EDWARD W SPARROW HOSPITAL ASSOCIATION: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: EDWARD W SPARROW HOSPITAL ASSOCIATION (EIN 38-1360584)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2019-11-14
IRS object ID: 201913189349307486
Schema version: 2018v3.1
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 H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-11-14T13:46:18-06:00	ReturnTs
Tax Period End	2018-12-31	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	2018-01-01	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	5173646060	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	PAULA REICHLE	PersonNm
Person Title	SR VP - CFO/TREAS	PersonTitleTxt
Phone	5173646060	PhoneNum
Signature	2019-11-05	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JULIE M PFEIFLE	PreparerPersonNm
PTIN	P00751307	PTIN
Phone	5177060800	PhoneNum
Preparation	2019-11-05	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	167.68.16.49	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2019-11-14	IPDt
IP Tm	13:46:18	IPTm
IP Timezone	CS	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	7F8DA1CA24E96FDB236727D7A786CEDCD9823B05	AtSubmissionCreationDeviceId
At Submission Filing Device Id	48FFB77D4616A23198CCEF00C1607D9269D3B27A	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-03-31 21:24:44Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	JAMES F DOVER	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	$979,944,210	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	14	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	6332	TotalEmployeeCnt
Total Volunteers	2198	TotalVolunteersCnt
Total Gross UBI	$15,157,627	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$429,998	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$9,435,164	PYContributionsGrantsAmt
CY Contributions Grants	$3,865,723	CYContributionsGrantsAmt
PY Program Service Revenue	$894,341,117	PYProgramServiceRevenueAmt
CY Program Service Revenue	$908,431,401	CYProgramServiceRevenueAmt
PY Investment Income	$26,697,148	PYInvestmentIncomeAmt
CY Investment Income	$40,753,856	CYInvestmentIncomeAmt
PY Other Revenue	$21,425,120	PYOtherRevenueAmt
CY Other Revenue	$24,290,808	CYOtherRevenueAmt
PY Total Revenue	$951,898,549	PYTotalRevenueAmt
CY Total Revenue	$977,341,788	CYTotalRevenueAmt
PY Grants And Similar Paid	$62,489	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$62,792	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$540,820,383	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$534,655,829	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$390,045,875	PYOtherExpensesAmt
CY Other Expenses	$405,303,116	CYOtherExpensesAmt
PY Total Expenses	$930,928,747	PYTotalExpensesAmt
CY Total Expenses	$940,021,737	CYTotalExpensesAmt
PY Revenues Less Expenses	$20,969,802	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$37,320,051	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,430,381,114	TotalAssetsBOYAmt
Total Assets EOY	$1,397,412,409	TotalAssetsEOYAmt
Total Liabilities BOY	$855,860,752	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$865,110,014	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$574,520,362	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$532,302,395	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	$300,916,433	ExpenseAmt
Grant	$62,792	GrantAmt
Revenue	$459,159,091	RevenueAmt
Desc	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. 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 SPARROW TREATED JUST OVER 32,700 INPATIENTS, HAD OVER 1.5 MILLION OUTPATIENT ENCOUNTERS, PROVIDED SERVICES TO MORE THAN 105,600 EMERGENCY MEDICINE PATIENTS, AND HAD MORE THAN 84,700 URGENT AND FASTCARE VISITS IN 2018. TODAY'S SPARROW HEALTH SYSTEM BLENDS THE KNOWLEDGE AND EXPERTISE OF OVER 1,100 PHYSICIANS, 9,500 CAREGIVERS AND APPROXIMATELY 2,200 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 (MORE THAN 4,200 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 HEALTH SYSTEM'S REACH EXTENDS FAR BEYOND THE ACUTE CARE SETTING OF THE HOSPITAL. THERE ARE MANY WAYS OUR STAFF PROACTIVELY SUPPORTS THE COMMUNITY, ESPECIALLY THOSE WHO HAVE THE GREATEST NEED. BECAUSE OF SPARROW'S COMMITMENT, THE PEOPLE OF MID MICHIGAN HAVE ACCESS TO THE FULL RANGE OF COMPREHENSIVE ACUTE CARE SERVICES AND THE LATEST MEDICAL ADVANCES WITHOUT TRAVELING GREAT DISTANCES. THESE SERVICES ARE AVAILABLE TO ALL MID MICHIGAN RESIDENTS, REGARDLESS OF THEIR ABILITY TO PAY. PROVIDING ACCESS TO PRIMARY CARE SPARROW RECOGNIZES THAT IF WE ARE TO ACHIEVE OUR VISION OF BEING A NATIONALLY RECOGNIZED LEADER IN QUALITY AND THE PATIENT EXPERIENCE, WE HAVE A RESPONSIBILITY TO TAKE THE LEAD IN FUNDAMENTALLY TRANSFORMING HEALTHCARE IN MICHIGAN. IN ORDER TO ADDRESS