EDWARD W SPARROW HOSPITAL ASSOCIATION: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: EDWARD W SPARROW HOSPITAL ASSOCIATION (EIN 38-1360584)
Tax period: 2022-01-01 to 2022-12-31
Filed: 2025-08-26
IRS object ID: 202522389349301037
Schema version: 2022v5.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule J
Schedule K
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-08-26T14:24:37-04:00	ReturnTs
Tax Period End	2022-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	383133790	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ANDREWS HOOPER PAVLIK PLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	4295 OKEMOS RD STE 200	AddressLine1Txt
City	OKEMOS	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	488646201	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	381360584	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	EDWARD W SPARROW HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	EDWA	BusinessNameControlTxt
Phone	5173641000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1215 E MICHIGAN AVENUE	AddressLine1Txt
City	LANSING	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48912	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MARGARET DIMOND PHD	PersonNm
Person Title	REGIONAL PRESIDENT	PersonTitleTxt
Phone	5173646060	PhoneNum
Signature	2025-08-19	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	false	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JULIE M PFEIFLE	PreparerPersonNm
PTIN	P00751307	PTIN
Phone	5177060800	PhoneNum
Preparation	2025-08-19	PreparationDt

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Amended Return	Yes (X)	AmendedReturnInd

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	UNIV OF MI HEALTH - SPARROW LANSING	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	MARGARET DIMOND PHD	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1215 E MICHIGAN AVE	AddressLine1Txt
City	LANSING	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48912	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,032,875,724	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SPARROW.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1896	FormationYr
Legal Domicile State	MI	LegalDomicileStateCd
Activity Or Mission	IMPROVING THE HEALTH OF THE PEOPLE IN OUR COMMUNITIES BY PROVIDING QUALITY, COMPASSIONATE CARE TO EVERYONE, EVERY TIME.	ActivityOrMissionDesc
Voting Members Governing Body	16	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	6599	TotalEmployeeCnt
Total Volunteers	908	TotalVolunteersCnt
Total Gross UBI	$21,466,669	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$2,428,500	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$23,353,796	PYContributionsGrantsAmt
CY Contributions Grants	$16,273,792	CYContributionsGrantsAmt
PY Program Service Revenue	$997,595,132	PYProgramServiceRevenueAmt
CY Program Service Revenue	$931,971,078	CYProgramServiceRevenueAmt
PY Investment Income	$61,448,692	PYInvestmentIncomeAmt
CY Investment Income	$47,289,154	CYInvestmentIncomeAmt
PY Other Revenue	$42,045,838	PYOtherRevenueAmt
CY Other Revenue	$35,946,261	CYOtherRevenueAmt
PY Total Revenue	$1,124,443,458	PYTotalRevenueAmt
CY Total Revenue	$1,031,480,285	CYTotalRevenueAmt
PY Grants And Similar Paid	$69,473	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$622,969,708	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$652,828,760	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$493,554,001	PYOtherExpensesAmt
CY Other Expenses	$492,771,701	CYOtherExpensesAmt
PY Total Expenses	$1,116,593,182	PYTotalExpensesAmt
CY Total Expenses	$1,145,600,461	CYTotalExpensesAmt
PY Revenues Less Expenses	$7,850,276	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$114,120,176	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,648,951,609	TotalAssetsBOYAmt
Total Assets EOY	$1,418,560,977	TotalAssetsEOYAmt
Total Liabilities BOY	$986,709,530	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$897,645,775	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$662,242,079	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$520,915,202	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	IMPROVING THE HEALTH OF THE PEOPLE IN OUR COMMUNITIES BY PROVIDING QUALITY, COMPASSIONATE CARE TO EVERYONE, EVERY TIME.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$408,730,382	ExpenseAmt
Revenue	$399,438,110	RevenueAmt
Desc	E.W. SPARROW HOSPITAL 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, EVERY TIME. E.W. SPARROW HOSPITAL IS A 703-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. SPARROW 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 2022, SPARROW TREATED OVER 30,000 INPATIENTS, PROVIDED SERVICES TO NEARLY 146,590 EMERGENCY MEDICINE PATIENTS, OVER 80,000 URGENT CARE PATIENTS, AND CONDUCTED OVER 38,000 VIDEO VISITS. TODAY'S SPARROW HEALTH SYSTEM BLENDS THE KNOWLEDGE AND EXPERTISE OF OVER 1,240 PHYSICIANS, NEARLY 9,000 CAREGIVERS AND ABOUT 1,500 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 SPARROW FOR THEIR MATERNITY NEEDS (OVER 3,500 DELIVERIES ANNUALLY), REHABILITATION, AND EMERGENCY TREATMENT THAN ANY OTHER HOSPITAL IN MID-MICHIGAN. SPARROW HAS ACHIEVED A NATIONAL BENCHMARK IN QUALITY CARE FOR MOTHERS AND BABIES, AS MID-MICHIGAN'S ONLY BABY-FRIENDLY HOSPITAL, A GLOBAL PROGRAM OF THE WORLD HEALTH ORGANIZATION (WHO) AND THE UNITED NATIONS CHILDREN'S FUND (UNICEF). SPARROW HAS UNDERTAKEN A VARIETY OF MEASURES TO IMPROVE MATERNAL AND INFANT HEALTH. AN