EDWARD W SPARROW HOSPITAL ASSOCIATION: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: EDWARD W SPARROW HOSPITAL ASSOCIATION (EIN 38-1360584)
Tax period: 2014-01-01 to 2014-12-31
Filed: 2015-11-12
IRS object ID: 201503169349304365
Schema version: 2014v5.0
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-11-12T13:57:50-06:00	ReturnTs
Tax Period End	2014-12-31	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	2014-01-01	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	CHIEF FINANCIAL OFFICER	PersonTitleTxt
Phone	5173646060	PhoneNum
Signature	2015-11-05	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MARK E HOOPER	PreparerPersonNm
PTIN	P00039887	PTIN
Phone	5177060800	PhoneNum
Preparation	2015-11-05	PreparationDt

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	DENNIS SWAN	PrincipalOfficerNm

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)
Gross Receipts	$898,758,797	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SPARROW.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1896	FormationYr
Legal Domicile State	MI	LegalDomicileStateCd
Activity Or Mission	IMPROVING THE HEALTH OF THE PEOPLE IN OUR COMMUNITIES BY PROVIDING QUALITY, COMPASSIONATE CARE TO EVERYONE, EVERY TIME.	ActivityOrMissionDesc
Voting Members Governing Body	16	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	6372	TotalEmployeeCnt
Total Volunteers	2200	TotalVolunteersCnt
Total Gross UBI	$30,554,319	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$721,214	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,701,800	PYContributionsGrantsAmt
CY Contributions Grants	$1,243,637	CYContributionsGrantsAmt
PY Program Service Revenue	$856,935,113	PYProgramServiceRevenueAmt
CY Program Service Revenue	$844,443,668	CYProgramServiceRevenueAmt
PY Investment Income	$24,634,426	PYInvestmentIncomeAmt
CY Investment Income	$22,359,468	CYInvestmentIncomeAmt
PY Other Revenue	$28,446,820	PYOtherRevenueAmt
CY Other Revenue	$29,766,692	CYOtherRevenueAmt
PY Total Revenue	$911,718,159	PYTotalRevenueAmt
CY Total Revenue	$897,813,465	CYTotalRevenueAmt
CY Grants And Similar Paid	$27,468	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$461,148,031	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$460,546,639	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$401,530,898	PYOtherExpensesAmt
CY Other Expenses	$369,248,090	CYOtherExpensesAmt
PY Total Expenses	$862,678,929	PYTotalExpensesAmt
CY Total Expenses	$829,822,197	CYTotalExpensesAmt
PY Revenues Less Expenses	$49,039,230	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$67,991,268	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,135,510,386	TotalAssetsBOYAmt
Total Assets EOY	$1,204,134,312	TotalAssetsEOYAmt
Total Liabilities BOY	$596,463,390	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$737,986,413	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$539,046,996	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$466,147,899	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	$292,187,351	ExpenseAmt
Grant	$27,468	GrantAmt
Revenue	$440,044,223	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 THE 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 573-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 NEARLY 35,000 INPATIENTS, HAD APPROXIMATELY 1 MILLION OUTPATIENT ENCOUNTERS, AND PROVIDED SERVICES TO MORE THAN 124,200 EMERGENCY MEDICINE PATIENTS IN 2014. TODAY'S SPARROW HEALTH SYSTEM BLENDS THE KNOWLEDGE AND EXPERTISE OF OVER 900 PHYSICIANS, 7,500 CAREGIVERS AND APPROXIMATELY 2,275 VOLUNTEERS WITH THE MOST ADVANCED TECHNOLOGY, SERVING AS A COMPREHENSIVE HEALTH SYSTEM FOR AN EIGHT-COUNTY POPULATION. 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 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 ALSO HOLDS AFFILIATIONS WITH SPARROW CLINTON HOSPITAL, SPARROW IONIA HOSPITAL, CARSON HEALTH, AND HAYES GREEN BEACH MEMORIAL HOSPITAL EXTENDING OUR REACH THROUGHOUT THE REGION. IN 2014, SPARROW OPENED THE LANSING NEUROSURGERY LEARNING CENTER, AN EDUCATIONAL HUB FOR PHYSICIANS, RESIDENTS, PATIENTS AND THE COMMUNITY AND SPARROW GRAND LEDGE, A NEW MULTI-SERVICE FACILITY FEATURING AN URGENT CARE, OUTPATIENT PHYSICAL REHABILITATION, LABORATORY, PHARMACY AND MEDICAL SUPPLY. SPARROW AND VOLUNTEERS OF AMERICA MICHIGAN OPENED SPARROW MEDICAL GROUP VOA, A NEW JOINT MEDICAL CLINIC TO SERVE HOMELESS PATIENTS AND OTHERS. HOUSED WITHIN THE VOA SHELTER, IT IS ONLY THE SECOND OF ITS KIND IN THE NATION AND THE FIRST IN MICHIGAN. ALSO IN 2014, SPARROW HOSPITAL AND MARY FREE BED REHABILITATION HOSPITAL CAME TOGETHER TO CREATE MARY FREE BED AT SPARROW, A JOINT VENTURE PROVIDING ADVANCED INPATIENT REHABILITATION CARE FOR PATIENTS IN THE MID-MICHIGAN REGION IN SUPPORT OF OUR GOAL TO TRANSFORM HOW CARE IS PROVIDED. BY PROACTIVELY LOCATING SERVICES IN OUR SURROUNDING COMMUNITIES, WE ENSURE THAT RESIDENTS AND THEIR FAMILIES HAVE ACCESS TO THE CARE NECESSARY TO SAFEGUARD THEIR HEALTH. SPARROW ALSO OPENED A NEW EMERGENCY SERVICES FACILITY AT SPARROW CLINTON HOSPITAL. SCH EMERGENCY SERVICES SERVES MORE THAN 14,000 PATIENTS EACH YEAR, AND THAT NUMBER IS GROWING. AT 9,935 SQUARE FEET, THE NEW FACILITY IS THREE TIMES THE SIZE OF THE OLD EMERGENCY DEPARTMENT. SPARROW COMMUNITY CARE - A NON-PROFIT ENTITY COMPRISING OF 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. IN 2014 SPARROW PURCHASED CAP- LAB, A LANSING-BASED LABORATORY TO IMPROVE TURN-AROUND TIMES AND BENEFIT PATIENT CARE. SPARROW ALSO JOINED FORCES WITH HAYES GREEN BEACH MEMORIAL HOSPITAL'S HOME CARE SERVICES TO FOSTER CLOSER COOPERATION AND ACHIEVE GREATER CLINICAL INTEGRATION FOR THE BENEFIT OF THE PEOPLE IN THE REGION WE SERVE TOGETHER. THIS INCLUDED THE ADDITION OF PEDIATRIC HOME CARE NURSING AND HOME HOSPICE. 