THE CHALLENGES OF INCREASING PREVALENCE OF CHRONIC DISEASE AND AN AGING POPULATION, TO IMPROVE THE QUALITY OF CARE AND THE PATIENT EXPERIENCE WHILE ALSO ENSURING GREATER AFFORDABILITY FOR PAYORS, SPARROW NEEDS TO IMPLEMENT PROFOUND CHANGES IN HOW CARE IS PROVIDED. SPARROW IS COMMITTED TO SEEKING NEW WAYS TO PARTNER WITH QUALITY CARE PROVIDERS TO CREATE GREATER ALIGNMENT AROUND IMPROVED QUALITY AND PATIENT EXPERIENCE, WORK JOINTLY TO DEVELOP CLINICAL GUIDELINES TO ENSURE THE HIGHEST QUALITY OF CARE FOR PATIENTS WHO NEED TO BE TRANSFERRED TO DIFFERENT LEVELS OF CARE AND TO ENSURE THAT CARE IS ALWAYS DELIVERED IN THE BEST QUALITY AND MOST COST-ADVANTAGEOUS CLINICAL SETTING AS CLOSE TO THE PATIENT'S HOME AS POSSIBLE. SPARROW WAS SELECTED AS THE FIRST IN MICHIGAN TO BECOME A MEMBER OF THE MAYO CLINIC CARE NETWORK, SOLIDIFYING OUR DEDICATION TO MEETING OUR PATIENTS' HEALTHCARE NEEDS RIGHT HERE IN MID- MICHIGAN. SPARROW HEALTH SYSTEM INCLUDES SUBSIDIARIES, SPARROW CARSON HOSPITAL, SPARROW CLINTON HOSPITAL AND SPARROW IONIA HOSPITAL. ALSO IN 2018, SPARROW CONTINUED ITS PHASED-IN AFFILIATION WITH HAYES GREEN BEACH MEMORIAL HOSPITAL IN CHARLOTTE, WORKING JOINTLY TO IMPROVE SERVICES THERE AND EXTENDING OUR REACH THROUGHOUT THE REGION. THE SPARROW HERBERT-HERMAN CANCER CENTER FEATURES A MULTI-DISCIPLINARY TEAM APPROACH THAT PUTS THE PATIENT AT THE CENTER OF EVERYTHING WE DO. PATIENTS SEE A TEAM OF CLINICIANS UNDER ONE ROOF AND IN ONE VISIT. THE CANCER CENTER LEVERAGES OUR RELATIONSHIP WITH MAYO, WITH SPARROW ONCOLOGISTS PARTICIPATING IN DAILY ETUMOR BOARDS WITH MAYO CLINIC CANCER SPECIALISTS, DISCUSSING AND EVALUATING CASES. THE FACILITY IS TWICE THE SIZE OF THE PREVIOUS CANCER CENTER AND INCLUDES NEW AND LOCAL ARTWORK DESIGNED TO PROVIDE A HEALING ATMOSPHERE; AN OPEN, LIGHT-FILLED AREA FOR PATIENTS RECEIVING CHEMOTHERAPY TREATMENT; A RETAIL BOUTIQUE; AND SPACE FOR SUPPORT GROUPS. THE SPARROW HERBERT-HERMAN CANCER CENTER HOSTED NUMEROUS OUTREACH ACTIVITIES IN 2018, DESIGNED TO PROMOTE DISEASE PREVENTION AND SCREENING. THESE INCLUDED: "A COLORECTAL PREVENTION PRESENTATION ATTENDED BY 68 PARTICIPANTS IN MARCH 2018. THE EVENT WAS IN LINE WITH THE MCC CANCER PLAN FOR MICHIGAN 2016-2020 AND EFFORTS TO INCREASE THE PROPORTION OF ADULTS, AGED 50-75 YEARS OLD, WHO ARE UP TO DATE WITH APPROPRIATE COLORECTAL CANCER SCREENING FROM 71% TO 80%. "A SKIN CANCER SCREENING EVENT IN MAY 2018 IN WHICH 105 PATIENTS WERE SCREENED AND 39 OF THEM WERE REFERRED FOR FURTHER TREATMENT. "STAFFING AN MSU WOMEN'S BASKETBALL GAME IN FEBRUARY 2018 TO PRESENT INFORMATION ON BREAST HEALTH AND EDUCATION. "HOLDING THE BREASTIVAL EVENT IN FEBRUARY 2018 TO CELEBRATE BREAST HEALTH AND SURVIVORSHIP. "PARTICIPATING IN VARIOUS RELAY FOR LIFE FUNDRAISERS THROUGHOUT MID- MICHIGAN TO UNITE COMMUNITIES TO FIGHT CANCER. THE PLAZA BUILDING THAT HOUSES THE CANCER CENTER IS ALSO HOME TO SPARROW THORACIC AND CARDIOVASCULAR INSTITUTE (TCI), THE LEADING CARDIAC CARE PRACTICE IN THE REGION. IN ADDITION, IN 2018 SPARROW CONTINUED ITS PARTNERSHIP WITH THE DELTA DENTAL FOUNDATION FOR A FIRST-IN-THE-NATION RESEARCH PROJECT PINPOINTING HOW GOOD ORAL HEALTHCARE CAN IMPROVE OVERALL HEALTH. THE STUDY - RECENTLY PUBLISHED IN THE AMERICAN JOURNAL OF NURSING - PROVIDES ALL SPARROW HOSPITAL PATIENTS WITH A HIGHER QUALITY TOOTHBRUSH, TOOTHPASTE WITH SODIUM BICARBONATE, ALCOHOL-FREE ANTISEPTIC MOUTHWASH, AND A SUCTION TOOTHBRUSH KIT FOR THOSE WITH DIFFICULTY SWALLOWING OR SPITTING. IN LINE WITH THE PROJECT, THE SPARROW HERBERT-HERMAN CANCER CENTER WORKED WITH DELTA DENTAL TO PROMOTE ORAL CANCER PREVENTION DURING APRIL'S ORAL CANCER AWARENESS MONTH. SPARROW COMMUNITY CARE - A NON-PROFIT ENTITY COMPRISING THE FORMER SPARROW MEDICAL SUPPLY AND SPARROW HOME CARE UNITS - AND SPARROW LABORATORIES AND SPARROW PHARMACY PLUS ROUND OUT SPARROW HEALTH SYSTEM'S NETWORK OF FACILITIES AND PRIMARY CARE SERVICES. THEY ARE DESIGNED TO PROVIDE QUALITY, CONVENIENT, COST EFFECTIVE HEALTH CARE TO THE PEOPLE OF MID MICHIGAN. EMERGENCY PREPAREDNESS SPARROW HAS DISTINGUISHED ITSELF AS A RECOGNIZED LEADER IN EMERGENCY PREPAREDNESS. THE HOSPITAL VIEWS PREPAREDNESS AS AN ONGOING PROCESS LED BY A MULTIDISCIPLINARY TEAM THAT INVOLVES ALL ASPECTS OF HOSPITAL OPERATIONS, INCLUDING MEDICAL AND NON-MEDICAL SERVICES. DRILLS ARE CONDUCTED YEAR-ROUND IN COLLABORATION WITH LOCAL, STATE AND FEDERAL AGENCIES TO ENSURE SPARROW IS PREPARED FOR ANY DISASTER, WHETHER IT IS THE RESULT OF A TERRORIST ACT OR A NATURAL DISASTER. SPARROW'S EMERGENCY PREPAREDNESS COMMITTEE REGULARLY TESTS THE HOSPITAL'S RESPONSE SKILLS INDEPENDENT OF ANY AGENCY OR GOVERNING BODY. THE HOSPITAL ALSO WORKS WITH LOCAL GOVERNMENT AGENCIES, INCLUDING THE POLICE DEPARTMENT, FIRE