OUTPATIENT BREASTFEEDING CLINIC SUPPORTING BREASTFEEDING MOTHERS AND INFANTS IS HELD TWICE A WEEK IN OUR PEDIATRICS SUBSPECIALTY CLINIC. SPARROW ALSO SPONSORS THE BABY CAF, A COMMUNITY RESOURCE FREE OF CHARGE TO NURSING MOTHERS TO OBTAIN BREASTFEEDING SUPPORT, AS WELL AS PEER SUPPORT FROM OTHER NEW MOTHERS. WE ALSO WORK WITH VALUABLE PARTNERS TO OFFER FREE SERVICES TO PARENTS AND CHILDREN. SPARROW WORKS WITH UNIVERSITY OF MICHIGAN PEDIATRIC OPHTHALMOLOGY TO PROVIDE AN EYE CLINIC WEEKLY IN OUR PEDIATRICS SUBSPECIALTY CLINIC. SPARROW 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 SPARROW LABOR AND DELIVERY, AND INFORMATION ABOUT WHAT TO EXPECT WHEN YOU COME TO THE HOSPITAL TO HAVE YOUR BABY. SPARROW ALSO HAS A PARTNERSHIP WITH MICHIGAN MEDICINE (THE UNIVERSITY OF MICHIGAN) TO OVERSEE THE SPARROW 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 COVID-19 TESTING AND VACCINES IN 2022, SPARROW WAS A NATIONAL LEADER IN PROVIDING ACCESS TO COVID-19 TESTING AND VACCINES TO PEOPLE FROM THROUGHOUT THE STATE. SPARROW WAS AMONG THE FIRST HOSPITALS TO OFFER INPATIENT TESTING FOR THE VIRUS AND OPENED AN INNOVATIVE DRIVE-THRU TESTING/VACCINE SITE AT AN OLD SEARS AUTOMOTIVE CENTER IN LANSING. IT HAS ALSO DISTRIBUTED THE VACCINE THROUGH HIGH SCHOOL CLINICS AND TO UNDERSERVED AREAS THROUGH A MOBILE HEALTH CLINIC. SPARROW HAS PERFORMED MORE THAN 930,000 COVID TESTS AND GIVEN MORE THAN 130,000 VACCINES.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$466,001,688	ExpenseAmt
Revenue	$539,244,504	RevenueAmt
Desc	ANCILLARY SERVICES INCLUDING LABORATORY, RADIOLOGY, DIALYSIS, SOCIAL SERVICES AND CLINICS (SEE NARRATIVE FROM 4A FOR FURTHER EXPLANATION)	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$89,212,345	ExpenseAmt
Revenue	$5,377,771	RevenueAmt
Desc	GENERAL SERVICES INCLUDING FOOD SERVICE, ENVIRONMENTAL SERVICES, LAUNDRY AND PLANT.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$963,944,415	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (true)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	179	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	6599	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	16	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	MI	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	WILLIAM HOWE	PersonNm
Phone	5173646102	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1215 E MICHIGAN AVENUE	AddressLine1Txt
City	LANSING	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48912	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ARA PRIDJIAN MD
PHYSICIAN	40.00	0.00	Yes (X)	$1,337,786	$0	$93,132
JAMES F DOVER
PRES/CEO - S	0.00	40.00		$0	$1,141,524	$84,525	Yes (X)
JOSEPH RAKOWSKI
PHYSICIAN	40.00	0.00	Yes (X)	$1,099,282	$0	$60,848
HISHAM QANDEEL
PHYSICIAN	40.00	0.00	Yes (X)	$1,085,295	$0	$46,917
KIRILL ZAKHAROV
PHYSICIAN	40.00	0.00	Yes (X)	$932,736	$0	$72,919
ROY MILLER
PHYSICIAN	40.00	0.00	Yes (X)	$938,947	$0	$61,151
ALAN VIERLING DNP
FMR PRES/CEO	40.00	0.00		$826,529	$0	$91,884	Yes (X)	Yes (X)
JOSEPH RUTH
FORMER BOARD	0.00	40.00		$0	$736,602	$129,037			Yes (X)
PAULA REICHLE
SRVP/CFO	30.00	10.00		$0	$648,489	$61,609	Yes (X)
KAREN KENT-VAN GORDER MD
FORMER OFFIC	0.00	40.00		$0	$548,550	$103,877			Yes (X)
DENNY MARTIN
CHIEF MEDICA	40.00	0.00		$495,391	$0	$70,246	Yes (X)	Yes (X)
PAUL ENTLER
FORMER OFFIC	0.00	40.00		$0	$433,846	$46,157			Yes (X)
THOMAS OSTRANDER
VP PROFESSIO	40.00	0.00		$383,176	$0	$86,411	Yes (X)
MICHAEL ZAROUKIAN MD
VP CHIEF MED	40.00	0.00		$412,926	$0	$42,856	Yes (X)
THEODORE GLYNN MD
VP MEDICAL E	40.00	0.00		$346,997	$0	$63,884	Yes (X)
WILLIAM HOWE
VP FINANCE/C	40.00	0.00		$297,892	$0	$48,812	Yes (X)	Yes (X)
AMY BROWN
CHIEF NRSING	40.00	0.00		$292,366	$0	$52,433	Yes (X)
CHRISTOPHER MATHEWS
VP SUPPORT S	40.00	0.00		$252,464	$0	$35,165	Yes (X)
LISA PASCOE
FORMER SEC	2.00	40.00		$0	$185,716	$33,850			Yes (X)
ROBIN DEMUTH MD
FORMER BOARD				$35,000	$0	$0			Yes (X)
CORY O'BRIEN
BOARD MEMBER	2.00	0.00		$14,105	$0	$1,595		Yes (X)
MAUDE GUERIN MD
BOARD MEMBER	2.00	0.00		$1,440	$3,250	$0		Yes (X)
JAMES CROOM
BOARD MEMBER	2.00	0.00		$1,440	$0	$0		Yes (X)
PATRICIA BARNAS
VICE CHAIR/B	2.00	0.00		$0	$0	$0	Yes (X)	Yes (X)
BRITTANY BOGAN
SECRETARY/BR	2.00	0.00		$0	$0	$0	Yes (X)	Yes (X)
EDYTHE COPELAND
BOARD MEMBER	2.00	0.00		$0	$0	$0		Yes (X)
TIMOTHY HODGE DO
CHAIR/BOARD	2.00	0.00		$0	$0	$0	Yes (X)	Yes (X)
MYRON FREEMAN
BOARD MEMBER	2.00	0.00		$0	$0	$0		Yes (X)
DEBORAH GINSBURG
BOARD MEMBER	2.00	0.00		$0	$0	$0		Yes (X)
JEANETTE KLEMCZAK
BOARD MEMBER	2.00	0.00		$0	$0	$0		Yes (X)
RUBEN MARTINEZ
BOARD MEMBER	2.00	0.00		$0	$0	$0		Yes (X)
DAVID THOMAS
BOARD MEMBER	2.00	0.00		$0	$0	$0		Yes (X)
LAKEEYA TUCKER
BOARD MEMBER	2.00	0.00		$0	$0	$0		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$8,753,772	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,697,977	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,287,308	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1056	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
AYA HEALTHCARE INC
PO BOX 123519	DALLAS	TX	75312	TRAVEL NURSING	$25,183,765
GRANGER CONSTRUCTION COMPANY
6267 AURELIUS RD	LANSING	MI	48911	CONSTRUCTION	$17,236,568
MICHIGAN STATE UNIVERSITY HEALTH
3610 FOREST RD STE C	LANSING	MI	48910	MEDICAL PROF	$17,190,489
FASTAFF LLC
5700 SOUTH QUEBEC ST STE 300	GREENWOOD VILLAGE	CO	80111	TRAVEL NURSING	$16,785,277
VITUITY MICHIGAN HOSPITALIST
2100 POWELL ST STE 400	EMERYVILLE	CA	94608	EMERGENCY MED	$5,973,200

