Civic Intelligence

Sparrow Ionia Hospital Foundation

EIN 38-2274975 • 501(c)3 • Ionia, MI

Profile

The mission of the sparrow ionia foundation is to receive and administer funds for specific education, literary, and public welfare purposes for the sole benefit of sparrow ionia hospital, a related tax-exempt organization.

3565 S State RoadIonia, MI 48846

www.sparrow.org/IONIAFOUNDATION

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2021

Liabilities / Revenue

Score unavailable

No value available

Liabilities-to-revenue requires both liabilities and revenue on the latest valid filing.

Source year 2021

Net Margin

Score unavailable

No value available

Net margin requires both revenue and expenses on the latest valid filing.

Source year 2021

Top Officer Pay

99th percentile

$327,767

Higher top officer pay than 99% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2021

Asset Growth

10th percentile

-100%

Faster asset growth than 10% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2020 to 2021

Revenue Growth

3rd percentile

-100%

Faster revenue growth than 3% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2020 to 2021

Balance Sheet
Liabilities / AssetsScore unavailable

Assets

Down

$0

Down $816,487 (-100%) from 2020

Liabilities

Flat

$0

Flat from 2020

Net Assets

Down

$0

Down $816,487 (-100%) from 2020

Operations
Liabilities / RevenueScore unavailableNet MarginScore unavailable

Revenue

Down

$0

Down $70,898 (-100%) from 2020

Expenses

Down

$0

Down $97,082 (-100%) from 2020

Net Income

Up

$0

Up $26,184 (+100%) from 2020

Trend Graphs

Balance Sheet Trend

Asset Growth10th percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$1.0M$500K$0Assets 2010: $372,277Liabilities 2010: $0Net Assets 2010: $372,2772010Assets 2011: $394,501Liabilities 2011: $02011Assets 2012: $414,900Liabilities 2012: $02012Assets 2013: $400,820Liabilities 2013: $02013Assets 2014: $582,573Liabilities 2014: $91,501Net Assets 2014: $491,0722014Assets 2015: $892,096Liabilities 2015: $0Net Assets 2015: $892,0962015Assets 2016: $932,472Liabilities 2016: $1,604Net Assets 2016: $930,8682016Assets 2017: $779,630Liabilities 2017: $2,741Net Assets 2017: $776,8892017Assets 2018: $819,177Liabilities 2018: $1,209Net Assets 2018: $817,9682018Assets 2019: $844,030Liabilities 2019: $1,359Net Assets 2019: $842,6712019Assets 2020: $816,487Liabilities 2020: $0Net Assets 2020: $816,4872020Assets 2021: $0Liabilities 2021: $0Net Assets 2021: $02021

Highlighted filing

2021

Assets$0
Liabilities$0
Net Assets$0
Open 2021 Filing

Operations Trend

Revenue Growth3rd percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$600K$400K$200K$0-$200KRevenue 2010: $17,333Expenses 2010: $5,743Net Income 2010: $11,5902010Revenue 2011: $19,215Expenses 2011: $4,058Net Income 2011: $15,1572011Revenue 2012: $24,689Expenses 2012: $4,290Net Income 2012: $20,3992012Revenue 2013: $18,155Expenses 2013: $13,767Net Income 2013: $4,3882013Revenue 2014: $186,635Expenses 2014: $98,229Net Income 2014: $88,4062014Revenue 2015: $450,249Expenses 2015: $52,174Net Income 2015: $398,0752015Revenue 2016: $63,601Expenses 2016: $24,829Net Income 2016: $38,7722016Revenue 2017: $113,342Expenses 2017: $258,087Net Income 2017: -$144,7452017Revenue 2018: $76,034Expenses 2018: $36,433Net Income 2018: $39,6012018Revenue 2019: $57,642Expenses 2019: $42,542Net Income 2019: $15,1002019Revenue 2020: $70,898Expenses 2020: $97,082Net Income 2020: -$26,1842020Revenue 2021: $0Expenses 2021: $0Net Income 2021: $02021