DEPARTMENT, AND PUBLIC HEALTH DEPARTMENT TO COORDINATE A PLANNED RESPONSE IN THE EVENT OF A TRUE EMERGENCY. ROUTINE DRILLS AND AN ACTIVE SHOOTER EXERCISE WERE CONDUCTED IN 2018 TO TEST THE HEALTH SYSTEM'S RESPONSE AND INTERACTION WITH LOCAL AGENCIES. THE HOSPITAL'S TRAUMA SERVICES DEPARTMENT ALSO SPONSORS THE ANNUAL EMS AWARDS TO RECOGNIZE THE UNSUNG HEROES AMONG OUR EMERGENCY RESPONSE COMMUNITY. SUPPORTING OUR COMMUNITY AND NEIGHBORHOODS SPARROW IS THE UNQUESTIONED LEADER IN MID-MICHIGAN IN PROVIDING HEALTHCARE SERVICES AND PROMOTING HEALTH-RELATED ACTIVITIES. SPARROW'S MOBILE HEALTH CLINIC, IN PARTNERSHIP WITH DEAN TRANSPORTATION AND THE INGHAM COUNTY HEALTH DEPARTMENT, EXPANDED CLINIC SITES AND ANNUAL VISITS FOR A THIRD YEAR. THE CLINIC PROVIDED ACCESS TO	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$424,111,867	ExpenseAmt
Revenue	$452,585,694	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	$82,357,903	ExpenseAmt
Revenue	$4,963,922	RevenueAmt
Desc	GENERAL SERVICES INCLUDING FOOD SERVICE, ENVIRONMENTAL SERVICES, LAUNDRY AND PLANT.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$807,386,203	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
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
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	false	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	Yes (true)	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 With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	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	237	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	6332	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	14	GoverningBodyVotingMembersCnt
Independent Voting Member	7	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	5173646060	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	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
MARK BRETT
PRES/CEO SPA	40.00	1.00	Yes (X)	Yes (X)	$544,977	$0	$123,034
PAULA REICHLE
SR VP - CFO/	40.00		Yes (X)	Yes (X)	$0	$512,290	$102,116
CANDACE METCALF DO
CHIEF OF STA	40.00		Yes (X)		$52,239	$0	$4,042
MAUDE GUERIN MD
VICE CHAIR/B	2.00		Yes (X)		$25,438	$0	$0
MATT RUSH
BOARD MEMBER	2.00		Yes (X)		$20,092	$0	$2,300
PATRICIA HOLLENBECK
BOARD MEMBER	2.00	10.00	Yes (X)		$19,137	$0	$4,713
JAMES CROOM
BOARD MEMBER	2.00	2.00	Yes (X)		$1,392	$0	$0
BARBARA GIVEN PHD
CHAIR/BOARD	2.00		Yes (X)		$0	$0	$0
TIMOTHY HODGE DO
BOARD MEMBER	2.00	2.00	Yes (X)		$0	$0	$0
BLAKE ASHDOWN
BOARD MEMBER	2.00		Yes (X)		$0	$0	$0
PATRICIA BARNAS
BOARD MEMBER	2.00		Yes (X)		$0	$0	$0
BRITTANY BOGAN
BOARD MEMBER	2.00	2.00	Yes (X)		$0	$0	$0
MYRON FREEMAN
BOARD MEMBER	2.00		Yes (X)		$0	$0	$0
JOHN LANCOUR
BOARD MEMBER	2.00		Yes (X)		$0	$0	$0
KAREN KENT-VAN GORDER
VP MEDICAL/Q	40.00			Yes (X)	$436,899	$0	$89,601
MICHAEL ZAROUKIAN MD
VP CHIEF MED	40.00			Yes (X)	$383,433	$0	$40,465
THOMAS OSTRANDER
VP PROFESSIO	40.00	2.00		Yes (X)	$334,604	$0	$80,860
CHRISTINE JODOIN
INTERIM CNO/	40.00			Yes (X)	$318,129	$0	$95,339
PAUL ENTLER
VP QUAL/PERF	40.00			Yes (X)	$312,648	$0	$38,239
THEODORE GLYNN MD
VP MEDICAL E	40.00	1.00		Yes (X)	$278,848	$0	$58,683
PATRICK BRILLANTES
VP CONS ENGM	40.00			Yes (X)	$237,447	$0	$50,593
ARA PRIDJIAN MD
PHYSICIAN	40.00				$963,542	$0	$73,745	Yes (X)
NORBERT BAUMGARTNER MD
PHYSICIAN	40.00				$894,608	$0	$73,697	Yes (X)
ALONSO COLLAR DO
PHYSICIAN	40.00				$846,276	$0	$75,752	Yes (X)
MUHAMMAD HAMDEN MD
PHYSICIAN	40.00				$755,714	$0	$52,677	Yes (X)
KOSISOCHI OBINWANNE MD
PHYSICIAN	40.00				$725,526	$0	$70,663	Yes (X)
JAMES OLSON MD
FORMER BOARD	40.00				$313,215	$0	$53,966		Yes (X)
PETER GRAHAM MD
FORMER OFFIC	40.00	5.00			$0	$306,968	$59,136		Yes (X)
DAWN SPRINGER MD
FORMER BOARD	40.00				$230,796	$0	$33,945		Yes (X)
JOHN ARMSTRONG MD
FORMER BOARD					$141,015	$0	$24,391		Yes (X)
STELLA CASH
FORMER BOARD	40.00				$0	$49,616	$11,340		Yes (X)
GREG BROGAN
FORMER BOARD		2.00			$0	$643,328	$0		Yes (X)
MARY LOU WESLEY
FORMER VP -	0.00				$306,253	$0	$20,713		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$8,142,228	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,512,202	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,240,010	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	694	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
ARAMARK HEALTHCARE
1101 MARKET STREET	PHILADELPHIA	PA	19107	MED. DEVICE REP	$8,734,627
MICHIGAN STATE UNIVERSITY HEALTH
3610 FOREST RD STE C	LANSING	MI	48910	MEDICAL PROF	$4,304,387
NORTH GRAND RIVER COOPERATIVE
4000 1/2 N GRAND RIVER AVE	LANSING	MI	489062705	LINEN/LAUNDRY	$2,927,535
CONTRACTING RESOURCES INC
8273 GRAND RIVER RD 150	BRIGHTON	MI	48114	CONSTRUCTION	$2,919,948
CLARK CONSTRUCTION COMPANY
3535 MOORES RIVER DRIVE	LANSING	MI	48911	CONSTRUCTION	$2,790,773