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	259	CntrctRcvdGreaterThan100KCnt
Related Organizations	$1,752,785	RelatedOrganizationsAmt
Government Grants	$14,521,007	GovernmentGrantsAmt
Noncash Contributions	$926,021	NoncashContributionsAmt
Total Contributions	$16,273,792	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE	621990	$910,504,409	$910,504,409
NONPATIENT SERVICE REVENUE	621500	$21,466,669		$21,466,669

Field	Value	IRS element (for citing)
Total Program Service Revenue	$931,971,078	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,179,474	TotalRevenueColumnAmt
Exclusion	$11,179,474	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,486,211	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,395,439	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$90,772	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$90,772	TotalRevenueColumnAmt
Exclusion	$90,772	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$35,381,480	SecuritiesAmt
Other	$728,200	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$35,381,480	SecuritiesAmt
Other	$728,200	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$36,109,680	TotalRevenueColumnAmt
Exclusion	$36,109,680	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
FOOD SERVICE	900099	$5,377,824	$5,377,824
GAIN ON BOND FINANCING	900099	$3,862,580	$3,862,580
SPARROW SPECIALTY REVENUE	623990	$3,254,630		$3,254,630

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$23,360,455	TotalRevenueColumnAmt
Related Or Exempt Func Income	$23,360,455	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$35,855,489	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,031,480,285	TotalRevenueColumnAmt
Related Or Exempt Func Income	$937,119,494	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$21,466,669	UnrelatedBusinessRevenueAmt
Exclusion	$56,620,330	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,799,432	TotalAmt
Program Services	$531,920	ProgramServicesAmt
Management And General	$3,267,512	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$544,441,317	TotalAmt
Program Services	$474,185,311	ProgramServicesAmt
Management And General	$70,256,006	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$15,935,823	TotalAmt
Program Services	$13,798,700	ProgramServicesAmt
Management And General	$2,137,123	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$55,738,776	TotalAmt
Program Services	$48,263,755	ProgramServicesAmt
Management And General	$7,475,021	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$32,913,412	TotalAmt
Program Services	$28,499,457	ProgramServicesAmt
Management And General	$4,413,955	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$2,299,721	TotalAmt
Management And General	$2,299,721	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$32,708,505	TotalAmt
Program Services	$29,533,280	ProgramServicesAmt
Management And General	$3,175,225	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$40,682	TotalAmt
Program Services	$37,575	ProgramServicesAmt
Management And General	$3,107	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,376,356	TotalAmt
Program Services	$1,370,434	ProgramServicesAmt
Management And General	$5,922	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$17,098,200	TotalAmt
Program Services	$14,749,425	ProgramServicesAmt
Management And General	$2,348,775	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$3,420,916	TotalAmt
Program Services	$3,210,816	ProgramServicesAmt
Management And General	$210,100	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$13,086,774	TotalAmt
Program Services	$11,964,979	ProgramServicesAmt
Management And General	$1,121,795	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$48,116,209	TotalAmt
Program Services	$43,750,017	ProgramServicesAmt
Management And General	$4,366,192	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$18,978,989	TotalAmt
Program Services	$18,891,319	ProgramServicesAmt
Management And General	$87,670	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
SUPPLIES	$227,686,291	$226,827,437	$858,854
PURCHASED SERVICES	$81,894,208	$27,993,744	$53,900,464
ALL OTHER EXPENSES	$23,578,044	$1,635,603	$21,942,441
RENT & REPAIRS	$18,977,378	$18,700,643	$276,735

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,509,428	TotalAmt
Management And General	$3,509,428	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,145,600,461	TotalAmt
Program Services	$963,944,415	ProgramServicesAmt
Management And General	$181,656,046	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$50,082,145	BOYAmt
EOY	$10,196,011	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$28,285,725	BOYAmt
EOY	$385,164	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$145,757,950	BOYAmt
EOY	$152,885,637	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$29,833,065	BOYAmt
EOY	$28,893,089	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,360,798	BOYAmt
EOY	$3,071,010	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,422,295,822	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$903,010,039	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$523,897,276	BOYAmt
EOY	$519,285,783	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$649,852,121	BOYAmt
EOY	$487,924,727	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$3,103,986	BOYAmt
EOY	$3,046,823	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$214,778,543	BOYAmt
EOY	$212,872,733	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,648,951,609	BOYAmt
EOY	$1,418,560,977	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$208,193,330	BOYAmt
EOY	$218,154,953	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$344,195,000	BOYAmt
EOY	$390,255,000	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$24,805,877	BOYAmt
EOY	$20,397,373	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$409,515,323	BOYAmt
EOY	$268,838,449	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$986,709,530	BOYAmt
EOY	$897,645,775	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$662,242,079	BOYAmt
EOY	$520,915,202	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$662,242,079	BOYAmt
EOY	$520,915,202	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,648,951,609	BOYAmt
EOY	$1,418,560,977	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$114,120,176	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$116,265,025	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$89,058,324	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$29,140	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$29,140	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1	FormAndLineReferenceDesc
Explanation	CONTACT WITH LEGISLATORS AND THEIR STAFF	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$6,297,032	BeginningYearBalanceAmt
Contributions	$5,192,208	ContributionsAmt
Investment Earnings Or Losses	-$280,050	InvestmentEarningsOrLossesAmt
End Year Balance	$11,209,190	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,606,321	BeginningYearBalanceAmt
Contributions	$561,053	ContributionsAmt
Investment Earnings Or Losses	$129,658	InvestmentEarningsOrLossesAmt
End Year Balance	$6,297,032	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,912,247	BeginningYearBalanceAmt
Contributions	$237,860	ContributionsAmt
Investment Earnings Or Losses	$456,214	InvestmentEarningsOrLossesAmt
End Year Balance	$5,606,321	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,700,296	BeginningYearBalanceAmt
Contributions	$39,943	ContributionsAmt
Investment Earnings Or Losses	$172,008	InvestmentEarningsOrLossesAmt
End Year Balance	$4,912,247	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,236,464	BeginningYearBalanceAmt
Contributions	$314,065	ContributionsAmt
Investment Earnings Or Losses	$55,042	InvestmentEarningsOrLossesAmt
End Year Balance	$3,605,571	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$18,289,101	OtherCostOrOtherBasisAmt
Book Value	$18,289,101	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$716,468,207	OtherCostOrOtherBasisAmt
Depreciation	$343,335,511	DepreciationAmt
Book Value	$373,132,696	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$27,488,778	OtherCostOrOtherBasisAmt
Depreciation	$8,409,205	DepreciationAmt
Book Value	$19,079,573	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$621,005,166	OtherCostOrOtherBasisAmt
Depreciation	$551,265,323	DepreciationAmt
Book Value	$69,739,843	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$39,044,570	OtherCostOrOtherBasisAmt
Book Value	$39,044,570	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$519,285,783	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (8 entries)

DescDesc	Book ValueBookValueAmt
DEFERRED PENSION	$121,672,561
INSURANCE - EXCESS LAYER	$23,900,000
457 PLAN ACCUMULATIONS	$20,397,373
OTHER AR	$19,906,423
PHARMACY DRUG DEPOSIT	$12,516,536
OTHER ASSETS	$7,113,508
LEASE RIGHT TO USE ASSET	$5,146,011
DEFERRED FINANCING COSTS	$2,220,321

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$212,872,733	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)

DescDesc	AmtAmt
UNFUNDED PENSION OBLIGATION	$185,101,111
MEDICAL MALPRACTICE CLAIMS RESERVE	$29,999,403
INSURANCE - EXCESS LAYER	$16,875,000
PREMIUM ON 2015 BONDS	$14,555,330
PREMIUM ON 2012 BONDS	$11,336,116
LEASE LIABILITY PAYABLE	$5,099,804
ASBESTOS ABATEMENT	$2,977,058
INTEREST PAYABLE	$1,523,575
POST RETIREMENT BENEFITS PAYABLE	$1,371,052

