Community Benefit Insight - Tax-exempt hospital

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Sparrow Ionia Hospital

Sparrow Ionia Hospital

3565 S State Rd
Ionia, MI 48846

Bed count	25	Medicare provider number	231331	Member of the Council of Teaching Hospitals	NO	Children's hospital	NO

EIN: 383218134

Display data for year:

Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)

5.1%

Spending by Community Benefit Category- 2021
(as % of total functional expenses)

* = CBI denoted preventative categories

Community Benefit Spending Compared to Functional Expenses, 2010-2021

Additional data

Community Benefit Expenditures: 2021

All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Amount spent in the following IRS community benefit categories:

Financial Assistance at cost as % of operating expenses	$ 0 0 %
Medicaid as % of operating expenses	$ 2,835,664 4.94 %
Costs of other means-tested government programs as % of operating expenses	$ 0 0 %
Health professions education as % of operating expenses	$ 69,625 0.12 %
Subsidized health services as % of operating expenses	$ 0 0 %
Research as % of operating expenses	$ 0 0 %
Community health improvement services and community benefit operations* as % of operating expenses Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.	$ 9,450 0.02 %
Cash and in-kind contributions for community benefit* as % of operating expenses	$ 14,559 0.03 %
Community building* as % of operating expenses	$ 17,439 0.03 %

* = CBI denoted preventative categories

Community building activities details:

Did tax-exempt hospital report community building activities?	YES
Number of activities or programs (optional)	19
Physical improvements and housing	0
Economic development	1
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	2
Community health improvement advocacy	16
Workforce development	0
Other	0
Persons served (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Community building expense as % of operating expenses	$ 17,439 0.03 %
Physical improvements and housing as % of community building expenses	$ 0 0 %
Economic development as % of community building expenses	$ 5,000 28.67 %
Community support as % of community building expenses	$ 0 0 %
Environmental improvements as % of community building expenses	$ 0 0 %
Leadership development and training for community members as % of community building expenses	$ 0 0 %
Coalition building as % of community building expenses	$ 7,762 44.51 %
Community health improvement advocacy as % of community building expenses	$ 4,677 26.82 %
Workforce development as % of community building expenses	$ 0 0 %
Other as % of community building expenses	$ 0 0 %
Direct offsetting revenue	$ 0
Physical improvements and housing	$ 0
Economic development	$ 0
Community support	$ 0
Environmental improvements	$ 0
Leadership development and training for community members	$ 0
Coalition building	$ 0
Community health improvement advocacy	$ 0
Workforce development	$ 0
Other	$ 0

Other Useful Tax-exempt Hospital Information: 2021

In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt as % of operating expenses	$ 597,979 1.04 %
Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?	NO

Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2022 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

Does the organization have a written financial assistance (charity care) policy?	YES
Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?	YES
Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy as % of operating expenses	$ 89,445 14.96 %

Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

Community Health Needs Assessment Activities: 2021

The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

Did the tax-exempt hospital report that they had conducted a CHNA?	YES
Did the CHNA define the community served by the tax-exempt hospital?	YES
Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?	YES
Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?	YES
Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?	YES

Supplemental Information: 2021

This section presents qualitative information submitted by the hospital, verbatim from the 990H record.

Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.

4A (Expenses $ 10677592 including grants of $ 0) (Revenue $ 7565161)
SPARROW IONIA HOSPITAL OPERATES FOUR PHYSICIAN PRACTICE OFFICES WITHIN IONIA COUNTY, OFFERING PRIMARY CARE AS WELL AS SOME SPECIALTY CARE WITHIN THE AREAS OF OB/GYN, NEUROLOGY, AND OCCUPATIONAL HEALTH. THE PRACTICES IN IONIA, MUIR, SARANAC AND PORTLAND ARE DESIGNATED RURAL HEALTH CENTERS AS WELL AS CARRY THE PATIENT-CENTERED MEDICAL HOME DESIGNATION. SPARROW IONIA HOSPITAL ACCEPTS ALL GOVERNMENTAL PAYERS INCLUDING MEDICARE, MEDICAID, AND TRICARE WITH REIMBURSEMENT RATES AT OR BELOW COSTS. ADDITIONALLY, SPARROW IONIA HOSPITAL'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 DECEMBER 31, 2021, THERE WERE 65,793 VISITS IN OUR PHYSICIAN OFFICES.

4B (Expenses $ 5389518 including grants of $ 0) (Revenue $ 6286361)
SPARROW IONIA HOSPITAL'S SURGICAL SERVICES ARE TYPICAL OF A SMALL RURAL FACILITY. FOR THE YEAR ENDED DECEMBER 31, 2021, THERE WERE 191 INPATIENT SURGERIES AND 1,523 OUTPATIENT SURGERIES/SCOPES PERFORMED. SURGICAL COVERAGE IS AVAILABLE 24/7. SPARROW IONIA HOSPITAL ACCEPTS ALL GOVERNMENTAL PAYERS INCLUDING MEDICARE, MEDICAID, AND TRICARE WITH REIMBURSEMENT AT OR BELOW COSTS. ADDITIONALLY, THE HOSPITAL'S CHARITY POLICY COVERS ALL MEDICALLY NECESSARY SURGERIES, IN TURN PROVIDING FREE CARE TO THOSE IN THE COMMUNITY WHO QUALIFY.