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	280	CntrctRcvdGreaterThan100KCnt
Related Organizations	$3,865,723	RelatedOrganizationsAmt
Total Contributions	$3,865,723	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE	621990	$893,719,674	$893,719,674
NONPATIENT SERVICE REVENUE	621500	$14,711,727		$14,711,727

Field	Value	IRS element (for citing)
Total Program Service Revenue	$908,431,401	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,148,094	TotalRevenueColumnAmt
Exclusion	$10,148,094	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,375,636	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,318,844	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,056,792	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,056,792	TotalRevenueColumnAmt
Exclusion	$1,056,792	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$31,889,340	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$1,283,578	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$31,889,340	SecuritiesAmt
Other	-$1,283,578	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$30,605,762	TotalRevenueColumnAmt
Exclusion	$30,605,762	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
FOOD SERVICE	900099	$4,963,922	$4,963,922
SPARROW SPECIALTY REVENUE	623990	$2,643,886		$2,643,886
DAYCARE REVENUE	624410	$1,032,316		$1,032,316

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$14,593,892	TotalRevenueColumnAmt
Related Or Exempt Func Income	$14,147,992	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$445,900	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$23,234,016	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$977,341,788	TotalRevenueColumnAmt
Related Or Exempt Func Income	$911,543,868	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$15,157,627	UnrelatedBusinessRevenueAmt
Exclusion	$46,774,570	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$62,792	TotalAmt
Program Services	$62,792	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,423,797	TotalAmt
Management And General	$3,423,797	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$427,270,639	TotalAmt
Program Services	$373,656,994	ProgramServicesAmt
Management And General	$53,613,645	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$29,416,166	TotalAmt
Program Services	$25,520,543	ProgramServicesAmt
Management And General	$3,895,623	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$46,935,325	TotalAmt
Program Services	$40,719,617	ProgramServicesAmt
Management And General	$6,215,708	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$27,609,902	TotalAmt
Program Services	$23,953,486	ProgramServicesAmt
Management And General	$3,656,416	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$8,000	TotalAmt
Program Services	$8,000	ProgramServicesAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$17,000	TotalAmt
Management And General	$17,000	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,026,390	TotalAmt
Management And General	$1,026,390	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$719,951	TotalAmt
Program Services	$536,865	ProgramServicesAmt
Management And General	$183,086	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$13,608,108	TotalAmt
Program Services	$13,307,285	ProgramServicesAmt
Management And General	$300,823	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$3,143,213	TotalAmt
Program Services	$2,922,440	ProgramServicesAmt
Management And General	$220,773	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$14,959,850	TotalAmt
Program Services	$12,978,697	ProgramServicesAmt
Management And General	$1,981,153	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$55,431,155	TotalAmt
Program Services	$51,389,940	ProgramServicesAmt
Management And General	$4,041,215	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$14,234,382	TotalAmt
Program Services	$12,349,304	ProgramServicesAmt
Management And General	$1,885,078	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
SUPPLIES	$192,879,894	$192,794,693	$85,201
PURCHASED SERVICES	$62,464,965	$26,224,526	$36,240,439
PROFESSIONAL FEES	$15,999,756	$15,853,835	$145,921
RENT & REPAIRS	$14,812,254	$14,370,690	$441,564

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$15,998,198	TotalAmt
Program Services	$736,496	ProgramServicesAmt
Management And General	$15,261,702	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$940,021,737	TotalAmt
Program Services	$807,386,203	ProgramServicesAmt
Management And General	$132,635,534	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$30,944,773	BOYAmt
EOY	$51,873,841	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$515,552,442	BOYAmt
EOY	$471,547,410	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$147,392,371	BOYAmt
EOY	$162,152,391	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$24,089,536	BOYAmt
EOY	$21,826,980	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$31,068,550	BOYAmt
EOY	$28,605,237	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,270,725,814	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$733,219,971	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$563,550,835	BOYAmt
EOY	$537,505,843	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$117,782,607	BOYAmt
EOY	$123,900,707	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,430,381,114	BOYAmt
EOY	$1,397,412,409	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$102,921,970	BOYAmt
EOY	$102,631,473	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$373,940,000	BOYAmt
EOY	$366,945,000	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$24,283,926	BOYAmt
EOY	$22,917,670	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$354,714,856	BOYAmt
EOY	$372,615,871	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$855,860,752	BOYAmt
EOY	$865,110,014	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$574,520,362	BOYAmt
EOY	$532,302,395	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$574,520,362	BOYAmt
EOY	$532,302,395	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,430,381,114	BOYAmt
EOY	$1,397,412,409	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$37,320,051	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$64,000,147	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$15,537,871	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	false	FederalGrantAuditRequiredInd

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	$17,000	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$17,000	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	$4,297,975	BeginningYearBalanceAmt
Contributions	$314,065	ContributionsAmt
Investment Earnings Or Losses	-$48,873	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$15,000	GrantsOrScholarshipsAmt
End Year Balance	$4,548,167	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,986,792	BeginningYearBalanceAmt
Contributions	$114,433	ContributionsAmt
Investment Earnings Or Losses	$211,750	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$15,000	GrantsOrScholarshipsAmt
End Year Balance	$4,297,975	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,707,924	BeginningYearBalanceAmt
Contributions	$191,313	ContributionsAmt
Investment Earnings Or Losses	$102,555	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$15,000	GrantsOrScholarshipsAmt
End Year Balance	$3,986,792	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,411,165	BeginningYearBalanceAmt
Contributions	$361,583	ContributionsAmt
Investment Earnings Or Losses	-$49,824	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$15,000	GrantsOrScholarshipsAmt
End Year Balance	$3,707,924	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,184,706	BeginningYearBalanceAmt
Contributions	$200,566	ContributionsAmt
Investment Earnings Or Losses	$40,893	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$15,000	GrantsOrScholarshipsAmt
End Year Balance	$3,411,165	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	$13,132,072	OtherCostOrOtherBasisAmt
Book Value	$13,132,072	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$630,497,751	OtherCostOrOtherBasisAmt
Depreciation	$254,608,346	DepreciationAmt
Book Value	$375,889,405	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$26,035,188	OtherCostOrOtherBasisAmt
Depreciation	$6,742,995	DepreciationAmt
Book Value	$19,292,193	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$583,883,981	OtherCostOrOtherBasisAmt
Depreciation	$471,868,630	DepreciationAmt
Book Value	$112,015,351	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$17,176,822	OtherCostOrOtherBasisAmt
Book Value	$17,176,822	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$537,505,843	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
DEFERRED PENSION	$59,669,115
INSURANCE - EXCESS LAYER	$33,850,000
OTHER ASSETS	$23,864,286
INVESTMENTS IN JOINT VENTURES	$3,781,773
DEFERRED FINANCING COSTS	$2,735,533