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. SUPPORTING OUR COMMUNITY AND NEIGHBORHOODS SPARROW IS THE UNQUESTIONED LEADER IN MID-MICHIGAN IN PROVIDING HEALTHCARE SERVICES AND PROMOTING HEALTH-RELATED ACTIVITIES. SPARROW PROVIDES FIRST- AID SERVICES AT MANY SPECIAL EVENTS INCLUDING MICHIGAN STATE UNIVERSITY FOOTBALL GAMES, LANSING LUGNUTS BASEBALL GAMES AND THE CITY OF LANSING'S ANNUAL COMMON GROUND MUSIC FESTIVAL. SPARROW ALSO SPONSORS DOZENS OF HEALTH-RELATED ACTIVITIES, INCLUDING THE ANNUAL HIKE FOR HOSPICE, THE FEELIN' GOOD MILEAGE CLUB FOR ELEMENTARY SCHOOLS, FITKIDS AND THE SPARROW MICHIGAN MILE. SPARROW ALSO HAS A PARTNERSHIP WITH THE UNIVERSITY OF MICHIGAN HEALTH SYSTEM'S SURVIVAL FLIGHT AIR MEDICAL TRANSPORT SERVICE. SURVIVAL FLIGHT PROVIDES 24-HOUR AIR MEDICAL TRANSPORT SERVICES FOR IMPROVED ACCESS TO PATIENTS WHO NEED CRITICAL CARE. AS A TEACHING HOSPITAL, SPARROW HAS CONTINUED TO STRENGTHEN ITS AFFILIATION WITH MICHIGAN STATE UNIVERSITY THROUGH A JOINT INITIATIVE, THE SPARROW/MSU CENTER FOR INNOVATION, BY SUPPORTING FELLOWSHIPS AND RECRUITING ESTABLISHED RESEARCHERS TO DEVELOP, TEST, IMPLEMENT AND EVALUATE INNOVATIVE APPROACHES IN HEALTH CARE. SPARROW HAS MANY OTHER LONGSTANDING ARRANGEMENTS WITH MSU'S COLLEGES OF HUMAN MEDICINE, OSTEOPATHIC MEDICINE AND NURSING. SPARROW WORKS WITH MSU TO FACILITATE THE RECRUITMENT, TRAINING AND RETENTION OF CURRENT AND FUTURE GENERATIONS OF PHYSICIANS AND NURSES THROUGH FUTURE DOCS, MINI-MEDICAL SCHOOL, AND OTHER SUMMER ENRICHMENT PROGRAMS FOR AREA YOUTH. SPARROW IS THE CLINICAL CENTER FOR A MULTITUDE OF HEALTH EDUCATION PROGRAMS, INCLUDING GRADUATE MEDICAL RESIDENCY AND NURSING INTERNSHIPS. SPARROW ALSO SPONSORS DOZENS OF HEALTH SCREENING PROGRAMS WHICH ARE FREE TO THE PUBLIC. DIABETES TESTING, PROSTATE SCREENING, BREAST EXAMS AND BLOOD PRESSURE CHECKS ARE BUT A FEW OF THE MANY SUCH PROGRAMS SPARROW PROVIDES FREE TO THE COMMUNITY EACH YEAR. SPARROW ALSO PROVIDES MEETING FACILITIES FOR MANY COMMUNITY HEALTH EDUCATION AND SUPPORT GROUPS. AS INDIVIDUAL VOLUNTEERS, AND AS AN ORGANIZATION, SPARROW HEALTH SYSTEM SUPPORTED MORE THAN 200 COMMUNITY ORGANIZATIONS WITH SPONSORSHIPS, IN-KIND SERVICES, AND/OR VOLUNTEER SERVICE. AS MID MICHIGAN'S LEADING HEALTH CARE SYSTEM, SPARROW HAS A RESPONSIBILITY TO DELIVER QUALITY, COMPASSIONATE CARE TO ALL PEOPLE. AS THE LEADING REGIONAL PROVIDER OF UNCOMPENSATED AND CHARITY CARE IN 2014, SPARROW PROVIDED APPROXIMATELY 44,789,000 IN CHARITY, BAD DEBT AND COMMUNITY BENEFITS AND ABSORBED THE COST OF MORE THAN 17,164,000 IN MEDICARE AND MEDICAID UNDER-FUNDING. A BRIEF FINANCIAL SUMMARY OF THE ABOVE ACCOMPLISHMENTS IS BELOW: CHARITY AND BAD DEBTS 24,555,000 COMMUNITY BENEFITS (SUBSIDIZED PROGRAMS AND COMMUNITY OUTREACH) 20,234,00	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$335,810,090	ExpenseAmt
Revenue	$407,438,908	RevenueAmt
Desc	ANCILLARY SERVICES INCLUDING LABORATORY, RADIOLOGY, DIALYSIS, SOCIAL SERVICES, AND CLINICS.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$75,835,487	ExpenseAmt
Revenue	$3,992,251	RevenueAmt
Desc	GENERAL SERVICES INCLUDING FOOD SERVICE, ENVIRONMENTAL SERVICES, LAUNDRY AND PLANT.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$703,832,928	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	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	290	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	6372	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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	16	GoverningBodyVotingMembersCnt
Independent Voting Member	10	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	5173646049	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 (47 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
DENNIS SWAN
PRES/CEO	40.00	0.00	Yes (X)	Yes (X)	$853,448	$0	$33,430
GREG BROGAN
BOARD MBR S	2.00	0.00	Yes (X)		$1,350	$521,575	$0
JAMES OLSON MD
BOARD MEMBER	2.00	0.00	Yes (X)		$304,822	$0	$34,378
MAUDE GUERIN MD
BOARD MEMBER	2.00	0.00	Yes (X)		$56,621	$0	$0
TIMOTHY HODGE DO
BOARD MEMBER	2.00	0.00	Yes (X)		$1,500	$0	$0
DAVID KAUFMAN DO
BOARD MEMBER	2.00		Yes (X)		$1,350	$0	$0
DAVE HUNT
BOARD MEMBER	2.00	0.00	Yes (X)		$1,350	$0	$0
JEFF BENSON
BOARD MEMBER	2.00	0.00	Yes (X)		$1,350	$0	$0
NANCY MCKEAGUE
BOARD MEMBER	2.00	0.00	Yes (X)		$1,350	$0	$0
RICHARD BRUNER
BOARD MEMBER	2.00	0.00	Yes (X)		$0	$0	$0
CURTIS KECK
BOARD MEMBER	2.00	0.00	Yes (X)		$0	$0	$0
BARBARA GIVEN PHD
CHAIRMAN	2.00	0.00	Yes (X)		$0	$0	$0
MIKE KING
BOARD MEMBER	2.00	0.00	Yes (X)		$0	$0	$0
ZOE SLAGLE
BOARD MEMBER	2.00	0.00	Yes (X)		$0	$0	$0
MATT RUSH
BOARD MEMBER	2.00	0.00	Yes (X)		$0	$0	$0
JEAN PAULL
BOARD MEMBER	2.00	0.00	Yes (X)		$0	$0	$0
JOE RUTH
VP/COO	40.00	0.00		Yes (X)	$536,909	$0	$35,606
THOMAS BRES
VP/CIO	40.00	0.00		Yes (X)	$510,320	$0	$31,773
PAULA REICHLE
VP/CFO	40.00	0.00		Yes (X)	$493,923	$0	$39,573
MARK BRETT
SR VP/AFFILI	40.00	0.00		Yes (X)	$437,616	$0	$39,529
BRIAN SCHROEDER
SVP/CHIEF ME	40.00	0.00		Yes (X)	$415,274	$0	$40,328
MARY LOU WESELY
VP/CNO	40.00	0.00		Yes (X)	$378,836	$0	$21,571
THOMAS OSTRANDER
VP PROFESSIO	40.00	0.00		Yes (X)	$335,657	$0	$39,540
MICHAEL ZAROUKIAN
VP/CHIEF MED	40.00	0.00		Yes (X)	$327,677	$0	$29,184
DAVE KRUGER
VP - TCI	40.00	0.00		Yes (X)	$297,745	$0	$40,180
PETER GRAHAM MD
VP - SMG	40.00	0.00		Yes (X)	$293,996	$0	$36,042
DENNIS REESE
PHP PRESIDEN	40.00	0.00		Yes (X)	$289,302	$0	$36,562
PAUL STURGIS
VP/CHIEF HR	40.00	0.00		Yes (X)	$286,927	$0	$31,047
STELLA CASH
VICE PRES -	40.00	0.00		Yes (X)	$271,648	$0	$24,320
LARRY WILHITE
VP - LEGAL	40.00	0.00		Yes (X)	$252,891	$0	$20,201
SHERRY TAUNT
VP QUALITY/P	40.00	0.00		Yes (X)	$236,251	$0	$26,727
RICHARD FELLOWS
VP - CORP CO	40.00	0.00		Yes (X)	$211,911	$0	$30,773
ANDREA KOSLOSKI
EXECUTIVE DI	40.00	0.00		Yes (X)	$207,177	$0	$34,976
TIM ELDER
VP - FACILIT	40.00	0.00		Yes (X)	$131,923	$0	$17,878
LISA PASCOE
CORPORATE DI	20.00	0.00		Yes (X)	$88,747	$0	$7,855
ELIZABETH HENRY
VP/CNO	40.00	0.00		Yes (X)	$20,226	$0	$2,768
ARA PRIDJIAN MD
PHYSICIAN	40.00	0.00			$847,013	$0	$36,389	Yes (X)
ALONSO COLLAR DO
PHYSICIAN	40.00	0.00			$804,555	$0	$37,358	Yes (X)
NORBERT BAUMGARTNER MD
PHYSICIAN	40.00	0.00			$789,014	$0	$45,158	Yes (X)
JOEL COHN MD
PHYSICIAN	40.00	0.00			$671,959	$0	$40,639	Yes (X)
MATTHEW WILCOX
PHYSICIAN	40.00	0.00			$670,618	$0	$39,632	Yes (X)
STEPHEN GUERTIN MD
FORMER BOARD	40.00	0.00			$369,580	$0	$33,927		Yes (X)
SCOTT WILKERSON
FORMER PHP P	0.00	0.00			$364,095	$0	$19,240		Yes (X)
LARRY RAWSTHORNE MD
FORMER OFFIC	40.00	0.00			$268,065	$0	$34,628		Yes (X)
DAWN SPRINGER MD
FORMER BOARD	40.00	0.00			$202,106	$0	$15,681		Yes (X)
CAROL DWYER
FORMER OFFIC	0.00	0.00			$39,923	$0	$7,637		Yes (X)
JOHN ARMSTRONG MD
FORMER BOARD	0.00	0.00			$15,000	$0	$0		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$12,290,025	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$521,575	TotReportableCompRltdOrgAmt
Total Other Compensation	$964,530	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	29	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
GRANGER CONSTRUCTION COMPANY
6267 AURELIUS ROAD	LANSING	MI	48911	CONSTRUCTION	$18,671,369
THE CHRISTMAN COMPANY
208 N CAPITOL AVENUE	LANSING	MI	48933	CONSTRUCTION	$10,202,061
ARAMARK HEALTHCARE
1101 MARKET STREET	PHILADELPHIA	PA	19107	MED. DEVICE REP	$7,005,796
NORTH GRAND RIVER COOPERATIVE
4000 1/2 NORTH GRAND RIVER	LANSING	MI	48906	LINEN/LANDRY	$2,823,504
EPIC SYTEMS
1979 MILKY WAY	VERONA	WI	53593	SOFTWARE	$2,773,012

