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      <Desc>E.W. SPARROW HOSPITAL, ALSO KNOWN AS UNIVERSITY OF MICHIGAN HEALTH-SPARROW LANSING, HAS, SINCE ITS INCEPTION IN 1896, PROVIDED CARE TO PEOPLE REGARDLESS OF THEIR RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. SPARROW IS A NON-PROFIT COMMUNITY-GOVERNED HOSPITAL AND THE FLAGSHIP OF SPARROW HEALTH SYSTEM, A COMPREHENSIVE INTEGRATED HEALTH DELIVERY SYSTEM COMMITTED WITHIN ITS RESOURCES TO IMPROVING THE HEALTH STATUS OF ALL PEOPLE THROUGHOUT THE MID-MICHIGAN REGION BY PROVIDING QUALITY, COMPASSIONATE CARE TO EVERYONE, CLOSE TO HOME. UM HEALTH-SPARROW LANSING IS A 623-BED, MAJOR TEACHING HOSPITAL (AFFILIATED WITH MICHIGAN STATE UNIVERSITY'S COLLEGES OF OSTEOPATHIC MEDICINE, HUMAN MEDICINE AND NURSING) AND THE MOST COMPREHENSIVE, ACUTE CARE CENTER IN MID-MICHIGAN. UM HEALTH-SPARROW LANSING IS THE REGIONAL MEDICAL CENTER FOR: -PEDIATRICS -CANCER CARE, INCLUDING RADIATION THERAPY -TRAUMA CARE -NEUROLOGICAL CARE -HIGH-RISK OBSTETRICS -NEONATAL INTENSIVE CARE -BEHAVIORAL HEALTH -CARDIOVASCULAR SERVICES IN FISCAL YEAR 2024, SPARROW HEALTH SYSTEM TREATED OVER 32,000 INPATIENTS, PROVIDED SERVICES TO NEARLY 165,000 EMERGENCY MEDICINE PATIENTS, OVER 90,000 URGENT CARE AND WALK-IN CARE PATIENTS, AND CONDUCTED NEARLY 44,000 VIRTUAL AND ON-DEMAND VIDEO VISITS. TODAY'S SPARROW BLENDS THE KNOWLEDGE AND EXPERTISE OF OVER 1,550 PHYSICIANS, NEARLY 8,900 CAREGIVERS AND ABOUT 1,000 VOLUNTEERS WITH THE MOST ADVANCED TECHNOLOGY, SERVING AS A COMPREHENSIVE HEALTH SYSTEM FOR A CORE EIGHT-COUNTY POPULATION AND BEYOND. IN ADDITION, MORE PEOPLE CHOOSE UM HEALTH-SPARROW LANSING FOR THEIR MATERNITY NEEDS (OVER 3,500 DELIVERIES ANNUALLY), REHABILITATION AND EMERGENCY TREATMENT THAN ANY OTHER HOSPITAL IN MID-MICHIGAN. UM HEALTH SPARROW LANSING IS COMMITTED TO PROVIDING MATERNITY CARE FOR THE COMMUNITY AS IT STRIVES TO IMPROVE MATERNAL MORTALITY AND MORBIDITY. THE HOSPITAL HAS ACHIEVED NATIONAL BENCHMARK AND AWARDS FOR THEIR QUALITY CARE PROGRAMS. AS MID-MICHIGAN'S ONLY BABY-FRIENDLY HOSPITAL, A GLOBAL PROGRAM RECOGNIZED BY THE WORLD HEALTH ORGANIZATION AND UNITED NATION'S CHILDREN'S FUND, ALL PATIENTS ARE SUPPORTED IN THEIR BREASTFEEDING OR BOTTLE-FEEDING DECISIONS. AN OUTPATIENT BREASTFEEDING CLINIC SUPPORTING BREASTFEEDING MOTHERS AND INFANTS IS HELD TWICE A WEEK IN OUR PEDIATRICS SUBSPECIALTY CLINIC. WITH THE GENEROUS SUPPORT OF LOCAL BUSINESSES AND COMMUNITY MEMBERS, UM HEALTH-SPARROW LANSING HAS ALSO BEEN ABLE TO LAUNCH PROGRAMS LIKE FEEDING YOUR GROWING FAMILY, WHICH ADDRESSES FOOD INSECURITY AMONG PREGNANT MOTHERS BY OFFERING PRE/POST-NATAL NUTRITION COUNSELING, MONTHLY FOOD BOXES DELIVERED TO THEIR HOMES, A HEALTHY COOKING KITCHEN TOOLKIT AND CONNECTION TO ADDITIONAL SUPPORT RESOURCES. PARTNERSHIPS WITH NUMEROUS ORGANIZATIONS IN SUPPORT OF HEALTH EQUITY AND ACCESS TO CARE RESOURCES, INCLUDING THE HEALTHY CAPITAL COUNTIES COALITION, GREATER LANSING FOOD BANK, CAPITAL AREA HEALTH ALLIANCE, AND LOCAL PUBLIC HEALTH DEPARTMENTS. UM HEALTH-SPARROW LANSING IS DEDICATED TO ADDRESSING THE BEHAVIORAL HEALTH CRISIS FACING OUR COMMUNITY AND HAVE MADE SEVERAL CHANGES IN THE EMERGENCY DEPARTMENT TO TREAT THOSE IN CRISIS. PATIENTS ARE QUICKLY TRANSFERRED TO A SAFE AND THERAPEUTIC ENVIRONMENT IN THE DEPARTMENT AND RECEIVE CARE FROM SPECIALLY TRAINED PSYCHIATRIC NURSES AND OTHER EXPERTS. THEY ALSO HAVE AN OPPORTUNITY TO SEE A PSYCHIATRIC PROVIDER WELL BEFORE ENTERING OUR INPATIENT PSYCHIATRIC UNIT. UM HEALTH-SPARROW LANSING WORKS WITH UNIVERSITY OF MICHIGAN PEDIATRIC OPHTHALMOLOGY TO PROVIDE AN EYE CLINIC WEEKLY IN OUR PEDIATRICS SUBSPECIALTY CLINIC. UM HEALTH-SPARROW LANSING ALSO PARTNERS WITH THE INGHAM COUNTY HEALTH DEPARTMENT AND HEALTHY START TO PROVIDE A FREE MONTHLY CLASS FOR HEALTH DEPARTMENT PATIENTS, INCLUDING A TOUR OF LABOR AND DELIVERY, AND INFORMATION ABOUT WHAT TO EXPECT WHEN YOU COME TO THE HOSPITAL TO HAVE YOUR BABY. UM HEALTH-SPARROW LANSING ALSO RELIES ON THE EXPERTS FROM MICHIGAN STATE UNIVERSITY TO TREAT OUR YOUNGEST PATIENTS IN THE HOSPITAL'S CHILDREN'S CENTER. THIS ALLOWS BROADENED PEDIATRIC SPECIALTY SERVICES FOR THE REGION AND HELP ENSURE FAMILIES STAY CLOSE TO HOME, INSTEAD OF TRAVELING GREAT DISTANCES TO SEEK CARE FOR THEIR CHILDREN. SPARROW HEALTH SYSTEM'S REACH EXTENDS FAR BEYOND THE ACUTE CARE SETTING OF THE HOSPITAL. THERE ARE MANY WAYS OUR STAFF PROACTIVELY SUPPORTS THE COMMUNITY, ESPECIALLY THOSE WHO HAVE THE GREATEST NEED. BECAUSE OF SPARROW'S COMMITMENT, THE PEOPLE OF MID MICHIGAN HAVE ACCESS TO THE FULL RANGE OF COMPREHENSIVE ACUTE CARE SERVICES AND THE LATEST MEDICAL ADVANCES WITHOUT TRAVELING GREAT DISTANCES. THESE SERVICES ARE AVAILABLE TO ALL MID MICHIGAN RESIDENTS, REGARDLESS OF THEIR ABILITY TO PAY. PROVIDING ACCESS TO PRIMARY CARE SPARROW RECOGNIZES THAT IF WE ARE TO ACHIEVE OUR VISION OF BEING A NATIONALLY RECOGNIZED LEADER IN QUALITY AND THE PATIENT EXPERIENCE, WE HAVE A RESPONSIBILITY TO TAKE THE LEAD IN FUNDAMENTALLY TRANSFORMING HEALTH CARE IN MICHIGAN. TO ADDRESS THE CHALLENGES OF INCREASING PREVALENCE OF CHRONIC DISEASE AND AN AGING POPULATION, TO IMPROVE THE QUALITY OF CARE AND THE PATIENT EXPERIENCE WHILE ALSO ENSURING GREATER AFFORDABILITY FOR PAYORS, SPARROW NEEDS TO IMPLEMENT PROFOUND CHANGES IN HOW CARE IS PROVIDED. SPARROW IS COMMITTED TO SEEKING NEW WAYS TO PARTNER WITH QUALITY CARE PROVIDERS TO CREATE GREATER ALIGNMENT AROUND IMPROVED QUALITY AND PATIENT EXPERIENCE, WORK JOINTLY TO DEVELOP CLINICAL GUIDELINES TO ENSURE THE HIGHEST QUALITY OF CARE FOR PATIENTS WHO NEED TO BE TRANSFERRED TO DIFFERENT LEVELS OF CARE AND TO ENSURE THAT CARE IS ALWAYS DELIVERED IN THE BEST QUALITY AND MOST COST-ADVANTAGEOUS CLINICAL SETTING AS CLOSE TO THE PATIENT'S HOME AS POSSIBLE. SPARROW HEALTH SYSTEM INCLUDES COMMUNITY HOSPITALS: SPARROW CARSON HOSPITAL (UM HEALTH-SPARROW CARSON), SPARROW CLINTON HOSPITAL (UM HEALTH-SPARROW CLINTON), SPARROW EATON HOSPITAL (UM HEALTH-SPARROW EATON), SPARROW IONIA HOSPITAL (UM HEALTH-SPARROW IONIA), AND SPARROW SPECIALTY HOSPITAL (UM HEALTH-SPARROW SPECIALTY HOSPITAL). THE UM HEALTH-SPARROW HERBERT-HERMAN CANCER CENTER FEATURES A MULTI- DISCIPLINARY TEAM APPROACH THAT PUTS THE PATIENT AT THE CENTER OF EVERYTHING WE DO. PATIENTS SEE A TEAM OF CLINICIANS UNDER ONE ROOF AND IN ONE VISIT. THE FACILITY ALSO INCLUDES LOCAL ARTWORK DESIGNED TO PROVIDE A HEALING ATMOSPHERE; AN OPEN, LIGHT-FILLED AREA FOR PATIENTS RECEIVING CHEMOTHERAPY TREATMENT; A RETAIL BOUTIQUE; AND SPACE FOR SUPPORT GROUPS. THE PLAZA BUILDING THAT HOUSES THE HERBERT-HERMAN CANCER CENTER IS ALSO HOME TO UM HEALTH-SPARROW HEART AND VASCULAR, THE LEADING CARDIAC CARE PRACTICE IN THE REGION. UM HEALTH-SPARROW COMMUNITY CARE - A NON-PROFIT ENTITY COMPRISING THE FORMER SPARROW MEDICAL SUPPLY AND SPARROW HOME CARE UNITS - AND UM HEALTH- SPARROW LABORATORIES AND UM HEALTH-SPARROW PHARMACY PLUS ROUND OUT THE HEALTH SYSTEM'S NETWORK OF FACILITIES AND PRIMARY CARE SERVICES. THEY ARE DESIGNED TO PROVIDE QUALITY, CONVENIENT, COST EFFECTIVE HEALTH CARE TO THE PEOPLE OF MID MICHIGAN. EMERGENCY PREPAREDNESS UM HEALTH-SPARROW LANSING HAS DISTINGUISHED