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$123,900,707	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
UNFUNDED PENSION OBLIGATION	$297,043,960
INSURANCE - EXCESS LAYER	$26,900,000
MEDICAL MALPRACTICE CLAIMS RESERVE	$20,274,500
PREMIUM ON 2015 BONDS	$16,784,790
PREMIUM ON 2012 BONDS	$6,035,589
ASBESTOS ABATEMENT	$3,190,023
POST RETIREMENT BENEFITS PAYABLE	$2,387,009

Field	Value	IRS element (for citing)
Total Liability	$372,615,871	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 CLINTON HOSPITAL AND SPARROW FOUNDATION. SPARROW HEALTH SYSTEM IS THE SOLE MEMBER OF EDWARD W. SPARROW HOSPITAL, SPARROW CLINTON 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 ENDOWMENT.	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	$11,162,856	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$11,162,856	NetCommunityBenefitExpnsAmt
Total Expense	0.01190	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$166,695,657	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$139,116,490	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$27,579,167	NetCommunityBenefitExpnsAmt
Total Expense	0.02930	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$177,858,513	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$139,116,490	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$38,742,023	NetCommunityBenefitExpnsAmt
Total Expense	0.04120	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$26,100,782	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,775,686	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,325,096	NetCommunityBenefitExpnsAmt
Total Expense	0.01520	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,243,278	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,132,548	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,110,730	NetCommunityBenefitExpnsAmt
Total Expense	0.00440	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$33,344,060	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,908,234	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,435,826	NetCommunityBenefitExpnsAmt
Total Expense	0.01960	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$211,202,573	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$154,024,724	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$57,177,849	NetCommunityBenefitExpnsAmt
Total Expense	0.06080	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,804	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$12,804	NetCommunityBenefitExpnsAmt

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$500	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$500	NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,500	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,500	NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,829	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,829	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,633	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$18,633	NetCommunityBenefitExpnsAmt

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$4,551,418	BadDebtExpenseAmt
Reimbursed By Medicare	$293,183,788	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$310,787,698	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$17,603,910	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)		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	16	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	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.SPARROW.ORG	StrategyWebsiteURLTxt
Strategy Attached	false	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	AS A SUPPLEMENT TO THE HEALTHY CAPITAL COUNTIES (HCC) COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), INTERVIEWEES AND FOCUS GROUP PARTICIPANTS WERE SOLICITED FROM A WIDE VARIETY OF COMMUNITY RESIDENTS WITHIN THE PRINCIPAL AREAS SERVED BY SPARROW HEALTH SYSTEM HOSPITALS. AMONG THOSE SOLICITED WERE COMMUNITY LEADERS AND HEALTH CARE LEADERS; STATE AND LOCAL ELECTED OFFICIALS; PHYSICIANS AND OTHER HEALTH CARE PROVIDERS OR WORKERS; LEADERS AND MEMBERS OF RACIAL, ETHNIC, AND RELIGIOUS MINORITIES; EDUCATORS; STUDENTS; RETIREES; SOCIAL SERVICE PROVIDERS; AND OTHERS. MINORITY GROUPS WITH WHOM THESE ISSUES WERE DISCUSSED INCLUDED AFRICAN AMERICANS AND MEMBERS OF THE MUSLIM COMMUNITY FROM SEVERAL DIFFERENT ETHNIC BACKGROUNDS.
GROUP A, FACILITY 1, EWSH - MAIN CAMPUS - PART V, LINE 6A	SPARROW HOSPITAL, CONSISTING OF FIVE 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 - MCLAREN GREATER LANSING - HAYES GREEN BEACH MEMORIAL HOSPITAL - 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, CHRONIC DISEASE - DIABETES, AND MENTAL HEALTH CARE. 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 FINANCIAL STABILITY. 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	36	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (36 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 OB/GYN
EWSH SPARROW PROF BUILDING
1200 E MICHIGAN AVE	LANSING	MI	48912	CLINICS PHARMACY REHAB
EWSH MED CENTER WEST
1100 W SAGINAW	LANSING	MI	48915	PHARMACY PLUS OB/GYN CLINIC
EWSH MASON COMMUNITY CENTER
800 E COLUMBIA	MASON	MI	48854	URGENT CARE/FAMILY PRACTICE/RADIOLOGY
EWSH LANSING OBGYN
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 SPARROW REGIONAL LAB
11615 HARTEL	GRAND LEDGE	MI	48837	LABORATORY
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 URGENT CARE
1600 W GRAND RIVER	OKEMOS	MI	48864	URGENT CARE
EWSH SPARROW REGIONAL LAB
6254 W SAGINAW	LANSING	MI	48912	LABORATORY
EWSH OUTPATIENT REHAB
13105 SCHAVEY ROAD	DEWITT	MI	48820	PHYSICAL THERAPY
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	LABORATORY
EWSH SPARROW PHARMACY PLUS
129 S PUTNAM	WILLIAMSTON	MI	48895	PHARMACY
EWSH SPARROW PHARMACY PLUS
1015 CHARLEVOIX DRIVE	GRAND LEDGE	MI	48837	PHARMACY
EWSH SPARROW PHARMACY PLUS
915 E MICHIGAN	LANSING	MI	48912	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
TCI SPECIALTY CLINIC
1500 MAIN ST	EATON RAPIDS	MI	48827	HEART CLINIC
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
107 N WASHINGTON SQUARE	LANSING	MI	48912	FASTCARE
EWSH FASTCARE
716 N CLIPPERT ST	LANSING	MI	48910	FASTCARE
EWSH CAP LAB
2508 S CEDAR ST	LANSING	MI	48910	LABORATORY
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 CHILDTIME
920 JEROME ST	LANSING	MI	48912	DAY CARE

