By complying with the HRC’s controversial demands, SpartanNash increases the risk of dividing employees, alienating customers and harming shareholders. It also uses sex and gender ideology criteria in employee recruitment, vendor selection, and philanthropic support. The company covers the cost of "medically necessary transition-related care” for its employees and their children. However, it does not discriminate against charitable organizations based on views or beliefs and has not used its reputation for ideological purposes. For these reasons, SpartanNash receives a Medium Risk rating.