ITSELF AS A RECOGNIZED LEADER IN EMERGENCY PREPAREDNESS. THE HOSPITAL VIEWS PREPAREDNESS AS AN ONGOING PROCESS LED BY A MULTIDISCIPLINARY TEAM THAT INVOLVES ALL ASPECTS OF HOSPITAL OPERATIONS, INCLUDING MEDICAL AND NON-MEDICAL SERVICES. DRILLS ARE CONDUCTED YEAR-ROUND IN COLLABORATION WITH LOCAL, STATE AND FEDERAL AGENCIES TO ENSURE SPARROW IS PREPARED FOR ANY DISASTER, WHETHER IT IS THE RESULT OF A TERRORIST ACT OR A NATURAL DISASTER. UM HEALTH-SPARROW'S EMERGENCY PREPAREDNESS COMMITTEE REGULARLY TESTS THE HOSPITAL'S RESPONSE SKILLS INDEPENDENT OF ANY AGENCY OR GOVERNING BODY. THE HOSPITAL ALSO WORKS WITH LOCAL GOVERNMENT AGENCIES, INCLUDING THE POLICE DEPARTMENT, FIRE DEPARTMENT AND PUBLIC HEALTH DEPARTMENT TO COORDINATE A PLANNED RESPONSE IN THE EVENT OF A TRUE EMERGENCY. SUPPORTING OUR COMMUNITY AND NEIGHBORHOODS SPARROW IS THE UNQUESTIONED LEADER IN MID-MICHIGAN IN PROVIDING HEALTH CARE SERVICES AND PROMOTING HEALTH-RELATED ACTIVITIES. THE UM HEALTH-SPARROW MOBILE HEALTH CLINIC (MHC) BRINGS ESSENTIAL HEALTH CARE SERVICES DIRECTLY TO UNDERSERVED COMMUNITIES, HELPING BRIDGE GAPS IN ACCESS TO CARE. BY DOING SO, WE ACTIVELY SUPPORT OUR MISSION OF ADVANCING HEALTH AND ENSURING MORE PEOPLE RECEIVE THE CARE THEY NEED. IN 2024, THE MHC HELD NUMEROUS OUTINGS, SERVING HUNDREDS WITHOUT ACCESS TO CARE. THE CLINIC OFFERED ESSENTIAL SERVICES SUCH AS HEALTH SCREENINGS AND IMMUNIZATIONS, AND WE ARE BUILDING STRATEGIC PARTNERSHIPS TO HOST SPECIALIZED EVENTS TO MANY IN MID-MICHIGAN'S MEDICALLY UNDERSERVED AREAS AT NO COST. THESE EFFORTS RESULTED IN REFERRALS TO OUR CLINICAL SERVICES AND SPECIALTY CARE PROVIDERS, WHILE PRIMARILY FOCUSING ON CONNECTING PATIENTS WITH THE RESOURCES THEY NEED. IN OCTOBER OF 2023, IN PARTNERSHIP WITH THE MOBILE HEALTH CLINIC, LANSING RADIOLOGY ASSOCIATES, RADIOLOGY AND THE SPARROW FOUNDATION, THE MOBILE CLINIC HOSTED A FREE WOMEN'S HEALTH SCREENING AT UM HEALTH-SPARROW'S</Desc>
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        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>1158747</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>211532</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>HISHAM QANDEEL</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>1248845</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>69167</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROY MILLER</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>1184234</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>81677</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOESPH RUTH</PersonNm>
        <TitleTxt>FORMER BOARD</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>40.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>1113049</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>101260</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HUSSEIN ALI-AHMAD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <OtherCompensationAmt>66578</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KOSISOCHI OBINWANNE</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
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        <ReportableCompFromOrgAmt>1071389</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>81766</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MUHAMMAD HAMDAN</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <OtherCompensationAmt>66143</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PAULA REICHLE</PersonNm>
        <TitleTxt>FORMER SRVP/</TitleTxt>
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        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PAUL ENTLER</PersonNm>
        <TitleTxt>FORMER OFFIC</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
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        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DENNY MARTIN</PersonNm>
        <TitleTxt>UMH SPARROW</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>542073</ReportableCompFromOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARGARET DIMOND PHD</PersonNm>
        <TitleTxt>REGIONAL PRE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>511056</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>THOMAS OSTRANDER</PersonNm>
        <TitleTxt>FORMER VP PR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>458256</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>79173</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>THEODORE GLYNN</PersonNm>
        <TitleTxt>VP MED EDUCA</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>382947</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>70312</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CORY O'BRIEN</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>338871</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>54292</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>AMY BROWN</PersonNm>
        <TitleTxt>FRMR CHF. NU</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
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        <OtherCompensationAmt>57035</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL ZAROUKIAN</PersonNm>
        <TitleTxt>FRMR VP CHF</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
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        <OtherCompensationAmt>24301</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM HOWE</PersonNm>
        <TitleTxt>FRMR VP FIN/</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>325176</ReportableCompFromOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BRITTANY BOGAN</PersonNm>
        <TitleTxt>BOARD MMBR/S</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>208233</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>30399</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LISA PASCOE</PersonNm>
        <TitleTxt>FORMER SECRE</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>203349</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>19549</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTOPHER MATTHEWS</PersonNm>
        <TitleTxt>FORMER VP SU</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>195955</ReportableCompFromOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ALAN VIERLING DNP</PersonNm>
        <TitleTxt>FORMER PRES/</TitleTxt>
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        <ReportableCompFromOrgAmt>140626</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>16383</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES CROOM</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DEBORAH ALLEN</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PATRICIA BARNAS</PersonNm>
        <TitleTxt>BRD MMBR/VIC</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>EDYTHE COPELAND</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TIMOTHY HODGE DO</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MYRON FREEMAN</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JEANETTE KLEMCZAK</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MAUDE GUERIN MD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RUBEN MARTINEZ</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL MCLEOD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID THOMAS</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LAKEEYA TUCKER</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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      <FormerOfcrEmployeesListedInd>true</FormerOfcrEmployeesListedInd>
