Carson City Hospital

“University of michigan health corp is the sole member of university of michigan health - sparrow. University of michigan health sparrow is the sole member of university of michigan health - sparrow carson and has 100% ownership.”

“University of michigan health - sparrow has the right to elect, replace, and remove directors of umh - sparrow carson. The president of the medical staff, which is a member of the governing body, is elected by the medical staff of umh - sparrow carson.”

“Umh corp and university of michigan health - sparrow have the right to elect, replace, and remove directors of umh - sparrow carson as well as have the authority to approve decisions of the umh - sparrow carson board when it is deemed necessary.”

“Copies of the fiscal year 6/30/2024 form 990 are reviewed by management. The form 990 copies were provided at the board meeting for all board members to review and comment on prior to filing.”

“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).”

“The process for determining compensation for the ceo involved the following: utilizing the compensation committee, using independent consultants, reviewing other similar organizations' 990s, using compensation surveys, and final approval by the shs board of directors, as well as finalizing the salary package with a written employment contract.”

“The process for determining compensation for officers or key employees of the organization involved the following: utilizing the compensation committee, using independent consultants, reviewing other similar organizations' 990s, using compensation surveys, and final approval by the shs board of directors, as well as finalizing the salary package with a written employment contract.”

“The organization's governing documents, conflict of interest policy, and audited financial statements are available upon request.”

“Full website - https://www.uofmhealthsparrow.org/our-hospitals-services/um-health- sparrow-hospitals/carson all lines left blank are not applicable to the organization. On april 1, 2023, sparrow health system, the regents of the university of michigan, and um health consummated their affiliation. As a result of the transaction um health corp became the sole corporate member of sparrow health system. Due to affiliation, the organization changed its year end to a fiscal year ending 6/30. The prior year financial information reported throughout form 990 and supporting schedules is based on a 6-month short period return for 6/30/2023. 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.”

“Um health - sparrow carson's outpatient services are typical of a rural facility. The emergency department provides nursing and physician services 24 hours a day, 7 days a week, with physicians on site 100% of the time. Screening exams are provided to everyone who presents for services prior to any financial information being obtained or charges discussed with patients in accordance with emergency medical treatment and active labor act (emtala). Laboratory, radiology, respiratory services, surgery, as well as infusion/oncology are typical of other outpatient services provided. Um health - sparrow carson accepts all governmental payers including medicare, medicaid, and tricare with reimbursement at or below costs. Additionally, um health - sparrow carson's charity care policy covers services in the outpatient setting, in turn providing free care to those in the community who quality. For the year ended june 30, 2024, um health - sparrow carson recorded 9,028 emergency room visits; 75,409 lab tests; 24,085 radiology procedures; 6,643 cardio/respiratory procedures; 9,820 physical therapy procedures; 1,067 surgeries/1,049 scopes; and 1,411 infusion/oncology visits.”

“Um health - sparrow carson operates five primary care physician offices within montcalm, clinton and gratiot counties, as well as some specialty care within areas such as ob/gyn, general surgery, orthopedics, pain management, gastroenterology, urology and gynecological oncology. The primary care practices are located in the communities of carson city, fowler, stanton, ithaca, and greenville and are designated as rural health centers. Um health - sparrow carson accepts all governmental payers including medicare, medicaid, and tricare, with reimbursement rates at or below costs. Additionally, um health - sparrow carson's charity care policy covers services in the outpatient setting, in turn providing free care to those in the community who qualify. For the year ended june 30, 2024, there were 68,365 visits in our physician offices.”

“Um health - sparrow carson is a 61-bed acute care hospital located in rural montcalm county, serving the residents of the four county area surrounding carson city (montcalm, gratiot, clinton and ionia counties). Um health - sparrow carson provides nursing and physician services 24 hours a day, 7 days a week. For the year ended june 30, 2024, there were 487 admissions with 1,397 inpatient days of care. Nursing staff are on site 100% of the time, and hospitalist coverage is available on an on-call basis 100% of the time when not in the hospital. Um health - sparrow carson accepts all governmental payers including medicare, medicaid, and tricare with reimbursement at or below costs. Additionally, the hospital's charity care policy covers all inpatient services, in turn providing free care to those in the community who qualify.”