Ionia County Memorial Hospital Corporation

“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 ionia and has 100% ownership.”

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

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

“Copies of the fiscal year 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 of the organization involved the following: utilizing the compensation committee, independent consultants, reviewing other similar organizations' 990s, 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, independent consultants, reviewing other similar organizations' 990s, 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 audited financial statements are on several internet websites, including the nmsir and mshfa websites, as well as available upon request. The governing documents and conflict of interest policy are available upon request.”

“Full website - https://www.uofmhealthsparrow.org/our-hospitals-services/um-health- sparrow-hospitals/ionia 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 does not engage in direct lobbying activities. The organization does have 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.”

“University of michigan health - sparrow ionia's outpatient services are typical of a small 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. Umh - sparrow ionia accepts all governmental payers including medicare, medicaid, and tricare with reimbursement at or below costs. Additionally, umh - sparrow ionia'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, umh - sparrow ionia recorded 16,823 emergency room visits; 263,625 lab tests; 35,259 radiology procedures; 15,476 respiratory procedures; 1,073 surgeries/998 scopes; and 1,435 infusion/oncology visits.”

“University of michigan health - sparrow ionia operates three physician practice offices within ionia county, offering primary care as well as some specialty care within areas such as ob/gyn, general surgery, orthopedics, gastroenterology, urology and nephrology. The primary care practices are located in the communities of ionia, saranac, and portland, and are designated as rural health centers as well as patient-centered medical homes. Umh - sparrow ionia accepts all governmental payers including medicare, medicaid, and tricare, with reimbursement rates at or below costs. Additionally, umh - sparrow ionia'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 77,508 visits in our physician offices.”

“All other program services include services such as radiology, laboratory, respiratory therapy, physical therapy, infusion services, as well as inpatient hospital services.”