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	72	CntrctRcvdGreaterThan100KCnt
Related Organizations	$1,243,637	RelatedOrganizationsAmt
Total Contributions	$1,243,637	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE	621990	$814,265,560	$814,265,560
NONPATIENT SERVICE REVENUE	621500	$30,178,108		$30,178,108

Field	Value	IRS element (for citing)
Total Program Service Revenue	$844,443,668	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,825,420	TotalRevenueColumnAmt
Exclusion	$7,825,420	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,410,488	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$945,332	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,465,156	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,465,156	TotalRevenueColumnAmt
Unrelated Business Revenue	$103,975	UnrelatedBusinessRevenueAmt
Exclusion	$1,361,181	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$14,534,048	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$14,534,048	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$14,534,048	TotalRevenueColumnAmt
Exclusion	$14,534,048	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
FOOD SERVICE	900099	$3,164,450	$3,164,450
SPARROW SPECIALTY REVENUE	623990	$2,406,362		$2,406,362
DAYCARE REVENUE	900099	$827,801		$827,801

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$21,902,923	TotalRevenueColumnAmt
Related Or Exempt Func Income	$21,630,687	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$272,236	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$28,301,536	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$897,813,465	TotalRevenueColumnAmt
Related Or Exempt Func Income	$839,130,410	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$30,554,319	UnrelatedBusinessRevenueAmt
Exclusion	$26,885,099	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$27,468	TotalAmt
Program Services	$27,468	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$7,947,849	TotalAmt
Management And General	$7,947,849	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$368,766,855	TotalAmt
Program Services	$321,288,424	ProgramServicesAmt
Management And General	$47,478,431	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$18,105,951	TotalAmt
Program Services	$15,804,689	ProgramServicesAmt
Management And General	$2,301,262	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$37,896,634	TotalAmt
Program Services	$32,601,723	ProgramServicesAmt
Management And General	$5,294,911	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$27,829,350	TotalAmt
Program Services	$23,776,187	ProgramServicesAmt
Management And General	$4,053,163	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,119,728	TotalAmt
Management And General	$1,119,728	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$562,971	TotalAmt
Management And General	$562,971	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$12,528	TotalAmt
Management And General	$12,528	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$917,789	TotalAmt
Management And General	$917,789	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$4,496,742	TotalAmt
Program Services	$710,631	ProgramServicesAmt
Management And General	$3,786,111	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$14,037,277	TotalAmt
Program Services	$13,436,402	ProgramServicesAmt
Management And General	$600,875	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$4,265,830	TotalAmt
Program Services	$2,353,390	ProgramServicesAmt
Management And General	$1,912,440	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$12,023,501	TotalAmt
Program Services	$9,171,054	ProgramServicesAmt
Management And General	$2,852,447	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$48,046,312	TotalAmt
Program Services	$36,811,271	ProgramServicesAmt
Management And General	$11,235,041	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$32,993,245	TotalAmt
Program Services	$32,993,245	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
SUPPLIES	$158,203,446	$157,336,632	$866,814
PURCHASED SERVICES	$31,390,477	$27,274,857	$4,115,620
RENT & REPAIRS	$26,620,871	$14,776,388	$11,844,483
BAD DEBT	$14,830,455	$14,830,455