Highlighted filing

2021

Revenue$0
Expenses$0
Net Income$0
Open 2021 Filing

Filings

Most recent year

2021 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$0
Liabilities
$0
Net assets
$0
Revenue
$0
Expenses
$0
Net income
$0
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2021Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$0.00$0.00$0.00
2020Detailed filing. Detailed filing data is available for this year.$8.16$0.00$8.16$0.71$0.97$0.26
2019Detailed filing. Detailed filing data is available for this year.$8.44$0.01$8.43$0.58$0.43$0.15
2018Detailed filing. Detailed filing data is available for this year.$8.19$0.01$8.18$0.76$0.36$0.40
2017Detailed filing. Detailed filing data is available for this year.$7.80$0.03$7.77$1.13$2.58$1.45
2016Detailed filing. Detailed filing data is available for this year.$9.32$0.02$9.31$0.64$0.25$0.39
2015Detailed filing. Detailed filing data is available for this year.$8.92$0.00$8.92$4.50$0.52$3.98
2014Detailed filing. Detailed filing data is available for this year.$5.83$0.92$4.91$1.87$0.98$0.88
2013Summary only. Only limited summary data is available for this year.$4.01$0.00$0.18$0.14$0.04
2012Summary only. Only limited summary data is available for this year.$4.15$0.00$0.25$0.04$0.20
2011Summary only. Only limited summary data is available for this year.$3.95$0.00$0.19$0.04$0.15
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.72$0.00$3.72$0.17$0.06$0.12
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2021 to Dec 31, 2021
Signed
Nov 14, 2022
Return Version
2021v4.0
Gross Receipts
$0
Mission and Program Overview

Mission

The mission of the sparrow ionia foundation is to receive and administer funds for specific education, literary, and public welfare purposes for the sole benefit of sparrow ionia hospital, a related tax-exempt organization.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$660,242--
Cash and Non-Interest-Bearing Accounts$88,711--
Investments Other Securities$48,992--
Pledges and Grants Receivable$11,885--
Accounts Receivable$6,657--
Total Assets$816,487$0▼ $816,487
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Net Assets With Donor Restrictions$674,007--
Net Assets Without Donor Restrictions$142,480--
Total Net Assets Fund Balance$816,487$0▼ $816,487
Total Liabilities and Net Assets / Fund Balance$816,487$0▼ $816,487

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2021$5,606,321$561,053▲ $129,658-$6,297,032
2020$685,136$44,117▲ $6,514$81,760$654,007
2019$670,694$19,078▲ $18,154$22,790$685,136
2018$661,178$20,970▲ $5,480$16,934$670,694
2017$815,103$95,349▼ $8,467$240,807$661,178
Compensation and Service Providers
Top Officer Pay99th percentile

Board Members and Trustees

NameTitle
Michelle ReynaertDirector
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$0
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$0
Other Expenses$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Page 6, Part VI, Line 11B

“Copies of the 2021 form 990 are reviewed by management.”

Form 990, Page 6, Part VI, Line 19

“The organization's governing documents and financial statements are available upon request.”

Filing and Contact Details

Filer

Filer Name
Sparrow Ionia Hospital Foundation
EIN
38-2274975
Phone
6165231400
Address
3565 S STATE ROAD, IONIA, MI 48846

Signing Officer

Name
Paula Reichle
Title
Sr VP - CFO - Shs
Phone
6165231484
Signed
2022-11-14
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Michelle Reynaert
Formed
1979
Legal Domicile
Mi
Voting Board Members
1
Independent Board Members
0
Employees
0

Preparer

Firm
Andrews Hooper Pavlik Plc
Address
4295 OKEMOS RD STE 200, OKEMOS, MI 48864-6201
Preparer
Julie M Pfeifle
Phone
5177060800
Supplemental Narrative

Additional Explanations

Form 990

“All lines left blank are not applicable to the organization.”

Form 990, Page 2, Part III, Line 2

“Sparrow ionia hospital foundation inc. Merged with sparrow foundation as of march 8, 2021. Attached to the form 990 is the acceptance of the merger by the michigan attorney general trust section. Sparrow foundation will continue to use the charitable assets according to sparrow ionia hospital foundation inc's purpose for which the assets were given. This merger will allow for expanded philanthropic mission allowing sparrow foundation to support the entire sparrow health system.”

Form 990, Part XI, Line 9

“Distribution of assets to sparrow fdn -816,487”

Financial Statement Notes

Schedule D, Page 2, Part V, Line 4

“Sparrow ionia hospital foundation endowments were transferred to sparrow foundation for financial statement purposes. Sparrow ionia hospital foundation continues to hold ownership of the endowments. Sparrow health system is the sole member of sparrow foundation and sparrow ionia hospital 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. The temporarily restricted funds are being maintained and used for the purpose established by the fund, including purchasing necessary funds for the hospital, etc.”