4C (Expenses $ 5054149 including grants of $ 0) (Revenue $ 6535783)
SPARROW IONIA HOSPITAL'S EMERGENCY SERVICES ARE TYPICAL OF A SMALL RURAL FACILITY. SPARROW IONIA HOSPITAL PROVIDES 24 HOURS A DAY, 7 DAYS A WEEK NURSING AND PHYSICIAN SERVICES. NURSING STAFF AND PHYSICIANS ARE ON-SITE 100% OF THE TIME. A SCREENING EXAM IS 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. THERE WERE 15,955 VISITS TO THE EMERGENCY DEPARTMENT FOR THE YEAR ENDED DECEMBER 31, 2021. SPARROW IONIA HOSPITAL ACCEPTS ALL GOVERNMENTAL PAYERS INCLUDING MEDICARE, MEDICAID, AND TRICARE WITH REIMBURSEMENTS RATES AT OR BELOW COSTS. ADDITIONALLY, SPARROW IONIA HOSPITAL'S CHARITY CARE POLICY COVERS ALL SERVICES PROVIDED IN THE EMERGENCY DEPARTMENT, IN TURN PROVIDING FREE CARE TO THOSE IN THE COMMUNITY WHO QUALIFY.

4D (Expenses $ 24019138 including grants of $ 0) (Revenue $ 45022189)
ALL OTHER PROGRAM SERVICES INCLUDE SERVICES SUCH AS RADIOLOGY, LABORATORY, RESPIRATORY THERAPY, PHYSICAL THERAPY, INFUSION SERVICES, AS WELL AS INPATIENT HOSPITAL SERVICES.

Facility Information

Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.

FACILITY 1, SPARROW IONIA HOSPITAL - PART V, LINE 3E
THE SIGNIFICANT HEALTH NEEDS WERE PRIORITIZED AND DOCUMENTED THROUGH THE CHNA.

FACILITY 1, SPARROW IONIA 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, INTERNATIONAL STUDENTS, AND MEMBERS OF THE EAST INDIAN COMMUNITY. HEALTHCARE 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, SPARROW IONIA HOSPITAL - PART V, LINE 6A
SPARROW HOSPITAL, CONSISTING OF SIX 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 - SPARROW EATON HOSPITAL, CHARLOTTE, MI - MCLAREN GREATER LANSING - EATON RAPIDS MEDICAL CENTER

FACILITY 1, SPARROW IONIA 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 IONIA HOSPITAL - PART V, LINE 11
SPARROW IONIA HOSPITAL HAS DEVELOPED AN IMPLEMENTATION STRATEGY FOR THE TOP TWO PRIORITY NEEDS THAT WERE IDENTIFIED IN ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENTS. THE TOP NEEDS IDENTIFIED WERE BEHAVIORAL HEALTH AND HEALTH CARE ACCESS AND QUALITY. 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. PLEASE FIND ENCLOSED A COPY OF THE IMPLEMENTATION STRATEGY. OTHER NEEDS IDENTIFIED IN THE CHNA BUT NOT ADDRESSED IN THIS STRATEGY INCLUDED CHRONIC DISEASES, OBESITY, FINANCIAL STABILITY AND ECONOMIC MOBILITY. THESE HEALTH NEEDS ARE IMPORTANT BUT WERE NOT INCLUDED IN THE ATTACHED IMPLEMENTATION STRATEGY DUE TO LIMITED RESOURCES AND THE NEED TO ALLOCATE SIGNIFICANT RESOURCES TO SPARROW IONIA HOSPITAL'S TOP TWO PRIORITY HEALTH NEEDS.

FACILITY 1, SPARROW IONIA HOSPITAL - PART V, LINE 24
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.

Supplemental Information

Schedule H (Form 990) Part VI

SCHEDULE H, PART I, LINE 7
A COST TO CHARGE RATIO WAS USED TO COMPLETE THE CHARITY CARE (LINE 7A) AND MEANS-TESTED GOVERNMENT PROGRAMS (LINE 7B). THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 THAT ACCOMPANIES THE INSTRUCTIONS TO THIS SCHEDULE. THE HOSPITAL'S COST ACCOUNTING RECORDS WERE USED TO COMPLETE THE COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS (LINE 7E) AND THE HEALTH PROFESSIONS EDUCATION (LINE 7F).