Field	Value	IRS element (for citing)
Total Liability	$268,838,449	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE D, PAGE 2, PART V, LINE 4	FormAndLineReferenceDesc
Explanation	EDWARD W SPARROW HOSPITAL DOES NOT HOLD ENDOWMENTS. THE ENDOWMENTS ARE HELD BY SPARROW FOUNDATION. SPARROW HEALTH SYSTEM IS THE SOLE MEMBER OF EDWARD W SPARROW HOSPITAL AND SPARROW FOUNDATION. THE ENDOWMENTS ARE MAINTAINED TO PROVIDE A PERMANENT SOURCE OF INCOME, WITH THE STIPULATION THE PRINCIPAL IS KEPT INTACT IN PERPETUITY AND THE INCOME GENERATED FROM INVESTMENTS OF THE ENDOWMENT FUNDS CAN BE USED FOR THE PURPOSE ESTABLISHED BY THE ENDOWMENTS.	ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	CENTRAL AMERICA AND THE CARIBBEAN	RegionTxt
Type Of Activities Conducted	INVESTMENTS	TypeOfActivitiesConductedTxt
Region Total Expenditures	$350,000	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Spent	$350,000	SubtotalSpentAmt
Total Spent	$350,000	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE F, PAGE 1, PART I, LINE 3	FormAndLineReferenceDesc
Explanation	CENTRAL AMERICA AND THE CARIBBEAN 0 350,000	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
Indiv Hospital Tailored Policy	Yes (X)	IndivHospitalTailoredPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent200 D	Yes (X)	Percent200DInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,060,537	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$12,060,537	NetCommunityBenefitExpnsAmt
Total Expense	0.01050	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$220,705,946	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$168,490,165	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$52,215,781	NetCommunityBenefitExpnsAmt
Total Expense	0.04560	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$232,766,483	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$168,490,165	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$64,276,318	NetCommunityBenefitExpnsAmt
Total Expense	0.05610	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$30,835,658	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,473,376	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,362,282	NetCommunityBenefitExpnsAmt
Total Expense	0.01520	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,739,328	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,327,346	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,411,982	NetCommunityBenefitExpnsAmt
Total Expense	0.00390	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$286,123	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$286,123	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$40,861,109	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,800,722	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,060,387	NetCommunityBenefitExpnsAmt
Total Expense	0.01930	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$273,627,592	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$187,290,887	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$86,336,705	NetCommunityBenefitExpnsAmt
Total Expense	0.07540	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$6,355,743	BadDebtExpenseAmt
Reimbursed By Medicare	$289,239,430	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$333,683,773	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$44,444,343	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	MID-MI REG DIALYSIS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	RENTAL ACTIVITIES	PrimaryActivitiesTxt
Org Profit Or Ownership	0.37000	OrgProfitOrOwnershipPct
Physicians Profit Or Ownership	0.25000	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Research FacilityResearchFacilityInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Emergency Room OtherEmergencyRoomOtherInd	OtherOtherDesc	Facility Reporting GroupFacilityReportingGroupCd
EWSH - MAIN CAMPUS
1	1215 E MICHIGAN AVE	LANSING	MI	48912	WWW.SPARROW.ORG	1060000091	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	URGENT CARE	A
EWSH - ST LAWRENCE CAMPUS
2	1210 W SAGINAW	LANSING	MI	48915	WWW.SPARROW.ORG	1060000143	Yes (X)	Yes (X)	Yes (X)				BEHAVIORAL HLTH HOSPICE SR SVC	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	12	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.SPARROW.ORG	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	false	StrategyPostedWebsiteInd
Strategy Attached	Yes (true)	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	200.000000000000	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.SPARROW.ORG	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.SPARROW.ORG	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.SPARROW.ORG	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
None Made	Yes (X)	NoneMadeInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	Yes (true)	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
GROUP A, FACILITY 1, EWSH - MAIN CAMPUS - PART V, LINE 3E	THE SIGNIFICANT HEALTH NEEDS WERE PRIORITIZED AND DOCUMENTED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT.
GROUP A, FACILITY 1, EWSH - MAIN CAMPUS - PART V, LINE 5	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 & 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 & 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 2,634 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.
GROUP A, FACILITY 1, EWSH - MAIN CAMPUS - 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
GROUP A, FACILITY 1, EWSH - MAIN CAMPUS - PART V, LINE 6B	- MICHIGAN PUBLIC HEALTH INSTITUTE - BARRY-EATON DISTRICT HEALTH DEPARTMENT - INGHAM COUNTY HEALTH DEPARTMENT - MID MICHIGAN DISTRICT HEALTH DEPARTMENT
GROUP A, FACILITY 1, EWSH - MAIN CAMPUS - PART V, LINE 11	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 INCLUDED COMMUNITY SAFETY AND AFFORDABLE HOUSING. THIS HEALTH NEED IS IMPORTANT BUT IT IS NOT WITHIN THE SCOPE OF THE HOSPITAL'S CORE COMPETENCIES.
GROUP A, FACILITY 1, EWSH - MAIN CAMPUS - 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.
GROUP A, FACILITY 2, EWSH - ST. LAWRENCE CAMPUS - 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.

Field	Value	IRS element (for citing)
Facility	38	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (38 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
EWSH MEDICAL ARTS BUILDING
1322 E MICHIGAN	LANSING	MI	48912	OCC HEALTH WOUND CLINIC
EWSH SPARROW PROF BUILDING
1200 E MICHIGAN AVE	LANSING	MI	48912	CLINICS PHARMACY REHAB
EWSH MASON COMMUNITY CENTER
800 E COLUMBIA	MASON	MI	48854	URGENT CARE/FMLY PRACTICE/RADIOLOGY LAB
EWSH LANSING URGENT CARE
1600 W GRAND RIVER	OKEMOS	MI	48864	FAMILY PRACTICE OB/GYN LAB RADIOLOGY
EWSH OP REHAB
1288 W GRAND RIVER	WILLIAMSTON	MI	48895	PHYSICAL THERAPY
EWSH SMG MASON
230 TEMPLE ST STE 3	MASON	MI	48854	FAMILY PRACTICE
EWSH SMG WEST
7335 WESTSHIRE DR STE 10	LANSING	MI	48912	FAMILY PRACTICE
EWSH SMG POTTERVILLE
133 W LANSING RD	POTTERVILLE	MI	48876	FAMILY PRACTICE
EWSH SPARROW REGIONAL LAB
1650 RAMBLEWOOD DR	EAST LANSING	MI	48823	LABORATORY
EWSH OKEMOS DIAGNOSTIC CENTER
1600 W GRAND RIVER	OKEMOS	MI	48864	RADIOLOGY/LAB
EWSH SPARROW REGIONAL LAB
6254 W SAGINAW	LANSING	MI	48912	LABORATORY
EWSH
SOUTHPOINT MALL STE A14-A17	ST JOHNS	MI	48879	PHYSICAL THERAPY
EWSH SMG DEWITT
13191 SCHAVEY RD	DEWITT	MI	48820	FAMILY PRACTICE LAB RADIOLOGY
EWSH
138 SERVICE ROAD	EAST LANSING	MI	48823	PHYSICAL THERAPY
EWSH SPARROW PHARMACY PLUS
1015 CHARLEVOIX DRIVE	GRAND LEDGE	MI	48837	PHARMACY
EWSH SPARROW PHARMACY PLUS
1200 E MICHIGAN STE 310	LANSING	MI	48912	PHARMACY
EWSH SMG EAST LANSING
2682 E GRAND RIVER	EAST LANSING	MI	48823	LABORATORY & URGENT CARE
EWSH SMG HOLT
2040 N AURELIUS	HOLT	MI	48842	FAMILY PRACTICE
EWSH SMG GRAND LEDGE
1015 CHARLEVOIX DRIVE	GRAND LEDGE	MI	48837	URGENT CARE & PHYSICAL THERAPY
TCI HEART CLINIC & DIAGNOSTIC
300 HEALTH PARK DRIVE	OWOSSO	MI	48867	HEART CLINIC & DIAGNOSTICS
EWSH SPARROW REGIONAL LAB
1650 HASLETT ROAD	HASLETT	MI	48840	LABORATORY
EWSH SPARROW REGIONAL LAB
5303 S CEDAR	LANSING	MI	48910	LABORATORY
EWSH SMG EASTSIDE
1651 W LAKE LANSING ROAD	EAST LANSING	MI	48823	OB/GYN PRACTICE
EWSH SMG NEPHROLOGY
123 LANSING RD	CHARLOTTE	MI	48813	NEPHROLOGY
EWSH FASTCARE
716 N CLIPPERT ST	LANSING	MI	48910	FASTCARE
EWSH HEALTH SCIENCE PAVILION
2900 HANNAH BLVD	EAST LANSING	MI	48823	OFFICES/ATHLETIC CLUB
SPARROW HEALTH CENTER
2909 E GRAND RIVER AVE	LANSING	MI	48912	LAB/OBGYN/MEDICAL OFFICE
EWSH MICHIGAN AVE URGENT CARE
1120 E MICHIGAN AVE	LANSING	MI	48912	URGENT CARE
EWSH EAST LANSING URGENT CARE
2682 E GRAND RIVER	EAST LANSING	MI	48823	URGENT CARE
SPARROW LAB
804 SERVICE RD A203	EAST LANSING	MI	48824	LAB
SPARROW LAB
6200 PINE HOLLOW	EAST LANSING	MI	48823	LAB
SPARROW LAB
2316 S CEDAR ST	LANSING	MI	48911	LAB
SPARROW LAB
2380 CEDAR ST	HOLT	MI	48842	LAB
SPARROW LAB
3955 PATIENT CARE DRIVE	LANSING	MI	48911	LAB
SMG ORTHOPEDICS AND SPORTS MED
3394 E JOLLY RD	LANSING	MI	48910	ORTHO/ SPORTS MED
SMG WILLIAMSTON
301 WILLIAMSTON CENTER RD	WILLIAMSTON	MI	48895	FAMILY PRACTICE
SPARROW LAB
3131 E MICHIGAN AVE	LANSING	MI	48912	LAB
SPARROW EMERGENCY CENTER OKEMOS
2446 JOLLY RD STE A	OKEMOS	MI	48864	EMERGENCY ROOM