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      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>AYA HEALTHCARE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 123519</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75312</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>TRAVEL NURSE</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MSU HEALTH TEAM</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3610 FOREST RD STE C</AddressLine1Txt>
            <CityNm>LANSING</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48910</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>STAFFING</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>TRIMEDX INC</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5451 LAKEVIEW PKWAY S DR</AddressLine1Txt>
            <CityNm>INDIANAPOLIS</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46268</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CLINICAL SRVC</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>VITUITY MICHIGAN HOSPITALIST</BusinessNameLine1Txt>
          </BusinessName>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2100 POWELL ST STE 400</AddressLine1Txt>
            <CityNm>EMERYVILLE</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>94608</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>EMERGENCY MED</ServicesDesc>
        <CompensationAmt>3831437</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>NORTH GRAND RIVER COOPERATIVE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>4000 1/2 N GRAND RIVER AVE</AddressLine1Txt>
            <CityNm>LANSING</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48906</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LAUNDRY</ServicesDesc>
        <CompensationAmt>2974969</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>280</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>1473078</RelatedOrganizationsAmt>
      <NoncashContributionsAmt>697606</NoncashContributionsAmt>
      <TotalContributionsAmt>1473078</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>1111727901</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1111727901</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>NONPATIENT SERVICE REVENUE</Desc>
        <BusinessCd>621500</BusinessCd>
        <TotalRevenueColumnAmt>23069940</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>23069940</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>1134797841</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>14172835</TotalRevenueColumnAmt>
        <ExclusionAmt>14172835</ExclusionAmt>
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      <GrossRentsGrp>
        <RealAmt>1405829</RealAmt>
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      <LessRentalExpensesGrp>
        <RealAmt>1396512</RealAmt>
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      <RentalIncomeOrLossGrp>
        <RealAmt>9317</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>9317</TotalRevenueColumnAmt>
        <ExclusionAmt>9317</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <OtherAmt>1128596</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>391150</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>-391150</SecuritiesAmt>
        <OtherAmt>1128596</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>737446</TotalRevenueColumnAmt>
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        <OtherDesc>URGENT CARE</OtherDesc>
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      </HospitalFacilitiesGrp>
      <HospitalFacilitiesGrp>
        <FacilityNum>2</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>EWSH - ST LAWRENCE CAMPUS</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>1210 W SAGINAW</AddressLine1Txt>
          <CityNm>LANSING</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48915</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.UOFMHEALTHSPARROW.ORG</WebsiteAddressTxt>
        <StateLicenseNum>1060000143</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <TeachingHospitalInd>X</TeachingHospitalInd>
        <OtherDesc>BEHAVIORAL HLTH HOSPICE SR SVC</OtherDesc>
        <FacilityReportingGroupCd>A</FacilityReportingGroupCd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>A</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>12</FacilityNum>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <CHNAConductedYr>22</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>true</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>true</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>WWW.UOFMHEALTHSPARROW.ORG</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>22</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>false</StrategyPostedWebsiteInd>
        <StrategyAttachedInd referenceDocumentId="RetDoc3">true</StrategyAttachedInd>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>200.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>200.000000000000</FPGFamilyIncmLmtDscntCarePct>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>WWW.UOFMHEALTHSPARROW.ORG</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>WWW.UOFMHEALTHSPARROW.ORG</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>WWW.UOFMHEALTHSPARROW.ORG</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <NoneMadeInd>X</NoneMadeInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <LookBackMedicaidMedcrPrvtInd>X</LookBackMedicaidMedcrPrvtInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>true</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A, FACILITY 1, EWSH - MAIN CAMPUS - PART V, LINE 3E</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED AND DOCUMENTED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A, FACILITY 1, EWSH - MAIN CAMPUS - PART V, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>HEALTHY CAPITAL COUNTIES FOCUS GROUPS: IN ORDER TO GATHER INFORMATION FROM TRADITIONALLY HARD TO SURVEY POPULATIONS AND TO DOCUMENT THE EXPERIENCES, THOUGHTS, BELIEFS, AND STORIES OF THE COMMUNITY, HEALTHY CAPITAL COUNTIES CONDUCTED A SERIES OF FOCUS GROUPS FOR THE PROJECT. SIX FOCUS GROUPS WERE HELD BETWEEN JUNE AND JULY OF 2021 AND TOOK PLACE IN VARIOUS LOCATIONS THROUGHOUT THE THREE-COUNTY FOCUS AREA (CLINTON, EATON, AND INGHAM COUNTIES). GROUPS THAT WERE ACTIVELY SOLICITED FOR INPUT INCLUDED: - PEOPLE WITH DISABILITIES; - PEOPLE RECOVERED/RECOVERING FROM SUBSTANCE ADDICTION; - PEOPLE WHO DO NOT HAVE HEALTH INSURANCE; - PEOPLE WHO HAVE LOW INCOMES OR ARE UNEMPLOYED; - PEOPLE WHO IDENTIFY AS SPANISH-SPEAKING HISPANIC OR LATINO/A; AND - PEOPLE WHO IDENTIFY AS PERSONS OF COLOR. CAPITAL AREA BEHAVIORAL RISK FACTOR &amp; SOCIAL CAPITAL SURVEY (BRFS): SINCE 2000, THE CAPITAL AREA UNITED WAY, BARRY-EATON DISTRICT HEALTH DEPARTMENT, INGHAM COUNTY HEALTH DEPARTMENT, AND MID-MICHIGAN