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$19,726,918	TotalAmt
Program Services	$640,112	ProgramServicesAmt
Management And General	$19,086,806	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$829,822,197	TotalAmt
Program Services	$703,832,928	ProgramServicesAmt
Management And General	$125,989,269	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$59,693,534	BOYAmt
EOY	$36,938,434	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$356,254,431	BOYAmt
EOY	$447,549,064	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$116,567,997	BOYAmt
EOY	$80,190,707	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$17,829,957	BOYAmt
EOY	$18,400,031	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$27,115,488	BOYAmt
EOY	$24,017,435	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,071,633,385	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$611,334,227	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$425,859,275	BOYAmt
EOY	$460,299,158	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$56,015,589	BOYAmt
EOY	$33,899,254	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$76,174,115	BOYAmt
EOY	$102,840,229	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,135,510,386	BOYAmt
EOY	$1,204,134,312	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$94,925,160	BOYAmt
EOY	$107,722,241	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$306,065,000	BOYAmt
EOY	$300,900,000	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$11,003,576	BOYAmt
EOY	$13,752,308	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$184,469,654	BOYAmt
EOY	$315,611,864	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$596,463,390	BOYAmt
EOY	$737,986,413	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$539,046,996	BOYAmt
EOY	$466,147,899	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$539,046,996	BOYAmt
EOY	$466,147,899	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,135,510,386	BOYAmt
EOY	$1,204,134,312	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$67,991,268	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$972,939	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$139,917,426	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	Yes (true)	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	$12,528	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$12,528	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	EMPLOYED GCSI TO REPRESENT THE ISSUES OF SPARROW HEALTH SYSTEM BEFORE PUBLIC OFFICIALS AND POLICY MAKERS IN THE STATE OF MICHIGAN.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,926,676	BeginningYearBalanceAmt
Contributions	$82,387	ContributionsAmt
Investment Earnings Or Losses	$187,643	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$12,000	GrantsOrScholarshipsAmt
End Year Balance	$3,184,706	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,641,860	BeginningYearBalanceAmt
Contributions	$147,795	ContributionsAmt
Investment Earnings Or Losses	$149,021	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$12,000	GrantsOrScholarshipsAmt
End Year Balance	$2,926,676	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,779,759	BeginningYearBalanceAmt
Contributions	$796,243	ContributionsAmt
Investment Earnings Or Losses	$97,691	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$30,000	GrantsOrScholarshipsAmt
Administrative Expenses	$1,833	AdministrativeExpensesAmt
End Year Balance	$2,641,860	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,550,687	BeginningYearBalanceAmt
Contributions	$163,793	ContributionsAmt
Investment Earnings Or Losses	$65,279	InvestmentEarningsOrLossesAmt
End Year Balance	$1,779,759	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	$11,845,380	OtherCostOrOtherBasisAmt
Book Value	$11,845,380	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$513,434,108	OtherCostOrOtherBasisAmt
Depreciation	$230,964,727	DepreciationAmt
Book Value	$282,469,381	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,127,327	OtherCostOrOtherBasisAmt
Book Value	$5,127,327	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$486,626,528	OtherCostOrOtherBasisAmt
Depreciation	$380,369,500	DepreciationAmt
Book Value	$106,257,028	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$54,600,042	OtherCostOrOtherBasisAmt
Book Value	$54,600,042	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$460,299,158	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
DEFERRED PENSION	$48,952,779
INSURANCE - EXCESS LAYER	$27,714,958
OTHER ASSETS	$15,841,619
INVESTMENTS IN JOINT VENTURES	$6,317,996
DEFERRED FINANCING COSTS	$4,012,877

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$102,840,229	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
UNFUNDED PENSION OBLIGATION	$248,900,779
INSURANCE - EXCESS LAYER	$36,349,858
MEDICAL MALPRACTICE CLAIMS RESERVE	$9,319,539
PREMIUM ON 2012 BONDS	$8,015,310
ASBESTOS ABATEMENT	$3,960,111
POST RETIREMENT BENEFITS PAYABLE	$3,458,724
PREMIUM ON 2007 BONDS	$3,282,309
PREMIUM ON 2005 BONDS	$2,325,234

Field	Value	IRS element (for citing)
Total Liability	$315,611,864	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	$20,463,239	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$20,463,239	NetCommunityBenefitExpnsAmt
Total Expense	0.02470	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$144,993,542	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$130,428,051	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,565,491	NetCommunityBenefitExpnsAmt
Total Expense	0.01760	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$165,456,781	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$130,428,051	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$35,028,730	NetCommunityBenefitExpnsAmt
Total Expense	0.04220	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,695,457	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$17,695,457	NetCommunityBenefitExpnsAmt
Total Expense	0.02130	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,473,142	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,934,438	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,538,704	NetCommunityBenefitExpnsAmt
Total Expense	0.00310	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$23,168,599	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,934,438	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$20,234,161	NetCommunityBenefitExpnsAmt
Total Expense	0.02440	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$188,625,380	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$133,362,489	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$55,262,891	NetCommunityBenefitExpnsAmt
Total Expense	0.06660	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	19	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$124,550	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$124,550	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$1,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,000	NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	11	ActivitiesOrProgramsCnt
Persons Served	25	PersonsServedCnt
Total Community Benefit Expns	$2,075	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,075	NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	60	PersonsServedCnt
Total Community Benefit Expns	$155	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$155	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	32	ActivitiesOrProgramsCnt
Persons Served	85	PersonsServedCnt
Total Community Benefit Expns	$127,780	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$127,780	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$4,091,693	BadDebtExpenseAmt
Reimbursed By Medicare	$259,563,917	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$262,161,965	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$2,598,048	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	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Emergency Room OtherEmergencyRoomOtherInd	OtherOtherDesc	Facility Reporting GroupFacilityReportingGroupCd
EWSH - MAIN CAMPUS
1	1215 E MICHIGAN AVE	LANSING	MI	48912	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	URGENT CARE	A
EWSH - ST LAWRENCE CAMPUS
2	1210 W SAGINAW	LANSING	MI	48915	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)
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
Information Gaps	Yes (X)	InformationGapsInd
Other	Yes (X)	OtherInd
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	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	13	ImplementationStrategyAdptYr
Strategy Posted Website	false	StrategyPostedWebsiteInd
Strategy Attached	Yes (true)	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	200.000000000000	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	Yes (true)	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
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 5	AS A SUPPLEMENT TO THE HEALTHY CAPITAL COUNTIES (HCC) COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), INTERVIEWEES AND FOCUS GROUP PARTICIPANTS WERE SOLICITED FROM A WIDE VARIETY OF COMMUNITY RESIDENTS WITHIN THE PRINCIPAL AREAS SERVED BY SPARROW HEALTH SYSTEM HOSPITALS. AMONG THOSE SOLICITED WERE COMMUNITY LEADERS AND HEALTH CARE LEADERS; STATE AND LOCAL ELECTED OFFICIALS; PHYSICIANS AND OTHER HEALTH CARE PROVIDERS OR WORKERS; LEADERS AND MEMBERS OF RACIAL, ETHNIC, AND RELIGIOUS MINORITIES; EDUCATORS; STUDENTS; RETIREES; SOCIAL SERVICE PROVIDERS; AND OTHERS. MINORITY GROUPS WITH WHOM THESE ISSUES WERE DISCUSSED INCLUDED AFRICAN AMERICANS, MEMBERS OF THE MUSLIM COMMUNITY FROM SEVERAL DIFFERENT ETHNIC BACKGROUNDS, INTERNATIONAL STUDENTS, AND MEMBERS OF THE EAST INDIAN COMMUNITY. HEALTH CARE ISSUES WITHIN THE HISPANIC COMMUNITY WERE ADDRESSED BY A PHYSICIAN THAT SERVES THE HISPANIC COMMUNITY. INTERNATIONAL STUDENTS WERE FROM CHINA AND THE MIDDLE EAST.
GROUP A, FACILITY 1, EWSH - MAIN CAMPUS - PART V, LINE 6A	SPARROW HOSPITAL, CONSISTING OF FOUR 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 - MCLAREN GREATER LANSING - HAYES GREEN BEACH MEMORIAL HOSPITAL - EATON RAPIDS MEDICAL CENTER
GROUP A, FACILITY 1, EWSH - MAIN CAMPUS - PART V, LINE 11	EDWARD W SPARROW HOSPITAL HAS DEVELOPED AN IMPLEMENTATION STRATEGY FOR THE TOP THREE PRIORITY NEEDS THAT WERE IDENTIFIED IN ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENTS. THE TOP NEEDS IDENTIFIED WERE CHILDREN'S HEALTH, HEALTHY LIFESTYLES, AND ACCESS TO QUALITY 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. PLEASE FIND ENCLOSED A COPY OF THE IMPLEMENTATION STRATEGY. OTHER NEEDS IDENTIFIED IN THE CHNA BUT NOT ADDRESSED IN THIS STRATEGY INCLUDED OBESITY, SAFETY AND SOCIAL CONNECTION, AND CONNECTION TO RESOURCES. EACH OF THESE HEALTH NEEDS ARE IMPORTANT BUT THEY WERE NOT INCLUDED IN THE ATTACHED IMPLEMENTATION STRATEGY DUE TO LIMITED RESOURCES AND THE NEED TO ALLOCATE SIGNIFICANT RESOURCES TO EDWARD W SPARROW HOSPITAL'S TOP THREE PRIORITY HEALTH NEEDS.
GROUP A, FACILITY 1, EWSH - MAIN CAMPUS - PART V, LINE 22D	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 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 22D	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	44	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (44 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 SPARROW REG LAB
2035 ASHER CT STE 200	EAST LANSING	MI	48823	LABORATORY
EWSH SMG NORTH
2035 ASHER CT STE 200	EAST LANSING	MI	48823	FAMILY PRACTICE PHYSICAL THERAPY RADIOLO
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 RAMBLEWOOD IMG CENTER
1575 RAMBLEWOOD DR	EAST LANSING	MI	48823	RADIOLOGY
EWSH SPARROW REGIONAL LAB
2199 JOLLY ROAD STE 120	OKEMOS	MI	48864	LABORATORY
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 SPARROW REGIONAL LAB
6030 S PENNSYLVANIA	LANSING	MI	48913	LABORATORY
EWSH
11653 HARTEL STE 1000	GRAND LEDGE	MI	48837	PHYSICAL THERAPY
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 & PHARMACY
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
TCI HEART CLINICPRIMARY CARE
839 S PUTNAM	WILLIAMSTON	MI	48895	HEART CLINIC & PRIMARY CARE
EWSH SPARROW REGIONAL LAB
5303 S CEDAR	LANSING	MI	48910	LABORATORY
TCI HEART CLINIC LANSING
405 W GREENLAWN	LANSING	MI	48910	HEART CLINIC
EWSH SMG VOA
430 N LARCH	LANSING	MI	48906	VOLUNTEER VOA CLINIC
EWSH SMG EASTSIDE
1651 W LAKE LANSING ROAD	EAST LANSING	MI	48823	FAMILY PRACTICE
EWSH SMG NEPHROLOGY
1703 E MICHIGAN AVENUE	LANSING	MI	48912	NEPHROLOGY
EWSH SMG NEPHROLOGY
2601 COOLIDGE ROAD SUITE B	EAST LANSING	MI	48823	NEPHROLOGY
EWSH SMG NEPHROLOGY
1540 LAKE LANSING RD SUITE 205	LANSING	MI	48912	NEPHROLOGY
EWSH SMG OBGYN
1540 LAKE LANSING RD SUITE 204	LANSING	MI	48912	OB/GYN
EWSH SMG NEPHROLOGY
123 LANSING RD	CHARLOTTE	MI	48813	NEPHROLOGY
EWSH CAP LAB
2508 S CEDAR ST	LANSING	MI	48910	LABORATORY