SCHEDULE H, PART II
THE MAJORITY OF COMMUNITY BUILDING ACTIVITIES INVOLVE THE VOLUNTEER EFFORTS OF OUR STAFF, WITH MINIMAL DIRECT COSTS TO THE ORGANIZATION. A SAMPLE OF THE ACTIVITIES SUPPORTED BY SPARROW IONIA HOSPITAL INCLUDE: ADOPT-A-HIGHWAY PROGRAM, WHERE AREA ROADS ARE CLEANED OF TRASH; WORKING WITH AREA HIGH SCHOOL STUDENTS IN THE VOCATIONAL/TECHNICAL PROGRAM; CONDUCTING MOCK INTERVIEWS WITH LOCAL STUDENTS TO SHARPEN THEIR EMPLOYMENT INTERVIEW SKILLS; MICHIGAN HARVEST GATHERING (WITH FOOD & MONEY DONATED TO LOCAL FOOD PANTRIES AND DOMESTIC VIOLENCE SHELTER); TEACHING BASIC LIFE SUPPORT TO AREA SERVICE GROUPS; RELAY FOR LIFE TEAM AND UNITED WAY FUND DRIVES; MEMBERSHIP ON THE GREAT START COLLABORATIVE STEERING COMMITTEE; UNITED WAY DAY OF CARING.

SCHEDULE H, PART III, LINE 2
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 THROUGH 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.

SCHEDULE H, PART III, LINE 3
IN REVIEWING ACCOUNTS CLASSIFIED AS BAD DEBT, THE AMOUNT REPORTED IN SCHEDULE H, PART III, LINE 3, REFLECTS PATIENTS WHO HAD PREVIOUSLY QUALIFIED FOR MEDICAID OR OTHER MEANS-TESTED SUPPORT, BUT WHO AT TIME OF SERVICE, 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 FOR ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY.

SCHEDULE H, PART III, LINE 4
BAD DEBT FOOTNOTE - SEE THE ATTACHED AUDITED FINANCIAL STATEMENTS.

SCHEDULE H, PART III, LINE 8
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 REVENUE AND COSTS REPORTED IN THIS SECTION ARE STRICTLY FACILITY COSTS AND REIMBURSEMENT FOR TRADITIONAL MEDICARE, AND ARE NOT INCLUSIVE OF ANY MEDICARE ADVANTAGE PLANS THAT DO NOT PROVIDE FOR A SETTLEMENT PROCESS, NOR ANY PROFESSIONAL CHARGES WHICH ARE NOT INCLUDED IN THE HOSPITAL COST REPORT AND ARE TRADITIONALLY PAID AT LESS THAN COST.

SCHEDULE H, PART III, LINE 9B
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.

SCHEDULE H, PART VI, LINE 2
THROUGH CONTINUAL ANALYSIS OF OUR ANNUAL CASE MIX AND COLLABORATION WITH COMMUNITY PARTNERS, SPARROW IONIA HOSPITAL 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.

SCHEDULE H, PART VI, LINE 3
THE ORGANIZATION EMPLOYS FINANCIAL COUNSELORS TO ASSIST PATIENTS AND THEIR FAMILIES WITH THE CHARITY APPLICATION PROCESS, THE MEDICAID APPLICATION PROCESS, AS WELL AS FORMALIZING PAYMENT ARRANGEMENTS WHEN NECESSARY. WHEN PRACTICAL, FOR NON-EMERGENT SCHEDULED PROCEDURES, PATIENTS ARE MADE AWARE OF THEIR FINANCIAL RESPONSIBILITY AS WELL AS ALL AVAILABLE OPTIONS, INCLUDING POSSIBLE CHARITY CARE. FOR EMERGENCY SERVICES, PATIENTS WITH NO INSURANCE COVERAGE ARE GIVEN A CHARITY CARE APPLICATION/INSTRUCTIONS UPON DISCHARGE.

SCHEDULE H, PART VI, LINE 4
SPARROW IONIA HOSPITAL IS THE ONLY HOSPITAL IN IONIA COUNTY TO SERVE THE PEOPLE OF IONIA COUNTY AND SURROUNDING AREAS. IONIA COUNTY TOTALS 580 SQUARE MILES, WITH A POPULATION OF 66,804 AS OF THE 2020 CENSUS. THE MEDIAN HOUSEHOLD INCOME IN IONIA COUNTY IS 57,043 IN 2020, COMPARED WITH A NATIONAL AVERAGE MEDIAN OF 65,712.

SCHEDULE H, PART VI, LINE 5
"AS NOTED PREVIOUSLY, 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 AND MAINTAINING THE HEALTH OF THE PEOPLE IN THE COMMUNITIES WE SERVE."""

SCHEDULE H, PART VI, LINE 6
SPARROW IONIA 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 CONTROLLED SUBSIDIARIES: PHYSICIAN HEALTH PLAN, PHYSICIAN HEALTH NETWORK, EDWARD W. SPARROW HOSPITAL, SPARROW CLINTON HOSPITAL, SPARROW EATON HOSPITAL, SPARROW SPECIALTY HOSPITAL, SPARROW DEVELOPMENT INC, SPARROW COMMUNITY CARE, SPARROW IONIA HOSPITAL, SPARROW FOUNDATION, SPARROW CLINICAL RESEARCH INSTITUTE, AND SPARROW CARSON HOSPITAL.

SCHEDULE H, PART VI, LINE 7
MICHIGAN

Operating expenses	$ 57,402,358
Total amount spent on community benefits as % of operating expenses	$ 2,929,298 5.10 %