DISTRICT HEALTH DEPARTMENT HAVE CONDUCTED A TELEPHONE HEALTH SURVEY OF THE ADULT POPULATION IN THEIR JURISDICTIONS (BARRY, EATON, INGHAM, CLINTON, GRATIOT, AND MONTCALM COUNTIES) ON VARIOUS BEHAVIORS, MEDICAL CONDITIONS, AND PREVENTIVE HEALTH CARE PRACTICES. THE SURVEY WAS CONDUCTED USING THE CAPITAL AREA BEHAVIORAL RISK FACTOR &amp; SOCIAL CAPITAL SURVEY INSTRUMENT, WHICH INCLUDES QUESTIONS FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTIONS BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM QUESTIONNAIRE AS WELL AS QUESTIONS DEVELOPED BY THE HEALTH DEPARTMENTS TO COLLECT INFORMATION OF INTEREST TO THE LOCAL COMMUNITY. DURING THE 2017-2019 DATA COLLECTION CYCLE, A TOTAL OF 2,643 ADULTS IN CLINTON, EATON, AND INGHAM COUNTIES RESPONDED TO THE LANDLINE/MOBILE PHONE SURVEY. COMMUNITY AND HEALTH CARE PROVIDER SURVEYS: IN ORDER TO GATHER INPUT ABOUT THE COMMUNITYS HEALTH NEEDS FROM STAKEHOLDERS AND THE GENERAL PUBLIC, TWO ONLINE SURVEYS WERE ADMINISTERED BETWEEN FEBRUARY AND MAY OF 2021. ONE SURVEY WAS FOR ANY COMMUNITY RESIDENT WHO LIVED AND/OR WORKED IN THE TRI-COUNTY AREA, AND THE SECOND SURVEY WAS FOR HEALTH CARE PROVIDERS ASSOCIATED WITH THE HOSPITAL SYSTEMS PARTNERS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A, FACILITY 1, EWSH - MAIN CAMPUS - PART V, LINE 6A</FormAndLineReferenceDesc>
        <ExplanationTxt>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</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A, FACILITY 1, EWSH - MAIN CAMPUS - PART V, LINE 6B</FormAndLineReferenceDesc>
        <ExplanationTxt>- MICHIGAN PUBLIC HEALTH INSTITUTE - BARRY-EATON DISTRICT HEALTH DEPARTMENT - INGHAM COUNTY HEALTH DEPARTMENT - MID MICHIGAN DISTRICT HEALTH DEPARTMENT</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A, FACILITY 1, EWSH - MAIN CAMPUS - PART V, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>EDWARD W SPARROW HOSPITAL HAS DEVELOPED AN IMPLEMENTATION STRATEGY FOR THE TOP PRIORITIES THAT WERE IDENTIFIED IN ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENTS. THE TOP NEEDS IDENTIFIED WERE ACCESS TO HEALTH CARE AND BEHAVIORAL HEALTH. 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. OTHER NEEDS IDENTIFIED IN THE CHNA BUT NOT ADDRESSED IN THIS STRATEGY INCLUDE COMMUNITY SAFTEY AND AFFODRABLE HOUSING. THIS HEALTH NEED IS IMPORTANT BUT IT IS NOT WITHIN THE SCOPE OF THE HOSPITAL'S CORE COMPENTENCIES.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A, FACILITY 1, EWSH - MAIN CAMPUS - PART V, LINE 24</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A, FACILITY 2, EWSH - ST. LAWRENCE CAMPUS - PART V, LINE 24</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL PATIENTS AND INSURANCES ARE CHARGED THE SAME GROSS CHARGE FROM OUR FEE SCHEDULE. DISCOUNTS ARE THEN PROVIDED TO THE UNISURED PATIENTS BASED ON OUR FINANCIAL ASSISTANCE POLICY AND/OR INDIVIDUAL CIRCUMSTANCES.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>39</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EWSH MEDICAL ARTS BUILDING</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1322 E MICHIGAN AVE</AddressLine1Txt>
            <CityNm>LANSING</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48912</ZIPCd>
          </USAddress>
          <FacilityTxt>OCC HEALTH WOUND CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EWSH SPARROW PROF BUILDING</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1200 E MICHIGAN AVE</AddressLine1Txt>
            <CityNm>LANSING</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48912</ZIPCd>
          </USAddress>
          <FacilityTxt>CLINICS PHARMACY REHAB</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EWSH MASON COMMUNITY CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>800 E COLUMBIA</AddressLine1Txt>
            <CityNm>MASON</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48854</ZIPCd>
          </USAddress>
          <FacilityTxt>URGENT CARE/FMLY PRACTICE/RADIOLOGY LAB</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EWSH LANSING URGENT CARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1600 W GRAND RIVER</AddressLine1Txt>
            <CityNm>OKEMOS</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48864</ZIPCd>
          </USAddress>
          <FacilityTxt>FAMILY PRACTICE OB/GYN LAB RADIOLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EWSH OP REHAB</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1288 W GRAND RIVER</AddressLine1Txt>
            <CityNm>WILLIAMSTON</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48895</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICAL THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EWSH SMG MASON</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>230 TEMPLE ST STE 3</AddressLine1Txt>
            <CityNm>MASON</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48854</ZIPCd>
          </USAddress>
          <FacilityTxt>FAMILY PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EWSH SMG WEST</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>7335 WESTSHIRE DR STE 10</AddressLine1Txt>
            <CityNm>LANSING</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48912</ZIPCd>
          </USAddress>
          <FacilityTxt>FAMILY PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EWSH SMG POTTERVILLE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>133 W LANSING RD</AddressLine1Txt>
            <CityNm>POTTERVILLE</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48876</ZIPCd>
          </USAddress>
          <FacilityTxt>FAMILY PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EWSH OKEMOS DIAGNOSTIC CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1600 W GRAND RIVER</AddressLine1Txt>
            <CityNm>OKEMOS</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48864</ZIPCd>
          </USAddress>
          <FacilityTxt>RADIOLOGY/LAB</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EWSH SPARROW REGIONAL LAB</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>6254 W SAGINAW</AddressLine1Txt>
            <CityNm>LANSING</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48912</ZIPCd>
          </USAddress>
          <FacilityTxt>LABORATORY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EWSH</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>SOUTHPOINT MALL STE A14-A17</AddressLine1Txt>
            <CityNm>ST JOHNS</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48879</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICAL THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EWSH SMG DEWITT</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>13191 SCHAVEY RD</AddressLine1Txt>
            <CityNm>DEWITT</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48820</ZIPCd>
          </USAddress>
          <FacilityTxt>FAMILY PRACTICE LAB RADIOLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EWSH</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>138 SERVICE ROAD</AddressLine1Txt>
            <CityNm>EAST LANSING</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48823</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICAL THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EWSH SPARROW PHARMACY PLUS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1015 CHARLEVOIX DRIVE</AddressLine1Txt>