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 114 YEARS, SPARROW HAS BEEN DISTINGUISHED BY ITS PASSIONATE COMMITMENT TO CARE FOR ALL, REGARDLESS OF THEIR ABILITY TO PAY. FINANCIAL ASSISTANCE IS AVAILABLE TO PATIENTS WHO MEET CERTAIN QUALIFICATIONS. SPARROW ALSO PROVIDES "SUBSIDIZED HEALTH SERVICES." THESE ARE SERVICES THAT ARE OFFERED DESPITE FINANCIAL LOSS BECAUSE THE COMMUNITY NEEDS THEM, BECAUSE OTHER PROVIDERS ARE NOT WILLING TO OFFER THEM, OR BECAUSE THE SERVICES WOULD OTHERWISE NOT BE ABLE TO MEET PATIENT DEMAND. THESE SERVICES INCLUDE HOSPICE AND PALLIATIVE CARE; MENTAL HEALTH SERVICES; SUBSTANCE ABUSE SERVICES; NEONATAL INTENSIVE CARE; OBSTETRICS; REHABILITATION; EMERGENCY AND TRAUMA SERVICES; GERIATRICS CLINICS; AND PEDIATRIC CLINICS.
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.
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 PAGE 13 OF 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 7,197,399 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, INGHAM REGIONAL MEDICAL CENTER, LANSING COMMUNITY COLLEGE, THE MICHIGAN STATE AND INGHAM COUNTY MEDICAL SOCIETIES, THE INGHAM COUNTY HEALTH DEPARTMENT, THE LANSING SCHOOL DISTRICT, THE ACCIDENT FUND, THE CAPITAL AREA HEALTH ALLIANCE AND OTHER ORGANIZATIONS RECENTLY ADOPTED A NEW GOAL OF DEVELOPING THE HEALTH PLAN CHAPTER FOR THE GREATER LANSING NEXT INITIATIVE. ASSESSING THE REGION'S HEALTH CARE NEEDS IS A KEY COMPONENT OF THIS STRATEGIC PLAN WHICH IS FOCUSED ON ECONOMIC DEVELOPMENT FOR THE REGION.
PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	SPARROW HOSPITAL EMPLOYS SEVERAL METHODS TO COMMUNICATE ELIGIBILITY FOR ASSISTANCE TO PATIENTS. ALL UNINSURED IN-PATIENTS ARE DIRECTLY SCREENED FOR POTENTIAL MEDICAID ELIGIBILITY AND ANY OTHER GOVERNMENT PROGRAMS (COBRA BENEFITS, ETC). SIGNAGE IS POSTED IN OUR PATIENT REGISTRATION AREAS REGARDING AVAILABILITY OF SPARROW COMMUNITY FINANCIAL AID (CFA) PROGRAM (CHARITY CARE). ALL PATIENT BILLING STATEMENTS HAVE A NOTE REGARDING THE CFA PROGRAM AND OUR WEBSITE CONTAINS LINKS TO OUR CFA POLICY AND APPLICATION.
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 AND FINANCING 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 DEVELOPMENT, INC., SPARROW COMMUNITY CARE, 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	$27,468	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 ORGANIZATIONS MISSION. THE CHARITABLE CONTRIBUTION ARE USED FOR CHARITABLE PURPOSES.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
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	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	Yes (true)	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	Yes (true)	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	Yes (true)	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	Yes (true)	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (31 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	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount
DENNIS SWAN
PRES/CEO	$818,019	$35,429	$19,240	$14,190	$886,878
GREG BROGAN
BOARD MBR SEE SCH O	$1,350				$1,350	$521,575	$521,575
JAMES OLSON MD
BOARD MEMBER	$236,655	$2,093	$19,240	$15,138	$339,200			$66,074
JOE RUTH
VP/COO	$515,501	$21,408	$19,240	$16,366	$572,515
THOMAS BRES
VP/CIO	$487,417	$2,903	$15,450	$16,323	$542,093			$20,000
PAULA REICHLE
VP/CFO	$472,045	$21,878	$23,250	$16,323	$533,496
MARK BRETT
SR VP/AFFILIATE OPER	$416,594	$21,022	$23,250	$16,279	$477,145
BRIAN SCHROEDER
SVP/CHIEF MED OFC	$393,025	$22,249	$23,250	$17,078	$455,602
MARY LOU WESELY
VP/CNO	$324,832	$19,004	$7,800	$13,771	$400,407			$35,000
THOMAS OSTRANDER
VP PROFESSIONAL SRVC	$315,259	$20,398	$23,250	$16,290	$375,197
MICHAEL ZAROUKIAN
VP/CHIEF MED INF OFC	$304,413	$23,264	$23,250	$5,934	$356,861
DAVE KRUGER
VP - TCI	$278,805	$18,940	$23,250	$16,930	$337,925
PETER GRAHAM MD
VP - SMG	$286,648	$2,037	$19,240	$16,802	$330,038			$5,311
DENNIS REESE
PHP PRESIDENT & CEO	$232,958	$1,344	$22,349	$14,213	$325,864			$55,000
PAUL STURGIS
VP/CHIEF HR OFC	$263,907	$1,770	$15,600	$15,447	$317,974			$21,250
STELLA CASH
VICE PRES - FDN	$249,212	$22,436	$23,116	$1,204	$295,968
LARRY WILHITE
VP - LEGAL	$233,697	$19,194	$18,714	$1,487	$273,092
SHERRY TAUNT
VP QUALITY/PERF IMPR	$218,425	$17,826	$19,041	$7,686	$262,978
RICHARD FELLOWS
VP - CORP COMPLIANCE	$191,698	$20,213	$15,681	$15,092	$242,684
ANDREA KOSLOSKI
EXECUTIVE DIRECTOR	$205,225	$1,952	$18,192	$16,784	$242,153
ARA PRIDJIAN MD
PHYSICIAN	$595,676	$22,054	$19,240	$17,149	$883,402			$229,283
ALONSO COLLAR DO
PHYSICIAN	$600,660	$7,535	$15,450	$21,908	$841,913			$196,360
NORBERT BAUMGARTNER MD
PHYSICIAN	$603,906	$2,626	$23,250	$21,908	$834,172			$182,482
JOEL COHN MD
PHYSICIAN	$618,661	$20,126	$23,250	$17,389	$712,598			$33,172
MATTHEW WILCOX
PHYSICIAN	$619,820	$18,340	$23,250	$16,382	$710,250			$32,458
STEPHEN GUERTIN MD
FORMER BOARD MEMBER	$347,800	$9,318	$19,240	$14,687	$403,507			$12,462
SCOTT WILKERSON
FORMER PHP PRESIDENT	$363,982	$113	$19,240		$383,335
LARRY RAWSTHORNE MD
FORMER OFFICER	$255,348	$12,717	$19,240	$15,388	$302,693
DAWN SPRINGER MD
FORMER BOARD MEMBER	$160,553	$3,245	$14,956	$725	$217,787			$38,308
CAROL DWYER
FORMER OFFICER	$39,923		$7,637		$47,560
JOHN ARMSTRONG MD
FORMER BOARD MEMBER	$15,000				$15,000

