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      <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>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>33430</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GREG BROGAN</PersonNm>
        <TitleTxt>BOARD MBR S</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>1350</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>521575</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES OLSON MD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>304822</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>34378</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MAUDE GUERIN MD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>56621</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TIMOTHY HODGE DO</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>1500</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID KAUFMAN DO</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>1350</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVE HUNT</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>1350</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JEFF BENSON</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>1350</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NANCY MCKEAGUE</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>1350</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RICHARD BRUNER</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CURTIS KECK</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BARBARA GIVEN PHD</PersonNm>
        <TitleTxt>CHAIRMAN</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MIKE KING</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ZOE SLAGLE</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MATT RUSH</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JEAN PAULL</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOE RUTH</PersonNm>
        <TitleTxt>VP/COO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>536909</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>35606</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>THOMAS BRES</PersonNm>
        <TitleTxt>VP/CIO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>510320</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31773</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PAULA REICHLE</PersonNm>
        <TitleTxt>VP/CFO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>493923</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>39573</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARK BRETT</PersonNm>
        <TitleTxt>SR VP/AFFILI</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>437616</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>39529</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRIAN SCHROEDER</PersonNm>
        <TitleTxt>SVP/CHIEF ME</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>415274</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>40328</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARY LOU WESELY</PersonNm>
        <TitleTxt>VP/CNO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>378836</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>21571</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>THOMAS OSTRANDER</PersonNm>
        <TitleTxt>VP PROFESSIO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>335657</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>39540</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL ZAROUKIAN</PersonNm>
        <TitleTxt>VP/CHIEF MED</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>327677</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>29184</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVE KRUGER</PersonNm>
        <TitleTxt>VP - TCI</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>297745</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>40180</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PETER GRAHAM MD</PersonNm>
        <TitleTxt>VP - SMG</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>293996</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>36042</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DENNIS REESE</PersonNm>
        <TitleTxt>PHP PRESIDEN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>289302</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>36562</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PAUL STURGIS</PersonNm>
        <TitleTxt>VP/CHIEF HR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>286927</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31047</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STELLA CASH</PersonNm>
        <TitleTxt>VICE PRES -</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>271648</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24320</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LARRY WILHITE</PersonNm>
        <TitleTxt>VP - LEGAL</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>252891</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>20201</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHERRY TAUNT</PersonNm>
        <TitleTxt>VP QUALITY/P</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>236251</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>26727</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RICHARD FELLOWS</PersonNm>
        <TitleTxt>VP - CORP CO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>211911</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>30773</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANDREA KOSLOSKI</PersonNm>
        <TitleTxt>EXECUTIVE DI</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>207177</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>34976</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TIM ELDER</PersonNm>
        <TitleTxt>VP - FACILIT</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>131923</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>17878</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LISA PASCOE</PersonNm>
        <TitleTxt>CORPORATE DI</TitleTxt>
        <AverageHoursPerWeekRt>20.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>88747</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>7855</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ELIZABETH HENRY</PersonNm>