            <CityNm>GRAND LEDGE</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48837</ZIPCd>
          </USAddress>
          <FacilityTxt>PHARMACY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EWSH SPARROW PHARMACY PLUS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1200 E MICHIGAN STE 310</AddressLine1Txt>
            <CityNm>LANSING</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48912</ZIPCd>
          </USAddress>
          <FacilityTxt>PHARMACY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EWSH SMG EAST LANSING</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2682 E GRAND RIVER</AddressLine1Txt>
            <CityNm>EAST LANSING</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48823</ZIPCd>
          </USAddress>
          <FacilityTxt>LABORATORY &amp; URGENT CARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EWSH SMG HOLT</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2040 N AURELIUS</AddressLine1Txt>
            <CityNm>HOLT</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48842</ZIPCd>
          </USAddress>
          <FacilityTxt>FAMILY PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EWSH SMG GRAND LEDGE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1015 CHARLEVOIX DRIVE</AddressLine1Txt>
            <CityNm>GRAND LEDGE</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48837</ZIPCd>
          </USAddress>
          <FacilityTxt>URGENT CARE &amp; PHYSICAL THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>TCI HEART CLINIC &amp; DIAGNOSTIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>300 HEALTH PARK DRIVE</AddressLine1Txt>
            <CityNm>OWOSSO</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48867</ZIPCd>
          </USAddress>
          <FacilityTxt>HEART CLINIC &amp; DIAGNOSTICS</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EWSH SPARROW REGIONAL LAB</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1650 HASLETT ROAD</AddressLine1Txt>
            <CityNm>HASLETT</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48840</ZIPCd>
          </USAddress>
          <FacilityTxt>LABORATORY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EWSH SPARROW REGIONAL LAB</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>5303 S CEDAR</AddressLine1Txt>
            <CityNm>LANSING</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48910</ZIPCd>
          </USAddress>
          <FacilityTxt>LABORATORY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EWSH SMG EASTSIDE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1651 W LAKE LANSING ROAD</AddressLine1Txt>
            <CityNm>EAST LANSING</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48823</ZIPCd>
          </USAddress>
          <FacilityTxt>OB/GYN PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EWSH SMG NEPHROLOGY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>123 LANSING ROAD</AddressLine1Txt>
            <CityNm>CHARLOTTE</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48813</ZIPCd>
          </USAddress>
          <FacilityTxt>NEPHROLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EWSH FASTCARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>716 N CLIPPERT ST</AddressLine1Txt>
            <CityNm>LANSING</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48910</ZIPCd>
          </USAddress>
          <FacilityTxt>FASTCARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EWSH HEALTH SCIENCE PAVILION</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2900 HANNAH BLVD</AddressLine1Txt>
            <CityNm>EAST LANSING</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48823</ZIPCd>
          </USAddress>
          <FacilityTxt>OFFICE/ATHLETIC CLUB</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>SPARROW HEALTH CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2909 E GRAND RIVER AVE</AddressLine1Txt>
            <CityNm>LANSING</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48912</ZIPCd>
          </USAddress>
          <FacilityTxt>LAB/OBGYN/MEDICAL OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EWSH MICHIGAN AVE URGENT CARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1120 E MICHIGAN AVE</AddressLine1Txt>
            <CityNm>LANSING</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48912</ZIPCd>
          </USAddress>
          <FacilityTxt>URGENT CARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EWSH EAST LANSING URGENT CARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2682 E GRAND RIVER</AddressLine1Txt>
            <CityNm>EAST LANSING</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48823</ZIPCd>
          </USAddress>
          <FacilityTxt>URGENT CARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>SPARROW LAB</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>804 SERVICE RD A203</AddressLine1Txt>
            <CityNm>EAST LANSING</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48824</ZIPCd>
          </USAddress>
          <FacilityTxt>LABORATORY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>SPARROW LAB</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>6200 PINE HOLLOW</AddressLine1Txt>
            <CityNm>EAST LANSING</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48823</ZIPCd>
          </USAddress>
          <FacilityTxt>LABORATORY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>SPARROW LAB</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2316 S CEDAR ST</AddressLine1Txt>
            <CityNm>LANSING</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48911</ZIPCd>
          </USAddress>
          <FacilityTxt>LABORATORY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>SPARROW LAB</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2380 CEDAR ST</AddressLine1Txt>
            <CityNm>HOLT</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48842</ZIPCd>
          </USAddress>
          <FacilityTxt>LABORATORY</FacilityTxt>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>SPARROW LAB</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3955 PATIENT CARE DRIVE</AddressLine1Txt>
            <CityNm>LANSING</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48911</ZIPCd>
          </USAddress>
          <FacilityTxt>LABORATORY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>SMG ORTHOPEDICS AND SPORTS MED</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3394 E JOLLY RD</AddressLine1Txt>
            <CityNm>LANSING</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48910</ZIPCd>
          </USAddress>
          <FacilityTxt>ORTHO/SPORTS MED</FacilityTxt>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>SMG WILLIAMSTON</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>301 WILLIAMSTON CENTER RD</AddressLine1Txt>
            <CityNm>WILLIAMSTON</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48895</ZIPCd>
          </USAddress>