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PAGE 1, PART I, LINE 1A	PRESIDENT/CEO DENNIS SWAN RECEIVED A LIFE INSURANCE GROSS-UP PAYMENT OF 24,031. CERTAIN BOARD MEMBERS' AND EXECUTIVES' MICHIGAN ATHLETIC CLUB DUES ARE PAID BY EDWARD W. SPARROW HOSPITAL. THESE AMOUNTS ARE CONSIDERED TAXABLE COMPENSATION.
SCHEDULE J, PAGE 1, PART I, LINE 4	SCOTT WILKERSON 364,095 0 0
SCHEDULE J, PAGE 1, PART I, LINE 5A	THE 2014 INCENTIVE COMPENSATION PLAN PAYMENTS WERE ACCRUED IN 2014 AND WILL BE PAID IN 2015. THE INCENTIVE COMPENSATION PLAN IS BASED, IN PART, ON THE OPERATING MARGIN OF SPARROW HEALTH SYSTEM, WHICH INCLUDES EDWARD W SPARROW HOSPITAL, AS WELL AS AFFILIATED COMPANIES.
SCHEDULE J, PAGE 1, PART I, LINE 5B	THE 2014 INCENTIVE COMPENSATION PLAN PAYMENTS WERE ACCRUED IN 2014 AND WILL BE PAID IN 2015. THE INCENTIVE COMPENSATION PLAN IS BASED, IN PART, ON THE OPERATING MARGIN OF SPARROW HEALTH SYSTEM, WHICH INCLUDES EDWARD W SPARROW HOSPITAL, AS WELL AS AFFILIATED COMPANIES.
SCHEDULE J, PAGE 1, PART I, LINE 6A	THE 2014 INCENTIVE COMPENSATION PLAN PAYMENTS WERE ACCRUED IN 2014 AND WILL BE PAID IN 2015. THE INCENTIVE COMPENSATION PLAN IS BASED, IN PART, ON THE OPERATING MARGIN OF SPARROW HEALTH SYSTEM, WHICH INCLUDES EDWARD W SPARROW HOSPITAL, AS WELL AS AFFILIATED COMPANIES.
SCHEDULE J, PAGE 1, PART I, LINE 6B	THE 2014 INCENTIVE COMPENSATION PLAN PAYMENTS WERE ACCRUED IN 2014 AND WILL BE PAID IN 2015. THE INCENTIVE COMPENSATION PLAN IS BASED, IN PART, ON THE OPERATING MARGIN OF SPARROW HEALTH SYSTEM, WHICH INCLUDES EDWARD W SPARROW HOSPITAL, AS WELL AS AFFILIATED COMPANIES.
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	LARRY RAWSTHORNE AND CAROL DWYER ARE FORMER OFFICERS AND STEPHEN GUERTIN, DAWN SPRINGER, AND JOHN ARMSTRONG ARE FORMER BOARD MEMBERS OF EDWARD W. SPARROW HOSPITAL. THESE FORMER OFFICERS AND BOARD MEMBERS ARE BEING COMPENSATED BY SPARROW HEALTH SYSTEM AND AFFILIATES FOR SERVICES PROVIDED TO SPARROW HEALTH SYSTEM AND AFFILIATES IN POSITIONS OTHER THAN OFFICERS OR BOARD MEMBERS. THE FORMER OFFICERS AND BOARD MEMBERS ARE NOT BEING COMPENSATED FOR ANY PAST SERVICES PROVIDED TO EDWARD W. SPARROW HOSPITAL AS FORMER OFFICERS OR BOARD MEMBERS. SCHEDULE J, PART II, COLUMN (B)(I) - PAYMENTS TO GREG BROGAN FOR BROKER'S SALES COMMISSIONS FOR PHP INSURANCE COMPANY (521,575).

