOR SERVICES PROVIDED TO SPARROW HEALTH SYSTEM AND AFFILIATES IN POSITIONS OTHER THAN OFFICER OR BOARD MEMBERS. THE FORMER OFFICER AND BOARD MEMBERS ARE NOT BEING COMPENSATED FOR ANY PAST SERVICES PROVIDED TO EDWARD W. SPARROW HOSPITAL AS FORMER OFFICER OR BOARD MEMBERS. SCHEDULE J, PART II, COLUMN (B)(I) - PAYMENTS TO GREG BROGAN FOR BROKER'S SALES COMMISSIONS FOR PHP INSURANCE COMPANY (457,892). A MICHIGAN STATE HOSPITAL FINANCE 382889417 59465HAC0 2005-04-26 92941319 SEE PART VI, SUPPLEMENTAL INFORMATION false false false B MICHIGAN STATE HOSPITAL FINANCE 382889417 59465HEQ5 2007-04-19 140209630 SEE PART VI, SUPPLEMENTAL INFORMATION false false false C MICHIGAN STATE HOSPITAL FINANCE 382889418 59447PQF1 2012-08-21 106840434 9TH & 10TH FLOOR BUILDOUT, NEW FAMILY PRACTICE AND SURGERY REMODEL false false false A 5815000 94842732 40072062 938005 1931252 51901413 2006 false true true true B 2860000 142636235 41432241 1203994 100000000 2008 false true true true C 106923084 1247782 33926850 71748452 2013 false false false true A false false false false false false true B false false false false false false true C false false false false false false true A false false true false false false true MORGANSTANLEY & CO INCORPORATED 2.700000000000 true false true B false false true false false false true HYPO PUBLIC FIN BANK 2.700000000000 true false true C false true false false false false false false true SCHEDULE K - ADDITIONAL INFORMATION MICHIGAN STATE HOSPITAL FINANCE LINE A, COLUMN F, PART I: REFUNDED 1996 BONDS (1996 BONDS ISSUED 8/28/96); BEGAN 10-STORY TOWER ADDITION TO THE MAIN CAMPUS LINE B, COLUMN F, PART I: REFUNDED 2001 BONDS (2001 BONDS ISSUED 10/10/01); COMPLETED 10-STORY TOWER ADDITION TO THE MAIN CAMPUS MICHIGAN STATE HOSPITAL FINANCE THE ISSUE PRICE FOR THE MICHIGAN STATE HOSPITAL FINANCE AUTHORITY CUSIP 59465HAC0 REPORTED ON FORM 8038 WAS 144,357,839. THIS TAX-EXEMPT BOND IS BEING ALLOCATED BETWEEN EDWARD W. SPARROW HOSPITAL AND SPARROW CLINTON HOSPITAL. THE AMOUNT OF THE ISSUE PRICE REPORTED ON EDWARD W. SPARROW HOSPITAL IS 140,209,630 AND THE AMOUNT REPORTED ON SPARROW CLINTON HOSPITAL IS 4,148,209. SPARROW HEALTH SYSTEM IS THE SOLE MEMBER OF BOTH EDWARD W. SPARROW HOSPITAL AND SPARROW CLINTON HOSPITAL. KAITLYN MATTHEWS FAMILY MEMBER 70465 EMPLOYEE false TAMARA HODGE FAMILY MEMBER 75031 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 THAT USE A PORTION OF DUES PAID TO THE 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 CANCER CARE INCLUDING RADIATION THERAPY, TRAUMA CARE, NEUROLOGICAL CARE, HIGH-RISK OBSTETRICS, NEONATAL INTENSIVE CARE, BEHAVIORAL HEALTH, AND CARDIOVASCULAR SERVICES. SPARROW TREATED NEARLY 35,000 INPATIENTS, HAD APPROXIMATELY 1 MILLION OUTPATIENT ENCOUNTERS, AND PROVIDED SERVICES TO MORE THAN 125,500 EMERGENCY MEDICINE PATIENTS IN 2013. TODAY'S SPARROW