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 HEALTH PROFESSIONS EDUCATION (LINE 7F), SUBSIDIZED HEALTH SERVICES (LINE 7G) AND RESEARCH (LINE 7H). IN RESPONSE TO THE COVID-19 PANDEMIC THE HOSPITAL RECEIVED GENERAL AND TARGETED DISTRIBUTIONS UNDER THE AMERICAN RESCUE PLAN RELIEF FUNDING. THE HOSPITAL MET THE CONDITIONS AND RESTRICTIONS NECESSARY TO RETAIN THE DISTRIBUTIONS ENTIRELY THROUGH A CALCULATION OF LOST REVENUE DURING THE YEAR ENDED 12/31/2022. AS A RESULT, THE PROVIDER RELIEF FUNDING DISTRIBUTIONS RECEIVED BY THE HOSPITAL ARE NOT INCLUDED AS OFFSETTING REVENUE IN THE SCHEDULE H.
SCHEDULE H, PART II	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; NEONATAL INTENSIVE CARE; OBSTETRICS; REHABILITATION; EMERGENCY AND TRAUMA SERVICES; GERIATRICS CLINICS; AND PEDIATRIC CLINICS.
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 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.
SCHEDULE H, PART III, LINE 3	IN REVIEWING ACCOUNTS CLASSIFIED AS BAD DEBT, THE AMOUNT REPORTED ON SCHEDULE H, PART III, LINE 3, REFLECTS PATIENTS WHO HAD PREVIOUSLY QUALIFIED FOR MEDICAID OR OTHER MEANS-TESTED SUPPORT, BUT WHO AT THE TIME OF SERVICES, 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 TO MAKE A DETERMINATION OF THE PATIENTS' ELIGIBILITY 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 HOSPITAL BELIEVES THE FULL AMOUNT OF THE SHORTFALL REPORTED ON PART III, SECTION B, LINE 7 SHOULD BE TREATED AS 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 44,444,343 SHOULD BE COUNTED AS COMMUNITY BENEFIT.
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 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 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	SPARROW HOSPITAL EMPLOYS SEVERAL METHODS TO COMMUNICATE ELIGIBILITY FOR ASSISTANCE TO PATIENTS. ALL UNINSURED INPATIENTS 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.
SCHEDULE H, PART VI, LINE 4	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 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.
SCHEDULE H, PART VI, LINE 5	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."
SCHEDULE H, PART VI, LINE 6	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 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 SPECIALTY HOSPITAL, SPARROW CARSON HOSPITAL, SPARROW DEVELOPMENT, INC., SPARROW COMMUNITY CARE, INC., SPARROW IONIA HOSPITAL, SPARROW FOUNDATION, SPARROW CLINICAL RESEARCH INSTITUTE, AND SPARROW EATON HOSPITAL.
SCHEDULE H, PART VI, LINE 7	MICHIGAN

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt
ARA PRIDJIAN MD
PHYSICIAN	$846,859	$462,903	$28,024	$27,755	$65,377	$1,430,918
JAMES F DOVER
PRES/CEO - SHS							$955,742	$185,782	$84,525	$1,226,049
JOSEPH RAKOWSKI
PHYSICIAN	$985,760	$91,882	$21,640		$60,848	$1,160,130
HISHAM QANDEEL
PHYSICIAN	$913,646	$170,623	$1,026		$46,917	$1,132,212
KIRILL ZAKHAROV
PHYSICIAN	$792,070	$139,754	$912	$9,150	$63,769	$1,005,655
ROY MILLER
PHYSICIAN	$479,189	$458,485	$1,273	$9,150	$52,001	$1,000,098
ALAN VIERLING DNP
FMR PRES/CEO SPARROW	$650,408		$176,121	$60,819	$31,065	$918,413
JOSEPH RUTH
FORMER BOARD MEMBER							$612,061	$124,541	$38,495	$865,639	$90,542
PAULA REICHLE
SRVP/CFO							$561,901	$86,588	$53,209	$710,098	$8,400
KAREN KENT-VAN GORDER MD
FORMER OFFICER							$295,127	$253,423	$26,213	$652,427	$77,664
DENNY MARTIN
CHIEF MEDICAL OFFI.	$494,606		$785	$17,550	$52,696	$565,637
PAUL ENTLER
FORMER OFFICER							$413,433	$20,413	$37,757	$480,003	$8,400
THOMAS OSTRANDER
VP PROFESSIONAL SRVC	$355,721	$100	$27,355	$36,155	$50,256	$469,587
MICHAEL ZAROUKIAN MD
VP CHIEF MED INF OFC	$392,605	$200	$20,121	$8,400	$34,456	$455,782
THEODORE GLYNN MD
VP MEDICAL EDUCATION	$345,230		$1,767	$8,400	$55,484	$410,881
WILLIAM HOWE
VP FINANCE/CFO/TREAS	$295,049		$2,843	$15,305	$33,507	$346,704
AMY BROWN
CHIEF NRSING OFFICER	$276,521	$13,750	$2,095	$15,275	$37,158	$344,799
CHRISTOPHER MATHEWS
VP SUPPORT SERVICES	$251,019	$100	$1,345	$5,479	$29,686	$287,629
LISA PASCOE
FORMER SEC							$182,044	$3,672	$19,418	$219,566	$14,432
ROBIN DEMUTH MD
FORMER BOARD MEMBER			$35,000			$35,000

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PAGE 1, PART I, LINE 1A	CERTAIN BOARD MEMBERS- AND EXECUTIVES' MICHIGAN ATHLETIC CLUB DUES ARE PAID BY THE ENTITY. THESE AMOUNTS ARE CONSIDERED TAXABLE COMPENSATION.
SCHEDULE J, PAGE 1, PART I, LINE 3	SPARROW HEALTH SYSTEM IS THE SOLE MEMBER OF EDWARD W SPARROW HOSPITAL. SPARROW HEALTH SYSTEM IS AN INTEGRATED NON-PROFIT ORGANIZATION 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.
SCHEDULE J, PAGE 1, PART I, LINE 4	JAMES F. DOVER 0 136,389 0 ALAN VIERLING, D.N.P. 468,752 60,819 0 JOSEPH RUTH 0 62,787 0 PAULA REICHLE 0 57,307 0 KAREN KENT-VAN GORDER, MD 0 49,909 0 MICHAEL ZAROUKIAN, MD 55,986 0 0 CHRISTOPHER MATHEWS 46,656 0 0
SCHEDULE J, PAGE 1, PART I, LINE 7	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.
SCHEDULE J, PART III	JOSEPH RUTH, KAREN KENT-VAN GORDER MD, PAUL ENTLER, LISA PASCOE AND ROBIN DEMUTH MD 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 F. DOVER - NONQUALIFIED DISTRIBUTIONS -136,389 PAULA REICHLE - NONQUALIFIED DISTRIBUTIONS -57,307 JOSEPH RUTH - NONQUALIFIED DISTRIBUTIONS -99,020 KAREN KENT-VAN GORDER, MD - NONQUALIFIED DISTRIBUTIONS -239,606 ALAN VIERLING, D.N.P. - NONQUALIFIED DISTRIBUTIONS -168,947