          <FacilityTxt>FAMILY PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>SPARROW LAB</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3131 E MICHIGAN AVE</AddressLine1Txt>
            <CityNm>LANSING</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48912</ZIPCd>
          </USAddress>
          <FacilityTxt>LABORATORY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>SPARROW EMERGENCY CENTER OKEMOS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2446 JOLLY RD STE A</AddressLine1Txt>
            <CityNm>OKEMOS</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48864</ZIPCd>
          </USAddress>
          <FacilityTxt>EMERGENCY ROOM</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CARSON PHARMACY PLUS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>245 S 2ND ST</AddressLine1Txt>
            <CityNm>CARSON CITY</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48811</ZIPCd>
          </USAddress>
          <FacilityTxt>PHARMACY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>IONIA REHABILITATION CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>205 S DEXTER ST</AddressLine1Txt>
            <CityNm>IONIA</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48846</ZIPCd>
          </USAddress>
          <FacilityTxt>REHAB</FacilityTxt>
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      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>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 HEALTH PROFESSIONS EDUCATION (LINE 7F), SUBSIDIZED HEALTH SERVICE (LINE 7G) AND RESEARCH (LINE 7H).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART II</FormAndLineReferenceDesc>
        <ExplanationTxt>SPARROW HEALTH SYSTEM'S REACH EXTENDS FAR BEYOND THE ACUTE CARE SETTING OF THE HOSPITAL. THERE ARE MANY WAYS OUR STAFF PROACTIVELY SUPPORTS THE COMMUNITY, ESPECIALLY THOSE WHO HAVE THE GREATEST NEED. WHETHER THROUGH CHARITABLE CARE, SUBSIDIZED HOSPITAL PROGRAMS AND SERVICES, MEDICAL EDUCATION OR COMMUNITY HEALTH EDUCATION, SPARROW STRIVES TO RESPOND TO THE REGION'S MOST PRESSING HEALTH NEEDS. FOR MORE THAN 114 YEARS, SPARROW HAS BEEN DISTINGUISHED BY ITS PASSIONATE COMMITMENT TO CARE FOR ALL, REGARDLESS OF THEIR ABILITY TO PAY. FINANCIAL ASSISTANCE IS AVAILABLE TO PATIENTS WHO MEET CERTAIN QUALIFICATIONS. SPARROW ALSO PROVIDES "SUBSIDIZED HEALTH SERVICES". THESE ARE SERVICES THAT ARE OFFERED DESPITE FINANCIAL LOSS BECAUSE THE COMMUNITY NEEDS THEM, BECAUSE OTHER PROVIDERS ARE NOT WILLING TO OFFER THEM, OR BECAUSE THE SERVICES WOULD OTHERWISE NOT BE ABLE TO MEET PATIENT DEMAND. THESE SERVICES INCLUDE HOSPICE AND PALLIATIVE CARE; MENTAL HEALTH SERVICES; SUBSTANCE ABUSE SERVICES; NEONATAL INTENSIVE CARE; OBSTETRICS; REHABILITATION; EMERGENCY AND TRAUMA SERVICES; GERIATRICS CLINICS; AND PEDIATRIC CLINICS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROVISION FOR BAD DEBT 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 THROUGHOUT 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. THE COST-TO-CHARGE RATIO IS USED IN DETERMINING BAD DEBT INFORMATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT FOOTNOTE - SEE THE ATTACHED AUDITED FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 8</FormAndLineReferenceDesc>
        <ExplanationTxt>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 HOSPITAL BELIEVES THE FULL AMOUNT OF THE SHORTFALL REPORTED ON PART III, SECTION B, LINE 7 SHOULD BE TREATED AS A COMMUNITY BENEFIT. CARING FOR MEDICARE PATIENTS FULFILLS A COMMUNITY NEED AND RELIEVES A GOVERNMENT BURDEN AS THESE PATIENTS TYPICALLY HAVE LOW AND/OR FIXED INCOMES. MEDICARE DOES NOT PROVIDE SUFFICIENT REIMBURSEMENT TO COVER THE COST OF PROVIDING CARE FOR THESE PATIENTS AND THAT SHORTFALL OF 30,186,045 SHOULD BE COUNTED AS A COMMUNITY BENEFIT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 9B</FormAndLineReferenceDesc>
        <ExplanationTxt>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 ARE PLACED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THROUGH CONTINUAL ANALYSIS OF OUR ANNUAL CASE MIX AND COLLABORATION WITH COMMUNITY PARTNERS, SPARROW 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, MCLAREN HEALTH CARE, 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 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>SPARROW HOSPITAL EMPLOYS SEVERAL METHODS TO COMMUNICATE ELIGIBILITY FOR ASSISTANCE TO PATIENTS. ALL UNINSURED IN-PATIENTS ARE DIRECTLY SCREENED FOR POTENTIAL MEDICAID ELIGIBILITY AND ANY OTHER GOVERNMENT PROGRAMS (COBRA BENEFITS, ETC). SIGNAGE IS POSTED IN OUR PATIENT REGISTRATION AREAS REGARDING AVAILABILITY OF SPARROW COMMUNITY FINANCIAL AID (CFA) PROGRAM (CHARITY CARE). ALL PATIENT BILLING STATEMENTS HAVE A NOTE REGARDING THE CFA PROGRAM AND OUR WEBSITE CONTAINS LINKS TO OUR CFA POLICY AND APPLICATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>SPARROW SERVES THE MID-MICHIGAN REGION WHICH CONSISTS OF THE GREATER LANSING AREA (A POPULATION OF APPROXIMATELY 450,000). STRATEGICALLY LOCATED IN THE HEART OF MICHIGAN, SPARROW IS LOCATED WITHIN 90 MINUTES OF 90 PERCENT OF THE STATE'S POPULATION OF APPROXIMATELY 10 MILLION PEOPLE. THE STATE CAPITAL, MICHIGAN STATE UNIVERSITY AND TWO NEW GENERAL MOTORS ASSEMBLY FACILITIES MAKE THE LANSING REGION AMONG THE MOST STABLE AND DIVERSE ECONOMIES IN MICHIGAN. THE REGION IS EVOLVING AS A LEADING ECONOMIC FORCE IN RESEARCH AND DEVELOPMENT, WAREHOUSING AND DISTRIBUTION, INFORMATION TECHNOLOGY, BIO-TECHNOLOGY, HEALTHCARE, INSURANCE AND FINANCIAL SERVICES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>AS NOTED ABOVE, 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 THE HEALTH OF THE PEOPLE IN OUR COMMUNITIES BY PROVIDING QUALITY, COMPASSIONATE CARE TO EVERYONE, EVERY TIME."</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>EDWARD W SPARROW HOSPITAL IS A WHOLLY-OWNED SUBSIDIARY OF SPARROW HEALTH SYSTEM. SPARROW HEALTH SYSTEM IS A NON-PROFIT, COMMUNITY GOVERNED, INTEGRATED HEALTH DELIVERY AND FINANCIAL SYSTEM SERVING MID-MICHIGAN. SPARROW HEALTH SYSTEM PROVIDES SERVICES TO THE COMMUNITIES IT SERVES THROUGH ITS WHOLLY-OWNED SUBSIDIARIES: EDWARD W SPARROW HOSPITAL, SPARROW CLINTON HOSPITAL, SPARROW SPECIALTY HOSPITAL, SPARROW CARSON HOSPITAL, SPARROW DEVELOPMENT, INC., SPARROW COMMUNITY CARE, INC., SPARROW IONIA HOSPITAL, SPARROW FOUNDATION AND SPARROW CLINICAL RESEARCH INSTITUTE AND SPARROW EATON.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>MICHIGAN</ExplanationTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARGARET DIMOND PHD</PersonNm>
        <TitleTxt>REGIONAL PRESIDENT</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>429938</CompensationBasedOnRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>THOMAS OSTRANDER</PersonNm>
        <TitleTxt>FORMER VP PROF. SRVC</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>THEODORE GLYNN</PersonNm>
        <TitleTxt>VP MED EDUCATION</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CORY O'BRIEN</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <PersonNm>AMY BROWN</PersonNm>
        <TitleTxt>FRMR CHF. NURSE. OFF</TitleTxt>
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        <PersonNm>MICHAEL ZAROUKIAN</PersonNm>
        <TitleTxt>FRMR VP CHF MED INF</TitleTxt>