HEALTH SYSTEM BLENDS THE KNOWLEDGE AND EXPERTISE OF OVER 900 PHYSICIANS, 7,500 CAREGIVERS AND APPROXIMATELY 2,000 VOLUNTEERS WITH THE MOST ADVANCED TECHNOLOGY, SERVING AS A COMPREHENSIVE HEALTH SYSTEM FOR AN EIGHT-COUNTY POPULATION. IN ADDITION, MORE PEOPLE CHOOSE SPARROW FOR THEIR MATERNITY NEEDS (MORE THAN 4,200 DELIVERIES ANNUALLY), REHABILITATION, AND EMERGENCY TREATMENT THAN ANY OTHER HOSPITAL IN MID-MICHIGAN. SPARROW HEALTH SYSTEM'S REACH EXTENDS FAR BEYOND THE ACUTE CARE SETTING OF THE HOSPITAL. THERE ARE MANY WAYS OUR STAFF PROACTIVELY SUPPORTS THE COMMUNITY, ESPECIALLY THOSE WHO HAVE THE GREATEST NEED. BECAUSE OF SPARROW'S COMMITMENT, THE PEOPLE OF MID-MICHIGAN HAVE ACCESS TO THE FULL RANGE OF COMPREHENSIVE ACUTE CARE SERVICES AND THE LATEST MEDICAL ADVANCES WITHOUT TRAVELING GREAT DISTANCES. THESE SERVICES ARE AVAILABLE TO ALL MID-MICHIGAN RESIDENTS, REGARDLESS OF THEIR ABILITY TO PAY. PROVIDING ACCESS TO PRIMARY CARE: SPARROW RECOGNIZES THAT IF WE ARE TO ACHIEVE OUR VISION OF BEING A NATIONALLY RECOGNIZED LEADER IN QUALITY AND THE PATIENT EXPERIENCE, WE HAVE A RESPONSIBILITY TO TAKE THE LEAD IN FUNDAMENTALLY TRANSFORMING HEALTH CARE IN MICHIGAN. IN ORDER TO ADDRESS THE CHALLENGES OF INCREASING PREVALENCE OF CHRONIC DISEASE AND AN AGING POPULATION, AND TO IMPROVE THE QUALITY OF CARE AND THE PATIENT EXPERIENCE WHILE ALSO ENSURING GREATER AFFORDABILITY FOR PAYORS, SPARROW NEEDS TO IMPLEMENT PROFOUND CHANGES IN HOW CARE IS PROVIDED. SPARROW IS COMMITTED TO SEEKING NEW WAYS TO PARTNER WITH QUALITY CARE PROVIDERS TO CREATE GREATER ALIGNMENT AROUND IMPROVED QUALITY AND PATIENT EXPERIENCE, WORK JOINTLY TO DEVELOP CLINICAL GUIDELINES TO ENSURE THE HIGHEST QUALITY OF CARE FOR PATIENTS WHO NEED TO BE TRANSFERRED TO DIFFERENT LEVELS OF CARE AND TO ENSURE THAT CARE IS ALWAYS DELIVERED IN THE BEST QUALITY AND MOST COST-ADVANTAGEOUS CLINICAL SETTING AS CLOSE TO THE PATIENTS HOME AS POSSIBLE. SPARROW WAS SELECTED AS THE FIRST IN MICHIGAN TO BECOME A MEMBER OF THE MAYO CLINIC CARE NETWORK, SOLIDIFYING OUR DEDICATION TO MEETING OUR PATIENTS' HEALTHCARE NEEDS RIGHT HERE IN MID- MICHIGAN. SPARROW ALSO HOLDS AFFILIATIONS WITH SPARROW CLINTON MEMORIAL HOSPITAL, SPARROW IONIA HOSPITAL, CARSON CITY HOSPITAL, AND HAYES GREEN BEACH HOSPITAL EXTENDING OUR REACH THROUGHOUT THE REGION. IN 2013, SPARROW OPENED SPARROW EAST LANSING, A NEW URGENT CARE FACILITY, AND SPARROW MEDICAL GROUP HOLT, A FAMILY PRACTICE, IN SUPPORT OF OUR GOAL OF TRANSFORMING HOW CARE IS PROVIDED. BY PROACTIVELY LOCATING SERVICES IN OUR SURROUNDING COMMUNITIES, WE ENSURE THAT RESIDENTS AND THEIR FAMILIES HAVE ACCESS TO THE CARE NECESSARY TO SAFEGUARD THEIR HEALTH. SPARROW ALSO BROKE GROUND ON A NEW REPLACEMENT HOSPITAL IN IONIA, THE FIRST NEW HOSPITAL IN THE MID-MICHIGAN REGION IN DECADES. SPARROW COMMUNITY CARE IS A NON-PROFIT ENTITY