        <TitleTxt>VP/CNO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>20226</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>2768</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ARA PRIDJIAN MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>847013</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>36389</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ALONSO COLLAR DO</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>804555</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>37358</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NORBERT BAUMGARTNER MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>789014</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>45158</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOEL COHN MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>671959</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>40639</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MATTHEW WILCOX</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromOrgAmt>670618</ReportableCompFromOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>STEPHEN GUERTIN MD</PersonNm>
        <TitleTxt>FORMER BOARD</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromOrgAmt>369580</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>33927</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SCOTT WILKERSON</PersonNm>
        <TitleTxt>FORMER PHP P</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>364095</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>19240</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LARRY RAWSTHORNE MD</PersonNm>
        <TitleTxt>FORMER OFFIC</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>268065</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>34628</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DAWN SPRINGER MD</PersonNm>
        <TitleTxt>FORMER BOARD</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>202106</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>15681</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CAROL DWYER</PersonNm>
        <TitleTxt>FORMER OFFIC</TitleTxt>
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        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>39923</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>7637</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN ARMSTRONG MD</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>15000</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>12290025</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>521575</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>964530</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>29</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>true</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>GRANGER CONSTRUCTION COMPANY</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>6267 AURELIUS ROAD</AddressLine1Txt>
            <CityNm>LANSING</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48911</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION</ServicesDesc>
        <CompensationAmt>18671369</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>THE CHRISTMAN COMPANY</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>208 N CAPITOL AVENUE</AddressLine1Txt>
            <CityNm>LANSING</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48933</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION</ServicesDesc>
        <CompensationAmt>10202061</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ARAMARK HEALTHCARE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <CityNm>PHILADELPHIA</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19107</ZIPCd>
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        <ServicesDesc>MED. DEVICE REP</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
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          <BusinessName>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>4000 1/2 NORTH GRAND RIVER</AddressLine1Txt>
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        </ContractorAddress>
        <ServicesDesc>LINEN/LANDRY</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>EPIC SYTEMS</BusinessNameLine1Txt>
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        <ContractorAddress>
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          </USAddress>
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        <ServicesDesc>SOFTWARE</ServicesDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE C, PART II-B, LINE 1</FormAndLineReferenceDesc>
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        <GrantsOrScholarshipsAmt>30000</GrantsOrScholarshipsAmt>
        <AdministrativeExpensesAmt>1833</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>2641860</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>1550687</BeginningYearBalanceAmt>
        <ContributionsAmt>163793</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>65279</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>1779759</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <PrmnntEndowmentBalanceEOYPct>1.00000</PrmnntEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>false</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>true</EndowmentsHeldRelatedOrgInd>
      <RelatedOrgListSchRInd>true</RelatedOrgListSchRInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>11845380</OtherCostOrOtherBasisAmt>
        <BookValueAmt>11845380</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>513434108</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>230964727</DepreciationAmt>
        <BookValueAmt>282469381</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>5127327</OtherCostOrOtherBasisAmt>
        <BookValueAmt>5127327</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>486626528</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>380369500</DepreciationAmt>
        <BookValueAmt>106257028</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>54600042</OtherCostOrOtherBasisAmt>
        <BookValueAmt>54600042</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>460299158</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>DEFERRED PENSION</Desc>
        <BookValueAmt>48952779</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>INSURANCE - EXCESS LAYER</Desc>
        <BookValueAmt>27714958</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OTHER ASSETS</Desc>