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION	A COST TO CHARGE RATIO WAS USED TO COMPLETE THE CHARITY CARE (LINE 7A) AND MEANS-TESTED GOVERNMENT PROGRAMS (LINE 7B AND 7C). THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 THAT ACCOMPANIES THE INSTRUCTIONS TO THIS SCHEDULE. THE HOSPITAL'S COST ACCOUNTING RECORDS WERE USED TO COMPLETE THE COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS (LINE 7E), SUBSIDIZED HEALTH SERVICES (LINE 7G) AND RESEARCH (LINE 7H).
PART II - COMMUNITY BUILDING ACTIVITIES	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 120 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.
PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY	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.
PART III, LINE 3 BAD DEBT EXPENSE, PATIENTS ELIGIBLE FOR ASSISTANCE	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.
BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS	BAD DEBT FOOTNOTE - SEE THE ATTACHED AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8 - MEDICARE EXPLANATION	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 17,603,910 SHOULD BE COUNTED AS COMMUNITY BENEFIT.
PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION	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.
PART VI, LINE 2 - NEEDS ASSESSMENT	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.
PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	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.
PART VI, LINE 4 - COMMUNITY INFORMATION	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.
PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH	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."
PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM	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 WHOLLY- OWNED AND 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, AND SPARROW CLINICAL RESEARCH INSTITUTE.
PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT	MICHIGAN

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	false	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

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

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)
Recipient EIN	386100687	RecipientEIN
IRC Section	3	IRCSectionDesc
Cash Grant	$62,792	CashGrantAmt
Purpose Of Grant	CHARITABLE DONATION	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PAGE 1, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION DOES NOT ISSUE GRANTS. THE ORGANIZATION PROVIDES CHARITABLE CONTRIBUTIONS TO OTHER TAX-EXEMPT 501(C)(3) ORGANIZATIONS THAT HELPS TO SUPPORT THE COMMUNITY AND THE ORGANIZATION'S MISSION. THE CHARITABLE CONTRIBUTION ARE USED FOR CHARITABLE PURPOSES.	ExplanationTxt

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 (21 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	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	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount
MARK BRETT
PRES/CEO SPARROW HOS	$540,963	$4,014	$82,423	$40,611	$668,011
PAULA REICHLE
SR VP - CFO/TREAS						$487,496	$24,794	$54,240	$47,876	$614,406
KAREN KENT-VAN GORDER
VP MEDICAL/QUALITY	$433,257	$3,642	$61,701	$27,900	$526,500
MICHAEL ZAROUKIAN MD
VP CHIEF MED INF OFC	$358,690	$24,743	$8,100	$32,365	$423,898
THOMAS OSTRANDER
VP PROFESSIONAL SRVC	$311,539	$23,065	$40,550	$40,310	$415,464
CHRISTINE JODOIN
INTERIM CNO/VP NURS	$309,620	$8,509	$55,354	$39,985	$413,468
PAUL ENTLER
VP QUAL/PERF	$273,020	$20,128	$8,100	$30,139	$350,887						$19,500
THEODORE GLYNN MD
VP MEDICAL EDUCATION	$277,006	$1,842	$8,100	$50,583	$337,531
PATRICK BRILLANTES
VP CONS ENGMT	$235,205	$2,142	$14,356	$36,237	$288,040						$100
ARA PRIDJIAN MD
PHYSICIAN	$685,241	$26,024	$24,200	$49,545	$1,037,287						$252,277
NORBERT BAUMGARTNER MD
PHYSICIAN	$704,807	$5,340	$8,100	$65,597	$968,305						$184,461
ALONSO COLLAR DO
PHYSICIAN	$702,472	$12,368	$14,521	$61,231	$922,028						$131,436
MUHAMMAD HAMDEN MD
PHYSICIAN	$588,572	$4,902	$16,350	$36,327	$808,391						$162,240
KOSISOCHI OBINWANNE MD
PHYSICIAN	$540,798	$1,578	$16,350	$54,313	$796,189						$183,150
JAMES OLSON MD
FORMER BOARD MEMBER	$282,031	$1,798	$24,000	$29,966	$367,181						$29,386
PETER GRAHAM MD
FORMER OFFICER						$304,522	$2,446	$24,200	$34,936	$366,104
DAWN SPRINGER MD
FORMER BOARD MEMBER	$191,136	$1,447	$16,820	$17,125	$264,741						$38,213
JOHN ARMSTRONG MD
FORMER BOARD MEMBER	$113,003	$10,953	$8,100	$16,291	$165,406						$17,059
STELLA CASH
FORMER BOARD MEMBER						$42,352	$7,264	$8,100	$3,240	$60,956
GREG BROGAN
FORMER BOARD MEMBER						$1,392	$641,936			$643,328
MARY LOU WESLEY
FORMER VP - CNO	$306,253		$8,100	$12,613	$326,966

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	MARK BRETT 0 50,123 0 PAULA REICHLE 0 46,140 0 KAREN KENT-VAN GORDER 0 37,501 0 CHRISTINE JODOIN 0 23,054 0 STELLA CASH 42,352 7,264 0 MARY LOU WESLEY 320,857 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	JOHN ARMSTRONG, JAMES OLSON, PETER GRAHAM, GREG BROGAN, MARY LOU WESLEY, STELLA CASH, AND DAWN SPRINGER 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. SCHEDULE J, PART II, COLUMN (B)(I) - PAYMENTS TO GREG BROGAN FOR BROKER'S SALES COMMISSIONS FOR PHP INSURANCE COMPANY (641,936). ALL SALES COMMISSIONS ARE STANDARD AND WERE COMPLETED IN AN ARM'S LENGTH TRANSACTION. NONE OF THE SALES COMMISSIONS RECEIVED WERE COMPENSATION FOR SERVICES PROVIDED AS A MEMBER OF THE BOARD.

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	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	$106,962,665	$1,247,782	$105,714,883	2014	false	false	Yes (true)	Yes (true)
B	$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	false	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