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
MICHIGAN STATE HOSPITAL FINANCE
A	382889417	59447PQF1	2012-08-21	$106,840,434	SEE PART VI, SUPPLEMENTAL INFORMATION	false	false	false
MICHIGAN FINANCE AUTHORITY
B	800596186	59447TCT8	2015-04-23	$202,482,721	SEE PART VI, SUPPLEMENTAL INFORMATION	false	false	false
MICHIGAN FINANCE AUTHORITY
C	800596186	59447TCT8	2017-10-12	$51,230,000	SEE PART VI, SUPPLEMENTAL INFORMATION	false	false	false
MICHIGAN FINANCE AUTHORITY
D	800596186	59447TCT8	2017-10-12	$51,230,000	SEE PART VI, SUPPLEMENTAL INFORMATION	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Refunding EscrowRefundingEscrowAmt	Other Spent ProceedsOtherSpentProceedsAmt
A	$98,205,000	$106,962,665	$1,247,782	$105,714,883	2014	false	false	Yes (true)	Yes (true)
B	$33,145,000	$202,482,721	$2,021,025	$60,000,000	2017	Yes (true)	Yes (true)	Yes (true)	Yes (true)	$140,461,696
C		$51,230,000	$194,789		2017	false	Yes (true)	Yes (true)	Yes (true)	$38,672,622	$14,500,000
D		$51,230,000	$194,789		2017	false	Yes (true)	Yes (true)	Yes (true)	$38,672,622	$14,500,000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	false	false	Yes (true)
B	false	false	false	false	false	false	Yes (true)
C	false	false	false	false	false	false	Yes (true)
D	false	false	false	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	Yes (true)	false	false	false	false	false	false	Yes (true)
B	false	Yes (true)	false	false	false	false	false	Yes (true)	Yes (true)
C	false	Yes (true)	false	false	false	false	false	false	Yes (true)
D	false	Yes (true)	false	false	Yes (true)	false	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PURPOSE OF ISSUE DESCRIPTION	MICHIGAN STATE HOSPITAL FINANCE SEE PART VI, SUPPLEMENTAL INFORMATION
PURPOSE OF ISSUE DESCRIPTION	MICHIGAN FINANCE AUTHORITY SEE PART VI, SUPPLEMENTAL INFORMATION
PURPOSE OF ISSUE DESCRIPTION	MICHIGAN FINANCE AUTHORITY SEE PART VI, SUPPLEMENTAL INFORMATION
PURPOSE OF ISSUE DESCRIPTION	MICHIGAN FINANCE AUTHORITY SEE PART VI, SUPPLEMENTAL INFORMATION
ADDITIONAL INFORMATION	MICHIGAN STATE HOSPITAL FINANCE LINE A, COLUMN F, PART I: COMPLETE 9TH & 10TH FLOOR BUILDOUT, NEW FAMILY PRACTICE, NEW CAFETERIA, SURGERY REMODEL, ETC. LINE B, COLUMN F, PART I: REFUND 2005 BONDS; PARTIAL REFUND OF 2007 BONDS; NEW CANCER CENTER CONSTRUCTION LINE C, COLUMN F, PART I: REFUND 2007 BONDS; REPAYMENT OF THE HELP LOAN; FUND CAPITAL PROJECTS LINE D, COLUMN F, PART I: REFUND 2007 BONDS; REPAYMENT OF THE HELP LOAN; FUND CAPITAL PROJECTS

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
MICHIGAN FINANCE AUTHORITY
A	800596186	59447TV42	2022-02-28	$13,456,049	2022B - PREPAY A CERTAIN INSURED MORTGAGE LOAN TO SPARROW EATON HOSPITAL (FORMERLY KNOWN AS HAYES-GR	false	false	false
MICHIGAN FINANCE AUTHORITY
B	800596186	59447TT52	2022-08-17	$88,394,373	2022A - CURRENT REFUND THE OUTSTANDING PRINCIPAL AMOUNT OF THE AUTHORITY'S HOSPITAL REVENUE BONDS (S	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Capitalized InterestCapitalizedInterestAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$13,456,049	$23,368	$134,090	$13,298,591	false	Yes (true)	Yes (true)	Yes (true)
B	$88,394,373	$33,700	$817,365	$87,543,308	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	false	false	Yes (true)
B	false	false	false	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	false	Yes (true)	Yes (true)	false	false	false	false	Yes (true)
B	false	false	Yes (true)	Yes (true)	false	false	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PURPOSE OF ISSUE DESCRIPTION	MICHIGAN FINANCE AUTHORITY 2022B - PREPAY A CERTAIN INSURED MORTGAGE LOAN TO SPARROW EATON HOSPITAL (FORMERLY KNOWN AS HAYES-GREEN BEACH MEMORIAL HOSPITAL) PROVIDED BY THE US DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT, AND PAY COSTS OF ISSUANCE OF THE BONDS. NOTE REGARDING THE REBATE COMPUTATION: SINCE THE BOND PROCEEDS HAVE BEEN SPENT, A SPENDING EXCEPTION WAS MET, AND THE DEBT SERVICE FUND WAS OPERATED ON A BONA FIDE BASIS, NO FURTHER REBATE CALCULATIONS ARE NECESSARY.
PURPOSE OF ISSUE DESCRIPTION	MICHIGAN FINANCE AUTHORITY 2022A - CURRENT REFUND THE OUTSTANDING PRINCIPAL AMOUNT OF THE AUTHORITY'S HOSPITAL REVENUE BONDS (SPARROW OBLIGATED GROUP), SERIES 2012, ISSUED ON AUGUST 21, 2012 AND PAY COSTS OF ISSUANCE. NOTE REGARDING THE REBATE COMPUTATION: SINCE THE BOND PROCEEDS HAVE BEEN SPENT, A SPENDING EXCEPTION WAS MET, AND THE DEBT SERVICE FUND WAS OPERATED ON A BONA FIDE BASIS, NO FURTHER REBATE CALCULATIONS ARE NECESSARY.
DATE REBATE COMPUTATION PERFORMED	MICHIGAN FINANCE AUTHORITY 08/28/22
DATE REBATE COMPUTATION PERFORMED	MICHIGAN FINANCE AUTHORITY 11/30/22