        <BookValueAmt>15841619</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>INVESTMENTS IN JOINT VENTURES</Desc>
        <BookValueAmt>6317996</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>DEFERRED FINANCING COSTS</Desc>
        <BookValueAmt>4012877</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>102840229</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>UNFUNDED PENSION OBLIGATION</Desc>
        <Amt>248900779</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>INSURANCE - EXCESS LAYER</Desc>
        <Amt>36349858</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>MEDICAL MALPRACTICE CLAIMS RESERVE</Desc>
        <Amt>9319539</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>PREMIUM ON 2012 BONDS</Desc>
        <Amt>8015310</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ASBESTOS ABATEMENT</Desc>
        <Amt>3960111</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>POST RETIREMENT BENEFITS PAYABLE</Desc>
        <Amt>3458724</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>PREMIUM ON 2007 BONDS</Desc>
        <Amt>3282309</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>PREMIUM ON 2005 BONDS</Desc>
        <Amt>2325234</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>315611864</TotalLiabilityAmt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 2, PART V, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>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>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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      <FinancialAssistancePolicyInd>true</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>true</WrittenPolicyInd>
      <IndivHospitalTailoredPolicyInd>X</IndivHospitalTailoredPolicyInd>
      <FPGReferenceFreeCareInd>true</FPGReferenceFreeCareInd>
      <Percent200Ind>X</Percent200Ind>
      <FPGReferenceDiscountedCareInd>true</FPGReferenceDiscountedCareInd>
      <Percent200DInd>X</Percent200DInd>
      <FreeCareMedicallyIndigentInd>true</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>true</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>false</ExpensesExceedBudgetInd>
      <AnnualCommunityBnftReportInd>true</AnnualCommunityBnftReportInd>
      <ReportPublicallyAvailableInd>true</ReportPublicallyAvailableInd>
      <FinancialAssistanceAtCostTyp>
        <TotalCommunityBenefitExpnsAmt>20463239</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>20463239</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.02470</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
        <TotalCommunityBenefitExpnsAmt>144993542</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>130428051</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>14565491</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.01760</TotalExpensePct>
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      <TotalFinancialAssistanceTyp>
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        <DirectOffsettingRevenueAmt>130428051</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>35028730</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.04220</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <CommunityHealthServicesGrp>
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        <NetCommunityBenefitExpnsAmt>17695457</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.02130</TotalExpensePct>
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        <TotalCommunityBenefitExpnsAmt>5473142</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>2934438</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>2538704</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00310</TotalExpensePct>
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        <DirectOffsettingRevenueAmt>2934438</DirectOffsettingRevenueAmt>
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      <TotalCommunityBenefitsGrp>
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      <CommunitySupportGrp>
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        <TotalCommunityBenefitExpnsAmt>124550</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>124550</NetCommunityBenefitExpnsAmt>
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      <CoalitionBuildingGrp>
        <ActivitiesOrProgramsCnt>1</ActivitiesOrProgramsCnt>
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        <NetCommunityBenefitExpnsAmt>1000</NetCommunityBenefitExpnsAmt>
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      <HealthImprovementAdvocacyGrp>
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        <PersonsServedCnt>25</PersonsServedCnt>
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        <NetCommunityBenefitExpnsAmt>2075</NetCommunityBenefitExpnsAmt>
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      <ReimbursedByMedicareAmt>259563917</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>262161965</CostOfCareReimbursedByMedcrAmt>
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      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
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      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
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        <EntityName>
          <BusinessNameLine1Txt>MID-MI REG DIALYSIS</BusinessNameLine1Txt>
        </EntityName>
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        <OrgProfitOrOwnershipPct>0.37000</OrgProfitOrOwnershipPct>
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      <HospitalFacilitiesGrp>
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        <BusinessName>
          <BusinessNameLine1Txt>EWSH - MAIN CAMPUS</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>1215 E MICHIGAN AVE</AddressLine1Txt>
          <CityNm>LANSING</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48912</ZIPCd>
        </USAddress>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <TeachingHospitalInd>X</TeachingHospitalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
        <EmergencyRoomOtherInd>X</EmergencyRoomOtherInd>
        <OtherDesc>URGENT CARE</OtherDesc>
        <FacilityReportingGroupCd>A</FacilityReportingGroupCd>
      </HospitalFacilitiesGrp>
      <HospitalFacilitiesGrp>
        <FacilityNum>2</FacilityNum>
        <BusinessName>