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE K - ADDITIONAL INFORMATION	FormAndLineReferenceDesc
Explanation	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	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	TAMARA HODGE	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	FAMILY MEMBER	RelationshipDescriptionTxt
Transaction	$86,289	TransactionAmt
Transaction	EMPLOYEE	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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	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. 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 SPARROW TREATED JUST OVER 32,700 INPATIENTS, HAD OVER 1.5 MILLION OUTPATIENT ENCOUNTERS, PROVIDED SERVICES TO MORE THAN 105,600 EMERGENCY MEDICINE PATIENTS, AND HAD MORE THAN 84,700 URGENT AND FASTCARE VISITS IN 2018. TODAY'S SPARROW HEALTH SYSTEM BLENDS THE KNOWLEDGE AND EXPERTISE OF OVER 1,100 PHYSICIANS, 9,500 CAREGIVERS AND APPROXIMATELY 2,200 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 (MORE THAN 4,200 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 HEALTH SYSTEM'S REACH EXTENDS FAR BEYOND THE ACUTE CARE SETTING OF THE HOSPITAL. THERE ARE MANY WAYS OUR STAFF PROACTIVELY SUPPORTS THE COMMUNITY, ESPECIALLY THOSE WHO HAVE THE GREATEST NEED. BECAUSE OF SPARROW'S COMMITMENT, THE PEOPLE OF MID MICHIGAN HAVE ACCESS TO THE FULL RANGE OF COMPREHENSIVE ACUTE CARE SERVICES AND THE LATEST MEDICAL ADVANCES WITHOUT TRAVELING GREAT DISTANCES. THESE SERVICES ARE AVAILABLE TO ALL MID MICHIGAN RESIDENTS, REGARDLESS OF THEIR ABILITY TO PAY. PROVIDING ACCESS TO PRIMARY CARE SPARROW RECOGNIZES THAT IF WE ARE TO ACHIEVE OUR VISION OF BEING A NATIONALLY RECOGNIZED LEADER IN QUALITY AND THE PATIENT EXPERIENCE, WE HAVE A RESPONSIBILITY TO TAKE THE LEAD IN FUNDAMENTALLY TRANSFORMING HEALTHCARE IN MICHIGAN. IN ORDER TO ADDRESS THE CHALLENGES OF INCREASING PREVALENCE OF CHRONIC DISEASE AND AN AGING POPULATION, TO IMPROVE THE QUALITY OF CARE AND THE PATIENT EXPERIENCE WHILE ALSO ENSURING GREATER AFFORDABILITY FOR PAYORS, SPARROW NEEDS TO IMPLEMENT PROFOUND CHANGES IN HOW CARE IS PROVIDED. SPARROW IS COMMITTED TO SEEKING NEW WAYS TO PARTNER WITH QUALITY CARE PROVIDERS TO CREATE GREATER ALIGNMENT AROUND IMPROVED QUALITY AND PATIENT EXPERIENCE, WORK JOINTLY TO DEVELOP CLINICAL GUIDELINES TO ENSURE THE HIGHEST QUALITY OF CARE FOR PATIENTS WHO NEED TO BE TRANSFERRED TO DIFFERENT LEVELS OF CARE AND TO ENSURE THAT CARE IS ALWAYS DELIVERED IN THE BEST QUALITY AND MOST COST-ADVANTAGEOUS CLINICAL SETTING AS CLOSE TO THE PATIENT'S HOME AS POSSIBLE. SPARROW WAS SELECTED AS THE FIRST IN MICHIGAN TO BECOME A MEMBER OF THE MAYO CLINIC CARE NETWORK, SOLIDIFYING OUR DEDICATION TO MEETING OUR PATIENTS' HEALTHCARE NEEDS RIGHT HERE IN MID- MICHIGAN. SPARROW HEALTH SYSTEM INCLUDES SUBSIDIARIES, SPARROW CARSON HOSPITAL, SPARROW CLINTON HOSPITAL AND SPARROW IONIA HOSPITAL. ALSO IN 2018, SPARROW CONTINUED ITS PHASED-IN AFFILIATION WITH HAYES GREEN BEACH MEMORIAL HOSPITAL IN CHARLOTTE, WORKING JOINTLY TO IMPROVE SERVICES THERE AND EXTENDING OUR REACH THROUGHOUT THE REGION. THE SPARROW HERBERT-HERMAN CANCER CENTER FEATURES A MULTI-DISCIPLINARY TEAM APPROACH THAT PUTS THE PATIENT AT THE CENTER OF EVERYTHING WE DO. PATIENTS SEE A TEAM OF CLINICIANS UNDER ONE ROOF AND IN ONE VISIT. THE CANCER CENTER LEVERAGES OUR RELATIONSHIP WITH MAYO, WITH SPARROW ONCOLOGISTS PARTICIPATING IN DAILY ETUMOR BOARDS WITH MAYO CLINIC CANCER SPECIALISTS, DISCUSSING AND EVALUATING CASES. THE FACILITY IS TWICE THE SIZE OF THE PREVIOUS CANCER CENTER AND INCLUDES NEW AND LOCAL ARTWORK DESIGNED TO PROVIDE A HEALING ATMOSPHERE; AN OPEN, LIGHT-FILLED AREA FOR PATIENTS RECEIVING CHEMOTHERAPY TREATMENT; A RETAIL BOUTIQUE; AND SPACE FOR SUPPORT GROUPS. THE SPARROW HERBERT-HERMAN CANCER CENTER HOSTED NUMEROUS OUTREACH ACTIVITIES IN 2018, DESIGNED TO PROMOTE DISEASE PREVENTION AND SCREENING. THESE INCLUDED: "A COLORECTAL PREVENTION PRESENTATION ATTENDED BY 68 PARTICIPANTS IN MARCH 2018. THE EVENT WAS IN LINE WITH THE MCC CANCER PLAN FOR MICHIGAN 2016-2020 AND EFFORTS TO INCREASE THE PROPORTION OF ADULTS, AGED 50-75 YEARS OLD, WHO ARE UP TO DATE WITH APPROPRIATE COLORECTAL CANCER SCREENING FROM 71% TO 80%. "A SKIN CANCER SCREENING EVENT IN MAY 2018 IN WHICH 105 PATIENTS WERE SCREENED AND 39 OF THEM WERE REFERRED FOR FURTHER TREATMENT. "STAFFING AN MSU WOMEN'S BASKETBALL GAME IN FEBRUARY 2018 TO PRESENT INFORMATION ON BREAST HEALTH AND EDUCATION. "HOLDING THE BREASTIVAL EVENT IN FEBRUARY 2018 TO CELEBRATE BREAST HEALTH AND SURVIVORSHIP. "PARTICIPATING IN VARIOUS RELAY FOR LIFE FUNDRAISERS THROUGHOUT MID- MICHIGAN TO UNITE COMMUNITIES TO FIGHT CANCER. THE PLAZA BUILDING THAT HOUSES THE CANCER CENTER IS ALSO HOME TO SPARROW THORACIC AND CARDIOVASCULAR INSTITUTE (TCI), THE LEADING CARDIAC CARE PRACTICE IN THE REGION. IN ADDITION, IN 2018 SPARROW CONTINUED ITS PARTNERSHIP WITH THE DELTA DENTAL FOUNDATION FOR A FIRST-IN-THE-NATION RESEARCH PROJECT PINPOINTING HOW GOOD ORAL HEALTHCARE CAN IMPROVE OVERALL HEALTH. THE STUDY - RECENTLY PUBLISHED IN THE AMERICAN JOURNAL OF NURSING - PROVIDES ALL SPARROW HOSPITAL PATIENTS WITH A HIGHER QUALITY TOOTHBRUSH, TOOTHPASTE WITH SODIUM BICARBONATE, ALCOHOL-FREE ANTISEPTIC MOUTHWASH, AND A SUCTION TOOTHBRUSH KIT FOR THOSE WITH DIFFICULTY SWALLOWING OR SPITTING. IN LINE WITH THE PROJECT, THE SPARROW HERBERT-HERMAN CANCER CENTER WORKED WITH DELTA DENTAL TO PROMOTE ORAL CANCER PREVENTION DURING APRIL'S ORAL CANCER AWARENESS MONTH. SPARROW COMMUNITY CARE - A NON-PROFIT ENTITY COMPRISING THE FORMER SPARROW MEDICAL SUPPLY AND SPARROW HOME CARE UNITS - AND SPARROW LABORATORIES AND SPARROW PHARMACY PLUS ROUND OUT SPARROW HEALTH SYSTEM'S NETWORK OF FACILITIES AND PRIMARY CARE SERVICES. THEY ARE DESIGNED TO PROVIDE QUALITY, CONVENIENT, COST EFFECTIVE HEALTH CARE TO THE PEOPLE OF MID MICHIGAN. EMERGENCY PREPAREDNESS SPARROW HAS DISTINGUISHED ITSELF AS A RECOGNIZED LEADER IN EMERGENCY PREPAREDNESS. THE HOSPITAL VIEWS PREPAREDNESS AS AN ONGOING PROCESS LED BY A MULTIDISCIPLINARY TEAM THAT INVOLVES ALL ASPECTS OF HOSPITAL OPERATIONS, INCLUDING MEDICAL AND NON-MEDICAL SERVICES. DRILLS ARE CONDUCTED YEAR-ROUND IN COLLABORATION WITH LOCAL, STATE AND FEDERAL AGENCIES TO ENSURE SPARROW IS PREPARED FOR ANY DISASTER, WHETHER IT IS THE RESULT OF A TERRORIST ACT OR A NATURAL DISASTER. SPARROW'S EMERGENCY PREPAREDNESS COMMITTEE REGULARLY TESTS THE HOSPITAL'S RESPONSE SKILLS INDEPENDENT OF ANY AGENCY OR GOVERNING BODY. THE HOSPITAL ALSO WORKS WITH LOCAL GOVERNMENT AGENCIES, INCLUDING THE POLICE DEPARTMENT, FIRE DEPARTMENT, AND PUBLIC HEALTH DEPARTMENT TO COORDINATE A PLANNED RESPONSE IN THE EVENT OF A TRUE EMERGENCY. ROUTINE DRILLS AND AN ACTIVE SHOOTER EXERCISE WERE CONDUCTED IN 2018 TO TEST THE HEALTH SYSTEM'S RESPONSE AND INTERACTION WITH LOCAL AGENCIES. THE HOSPITAL'S TRAUMA SERVICES DEPARTMENT ALSO SPONSORS THE ANNUAL EMS AWARDS TO RECOGNIZE THE UNSUNG HEROES AMONG OUR EMERGENCY RESPONSE COMMUNITY. SUPPORTING OUR COMMUNITY AND NEIGHBORHOODS SPARROW IS THE UNQUESTIONED LEADER IN MID-MICHIGAN IN PROVIDING HEALTHCARE SERVICES AND PROMOTING HEALTH-RELATED ACTIVITIES. SPARROW'S MOBILE HEALTH CLINIC, IN PARTNERSHIP WITH DEAN TRANSPORTATION AND THE INGHAM COUNTY HEALTH DEPARTMENT, EXPANDED CLINIC SITES AND ANNUAL VISITS FOR A THIRD YEAR. THE CLINIC PROVIDED ACCESS TO
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 2018 FORM 990 ARE REVIEWED BY MANAGEMENT. THE FORM 990 COPIES WERE PROVIDED AT THE FALL 2019 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 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 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 VII	PART VII, SECTION A, COLUMN (E) REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS - PAYMENTS TO GREG BROGAN FOR BROKER'S SALES COMMISSIONS FOR PHP INSURANCE COMPANY (641,936). ALL SALES COMMISSIONS ARE STANDARD AND WERE COMPLETED IN AN ARM'S LENGTH TRANSACTION. NONE OF THE SALES COMMISSIONS RECEIVED WERE COMPENSATION FOR SERVICES PROVIDED AS A MEMBER OF THE BOARD.
FORM 990, PART XI, LINE 9	ASSETS RELEASED FROM RESTRICTIONS 2,899,130 CHANGE IN UNFUNDED POSTRETIREMENT OBLIGATION 160,604 CHANGE IN UNFUNDED PENSION OBLIG -18,597,605 TOTAL -15,537,871