COMPRISING OF THE FORMER SPARROW MEDICAL SUPPLY, SPARROW HOME CARE, SPARROW LABORATORIES AND SPARROW PHARMACY PLUS, WHICH TOGETHER ROUND OUT SPARROW HEALTH SYSTEM'S NETWORK OF FACILITIES AND PRIMARY CARE SERVICES. THEY ARE DESIGNED TO PROVIDE QUALITY, CONVENIENT, COST EFFECTIVE HEALTH CARE TO THE PEOPLE OF MID- MICHIGAN. EMERGENCY PREPAREDNESS: SPARROW HAS DISTINGUISHED ITSELF AS A RECOGNIZED LEADER IN EMERGENCY PREPAREDNESS. THE HOSPITAL VIEWS PREPAREDNESS AS AN ONGOING PROCESS LED BY A MULTIDISCIPLINARY TEAM THAT INVOLVES ALL ASPECTS OF HOSPITAL OPERATIONS, INCLUDING MEDICAL AND NON-MEDICAL SERVICES. DRILLS ARE CONDUCTED YEAR- ROUND IN COLLABORATION WITH LOCAL, STATE AND FEDERAL AGENCIES TO ENSURE SPARROW IS PREPARED FOR ANY DISASTER, WHETHER IT IS THE RESULT OF A TERRORIST ACT OR A NATURAL DISASTER. SPARROW'S EMERGENCY PREPAREDNESS COMMITTEE REGULARLY TESTS THE HOSPITAL'S RESPONSE SKILLS INDEPENDENT OF ANY AGENCY OR GOVERNING BODY. THE HOSPITAL ALSO WORKS WITH LOCAL GOVERNMENT AGENCIES, INCLUDING THE POLICE DEPARTMENT, FIRE DEPARTMENT AND PUBLIC HEALTH DEPARTMENT TO COORDINATE A PLANNED RESPONSE IN THE EVENT OF A TRUE EMERGENCY. SUPPORTING OUR COMMUNITY AND NEIGHBORHOODS: SPARROW IS THE UNQUESTIONED LEADER IN MID-MICHIGAN IN PROVIDING HEALTHCARE SERVICES AND PROMOTING HEALTH-RELATED ACTIVITIES. SPARROW PROVIDES FIRST- AID SERVICES AT MANY SPECIAL EVENTS INCLUDING MICHIGAN STATE UNIVERSITY FOOTBALL GAMES, LANSING LUGNUTS BASEBALL GAMES AND THE CITY OF LANSING'S ANNUAL COMMON GROUND MUSIC FESTIVAL. SPARROW ALSO SPONSORS DOZENS OF HEALTH-RELATED ACTIVITIES, INCLUDING THE ANNUAL HIKE FOR HOSPICE, THE FEELIN' GOOD MILEAGE CLUB FOR ELEMENTARY SCHOOLS, FITKIDS AND THE SPARROW MICHIGAN MILE. SPARROW ALSO HAS A PARTNERSHIP WITH THE UNIVERSITY OF MICHIGAN HEALTH SYSTEM'S SURVIVAL FLIGHT AIR MEDICAL TRANSPORT SERVICE. SURVIVAL FLIGHT PROVIDES 24-HOUR AIR MEDICAL TRANSPORT SERVICES FOR IMPROVED ACCESS TO PATIENTS WHO NEED CRITICAL CARE. AS A TEACHING HOSPITAL, SPARROW HAS CONTINUED TO STRENGTHEN ITS AFFILIATION WITH MICHIGAN STATE UNIVERSITY (MSU) THROUGH A JOINT INITIATIVE, THE CENTER FOR INNOVATION, BY SUPPORTING FELLOWSHIPS AND RECRUITING ESTABLISHED RESEARCHERS TO DEVELOP, TEST, IMPLEMENT AND EVALUATE INNOVATIVE APPROACHES IN HEALTHCARE. SPARROW HAS MANY OTHER LONGSTANDING ARRANGEMENTS WITH MSU'S COLLEGES OF HUMAN MEDICINE, OSTEOPATHIC MEDICINE AND NURSING. SPARROW WORKS WITH MSU TO FACILITATE THE RECRUITMENT, TRAINING AND RETENTION OF CURRENT AND FUTURE GENERATIONS OF PHYSICIANS AND NURSES THROUGH FUTURE DOCS AND OTHER SUMMER ENRICHMENT PROGRAMS FOR AREA YOUTH. SPARROW IS THE CLINICAL CENTER FOR A MULTITUDE OF HEALTH EDUCATION PROGRAMS, INCLUDING GRADUATE MEDICAL RESIDENCY AND NURSING INTERNSHIPS. SPARROW ALSO SPONSORS DOZENS OF HEALTH SCREENING PROGRAMS, WHICH ARE FREE TO THE PUBLIC. FREE