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          <AddressLine1Txt>1210 W SAGINAW</AddressLine1Txt>
          <CityNm>LANSING</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48915</ZIPCd>
        </USAddress>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <TeachingHospitalInd>X</TeachingHospitalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
        <OtherDesc>BEHAVIORAL HLTH HOSPICE SR SVC</OtherDesc>
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      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>A</BusinessNameLine1Txt>
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        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <InformationGapsInd>X</InformationGapsInd>
        <OtherInd>X</OtherInd>
        <CHNAConductedYr>13</CHNAConductedYr>
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        <CHNAConductedWithOtherFcltsInd>true</CHNAConductedWithOtherFcltsInd>
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        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>WWW.SPARROW.ORG</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>13</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>false</StrategyPostedWebsiteInd>
        <StrategyAttachedInd referenceDocumentId="RetDoc3">true</StrategyAttachedInd>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>200.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>200.000000000000</FPGFamilyIncmLmtDscntCarePct>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>true</CollectionActivitiesInd>
        <FAPNotifiedUponAdmissionInd>X</FAPNotifiedUponAdmissionInd>
        <FAPNotifiedBeforeDischargeInd>X</FAPNotifiedBeforeDischargeInd>
        <FAPNotifiedAllPatientsInd>X</FAPNotifiedAllPatientsInd>
        <DocumentedEligDeterminationInd>X</DocumentedEligDeterminationInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <OtherMethodUsedInd>X</OtherMethodUsedInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>true</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A, FACILITY 1, EWSH - MAIN CAMPUS - PART V, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A, FACILITY 1, EWSH - MAIN CAMPUS - PART V, LINE 6A</FormAndLineReferenceDesc>
        <ExplanationTxt>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</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A, FACILITY 1, EWSH - MAIN CAMPUS - PART V, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>EDWARD W SPARROW HOSPITAL HAS DEVELOPED AN IMPLEMENTATION STRATEGY FOR THE TOP 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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A, FACILITY 1, EWSH - MAIN CAMPUS - PART V, LINE 22D</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL PATIENTS AND INSURANCES ARE CHARGED THE SAME GROSS CHARGE FROM OUR FEE SCHEDULE. DISCOUNTS ARE THEN PROVIDED TO UNINSURED PATIENTS BASED ON OUR FINANCIAL ASSISTANCE POLICY AND/OR INDIVIDUAL CIRCUMSTANCES.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A, FACILITY 1, EWSH - MAIN CAMPUS - PART V, LINE 24</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL PATIENTS AND INSURANCES ARE CHARGED THE SAME GROSS CHARGE FROM OUR FEE SCHEDULE. DISCOUNTS ARE THEN PROVIDED TO UNINSURED PATIENTS BASED ON OUR FINANCIAL ASSISTANCE POLICY AND/OR INDIVIDUAL CIRCUMSTANCES.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A, FACILITY 2, EWSH - ST. LAWRENCE CAMPUS - PART V, LINE 22D</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL PATIENTS AND INSURANCES ARE CHARGED THE SAME GROSS CHARGE FROM OUR FEE SCHEDULE. DISCOUNTS ARE THEN PROVIDED TO UNINSURED PATIENTS BASED ON OUR FINANCIAL ASSISTANCE POLICY AND/OR INDIVIDUAL CIRCUMSTANCES.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A, FACILITY 2, EWSH - ST. LAWRENCE CAMPUS - PART V, LINE 24</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL PATIENTS AND INSURANCES ARE CHARGED THE SAME GROSS CHARGE FROM OUR FEE SCHEDULE. DISCOUNTS ARE THEN PROVIDED TO UNINSURED PATIENTS BASED ON OUR FINANCIAL ASSISTANCE POLICY AND/OR INDIVIDUAL CIRCUMSTANCES.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>44</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EWSH MEDICAL ARTS BUILDING</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1322 E MICHIGAN</AddressLine1Txt>
            <CityNm>LANSING</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48912</ZIPCd>
          </USAddress>
          <FacilityTxt>OCC HEALTH WOUND CLINIC OB/GYN</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EWSH SPARROW PROF BUILDING</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1200 E MICHIGAN AVE</AddressLine1Txt>
            <CityNm>LANSING</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48912</ZIPCd>
          </USAddress>
          <FacilityTxt>CLINICS PHARMACY REHAB</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EWSH MED CENTER WEST</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1100 W SAGINAW</AddressLine1Txt>
            <CityNm>LANSING</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48915</ZIPCd>
          </USAddress>
          <FacilityTxt>PHARMACY PLUS OB/GYN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EWSH MASON COMMUNITY CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>800 E COLUMBIA</AddressLine1Txt>
            <CityNm>MASON</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48854</ZIPCd>
          </USAddress>
          <FacilityTxt>URGENT CARE/FAMILY PRACTICE/RADIOLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EWSH LANSING OBGYN</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1600 W GRAND RIVER</AddressLine1Txt>
            <CityNm>OKEMOS</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48864</ZIPCd>
          </USAddress>
          <FacilityTxt>FAMILY PRACTICE OB/GYN LAB RADIOLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EWSH SPARROW REG LAB</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2035 ASHER CT STE 200</AddressLine1Txt>
            <CityNm>EAST LANSING</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48823</ZIPCd>
          </USAddress>
          <FacilityTxt>LABORATORY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EWSH SMG NORTH</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2035 ASHER CT STE 200</AddressLine1Txt>
            <CityNm>EAST LANSING</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48823</ZIPCd>
          </USAddress>