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        <PersonNm>WILLIAM HOWE</PersonNm>
        <TitleTxt>FRMR VP FIN/CFO/TREA</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRITTANY BOGAN</PersonNm>
        <TitleTxt>BOARD MMBR/SECRETARY</TitleTxt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LISA PASCOE</PersonNm>
        <TitleTxt>FORMER SECRETARY</TitleTxt>
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        <TotalCompensationRltdOrgsAmt>222898</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHRISTOPHER MATTHEWS</PersonNm>
        <TitleTxt>FORMER VP SUP SRVCS</TitleTxt>
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        <NontaxableBenefitsFilingOrgAmt>12774</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>214908</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ALAN VIERLING DNP</PersonNm>
        <TitleTxt>FORMER PRES/CEO</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>5625</DeferredCompensationFlngOrgAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>CERTAIN BOARD MEMBERS- AND EXECUTIVES' MICHIGAN ATHLETIC CLUB DUES ARE PAID BY EDWARD W. SPARROW HOSPITAL. THESE AMOUNTS ARE CONSIDERED TAXABLE COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>SPARROW HEALTH SYSTEM IS THE SOLE MEMBER OF EDWARD W. SPARROW HOSPITAL. SPARROW HEALTH SYSTEM IS AN INTEGRATED NON-PROFIT ORGANIZAITON THAT INCLUDES A NUMBER OF NON-PROFIT ENTITIES. THE METHODS SELECTED FOR DETERMINING THE COMPENSATION OF THE CEO/EXECUTIVE DIRECTOR ARE METHODS WHICH ARE BEING USED BY ALL SPARROW HEALTH SYSTEM RELATED ENTITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>JAMES DOVER 262,959 121,587 0 JOESPH RUTH 167,331 57,631 0 PAULA REICHLE 157,503 52,404 0 PAUL ENTLER 33,639 0 0 THOMAS OSTRANDER 149,840 0 0 AMY BROWN 33,670 0 0 MICHAEL ZAROUKIAN 359,910 0 0 LISA PASCOE 40,322 0 0 CHRISTOPHER MATTHEWS 195,955 0 0 ALAN VIERLING, DNP 140,626 0 0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION INCLUDES BOTH BASE AND VARIABLE COMPENSATION (NON-FIXED PAYMENTS). IN ACCORDANCE WITH ITS POLICIES, ALL ELEMENTS (BASE, VARIABLE, BENEFITS, AND PERQUISITES) ARE COMPARED TO MARKET.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART III</FormAndLineReferenceDesc>
        <ExplanationTxt>JOSEPH RUTH, PAUL ENTLER, LISA PASCOE, CHRISTOPHER MATTHEWS, AND ALAN VIERLING, D.N.P. ARE FORMER BOARD MEMBERS AND OFFICERS OF EDWARD W. SPARROW HOSPITAL. THESE FORMER BOARD MEMBERS AND OFFICERS ARE BEING COMPENSATED BY SPARROW HEALTH SYSTEM AND AFFILIATES FOR SERVICES PROVIDED TO SPARROW HEALTH SYSTEM AND AFFILIATES, IN POSITIONS OTHER THAN BOARD MEMBERS AND OFFICERS. THE FORMER BOARD MEMBERS AND OFFICERS ARE NOT BEING COMPENSATED FOR ANY PAST SERVICES PROVIDED TO EDWARD W. SPARROW HOSPITAL AS FORMER BOARD MEMBERS OR OFFICERS. PART I, LINE 4B - NONQUALIFIED CERTAIN EXECUTIVES PARTICIPATE IN THE 457(F) SUPPLEMENTAL RETIREMENT PLAN AND ARE MAKING CURRENT YEAR CONTRIBUTIONS AS WELL AS RECEIVING CURRENT YEAR DISTRIBUTIONS. CONTRIBUTIONS TO THE PLAN ARE DISCLOSED IN PART I LINE 4B AND REQUIRED DISTRIBUTIONS FROM THE PLAN ARE REPORTED BELOW AS A NEGATIVE AS WELL AS BEING DISCLOSED ON SCHEDULE J, PART II COLUMN B(III) JAMES DOVER: -121,587 PAULA REICHLE: -52,404 JOSEPH RUTH: -403,638</ExplanationTxt>
      </SupplementalInformationDetail>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990</FormAndLineReferenceDesc>
        <ExplanationTxt>FULL WEBSITE - HTTPS://WWW.UOFMHEALTHSPARROW.ORG/OUR-HOSPITALS- SERVICES/UM-HEALTH-SPARROW-HOSPITALS/LANSING 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 THE 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 THAT USE A PORTION OF DUES PAID TO THE TRADE ASSOCIATES FOR LOBBYING ACTIVITES ON BEHALF OF THE APPLICABLE TRADE ASSOCIATION INDUSTRIES, THUS INDIRECTLY BENEFITING THE ORGANIZAITON. 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>E.W. SPARROW HOSPITAL, ALSO KNOWN AS UNIVERSITY OF MICHIGAN HEALTH-SPARROW LANSING, HAS, SINCE ITS INCEPTION IN 1896, PROVIDED CARE TO PEOPLE REGARDLESS OF THEIR RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. SPARROW IS A NON-PROFIT COMMUNITY-GOVERNED HOSPITAL AND THE FLAGSHIP OF SPARROW HEALTH SYSTEM, A COMPREHENSIVE INTEGRATED HEALTH DELIVERY SYSTEM COMMITTED WITHIN ITS RESOURCES TO IMPROVING THE HEALTH STATUS OF ALL PEOPLE THROUGHOUT THE MID-MICHIGAN REGION BY PROVIDING QUALITY, COMPASSIONATE CARE TO EVERYONE, CLOSE TO HOME. UM HEALTH-SPARROW LANSING IS A 623-BED, MAJOR TEACHING HOSPITAL (AFFILIATED WITH MICHIGAN STATE UNIVERSITY'S COLLEGES OF OSTEOPATHIC MEDICINE, HUMAN MEDICINE AND NURSING) AND THE MOST COMPREHENSIVE, ACUTE CARE CENTER IN MID-MICHIGAN. UM HEALTH-SPARROW LANSING IS THE REGIONAL MEDICAL CENTER FOR: -PEDIATRICS -CANCER CARE, INCLUDING RADIATION THERAPY -TRAUMA CARE -NEUROLOGICAL CARE -HIGH-RISK OBSTETRICS -NEONATAL INTENSIVE CARE -BEHAVIORAL HEALTH -CARDIOVASCULAR SERVICES IN FISCAL YEAR 2024, SPARROW HEALTH SYSTEM TREATED OVER 32,000 INPATIENTS, PROVIDED SERVICES TO NEARLY 165,000 EMERGENCY MEDICINE PATIENTS, OVER 90,000 URGENT CARE AND WALK-IN CARE PATIENTS, AND CONDUCTED NEARLY 44,000 VIRTUAL AND ON-DEMAND VIDEO VISITS. TODAY'S SPARROW BLENDS THE KNOWLEDGE AND EXPERTISE OF OVER 1,550 PHYSICIANS, NEARLY 8,900 CAREGIVERS AND ABOUT 1,000 VOLUNTEERS WITH THE MOST ADVANCED TECHNOLOGY, SERVING AS A COMPREHENSIVE HEALTH SYSTEM FOR A CORE EIGHT-COUNTY POPULATION AND BEYOND. IN ADDITION, MORE PEOPLE CHOOSE UM HEALTH-SPARROW LANSING FOR THEIR MATERNITY NEEDS (OVER 3,500 DELIVERIES ANNUALLY), REHABILITATION AND EMERGENCY TREATMENT THAN ANY OTHER HOSPITAL IN MID-MICHIGAN. UM HEALTH SPARROW LANSING IS COMMITTED TO PROVIDING MATERNITY CARE FOR THE COMMUNITY AS IT STRIVES TO IMPROVE MATERNAL MORTALITY AND MORBIDITY. THE HOSPITAL HAS ACHIEVED NATIONAL BENCHMARK AND AWARDS FOR THEIR QUALITY CARE PROGRAMS. AS MID-MICHIGAN'S ONLY BABY-FRIENDLY HOSPITAL, A GLOBAL PROGRAM RECOGNIZED BY THE WORLD HEALTH ORGANIZATION AND UNITED NATION'S CHILDREN'S FUND, ALL PATIENTS ARE SUPPORTED IN THEIR BREASTFEEDING OR BOTTLE-FEEDING DECISIONS. AN OUTPATIENT BREASTFEEDING CLINIC SUPPORTING BREASTFEEDING MOTHERS AND INFANTS IS HELD TWICE A WEEK IN OUR PEDIATRICS SUBSPECIALTY CLINIC. WITH THE GENEROUS SUPPORT OF LOCAL BUSINESSES AND COMMUNITY MEMBERS, UM HEALTH-SPARROW LANSING HAS ALSO BEEN ABLE TO LAUNCH PROGRAMS LIKE FEEDING YOUR GROWING FAMILY, WHICH ADDRESSES FOOD INSECURITY AMONG PREGNANT MOTHERS BY OFFERING PRE/POST-NATAL NUTRITION COUNSELING, MONTHLY FOOD BOXES DELIVERED TO THEIR HOMES, A HEALTHY COOKING KITCHEN TOOLKIT AND CONNECTION TO ADDITIONAL SUPPORT RESOURCES. PARTNERSHIPS WITH NUMEROUS ORGANIZATIONS IN SUPPORT OF HEALTH EQUITY AND ACCESS TO CARE RESOURCES, INCLUDING THE HEALTHY CAPITAL COUNTIES COALITION, GREATER LANSING FOOD BANK, CAPITAL AREA HEALTH ALLIANCE, AND LOCAL PUBLIC HEALTH DEPARTMENTS. UM HEALTH-SPARROW LANSING IS DEDICATED TO ADDRESSING THE BEHAVIORAL HEALTH CRISIS FACING OUR COMMUNITY AND HAVE MADE SEVERAL CHANGES IN THE EMERGENCY DEPARTMENT TO TREAT THOSE IN CRISIS. PATIENTS ARE QUICKLY TRANSFERRED TO A SAFE AND THERAPEUTIC ENVIRONMENT IN THE DEPARTMENT AND