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	JAMES DEMUTH	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	FAMILY MEMBER	RelationshipDescriptionTxt
Transaction	$139,582	TransactionAmt
Transaction	EMPLOYEE	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	PROPERTY & EQUI	Desc
Contribution	15	ContributionCnt
Noncash Contributions Rpt F990	$926,021	NoncashContributionsRptF990Amt
Method Of Determining Revenues	COST	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	false	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PAGE 1, ITEM B	RETURN IS BEING AMENDED TO REPORT THE FOREIGN INVESTMENT ACTIVITY ON SCHEDULE F AND ATTACH FORMS 5471 AND 926 THAT WERE INADVERTENTLY OMITTED ON THE ORIGINALLY FILED RETURN. EDWARD SPARROW HOSPITAL IS A MEMBER OF CAYMICH INSURANCE COMPANY, LTD A CAYMAN ISLAND COMPANY. EDWARD SPARROW HOSPITAL'S OWNERSHIP INTEREST IS GREATER THAN 10% IN THE FOREIGN ENTITY AND THEREFORE IS REQUIRED TO FILE FORM 5471. DUE TO EDWARD SPARROW HOSPITAL HAVING A 10% OR GREATER INTEREST IN THE FOREIGN ENTITY ANY TRANSFERS TO THE ORGANIZATION ARE REQUIRED TO BE REPORTED ON FORM 926. FORMS 5471 AND 926 WERE INADVERTENTLY MISSED WITH THE ORIGINAL FILING AND ARE ATTACHED TO THE AMENDED RETURN. SCHEDULE F HAS BEEN UPDATED TO REPORT THE FOREIGN INVESTMENT OVER 100,000 AS WELL AS TO INDICATE THE REQUIRED FORMS TO BE FILED FORM 5471 AND 926 DURING 2023 AN AGREEMENT WAS SIGNED BY BOTH SPARROW HEALTH SYSTEM (INCLUDING EDWARD SPARROW HOSPITAL) AND THE REGENTS OF THE UNIVERSITY OF MICHIGAN. THIS AGREEMENT RESTRUCTURED THE ORGANIZATION TO HAVE UM HEALTH AS THE SOLE MEMBER OF SPARROW HEALTH SYSTEM. ALONG WITH THE RESTRUCTURING, A DUE DILIGENCE PROCESS WAS IMPLEMENTED TO REVIEW ALL TAX RETURNS, INVESTMENTS, AND REQUIRED FILINGS OF THE ORGANIZATION. IT WAS DISCOVERED DURING THIS DUE DILIGENCE PROCESS THAT FORM 5471 THAT WAS REQUIRED TO BE FILED WAS NOT INCLUDED WITH THE ORIGINAL FILING. UPON DISCOVERY, EDWARD SPARROW HOSPITAL STARTED THE PROCESS OF TAKING CORRECTIVE ACTION. THIS ACTION INCLUDED COMPLETING ALL REQUIRED FORMS 926 AND 5471 AND FILING THE NECESSARY AMENDMENTS TO BE IN COMPLIANCE WITH ITS FILING REQUIREMENTS. THIS WAS AN INADVERTENT OVERSIGHT. SEE THE REASONABLE CAUSE STATEMENT AS NOTED IN THE PENALTY WAIVER REQUEST LETTER DATED JUNE 27, 2025 (COPY ATTACHED).
FORM 990	ALL LINES LEFT BLANK ARE NOT APPLICABLE TO THE ORGANIZATION. PART IV, QUESTION 4 - THE ORGANIZATION HAS MEMBERSHIPS IN VARIOUS TRADE ASSOCIATIONS THAT USE A PORTION OF DUES PAID TO THE TRADE ASSOCIATIONS FOR LOBBYING ACTIVITIES ON BEHALF OF THE APPLICABLE TRADE ASSOCIATION INDUSTRIES, THUS INDIRECTLY BENEFITING THE ORGANIZATION. THE PERCENTAGE OF DUES ALLOCATED TO THIS INDUSTRY-WIDE LOBBYING ACTIVITY IS MINOR AND IS NOT CONSIDERED BY THE ORGANIZATION AS LOBBYING ACTIVITIES REQUIRED FOR DISCLOSURE ON SCHEDULE C, PART II.
FORM 990, PAGE 2, PART III, LINE 4A	E.W. SPARROW HOSPITAL 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, EVERY TIME. E.W. SPARROW HOSPITAL IS A 703-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. SPARROW 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 2022, SPARROW TREATED OVER 30,000 INPATIENTS, PROVIDED SERVICES TO NEARLY 146,590 EMERGENCY MEDICINE PATIENTS, OVER 80,000 URGENT CARE PATIENTS, AND CONDUCTED OVER 38,000 VIDEO VISITS. TODAY'S SPARROW HEALTH SYSTEM BLENDS THE KNOWLEDGE AND EXPERTISE OF OVER 1,240 PHYSICIANS, NEARLY 9,000 CAREGIVERS AND ABOUT 1,500 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 SPARROW FOR THEIR MATERNITY NEEDS (OVER 3,500 DELIVERIES ANNUALLY), REHABILITATION, AND EMERGENCY TREATMENT THAN ANY OTHER HOSPITAL IN MID-MICHIGAN. SPARROW HAS ACHIEVED A NATIONAL BENCHMARK IN QUALITY CARE FOR MOTHERS AND BABIES, AS MID-MICHIGAN'S ONLY BABY-FRIENDLY HOSPITAL, A GLOBAL PROGRAM OF THE WORLD HEALTH ORGANIZATION (WHO) AND THE UNITED NATIONS CHILDREN'S FUND (UNICEF). SPARROW HAS UNDERTAKEN A VARIETY OF MEASURES TO IMPROVE MATERNAL AND INFANT HEALTH. AN OUTPATIENT BREASTFEEDING CLINIC SUPPORTING BREASTFEEDING MOTHERS AND INFANTS IS HELD TWICE A WEEK IN OUR PEDIATRICS SUBSPECIALTY CLINIC. SPARROW ALSO SPONSORS THE BABY CAF, A COMMUNITY RESOURCE FREE OF CHARGE TO NURSING MOTHERS TO OBTAIN BREASTFEEDING SUPPORT, AS WELL AS PEER SUPPORT FROM OTHER NEW MOTHERS. WE ALSO WORK WITH VALUABLE PARTNERS TO OFFER FREE SERVICES TO PARENTS AND CHILDREN. SPARROW WORKS WITH UNIVERSITY OF MICHIGAN PEDIATRIC OPHTHALMOLOGY TO PROVIDE AN EYE CLINIC WEEKLY IN OUR PEDIATRICS SUBSPECIALTY CLINIC. SPARROW 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 SPARROW LABOR AND DELIVERY, AND INFORMATION ABOUT WHAT TO EXPECT WHEN YOU COME TO THE HOSPITAL TO HAVE YOUR BABY. SPARROW ALSO HAS A PARTNERSHIP WITH MICHIGAN MEDICINE (THE UNIVERSITY OF MICHIGAN) TO OVERSEE THE SPARROW 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 COVID-19 TESTING AND VACCINES IN 2022, SPARROW WAS A NATIONAL LEADER IN PROVIDING ACCESS TO COVID-19 TESTING AND VACCINES TO PEOPLE FROM THROUGHOUT THE STATE. SPARROW WAS AMONG THE FIRST HOSPITALS TO OFFER INPATIENT TESTING FOR THE VIRUS AND OPENED AN INNOVATIVE DRIVE-THRU TESTING/VACCINE SITE AT AN OLD SEARS AUTOMOTIVE CENTER IN LANSING. IT HAS ALSO DISTRIBUTED THE VACCINE THROUGH HIGH SCHOOL CLINICS AND TO UNDERSERVED AREAS THROUGH A MOBILE HEALTH CLINIC. SPARROW HAS PERFORMED MORE THAN 930,000 COVID TESTS AND GIVEN MORE THAN 130,000 VACCINES.
FORM 990, PAGE 6, PART VI, LINE 6	SPARROW HEALTH SYSTEM IS THE SOLE MEMBER OF EDWARD W. SPARROW HOSPITAL AND HAS 100% OWNERSHIP.
FORM 990, PAGE 6, PART VI, LINE 7A	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.
FORM 990, PAGE 6, PART VI, LINE 7B	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.
FORM 990, PAGE 6, PART VI, LINE 11B	COPIES OF THE 2022 FORM 990 ARE REVIEWED BY MANAGEMENT. THE FORM 990 COPIES WERE PROVIDED AT THE FALL 2023 BOARD MEETING FOR ALL BOARD MEMBERS TO REVIEW AND COMMENT ON.
FORM 990, PAGE 6, PART VI, LINE 12C	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)
FORM 990, PAGE 6, PART VI, LINE 15A	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.
FORM 990, PAGE 6, PART VI, LINE 15B	THE PROCESS FOR DETERMINING COMPENSATION FOR OFFICERS OR KEY EMPLOYEES OF THE ORGANIZATION INVOLVED THE FOLLOWING: UTILIZING THE COMPENSATION COMMITTEE, INDEPENDENT CONSULTANTS, REVIEWING OTHER SIMILAR ORGANIZATIONS' 990S, COMPENSATION SURVEYS, AND FINAL APPROVAL BY THE SHS BOARD OF DIRECTORS, AS WELL AS FINALIZING THE SALARY PACKAGE WITH A WRITTEN EMPLOYMENT CONTRACT.
FORM 990, PAGE 6, PART VI, LINE 19	THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS ARE ON SEVERAL INTERNET WEBSITES, INCLUDING THE EMMA.MSRB AND MHA WEBSITES, AS WELL AS AVAILABLE UPON REQUEST. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9	CHANGE IN UNFUNDED PENSION OBLIG 88,575,181 CHANGE IN UNFUNDED POSTRETIREMENT OBLIGATION 483,143 TOTAL 89,058,324