          <FacilityTxt>FAMILY PRACTICE PHYSICAL THERAPY RADIOLO</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EWSH OP REHAB</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1288 W GRAND RIVER</AddressLine1Txt>
            <CityNm>WILLIAMSTON</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48895</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICAL THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EWSH SMG MASON</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>230 TEMPLE ST STE 3</AddressLine1Txt>
            <CityNm>MASON</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48854</ZIPCd>
          </USAddress>
          <FacilityTxt>FAMILY PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EWSH SMG WEST</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>7335 WESTSHIRE DR STE 10</AddressLine1Txt>
            <CityNm>LANSING</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48912</ZIPCd>
          </USAddress>
          <FacilityTxt>FAMILY PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EWSH SPARROW REGIONAL LAB</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>11615 HARTEL</AddressLine1Txt>
            <CityNm>GRAND LEDGE</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48837</ZIPCd>
          </USAddress>
          <FacilityTxt>LABORATORY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EWSH SMG POTTERVILLE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>133 W LANSING RD</AddressLine1Txt>
            <CityNm>POTTERVILLE</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48876</ZIPCd>
          </USAddress>
          <FacilityTxt>FAMILY PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EWSH RAMBLEWOOD IMG CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1575 RAMBLEWOOD DR</AddressLine1Txt>
            <CityNm>EAST LANSING</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48823</ZIPCd>
          </USAddress>
          <FacilityTxt>RADIOLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EWSH SPARROW REGIONAL LAB</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2199 JOLLY ROAD STE 120</AddressLine1Txt>
            <CityNm>OKEMOS</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48864</ZIPCd>
          </USAddress>
          <FacilityTxt>LABORATORY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EWSH SPARROW REGIONAL LAB</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1650 RAMBLEWOOD DR</AddressLine1Txt>
            <CityNm>EAST LANSING</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48823</ZIPCd>
          </USAddress>
          <FacilityTxt>LABORATORY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EWSH OKEMOS URGENT CARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1600 W GRAND RIVER</AddressLine1Txt>
            <CityNm>OKEMOS</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48864</ZIPCd>
          </USAddress>
          <FacilityTxt>URGENT CARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EWSH SPARROW REGIONAL LAB</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>6254 W SAGINAW</AddressLine1Txt>
            <CityNm>LANSING</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48912</ZIPCd>
          </USAddress>
          <FacilityTxt>LABORATORY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EWSH SPARROW REGIONAL LAB</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>6030 S PENNSYLVANIA</AddressLine1Txt>
            <CityNm>LANSING</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48913</ZIPCd>
          </USAddress>
          <FacilityTxt>LABORATORY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EWSH</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>11653 HARTEL STE 1000</AddressLine1Txt>
            <CityNm>GRAND LEDGE</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48837</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICAL THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EWSH OUTPATIENT REHAB</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>13105 SCHAVEY ROAD</AddressLine1Txt>
            <CityNm>DEWITT</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48820</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICAL THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EWSH</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>SOUTHPOINT MALL STE A14-A17</AddressLine1Txt>
            <CityNm>ST JOHNS</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48879</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICAL THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EWSH SMG DEWITT</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>13191 SCHAVEY RD</AddressLine1Txt>
            <CityNm>DEWITT</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48820</ZIPCd>
          </USAddress>
          <FacilityTxt>FAMILY PRACTICE LAB RADIOLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EWSH</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>138 SERVICE ROAD</AddressLine1Txt>
            <CityNm>EAST LANSING</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48823</ZIPCd>
          </USAddress>
          <FacilityTxt>LABORATORY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EWSH SPARROW PHARMACY PLUS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>129 S PUTNAM</AddressLine1Txt>
            <CityNm>WILLIAMSTON</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48895</ZIPCd>
          </USAddress>
          <FacilityTxt>PHARMACY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EWSH SPARROW PHARMACY PLUS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1015 CHARLEVOIX DRIVE</AddressLine1Txt>
            <CityNm>GRAND LEDGE</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48837</ZIPCd>
          </USAddress>
          <FacilityTxt>PHARMACY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EWSH SPARROW PHARMACY PLUS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>915 E MICHIGAN</AddressLine1Txt>
            <CityNm>LANSING</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48912</ZIPCd>
          </USAddress>
          <FacilityTxt>PHARMACY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EWSH SPARROW PHARMACY PLUS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1200 E MICHIGAN STE 310</AddressLine1Txt>
            <CityNm>LANSING</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48912</ZIPCd>
          </USAddress>