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 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	59465HAC0	2005-04-26	$92,941,319	SEE PART VI, SUPPLEMENTAL INFORMATION	false	false	false
MICHIGAN STATE HOSPITAL FINANCE
B	382889417	59465HEQ5	2007-04-19	$140,209,630	SEE PART VI, SUPPLEMENTAL INFORMATION	false	false	false
MICHIGAN STATE HOSPITAL FINANCE
C	382889417	59447PQF1	2012-08-21	$106,840,434	9TH & 10TH FLOOR BUILDOUT, NEW FAMILY PRACTICE AND SURGERY REMODEL	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	UnspentUnspentAmt
A	$9,845,000	$94,842,732	$40,072,062	$938,005	$1,931,252	$51,901,413	2006	false	Yes (true)	Yes (true)	Yes (true)
B	$10,530,000	$142,636,235	$41,432,241	$1,203,994		$100,000,000	2008	false	Yes (true)	Yes (true)	Yes (true)
C		$106,923,084		$1,247,782		$71,776,048	2014	false	false	false	Yes (true)	$33,899,254

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 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)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 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	Business Name Line2GICProviderName/BusinessNameLine2Txt	Term Of GICTermOfGICPct	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
MORGANSTANLEY &
A	false	false	Yes (true)	false	false	false	Yes (true)	CO INCORPORATED	2.700000000000	Yes (true)	false	Yes (true)
HYPO PUBLIC FIN
B	false	false	Yes (true)	false	false	false	Yes (true)	BANK	2.700000000000	Yes (true)	false	Yes (true)
(no name)
C	false	Yes (true)	false	false	false	false	false				false	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE K - DIFFERENCES IN ISSUE PRICE EXPLANATION

MICHIGAN STATE HOSPITAL FINANCE THE ISSUE PRICE FOR THE MICHIGAN STATE HOSPITAL FINANCE AUTHORITY CUSIP 59465HAC0 REPORTED ON FORM 8038 WAS 144,357,839. THIS TAX-EXEMPT BOND IS BEING ALLOCATED BETWEEN EDWARD W. SPARROW HOSPITAL AND SPARROW CLINTON HOSPITAL. THE AMOUNT OF THE ISSUE PRICE REPORTED ON EDWARD W. SPARROW HOSPITAL IS 140,209,630 AND THE AMOUNT REPORTED ON SPARROW CLINTON HOSPITAL IS 4,149,209. SPARROW HEALTH SYSTEM IS THE SOLE MEMBER OF BOTH EDWARD W. SPARROW HOSPITAL AND SPARROW CLINTON HOSPITAL.

SCHEDULE K - ADDITIONAL INFORMATION

MICHIGAN STATE HOSPITAL FINANCE LINE A, COLUMN F, PART I: REFUNDED 1996 BONDS (1996 BONDS ISSUED 8/28/96); BEGAN 10-STORY TOWER ADDITION TO THE MAIN CAMPUS LINE B, COLUMN F, PART I: REFUNDED 2001 BONDS (2001 BONDS ISSUED 10/10/01); COMPLETED 10-STORY TOWER ADDITION TO THE MAIN CAMPUS

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
KAITLYN MATTHEWS
FAMILY MEMBER	$16,477	EMPLOYEE	false
TAMARA HODGE
FAMILY MEMBER	$102,878	EMPLOYEE	false
SHANNON KOPKE
FAMILY MEMBER	$6,786	EMPLOYEE	false