DIABETES TESTING, PROSTATE SCREENING, BREAST EXAMS AND BLOOD PRESSURE CHECKS ARE BUT A FEW OF THE MANY SUCH PROGRAMS SPARROW PROVIDES TO THE COMMUNITY EACH YEAR. SPARROW ALSO PROVIDES MEETING FACILITIES FOR MANY HEALTH EDUCATION AND SUPPORT GROUPS. AS INDIVIDUAL VOLUNTEERS, AND AS AN ORGANIZATION, SPARROW HEALTH SYSTEM SUPPORTED MORE THAN 200 COMMUNITY ORGANIZATIONS WITH SPONSORSHIPS, IN-KIND SERVICES, AND/OR VOLUNTEER SERVICE. AS MID-MICHIGAN'S LEADING HEALTHCARE SYSTEM, SPARROW HAS A RESPONSIBILITY TO DELIVER QUALITY, COMPASSIONATE CARE TO ALL PEOPLE. AS THE LEADING REGIONAL PROVIDER OF UNCOMPENSATED AND CHARITY CARE IN 2013, SPARROW PROVIDED APPROXIMATELY 37 MILLION IN CHARITY, BAD DEBT AND COMMUNITY BENEFITS AND ABSORBED THE COST OF MORE THAN 33 MILLION IN MEDICARE AND MEDICAID UNDER-FUNDING. A BRIEF FINANCIAL SUMMARY OF THE ABOVE ACCOMPLISHMENTS IS: CHARITY AND BAD DEBTS 37 MILLION COMMUNITY BENEFITS (SUBSIDIZED PROGRAMS AND COMMUNITY OUTREACH) 19.7 MILLION, AND MEDICARE AND MEDICAID UNDER-FUNDING 33 MILLION. FORM 990, PAGE 6, PART VI, LINE 6 SPARROW HEALTH SYSTEM IS THE SOLE MEMBER OF EDWARD W. SPARROW HOSPITAL AND HAS 100% OWNERSHIP. FORM 990, PAGE 6, PART VI, LINE 7A SPARROW HEALTH SYSTEM HAS THE RIGHT TO ELECT, REPLACE, AND REMOVE DIRECTORS OF THE EDWARD W. SPARROW HOSPITAL BOARD. THE PRESIDENT OF THE MEDICAL STAFF, WHICH IS A MEMBER OF THE GOVERNING BODY, IS ELECTED BY THE MEDICAL STAFF OF EDWARD W. SPARROW HOSPITAL. FORM 990, PAGE 6, PART VI, LINE 7B SPARROW HEALTH SYSTEM HAS THE RIGHT TO ELECT, REPLACE, AND REMOVE DIRECTORS OF EDWARD W. SPARROW HOSPITAL. SPARROW HEALTH SYSTEM ALSO HAS THE AUTHORITY TO APPROVE DECISIONS OF THE EDWARD W. SPARROW HOSPITAL BOARD WHEN IT IS DEEMED NECESSARY. FORM 990, PAGE 6, PART VI, LINE 11B COPIES OF THE 2013 FORM 990 ARE REVIEWED BY MANAGEMENT. ONCE MANAGEMENT COMPLETED ITS REVIEW OF THE FORM 990 COPIES WERE PROVIDED AT THE SEPTEMBER 2014 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 TRANSACTION 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 OF THE ORGANIZATION INVOLVED THE FOLLOWING: UTILIZING THE COMPENSATION COMMITTEE, INDEPENDENT CONSULTANTS, REVIEWING OTHER SIMILAR ORGANIZATIONS' 990S, 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, INDEPENDENT CONSULTANTS, REVIEWING OTHER SIMILAR ORGANIZATIONS' 990S, 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 AUDITED FINANCIAL STATEMENTS ARE AVAILABLE ON SEVERAL INTERNET WEBSITES, INCLUDING NMSIR AND MSHFA WEBSITES, AS WELL AS AVAILABLE UPON REQUEST. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART VII PART VII, SECTION A, COLUMN (E) REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS - PAYMENTS TO GREG BROGAN FOR BROKER'S SALES COMMISSIONS FOR PHP INSURANCE COMPANY (457,892). FORM 990, PART XI, LINE 9 CHANGE IN UNFUNDED PENSION OBLIGATION 112,185,985 CHANGE IN UNFUNDED POSTRETIREMENT OBLIGATION 178,562 NET TRANSFERS TO/FROM AFFILIATES -76,710 LMDB CONSOLIDATION -506,744 SPARROW HEALTH SYSTEM 1215 EAST MICHIGAN AVENUE LANSING MI 48912 382542859 PARENT MI 501C3 11A NA false SPARROW COMMUNITY CARE 2909 EAST GRAND RIVER LANSING MI 48912 382543305 HOME HLTH MI 501C3 9 SHS true PHYSICIANS HEALTH PLAN 1400 EAST MICHIGAN AVENUE LANSING MI 48912 382356288 INSURANCE MI 501C4 SHS true PHP FAMILYCARE 1400 EAST MICHIGAN AVENUE LANSING MI 48912 364497604 HMO MI 501C4 PHPMM true PHYSICIANS HEALTH NETWORK 1400 EAST MICHIGAN AVENUE LANSING MI 48912 382594856 HMO MI 501C4 SHS true SPARROW FOUNDATION 1110 EAST MICHIGAN AVENUE LANSING MI 48912 386100687 FUNDRAISE MI 501C3 11B SHS true SPARROW CLINTON HOSPITAL 805 SOUTH OAKLAND ST JOHNS MI 48879 381358172 HLTH CARE MI 501C3 3 SHS true SPARROW SPECIALTY HOSPITAL 1210 WEST SAGINAW LANSING MI 48915 141885340 LT ACUTE C MI 501C3 3 SHS true SPARROW IONIA HOSPITAL 520 E WASHINGTON IONIA MI 48846 383218134 HLTH CARE MI 501C3 3 SHS true SPARROW CLINICAL RESEARCH INSTITUTE 1200 E MICHIGAN AVENUE LANSING MI 48912 383075242 RESEARCH MI 501C3 4 SHS true SPARROW WOMEN'S HOSPITAL ASSOCIATIO 1215 E MICHIGAN AVENUE LANSING MI 48912 386091657 VOLUNTEER MI 3 11D N/A false LANSING MEDICAL DENTAL BUILDING 2909 EAST GRAND RIVER LANSING MI 48909 382566150 RENTAL PRO MI EWSH EXCLUDED 19150 634026 false 1887 true 0.68420 SPARROW DEVELOPMENT INC 1215 E MICHIGAN AVE LANSING MI 48912 382595963 RENTAL PRO MI N/A true MEDICAL CENTER WEST CONDO ASSOC 1100 WEST SAGINAW ST LANSING MI 48915 382635630 CONDO ASSO MI EWSH C CORP 16672 201720 0.94610 true PHP INSURANCE COMPANY 1400 EAST MICHIGAN AVE LANSING MI 48912 205565219 INSURANCE MI N/A true PHP SERVICE COMPANY 1400 EAST MICHIGAN AVE LANSING MI 48912 383344741 MED SERV MI N/A true EAST LANSING ATHLETIC CLUB 2900 HANNAH BLVD LANSING MI 48823 382886420 HLTH CLUB MI N/A true MAC RESTAURANT LLC 2900 HANNAH BLVD LANSING MI 48823 205120690 RESTAURANT MI N/A true CLINTON SERVICES CORPORATION 805 SOUTH OAKLAND ST JOHNS MI 48879 382494110 SERVICES MI N/A true true true true true false false false false false true true true true false true true true false true SPARROW SPECIALTY HOSPITAL A 273516 COST SPARROW COMMUNITY CARE A 231295 COST SPARROW FOUNDATION C 1701800 COST SPARROW CLINTON HOSPITAL J 72603 COST SPARROW DEVELOPMENT INC K 337450 COST SPARROW SPECIALTY HOSPITAL L 1050335 COST SPARROW IONIA HOSPITAL L 833854 COST SPARROW CLINTON HOSPITAL M 240000 COST PHYSICIANS HEALTH PLAN M 1778488 COST SPARROW DEVELOPMENT INC O 150240 COST SPARROW CLINTON HOSPITAL O 108685 COST SPARROW DEVELOPMENT INC P 65782 COST SPARROW IONIA HOSPITAL P 53310 COST PHYSICIANS HEALTH PLAN P 1647172 COST SPARROW CLINTON HOSPITAL Q 1750665 COST SPARROW SPECIALTY HOSPITAL Q 1199083 COST LANSING MEDICAL DENTAL BUILDING S 506744 COST