          <FacilityTxt>PHARMACY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EWSH SMG EAST LANSING</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2682 E GRAND RIVER</AddressLine1Txt>
            <CityNm>EAST LANSING</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48823</ZIPCd>
          </USAddress>
          <FacilityTxt>LABORATORY &amp; URGENT CARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EWSH SMG HOLT</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2040 N AURELIUS</AddressLine1Txt>
            <CityNm>HOLT</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48842</ZIPCd>
          </USAddress>
          <FacilityTxt>FAMILY PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EWSH SMG GRAND LEDGE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1015 CHARLEVOIX DRIVE</AddressLine1Txt>
            <CityNm>GRAND LEDGE</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48837</ZIPCd>
          </USAddress>
          <FacilityTxt>URGENT CARE &amp; PHARMACY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>TCI HEART CLINIC &amp; DIAGNOSTIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>300 HEALTH PARK DRIVE</AddressLine1Txt>
            <CityNm>OWOSSO</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48867</ZIPCd>
          </USAddress>
          <FacilityTxt>HEART CLINIC &amp; DIAGNOSTICS</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>TCI SPECIALTY CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1500 MAIN ST</AddressLine1Txt>
            <CityNm>EATON RAPIDS</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48827</ZIPCd>
          </USAddress>
          <FacilityTxt>HEART CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EWSH SPARROW REGIONAL LAB</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1650 HASLETT ROAD</AddressLine1Txt>
            <CityNm>HASLETT</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48840</ZIPCd>
          </USAddress>
          <FacilityTxt>LABORATORY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>TCI HEART CLINICPRIMARY CARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>839 S PUTNAM</AddressLine1Txt>
            <CityNm>WILLIAMSTON</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48895</ZIPCd>
          </USAddress>
          <FacilityTxt>HEART CLINIC &amp; PRIMARY CARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EWSH SPARROW REGIONAL LAB</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>5303 S CEDAR</AddressLine1Txt>
            <CityNm>LANSING</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48910</ZIPCd>
          </USAddress>
          <FacilityTxt>LABORATORY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>TCI HEART CLINIC LANSING</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>405 W GREENLAWN</AddressLine1Txt>
            <CityNm>LANSING</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48910</ZIPCd>
          </USAddress>
          <FacilityTxt>HEART CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EWSH SMG VOA</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>430 N LARCH</AddressLine1Txt>
            <CityNm>LANSING</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48906</ZIPCd>
          </USAddress>
          <FacilityTxt>VOLUNTEER VOA CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EWSH SMG EASTSIDE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1651 W LAKE LANSING ROAD</AddressLine1Txt>
            <CityNm>EAST LANSING</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48823</ZIPCd>
          </USAddress>
          <FacilityTxt>FAMILY PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EWSH SMG NEPHROLOGY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1703 E MICHIGAN AVENUE</AddressLine1Txt>
            <CityNm>LANSING</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48912</ZIPCd>
          </USAddress>
          <FacilityTxt>NEPHROLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EWSH SMG NEPHROLOGY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2601 COOLIDGE ROAD SUITE B</AddressLine1Txt>
            <CityNm>EAST LANSING</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48823</ZIPCd>
          </USAddress>
          <FacilityTxt>NEPHROLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EWSH SMG NEPHROLOGY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1540 LAKE LANSING RD SUITE 205</AddressLine1Txt>
            <CityNm>LANSING</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48912</ZIPCd>
          </USAddress>
          <FacilityTxt>NEPHROLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EWSH SMG OBGYN</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1540 LAKE LANSING RD SUITE 204</AddressLine1Txt>
            <CityNm>LANSING</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48912</ZIPCd>
          </USAddress>
          <FacilityTxt>OB/GYN</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EWSH SMG NEPHROLOGY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>123 LANSING RD</AddressLine1Txt>
            <CityNm>CHARLOTTE</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48813</ZIPCd>
          </USAddress>
          <FacilityTxt>NEPHROLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EWSH CAP LAB</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2508 S CEDAR ST</AddressLine1Txt>
            <CityNm>LANSING</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48910</ZIPCd>
          </USAddress>
          <FacilityTxt>LABORATORY</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II - COMMUNITY BUILDING ACTIVITIES</FormAndLineReferenceDesc>