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	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 NEARLY 35,000 INPATIENTS, HAD APPROXIMATELY 1 MILLION OUTPATIENT ENCOUNTERS, AND PROVIDED SERVICES TO MORE THAN 124,200 EMERGENCY MEDICINE PATIENTS IN 2014. TODAY'S SPARROW HEALTH SYSTEM BLENDS THE KNOWLEDGE AND EXPERTISE OF OVER 900 PHYSICIANS, 7,500 CAREGIVERS AND APPROXIMATELY 2,275 VOLUNTEERS WITH THE MOST ADVANCED TECHNOLOGY, SERVING AS A COMPREHENSIVE HEALTH SYSTEM FOR AN EIGHT-COUNTY POPULATION. 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 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 ALSO HOLDS AFFILIATIONS WITH SPARROW CLINTON HOSPITAL, SPARROW IONIA HOSPITAL, CARSON HEALTH, AND HAYES GREEN BEACH MEMORIAL HOSPITAL EXTENDING OUR REACH THROUGHOUT THE REGION. IN 2014, SPARROW OPENED THE LANSING NEUROSURGERY LEARNING CENTER, AN EDUCATIONAL HUB FOR PHYSICIANS, RESIDENTS, PATIENTS AND THE COMMUNITY AND SPARROW GRAND LEDGE, A NEW MULTI-SERVICE FACILITY FEATURING AN URGENT CARE, OUTPATIENT PHYSICAL REHABILITATION, LABORATORY, PHARMACY AND MEDICAL SUPPLY. SPARROW AND VOLUNTEERS OF AMERICA MICHIGAN OPENED SPARROW MEDICAL GROUP VOA, A NEW JOINT MEDICAL CLINIC TO SERVE HOMELESS PATIENTS AND OTHERS. HOUSED WITHIN THE VOA SHELTER, IT IS ONLY THE SECOND OF ITS KIND IN THE NATION AND THE FIRST IN MICHIGAN. ALSO IN 2014, SPARROW HOSPITAL AND MARY FREE BED REHABILITATION HOSPITAL CAME TOGETHER TO CREATE MARY FREE BED AT SPARROW, A JOINT VENTURE PROVIDING ADVANCED INPATIENT REHABILITATION CARE FOR PATIENTS IN THE MID-MICHIGAN REGION IN SUPPORT OF OUR GOAL TO TRANSFORM HOW CARE IS PROVIDED. BY PROACTIVELY LOCATING SERVICES IN OUR SURROUNDING COMMUNITIES, WE ENSURE THAT RESIDENTS AND THEIR FAMILIES HAVE ACCESS TO THE CARE NECESSARY TO SAFEGUARD THEIR HEALTH. SPARROW ALSO OPENED A NEW EMERGENCY SERVICES FACILITY AT SPARROW CLINTON HOSPITAL. SCH EMERGENCY SERVICES SERVES MORE THAN 14,000 PATIENTS EACH YEAR, AND THAT NUMBER IS GROWING. AT 9,935 SQUARE FEET, THE NEW FACILITY IS THREE TIMES THE SIZE OF THE OLD EMERGENCY DEPARTMENT. SPARROW COMMUNITY CARE - A NON-PROFIT ENTITY COMPRISING OF 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. IN 2014 SPARROW PURCHASED CAP- LAB, A LANSING-BASED LABORATORY TO IMPROVE TURN-AROUND TIMES AND BENEFIT PATIENT CARE. SPARROW ALSO JOINED FORCES WITH HAYES GREEN BEACH MEMORIAL HOSPITAL'S HOME CARE SERVICES TO FOSTER CLOSER COOPERATION AND ACHIEVE GREATER CLINICAL INTEGRATION FOR THE BENEFIT OF THE PEOPLE IN THE REGION WE SERVE TOGETHER. THIS INCLUDED THE ADDITION OF PEDIATRIC HOME CARE NURSING AND HOME HOSPICE. 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. SUPPORTING OUR COMMUNITY AND NEIGHBORHOODS SPARROW IS THE UNQUESTIONED LEADER IN MID-MICHIGAN IN PROVIDING HEALTHCARE SERVICES AND PROMOTING HEALTH-RELATED ACTIVITIES. SPARROW PROVIDES FIRST- AID SERVICES AT MANY SPECIAL EVENTS INCLUDING MICHIGAN STATE UNIVERSITY FOOTBALL GAMES, LANSING LUGNUTS BASEBALL GAMES AND THE CITY OF LANSING'S ANNUAL COMMON GROUND MUSIC FESTIVAL. SPARROW ALSO SPONSORS DOZENS OF HEALTH-RELATED ACTIVITIES, INCLUDING THE ANNUAL HIKE FOR HOSPICE, THE FEELIN' GOOD MILEAGE CLUB FOR ELEMENTARY SCHOOLS, FITKIDS AND THE SPARROW MICHIGAN MILE. SPARROW ALSO HAS A PARTNERSHIP WITH THE UNIVERSITY OF MICHIGAN HEALTH SYSTEM'S SURVIVAL FLIGHT AIR MEDICAL TRANSPORT SERVICE. SURVIVAL FLIGHT PROVIDES 24-HOUR AIR MEDICAL TRANSPORT SERVICES FOR IMPROVED ACCESS TO PATIENTS WHO NEED CRITICAL CARE. AS A TEACHING HOSPITAL, SPARROW HAS CONTINUED TO STRENGTHEN ITS AFFILIATION WITH MICHIGAN STATE UNIVERSITY THROUGH A JOINT INITIATIVE, THE SPARROW/MSU CENTER FOR INNOVATION, BY SUPPORTING FELLOWSHIPS AND RECRUITING ESTABLISHED RESEARCHERS TO DEVELOP, TEST, IMPLEMENT AND EVALUATE INNOVATIVE APPROACHES IN HEALTH CARE. SPARROW HAS MANY OTHER LONGSTANDING ARRANGEMENTS WITH MSU'S COLLEGES OF HUMAN MEDICINE, OSTEOPATHIC MEDICINE AND NURSING. SPARROW WORKS WITH MSU TO FACILITATE THE RECRUITMENT, TRAINING AND RETENTION OF CURRENT AND FUTURE GENERATIONS OF PHYSICIANS AND NURSES THROUGH FUTURE DOCS, MINI-MEDICAL SCHOOL, AND OTHER SUMMER ENRICHMENT PROGRAMS FOR AREA YOUTH. SPARROW IS THE CLINICAL CENTER FOR A MULTITUDE OF HEALTH EDUCATION PROGRAMS, INCLUDING GRADUATE MEDICAL RESIDENCY AND NURSING INTERNSHIPS. SPARROW ALSO SPONSORS DOZENS OF HEALTH SCREENING PROGRAMS WHICH ARE FREE TO THE PUBLIC. DIABETES TESTING, PROSTATE SCREENING, BREAST EXAMS AND BLOOD PRESSURE CHECKS ARE BUT A FEW OF THE MANY SUCH PROGRAMS SPARROW PROVIDES FREE TO THE COMMUNITY EACH YEAR. SPARROW ALSO PROVIDES MEETING FACILITIES FOR MANY COMMUNITY HEALTH EDUCATION AND SUPPORT GROUPS. AS INDIVIDUAL VOLUNTEERS, AND AS AN ORGANIZATION, SPARROW HEALTH SYSTEM SUPPORTED MORE THAN 200 COMMUNITY ORGANIZATIONS WITH SPONSORSHIPS, IN-KIND SERVICES, AND/OR VOLUNTEER SERVICE. AS MID MICHIGAN'S LEADING HEALTH CARE SYSTEM, SPARROW HAS A RESPONSIBILITY TO DELIVER QUALITY, COMPASSIONATE CARE TO ALL PEOPLE. AS THE LEADING REGIONAL PROVIDER OF UNCOMPENSATED AND CHARITY CARE IN 2014, SPARROW PROVIDED APPROXIMATELY 44,789,000 IN CHARITY, BAD DEBT AND COMMUNITY BENEFITS AND ABSORBED THE COST OF MORE THAN 17,164,000 IN MEDICARE AND MEDICAID UNDER-FUNDING. A BRIEF FINANCIAL SUMMARY OF THE ABOVE ACCOMPLISHMENTS IS BELOW: CHARITY AND BAD DEBTS 24,555,000 COMMUNITY BENEFITS (SUBSIDIZED PROGRAMS AND COMMUNITY OUTREACH) 20,234,000 MEDICARE AND MEDICAID UNDER-FUNDING 17,164,000
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 2014 FORM 990 ARE REVIEWED BY MANAGEMENT. ONCE MANAGEMENT COMPLETED ITS REVIEW OF FORM 990 COPIES WERE PROVIDED AT THE SEPTEMBER 2015 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 AVAILABLE ON SEVERAL INTERNET WEBSITES, INCLUDING NMSIR AND MSHFA 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 (521,575).
FORM 990, PART XI, LINE 9	TRANSFERS FROM AFFILIATES 272,289 CHANGE IN UNFUNDED PENSION OBLIG 138,976,298 CHANGE IN UNFUNDED POSTRETIREMENT 463,417 TRANSFER TO SPARROW HEALTH SYSTEM 750,000

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 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 EAST MICHIGAN AVENUE	LANSING	MI	48912	382542859	PARENT	MI	501C3	11A	NA	false
SPARROW COMMUNITY CARE
2909 EAST GRAND RIVER	LANSING	MI	48912	382543305	HOME HLTH	MI	501C3	9	SHS	Yes (true)
PHYSICIANS HEALTH PLAN
1400 EAST MICHIGAN AVENUE	LANSING	MI	48912	382356288	INSURANCE	MI	501C4		SHS	Yes (true)
SPARROW PHP
1400 EAST MICHIGAN AVENUE	LANSING	MI	48912	364497604	HMO	MI	501C4		PHP	Yes (true)
PHYSICIANS HEALTH NETWORK
1400 EAST MICHIGAN AVENUE	LANSING	MI	48912	382594856	HMO	MI	501C4		SHS	Yes (true)
SPARROW FOUNDATION
1215 EAST MICHIGAN AVENUE	LANSING	MI	48912	386100687	FUNDRAISE	MI	501C3	11B	SHS	Yes (true)
SPARROW CLINTON HOSPITAL
805 SOUTH 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	11D		false	N/A

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	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
SPARROW DEVELOPMENT INC
1215 E MICHIGAN AVE	LANSING	MI	48912	382595963	RENTAL PRO	MI	N/A	Yes (true)
MEDICAL CENTER WEST CONDO ASSOC
1100 WEST SAGINAW ST	LANSING	MI	48915	382635630	CONDO ASSO	MI		Yes (true)	EWSH	C CORP	-$1,884	$68,611	0.94605
PHP INSURANCE COMPANY
1400 EAST MICHIGAN AVE	LANSING	MI	48912	205565219	INSURANCE	MI	N/A	Yes (true)
PHP SERVICE COMPANY
1400 EAST 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)

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	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (13 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
SPARROW SPECIALTY HOSPITAL
A	$273,516	COST
SPARROW FOUNDATION
C	$1,243,637	COST
SPARROW CLINTON HOSPITAL
J	$240,000	COST
SPARROW DEVELOPMENT INC
K	$359,809	COST
SPARROW SPECIALTY HOSPITAL
L	$972,828	COST
SPARROW IONIA HOSPITAL
L	$746,136	COST
PHYSICIANS HEALTH PLAN
M	$1,974,086	COST
SPARROW DEVELOPMENT INC
O	$164,022	COST
SPARROW CLINTON HOSPITAL
O	$965,928	COST
SPARROW DEVELOPMENT INC
P	$23,192	COST
PHYSICIANS HEALTH PLAN
P	$2,565,385	COST
SPARROW SPECIALTY HOSPITAL
Q	$1,433,534	COST
SPARROW COMMUNITY CARE
A	$310,626	COST