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (13 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		SHS	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		SHS	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)
CARSON CITY FOUNDATION
406 E ELM STREET PO BOX 879	CARSON CITY	MI	48811	460877509	FUNDRAISE	MI	501C3	12A	CCH	Yes (true)

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	LANSING	MI	48823	382886420	HLTH CLUB	MI	N/A	Yes (true)
MAC RESTAURANT LLC
2900 HANNAH BLVD	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	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	false	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 (13 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
SPARROW SPECIALTY HOSPITAL
A	$456,600	COST
SPARROW SPECIALTY HOSPITAL
L	$1,734,073	COST
SPARROW SPECIALTY HOSPITAL
Q	$909,740	COST
SPARROW COMMUNITY CARE
A	$252,432	COST
SPARROW COMMUNITY CARE
G	$111,680	COST
SPARROW FOUNDATION
C	$3,865,723	COST
PHYSICIANS HEALTH PLAN
P	$13,155,538	COST
SPARROW CARSON HOSPITAL
Q	$343,000	COST
SPARROW CLINTON HOSPITAL
L	$517,839	COST
IONIA COUNTY MEMORIAL HOSPITAL
L	$973,720	COST
SPARROW CARSON HOSPITAL
A	$165,548	COST
SPARROW CLINTON HOSPITAL
Q	$1,678,719	COST
IONIA COUNTY MEMORIAL HOSPITAL
Q	$1,720,391	COST