        <ExplanationTxt>SPARROW HEALTH SYSTEM'S REACH EXTENDS FAR BEYOND THE ACUTE CARE SETTING OF THE HOSPITAL. THERE ARE MANY WAYS OUR STAFF PROACTIVELY SUPPORTS THE COMMUNITY, ESPECIALLY THOSE WHO HAVE THE GREATEST NEED. WHETHER THROUGH CHARITABLE CARE, SUBSIDIZED HOSPITAL PROGRAMS AND SERVICES, MEDICAL EDUCATION OR COMMUNITY HEALTH EDUCATION, SPARROW STRIVES TO RESPOND TO THE REGION'S MOST PRESSING HEALTH NEEDS. FOR MORE THAN 114 YEARS, SPARROW HAS BEEN DISTINGUISHED BY ITS PASSIONATE COMMITMENT TO CARE FOR ALL, REGARDLESS OF THEIR ABILITY TO PAY. FINANCIAL ASSISTANCE IS AVAILABLE TO PATIENTS WHO MEET CERTAIN QUALIFICATIONS. SPARROW ALSO PROVIDES "SUBSIDIZED HEALTH SERVICES." THESE ARE SERVICES THAT ARE OFFERED DESPITE FINANCIAL LOSS BECAUSE THE COMMUNITY NEEDS THEM, BECAUSE OTHER PROVIDERS ARE NOT WILLING TO OFFER THEM, OR BECAUSE THE SERVICES WOULD OTHERWISE NOT BE ABLE TO MEET PATIENT DEMAND. THESE SERVICES INCLUDE HOSPICE AND PALLIATIVE CARE; MENTAL HEALTH SERVICES; SUBSTANCE ABUSE SERVICES; NEONATAL INTENSIVE CARE; OBSTETRICS; REHABILITATION; EMERGENCY AND TRAUMA SERVICES; GERIATRICS CLINICS; AND PEDIATRIC CLINICS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 3 BAD DEBT EXPENSE, PATIENTS ELIGIBLE FOR ASSISTANCE</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT FOOTNOTE - SEE PAGE 13 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8 - MEDICARE EXPLANATION</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS, REPORTED IN THE ORGANIZATION'S MEDICARE COST REPORT, IS A RATIO OF COSTS TO CHARGES. THE HOSPITAL BELIEVES THE FULL AMOUNT OF THE SHORTFALL REPORTED ON PART III, SECTION B, LINE 7 SHOULD BE TREATED AS 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CHARGES FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE ARE WRITTEN OFF THE SYSTEM TO CHARITY CARE AT THE TIME THE PATIENT'S CHARITY CARE STATUS IS DETERMINED. AS SUCH, NO FURTHER COLLECTION EFFORTS TAKE PLACE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2 - NEEDS ASSESSMENT</FormAndLineReferenceDesc>
        <ExplanationTxt>THROUGH CONTINUAL ANALYSIS OF OUR ANNUAL CASE MIX AND COLLABORATION WITH COMMUNITY PARTNERS SPARROW IS ABLE TO MAKE ACCURATE ASSESSMENTS OF THE HEALTH CARE NEEDS OF THE REGION IT SERVES. FOR EXAMPLE, OUR REGIONAL COLLABORATION OF AREA HEALTH PARTNERS, WHICH INCLUDES SPARROW, MICHIGAN STATE UNIVERSITY, 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE</FormAndLineReferenceDesc>
        <ExplanationTxt>SPARROW HOSPITAL EMPLOYS SEVERAL METHODS TO COMMUNICATE ELIGIBILITY FOR ASSISTANCE TO PATIENTS. ALL UNINSURED IN-PATIENTS ARE DIRECTLY SCREENED FOR POTENTIAL MEDICAID ELIGIBILITY AND ANY OTHER GOVERNMENT PROGRAMS (COBRA BENEFITS, ETC). SIGNAGE IS POSTED IN OUR PATIENT REGISTRATION AREAS REGARDING AVAILABILITY OF SPARROW COMMUNITY FINANCIAL AID (CFA) PROGRAM (CHARITY CARE). ALL PATIENT BILLING STATEMENTS HAVE A NOTE REGARDING THE CFA PROGRAM AND OUR WEBSITE CONTAINS LINKS TO OUR CFA POLICY AND APPLICATION.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4 - COMMUNITY INFORMATION</FormAndLineReferenceDesc>
        <ExplanationTxt>SPARROW SERVES THE MID-MICHIGAN REGION WHICH CONSISTS OF THE GREATER LANSING AREA (A POPULATION OF APPROXIMATELY 450,000). STRATEGICALLY LOCATED IN THE HEART OF MICHIGAN, SPARROW IS LOCATED WITHIN 90 MINUTES OF 90 PERCENT OF THE STATE'S POPULATION OF APPROXIMATELY 10 MILLION PEOPLE. THE STATE CAPITAL, MICHIGAN STATE UNIVERSITY AND TWO GENERAL MOTORS ASSEMBLY FACILITIES MAKE THE LANSING REGION AMONG THE MOST STABLE AND DIVERSE ECONOMIES IN MICHIGAN. THE REGION IS EVOLVING AS A LEADING ECONOMIC FORCE IN RESEARCH AND DEVELOPMENT, WAREHOUSING AND DISTRIBUTION, INFORMATION TECHNOLOGY, BIO-TECHNOLOGY, HEALTHCARE, INSURANCE AND FINANCIAL SERVICES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH</FormAndLineReferenceDesc>
        <ExplanationTxt>AS NOTED ABOVE, THE ORGANIZATION'S COMMUNITY BUILDING ACTIVITIES PROMOTE THE HEALTH OF THE COMMUNITIES THE ORGANIZATION SERVES. THESE SERVICES ARE PROVIDED UNDER THE MISSION OF THE ORGANIZATION - "IMPROVING THE HEALTH OF THE PEOPLE IN OUR COMMUNITIES BY PROVIDING QUALITY, COMPASSIONATE CARE TO EVERYONE, EVERY TIME."</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM</FormAndLineReferenceDesc>
        <ExplanationTxt>EDWARD W SPARROW HOSPITAL IS A WHOLLY-OWNED SUBSIDIARY OF SPARROW HEALTH SYSTEM. SPARROW HEALTH SYSTEM IS A NON-PROFIT, COMMUNITY GOVERNED, INTEGRATED HEALTH DELIVERY AND 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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT</FormAndLineReferenceDesc>
        <ExplanationTxt>MICHIGAN</ExplanationTxt>
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        <PersonNm>STEPHEN GUERTIN MD</PersonNm>
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        <BaseCompensationFilingOrgAmt>347800</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>12462</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>9318</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>19240</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>14687</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>403507</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SCOTT WILKERSON</PersonNm>
        <TitleTxt>FORMER PHP PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>363982</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>113</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>19240</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>383335</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LARRY RAWSTHORNE MD</PersonNm>
        <TitleTxt>FORMER OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>255348</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>12717</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>19240</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>15388</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>302693</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAWN SPRINGER MD</PersonNm>
        <TitleTxt>FORMER BOARD MEMBER</TitleTxt>
        <BaseCompensationFilingOrgAmt>160553</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>38308</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>3245</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>14956</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>725</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>217787</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CAROL DWYER</PersonNm>
        <TitleTxt>FORMER OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>39923</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>7637</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>47560</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN ARMSTRONG MD</PersonNm>
        <TitleTxt>FORMER BOARD MEMBER</TitleTxt>
        <BaseCompensationFilingOrgAmt>15000</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>15000</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>SCOTT WILKERSON 364,095 0 0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 5A</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 5B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 6A</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 6B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION INCLUDES BOTH BASE AND VARIABLE COMPENSATION (NON-FIXED PAYMENTS). IN ACCORDANCE WITH ITS POLICIES, ALL ELEMENTS (BASE, VARIABLE, BENEFITS, AND PERQUISITES) ARE COMPARED TO MARKET.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART III</FormAndLineReferenceDesc>