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (14 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
SPARROW HEALTH SYSTEM
1215 E MICHIGAN AVENUE	LANSING	MI	48912	382542859	PARENT	MI	501C3	12A	NA	false
SPARROW COMMUNITY CARE
3315 E MICHIGAN AVENUE STE 4	LANSING	MI	48912	382543305	HOME HLTH	MI	501C3	10	SHS	Yes (true)
PHYSICIANS HEALTH PLAN
1400 E MICHIGAN AVENUE	LANSING	MI	48912	382356288	INSURANCE	MI	501C4		PHP HO LLC	Yes (true)
PHP MEDICARE
1400 E MICHIGAN AVENUE	LANSING	MI	48912	832766121	HMO	MI	501C4		PHP	Yes (true)
PHYSICIANS HEALTH NETWORK
1400 E MICHIGAN AVENUE	LANSING	MI	48912	382594856	HMO	MI	501C4		PHP HO LLC	Yes (true)
SPARROW FOUNDATION
1215 E MICHIGAN AVENUE	LANSING	MI	48912	386100687	FUNDRAISE	MI	501C3	12B	SHS	Yes (true)
SPARROW CLINTON HOSPITAL
805 S OAKLAND	ST JOHNS	MI	48879	381358172	HLTH CARE	MI	501C3	3	SHS	Yes (true)
SPARROW SPECIALTY HOSPITAL
1215 E MICH AVE 8W SPARROW TOWER	LANSING	MI	48912	141885340	LT ACUTE C	MI	501C3	3	SHS	Yes (true)
SPARROW IONIA HOSPITAL
3565 S STATE RD	IONIA	MI	48846	383218134	HLTH CARE	MI	501C3	3	SHS	Yes (true)
SPARROW CLINICAL RESEARCH INSTITUTE
1200 E MICHIGAN AVENUE	LANSING	MI	48912	383075242	RESEARCH	MI	501C3	4	SHS	Yes (true)
SPARROW WOMEN'S HOSPITAL ASSOCIATIO
1215 E MICHIGAN AVENUE	LANSING	MI	48912	386091657	VOLUNTEER	MI	501C3	12D		false	N/A
SPARROW CARSON HOSPITAL
406 E ELM STREET PO BOX 879	CARSON CITY	MI	48811	381490180	HLTH CARE	MI	501C3	3	SHS	Yes (true)
SPARROW EATON HOSPITAL
321 E HARRIS ST	CHARLOTTE	MI	48813	382007629	HLTH CARE	MI	501C3	3	SHS	Yes (true)
SPARROW EATON HOSPITAL AUXILIARY
321 E HARRIS ST	CHARLOTTE	MI	48813	382377160	FUNDRAISE	MI	501C3	3	SHS	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	PHP HOLDINGS LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1400 E MICHIGAN AVE	AddressLine1Txt
City	LANSING	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48912	ZIPCd

Field	Value	IRS element (for citing)
EIN	833965697	EIN
Primary Activities	HOLD CO	PrimaryActivitiesTxt
Legal Domicile State	MI	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd
Disproportionate Allocations	false	DisproportionateAllocationsInd
General Or Managing Partner	false	GeneralOrManagingPartnerInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd
SPARROW DEVELOPMENT INC
1215 E MICHIGAN AVE	LANSING	MI	48912	382595963	RENTAL PRO	MI	N/A	Yes (true)
PHP INSURANCE COMPANY
1400 E MICHIGAN AVE	LANSING	MI	48912	205565219	INSURANCE	MI	N/A	Yes (true)
PHP SERVICE COMPANY
1400 E MICHIGAN AVE	LANSING	MI	48912	383344741	MED SERV	MI	N/A	Yes (true)
EAST LANSING ATHLETIC CLUB
2900 HANNAH BLVD	EAST LANSING	MI	48823	382886420	HLTH CLUB	MI	N/A	Yes (true)
MAC RESTAURANT LLC
2900 HANNAH BLVD	EAST LANSING	MI	48823	205120690	RESTAURANT	MI	N/A	Yes (true)
CLINTON SERVICES CORPORATION
805 SOUTH OAKLAND	ST JOHNS	MI	48879	382494110	SERVICES	MI	N/A	Yes (true)
EAST LANSING HLTH ATH CLUB & HSP
1200 E MICHIGAN AVE STE 600	LANSING	MI	48912	813131851	CONDO ASSO	MI	N/A	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	Yes (true)	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (19 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
SPARROW SPECIALTY HOSPITAL
A	$524,162	COST
SPARROW SPECIALTY HOSPITAL
L	$1,812,405	COST
SPARROW SPECIALTY HOSPITAL
Q	$1,442,225	COST
SPARROW SPECIALTY HOSPITAL
M	$852,000	COST
SPARROW COMMUNITY CARE
G	$118,105	COST
SPARROW FOUNDATION
C	$1,752,785	COST
PHYSICIANS HEALTH PLAN
P	$17,847,740	COST
PHYSICIANS HEALTH PLAN
M	$106,353	COST
PHYSICIANS PHP SERVICE CO
M	$3,585,000	COST
SPARROW CARSON HOSPITAL
Q	$336,000	COST
SPARROW CARSON HOSPITAL
A	$116,648	COST
SPARROW IONIA HOSPITAL
L	$289,439	COST
SPARROW IONIA HOSPITAL
Q	$1,951,209	COST
SPARROW CLINTON HOSPITAL
Q	$1,988,436	COST
SPARROW CLINTON HOSPITAL
L	$602,640	COST
SPARROW HEALTH SYSTEM
O	$65,996,773	COST
SPARROW HEALTH SYSTEM
P	$49,863,548	COST
SPARROW EATON HOSPITAL
Q	$695,070	COST
SPARROW EATON HOSPITAL
A	$357,369	COST