Raw XML Appendix351 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/ContractTerminationInd0X
IRS990/CreditCounselingInd0false
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IRS990/CYContributionsGrantsAmt00
IRS990/CYGrantsAndSimilarPaidAmt00
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IRS990/CYOtherExpensesAmt00
IRS990/CYOtherRevenueAmt00
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IRS990/CYRevenuesLessExpensesAmt00
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IRS990/CYTotalProfFndrsngExpnsAmt00
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IRS990/DecisionsSubjectToApprovaInd0false
IRS990/DeductibleArtContributionInd0false
IRS990/DeductibleNonCashContriInd0false
IRS990/DelegationOfMgmtDutiesInd0false
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IRS990/DescribedInSection501c3Ind0true
IRS990/DisregardedEntityInd0false
IRS990/DocumentRetentionPolicyInd0true
IRS990/DonorAdvisedFundInd0false
IRS990/DonorRestrictionNetAssetsGrp/BOYAmt0674007
IRS990/DonorRstrOrQuasiEndowmentsInd0true
IRS990/ElectionOfBoardMembersInd0false
IRS990/EmployeeCnt00
IRS990/EngagedInExcessBenefitTransInd0false
IRS990/FamilyOrBusinessRlnInd0false
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IRS990/FinalReturnInd0X
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IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt00.00
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt0278518
IRS990/Form990PartVIISectionAGrp/TitleTxt0DIRECTOR
IRS990/Form990ProvidedToGvrnBodyInd0false
IRS990/FormationYr01979
IRS990/FormerOfcrEmployeesListedInd0false
IRS990/FSAuditedInd0false
IRS990/FundraisingActivitiesInd0false
IRS990/GamingActivitiesInd0false
IRS990/GoverningBodyVotingMembersCnt01
IRS990/GrantsToIndividualsInd0false
IRS990/GrantsToOrganizationsInd0false
IRS990/GrantToRelatedPersonInd0false
IRS990/GrossReceiptsAmt00
IRS990/GroupReturnForAffiliatesInd0false
IRS990/IncludeFIN48FootnoteInd0false
IRS990/IndependentAuditFinclStmtInd0false
IRS990/IndependentVotingMemberCnt00
IRS990/IndoorTanningServicesInd0false
IRS990/InfoInScheduleOPartIIIInd0X
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InfoInScheduleOPartXIInd0X
IRS990/InvestmentInJointVentureInd0false
IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt048992
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LegalDomicileStateCd0MI
IRS990/LoanOutstandingInd0false
IRS990/LobbyingActivitiesInd0false
IRS990/LocalChaptersInd0false
IRS990/MaterialDiversionOrMisuseInd0false
IRS990/MembersOrStockholdersInd0false
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd0true
IRS990/MinutesOfGoverningBodyInd0true
IRS990/MissionDesc0THE MISSION OF THE SPARROW IONIA FOUNDATION IS TO RECEIVE AND ADMINISTER FUNDS FOR SPECIFIC EDUCATION, LITERARY, AND PUBLIC WELFARE PURPOSES FOR THE SOLE BENEFIT OF SPARROW IONIA HOSPITAL, A RELATED TAX-EXEMPT ORGANIZATION.
IRS990/MoreThan5000KToIndividualsInd0false
IRS990/MoreThan5000KToOrgInd0false
IRS990/NetAssetsOrFundBalancesBOYAmt0816487
IRS990/NetAssetsOrFundBalancesEOYAmt00
IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt0142480
IRS990/NondeductibleContributionsInd0false
IRS990/OfficerMailingAddressInd0false
IRS990/OperateHospitalInd0false
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsFASB117Ind0X
IRS990/OtherChangesInNetAssetsAmt0-816487
IRS990/PartialLiquidationInd0false
IRS990/PayPremiumsPrsnlBnftCntrctInd0false
IRS990/PledgesAndGrantsReceivableGrp/BOYAmt011885
IRS990/PoliticalCampaignActyInd0false
IRS990/PrincipalOfficerNm0MICHELLE REYNAERT
IRS990/ProfessionalFundraisingInd0false
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYContributionsGrantsAmt056043
IRS990/PYExcessBenefitTransInd0false
IRS990/PYGrantsAndSimilarPaidAmt082110
IRS990/PYInvestmentIncomeAmt06514
IRS990/PYOtherExpensesAmt014972
IRS990/PYOtherRevenueAmt08341
IRS990/PYRevenuesLessExpensesAmt0-26184
IRS990/PYTotalExpensesAmt097082
IRS990/PYTotalRevenueAmt070898
IRS990/QuidProQuoContributionsInd0false
IRS990/RcvFndsToPayPrsnlBnftCntrctInd0false
IRS990/ReconcilationRevenueExpnssAmt00
IRS990/RegularMonitoringEnfrcInd0false
IRS990/RelatedEntityInd0true
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0false
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0false
IRS990/ReportProgramRelatedInvstInd0false
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0660242
IRS990ScheduleA/Form990SchASupportingOrgGrp/Contribution35ControlledInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionControllerInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionFamilyInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/ControlledDisqualifiedPrsnInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnControllIntInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnOwnrIntInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/ExcessBusinessHoldingsRulesInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/ListedByNameGoverningDocInd0true