RECEIVE CARE FROM SPECIALLY TRAINED PSYCHIATRIC NURSES AND OTHER EXPERTS. THEY ALSO HAVE AN OPPORTUNITY TO SEE A PSYCHIATRIC PROVIDER WELL BEFORE ENTERING OUR INPATIENT PSYCHIATRIC UNIT. UM HEALTH-SPARROW LANSING WORKS WITH UNIVERSITY OF MICHIGAN PEDIATRIC OPHTHALMOLOGY TO PROVIDE AN EYE CLINIC WEEKLY IN OUR PEDIATRICS SUBSPECIALTY CLINIC. UM HEALTH-SPARROW LANSING ALSO PARTNERS WITH THE INGHAM COUNTY HEALTH DEPARTMENT AND HEALTHY START TO PROVIDE A FREE MONTHLY CLASS FOR HEALTH DEPARTMENT PATIENTS, INCLUDING A TOUR OF LABOR AND DELIVERY, AND INFORMATION ABOUT WHAT TO EXPECT WHEN YOU COME TO THE HOSPITAL TO HAVE YOUR BABY. UM HEALTH-SPARROW LANSING ALSO RELIES ON THE EXPERTS FROM MICHIGAN STATE UNIVERSITY TO TREAT OUR YOUNGEST PATIENTS IN THE HOSPITAL'S CHILDREN'S CENTER. THIS ALLOWS BROADENED PEDIATRIC SPECIALTY SERVICES FOR THE REGION AND HELP ENSURE FAMILIES STAY CLOSE TO HOME, INSTEAD OF TRAVELING GREAT DISTANCES TO SEEK CARE FOR THEIR CHILDREN. SPARROW HEALTH SYSTEM'S REACH EXTENDS FAR BEYOND THE ACUTE CARE SETTING OF THE HOSPITAL. THERE ARE MANY WAYS OUR STAFF PROACTIVELY SUPPORTS THE COMMUNITY, ESPECIALLY THOSE WHO HAVE THE GREATEST NEED. BECAUSE OF SPARROW'S COMMITMENT, THE PEOPLE OF MID MICHIGAN HAVE ACCESS TO THE FULL RANGE OF COMPREHENSIVE ACUTE CARE SERVICES AND THE LATEST MEDICAL ADVANCES WITHOUT TRAVELING GREAT DISTANCES. THESE SERVICES ARE AVAILABLE TO ALL MID MICHIGAN RESIDENTS, REGARDLESS OF THEIR ABILITY TO PAY. PROVIDING ACCESS TO PRIMARY CARE SPARROW RECOGNIZES THAT IF WE ARE TO ACHIEVE OUR VISION OF BEING A NATIONALLY RECOGNIZED LEADER IN QUALITY AND THE PATIENT EXPERIENCE, WE HAVE A RESPONSIBILITY TO TAKE THE LEAD IN FUNDAMENTALLY TRANSFORMING HEALTH CARE IN MICHIGAN. TO ADDRESS THE CHALLENGES OF INCREASING PREVALENCE OF CHRONIC DISEASE AND AN AGING POPULATION, TO IMPROVE THE QUALITY OF CARE AND THE PATIENT EXPERIENCE WHILE ALSO ENSURING GREATER AFFORDABILITY FOR PAYORS, SPARROW NEEDS TO IMPLEMENT PROFOUND CHANGES IN HOW CARE IS PROVIDED. SPARROW IS COMMITTED TO SEEKING NEW WAYS TO PARTNER WITH QUALITY CARE PROVIDERS TO CREATE GREATER ALIGNMENT AROUND IMPROVED QUALITY AND PATIENT EXPERIENCE, WORK JOINTLY TO DEVELOP CLINICAL GUIDELINES TO ENSURE THE HIGHEST QUALITY OF CARE FOR PATIENTS WHO NEED TO BE TRANSFERRED TO DIFFERENT LEVELS OF CARE AND TO ENSURE THAT CARE IS ALWAYS DELIVERED IN THE BEST QUALITY AND MOST COST-ADVANTAGEOUS CLINICAL SETTING AS CLOSE TO THE PATIENT'S HOME AS POSSIBLE. SPARROW HEALTH SYSTEM INCLUDES COMMUNITY HOSPITALS: SPARROW CARSON HOSPITAL (UM HEALTH-SPARROW CARSON), SPARROW CLINTON HOSPITAL (UM HEALTH-SPARROW CLINTON), SPARROW EATON HOSPITAL (UM HEALTH-SPARROW EATON), SPARROW IONIA HOSPITAL (UM HEALTH-SPARROW IONIA), AND SPARROW SPECIALTY HOSPITAL (UM HEALTH-SPARROW SPECIALTY HOSPITAL). THE UM HEALTH-SPARROW HERBERT-HERMAN CANCER CENTER FEATURES A MULTI- DISCIPLINARY TEAM APPROACH THAT PUTS THE PATIENT AT THE CENTER OF EVERYTHING WE DO. PATIENTS SEE A TEAM OF CLINICIANS UNDER ONE ROOF AND IN ONE VISIT. THE FACILITY ALSO INCLUDES LOCAL ARTWORK DESIGNED TO PROVIDE A HEALING ATMOSPHERE; AN OPEN, LIGHT-FILLED AREA FOR PATIENTS RECEIVING CHEMOTHERAPY TREATMENT; A RETAIL BOUTIQUE; AND SPACE FOR SUPPORT GROUPS. THE PLAZA BUILDING THAT HOUSES THE HERBERT-HERMAN CANCER CENTER IS ALSO HOME TO UM HEALTH-SPARROW HEART AND VASCULAR, THE LEADING CARDIAC CARE PRACTICE IN THE REGION. UM HEALTH-SPARROW COMMUNITY CARE - A NON-PROFIT ENTITY COMPRISING THE FORMER SPARROW MEDICAL SUPPLY AND SPARROW HOME CARE UNITS - AND UM HEALTH- SPARROW LABORATORIES AND UM HEALTH-SPARROW PHARMACY PLUS ROUND OUT THE HEALTH SYSTEM'S NETWORK OF FACILITIES AND PRIMARY CARE SERVICES. THEY ARE DESIGNED TO PROVIDE QUALITY, CONVENIENT, COST EFFECTIVE HEALTH CARE TO THE PEOPLE OF MID MICHIGAN. EMERGENCY PREPAREDNESS UM HEALTH-SPARROW LANSING HAS DISTINGUISHED ITSELF AS A RECOGNIZED LEADER IN EMERGENCY PREPAREDNESS. THE HOSPITAL VIEWS PREPAREDNESS AS AN ONGOING PROCESS LED BY A MULTIDISCIPLINARY TEAM THAT INVOLVES ALL ASPECTS OF HOSPITAL OPERATIONS, INCLUDING MEDICAL AND NON-MEDICAL SERVICES. DRILLS ARE CONDUCTED YEAR-ROUND IN COLLABORATION WITH LOCAL, STATE AND FEDERAL AGENCIES TO ENSURE SPARROW IS PREPARED FOR ANY DISASTER, WHETHER IT IS THE RESULT OF A TERRORIST ACT OR A NATURAL DISASTER. UM HEALTH-SPARROW'S EMERGENCY PREPAREDNESS COMMITTEE REGULARLY TESTS THE HOSPITAL'S RESPONSE SKILLS INDEPENDENT OF ANY AGENCY OR GOVERNING BODY. THE HOSPITAL ALSO WORKS WITH LOCAL GOVERNMENT AGENCIES, INCLUDING THE POLICE DEPARTMENT, FIRE DEPARTMENT AND PUBLIC HEALTH DEPARTMENT TO COORDINATE A PLANNED RESPONSE IN THE EVENT OF A TRUE EMERGENCY. SUPPORTING OUR COMMUNITY AND NEIGHBORHOODS SPARROW IS THE UNQUESTIONED LEADER IN MID-MICHIGAN IN PROVIDING HEALTH CARE SERVICES AND PROMOTING HEALTH-RELATED ACTIVITIES. THE UM HEALTH-SPARROW MOBILE HEALTH CLINIC (MHC) BRINGS ESSENTIAL HEALTH CARE SERVICES DIRECTLY TO UNDERSERVED COMMUNITIES, HELPING BRIDGE GAPS IN ACCESS TO CARE. BY DOING SO, WE ACTIVELY SUPPORT OUR MISSION OF ADVANCING HEALTH AND ENSURING MORE PEOPLE RECEIVE THE CARE THEY NEED. IN 2024, THE MHC HELD NUMEROUS OUTINGS, SERVING HUNDREDS WITHOUT ACCESS TO CARE. THE CLINIC OFFERED ESSENTIAL SERVICES SUCH AS HEALTH SCREENINGS AND IMMUNIZATIONS, AND WE ARE BUILDING STRATEGIC PARTNERSHIPS TO HOST SPECIALIZED EVENTS TO MANY IN MID-MICHIGAN'S MEDICALLY UNDERSERVED AREAS AT NO COST. THESE EFFORTS RESULTED IN REFERRALS TO OUR CLINICAL SERVICES AND SPECIALTY CARE PROVIDERS, WHILE PRIMARILY FOCUSING ON CONNECTING PATIENTS WITH THE RESOURCES THEY NEED. IN OCTOBER OF 2023, IN PARTNERSHIP WITH THE MOBILE HEALTH CLINIC, LANSING RADIOLOGY ASSOCIATES, RADIOLOGY AND THE SPARROW FOUNDATION, THE MOBILE CLINIC HOSTED A FREE WOMEN'S HEALTH SCREENING AT UM HEALTH-SPARROW'S</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>SPARROW HEALTH SYSTEM IS THE SOLE MEMBER OF EDWARD W. SPARROW HOSPITAL AND HAS 100% OWNERSHIP.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>SPARROW HEALTH SYSTEM HAS THE RIGHT TO ELECT MEMBERS OF THE EDWARD W. SPARROW HOSPITAL BOARD. THE PRESIDENT OF THE MEDICAL STAFF, WHICH IS A MEMBER OF THE GOVERNING BODY, IS ELECTED BY THE MEDICAL STAFF OF EDWARD W. SPARROW HOSPITAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>SPARROW HEALTH SYSTEM HAS THE RIGHT TO ELECT, REPLACE, AND REMOVE DIRECTORS OF EDWARD W. SPARROW HOSPITAL. SPARROW HEALTH SYSTEM ALSO HAS THE AUTHORITY TO APPROVE DECISIONS OF THE EDWARD W. SPARROW HOSPITAL BOARD WHEN IT IS DEEMED NECESSARY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>COPIES OF THE 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>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 TRANSACTION LEVEL (I.E. IF A VOTE IS REQUIRED ON A TRANSACTION INVOLVING AN INTERESTED PERSON)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS ARE ON SEVERAL INTERNET WEBSITES, INCLUDING THE MHA WEBSITE, AS WELL AS AVAILABLE UPON REQUEST. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
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          <AddressLine1Txt>1215 E MICHIGAN AVE</AddressLine1Txt>
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</Return>