IRS990ScheduleA/Form990SchASupportingOrgGrp/LoanDisqualifiedPersonInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/OrganizationChangeSuprtOrgInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/PaymentSubstantialContribtrInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgNotOrganizedUSInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgSectionC456Ind0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportNonSupportedOrgInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/SuprtOrgNoIRSDeterminationInd0false
IRS990ScheduleA/Form990SchAType1SuprtOrgGrp/OperateBenefitNonSuprtOrgInd0false
IRS990ScheduleA/Form990SchAType1SuprtOrgGrp/PowerAppointMajorityDirTrstInd0true
IRS990ScheduleA/OtherSupportSumAmt00
IRS990ScheduleA/SupportedOrganizationsCnt01
IRS990ScheduleA/SupportedOrganizationsTotalCnt01
IRS990ScheduleA/SupportedOrgInformationGrp/EIN0383218134
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IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd03
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt00
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt00
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IRS990ScheduleA/SupportingOrganization509a3Ind0X
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IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/PersonNm0SPARROW FOUNDATION
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine1Txt01215 E MICHIGAN AVENUE
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/CityNm0LANSING
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0ALL LINES LEFT BLANK ARE NOT APPLICABLE TO THE ORGANIZATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1SPARROW IONIA HOSPITAL FOUNDATION INC. MERGED WITH SPARROW FOUNDATION AS OF MARCH 8, 2021. ATTACHED TO THE FORM 990 IS THE ACCEPTANCE OF THE MERGER BY THE MICHIGAN ATTORNEY GENERAL TRUST SECTION. SPARROW FOUNDATION WILL CONTINUE TO USE THE CHARITABLE ASSETS ACCORDING TO SPARROW IONIA HOSPITAL FOUNDATION INC'S PURPOSE FOR WHICH THE ASSETS WERE GIVEN. THIS MERGER WILL ALLOW FOR EXPANDED PHILANTHROPIC MISSION ALLOWING SPARROW FOUNDATION TO SUPPORT THE ENTIRE SPARROW HEALTH SYSTEM.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2COPIES OF THE 2021 FORM 990 ARE REVIEWED BY MANAGEMENT.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE ORGANIZATION'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4DISTRIBUTION OF ASSETS TO SPARROW FDN -816,487
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 2, PART III, LINE 2
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PAGE 6, PART VI, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART XI, LINE 9
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0383218134
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IRS990/TotalAssetsBOYAmt0816487
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IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0816487
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TotalOtherCompensationAmt049249
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0816487
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IRS990/WebsiteAddressTxt0WWW.SPARROW.ORG/IONIAFOUNDATION
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ReturnHeader/BuildTS02022-09-23 18:48:47Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0PAULA REICHLE
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0SR VP - CFO - SHS
ReturnHeader/BusinessOfficerGrp/PhoneNum06165231484
ReturnHeader/BusinessOfficerGrp/SignatureDt02022-11-14
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0SPARROW IONIA HOSPITAL FOUNDATION
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ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0ANDREWS HOOPER PAVLIK PLC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt04295 OKEMOS RD STE 200
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ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0MI
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0488646201
ReturnHeader/PreparerPersonGrp/PhoneNum05177060800
ReturnHeader/PreparerPersonGrp/PreparationDt02022-11-14
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0JULIE M PFEIFLE
ReturnHeader/ReturnTs02022-11-15T08:16:12-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm0PAULA
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm0REICHLE
ReturnHeader/TaxPeriodBeginDt02021-01-01
ReturnHeader/TaxPeriodEndDt02021-12-31
ReturnHeader/TaxYr02021

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