        <ExplanationTxt>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).</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc11">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>MICHIGAN STATE HOSPITAL FINANCE</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>382889417</BondIssuerEIN>
        <CUSIPNum>59465HAC0</CUSIPNum>
        <BondIssuedDt>2005-04-26</BondIssuedDt>
        <IssuePriceAmt>92941319</IssuePriceAmt>
        <PurposeDesc>SEE PART VI, SUPPLEMENTAL INFORMATION</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>MICHIGAN STATE HOSPITAL FINANCE</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>382889417</BondIssuerEIN>
        <CUSIPNum>59465HEQ5</CUSIPNum>
        <BondIssuedDt>2007-04-19</BondIssuedDt>
        <IssuePriceAmt>140209630</IssuePriceAmt>
        <PurposeDesc>SEE PART VI, SUPPLEMENTAL INFORMATION</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>MICHIGAN STATE HOSPITAL FINANCE</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>382889417</BondIssuerEIN>
        <CUSIPNum>59447PQF1</CUSIPNum>
        <BondIssuedDt>2012-08-21</BondIssuedDt>
        <IssuePriceAmt>106840434</IssuePriceAmt>
        <PurposeDesc>9TH &amp; 10TH FLOOR BUILDOUT, NEW FAMILY PRACTICE AND SURGERY REMODEL</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>9845000</RetiredAmt>
        <TotalProceedsAmt>94842732</TotalProceedsAmt>
        <RefundingEscrowAmt>40072062</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>938005</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>1931252</CreditEnhancementAmt>
        <CapitalExpendituresAmt>51901413</CapitalExpendituresAmt>
        <SubstantialCompletionYr>2006</SubstantialCompletionYr>
        <CurrentRefundingInd>false</CurrentRefundingInd>
        <AdvanceRefundingInd>true</AdvanceRefundingInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <RetiredAmt>10530000</RetiredAmt>
        <TotalProceedsAmt>142636235</TotalProceedsAmt>
        <RefundingEscrowAmt>41432241</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>1203994</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>100000000</CapitalExpendituresAmt>
        <SubstantialCompletionYr>2008</SubstantialCompletionYr>
        <CurrentRefundingInd>false</CurrentRefundingInd>
        <AdvanceRefundingInd>true</AdvanceRefundingInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <TotalProceedsAmt>106923084</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>1247782</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>71776048</CapitalExpendituresAmt>
        <UnspentAmt>33899254</UnspentAmt>
        <SubstantialCompletionYr>2014</SubstantialCompletionYr>
        <CurrentRefundingInd>false</CurrentRefundingInd>
        <AdvanceRefundingInd>false</AdvanceRefundingInd>
        <FinalAllocationMadeInd>false</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>true</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>true</GrossProceedsInvestedInGICInd>
        <GICProviderName>
          <BusinessNameLine1Txt>MORGANSTANLEY &amp;</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>CO INCORPORATED</BusinessNameLine2Txt>
        </GICProviderName>
        <TermOfGICPct>2.700000000000</TermOfGICPct>
        <RegulatorySafeHarborStsfdInd>true</RegulatorySafeHarborStsfdInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>true</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>true</GrossProceedsInvestedInGICInd>
        <GICProviderName>
          <BusinessNameLine1Txt>HYPO PUBLIC FIN</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>BANK</BusinessNameLine2Txt>
        </GICProviderName>
        <TermOfGICPct>2.700000000000</TermOfGICPct>
        <RegulatorySafeHarborStsfdInd>true</RegulatorySafeHarborStsfdInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>true</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K - DIFFERENCES IN ISSUE PRICE EXPLANATION</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K - ADDITIONAL INFORMATION</FormAndLineReferenceDesc>
        <ExplanationTxt>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</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc12">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>KAITLYN MATTHEWS</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>16477</TransactionAmt>
        <TransactionDesc>EMPLOYEE</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>TAMARA HODGE</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>102878</TransactionAmt>
        <TransactionDesc>EMPLOYEE</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>SHANNON KOPKE</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>6786</TransactionAmt>
        <TransactionDesc>EMPLOYEE</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc13">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>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</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>SPARROW HEALTH SYSTEM IS THE SOLE MEMBER OF EDWARD W. SPARROW HOSPITAL AND HAS 100% OWNERSHIP.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>SPARROW HEALTH SYSTEM HAS THE RIGHT TO ELECT MEMBERS OF THE EDWARD W. SPARROW HOSPITAL BOARD. THE PRESIDENT OF THE MEDICAL STAFF, WHICH IS A MEMBER OF THE GOVERNING BODY, IS ELECTED BY THE MEDICAL STAFF OF EDWARD W. SPARROW HOSPITAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>SPARROW HEALTH SYSTEM HAS THE RIGHT TO ELECT, REPLACE, AND REMOVE DIRECTORS OF EDWARD W. SPARROW HOSPITAL. SPARROW HEALTH SYSTEM ALSO HAS THE AUTHORITY TO APPROVE DECISIONS OF THE EDWARD W. SPARROW HOSPITAL BOARD WHEN IT IS DEEMED NECESSARY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>COPIES OF THE 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>1) CORPORATE COMPLIANCE SENDS OUT THE CONFLICT OF INTEREST POLICY AND QUESTIONNAIRES TO ALL VOTING BOARD MEMBERS AND THE EXECUTIVE TEAM ANNUALLY 2) ALL DISCLOSURES ARE RECEIVED AND REVIEWED BY CORPORATE COMPLIANCE 3) ALL DISCLOSURES ARE GIVEN A RESOLUTION CODE AND PRESENTED TO THE CEO AND GOVERNANCE COMMITTEE OF THE BOARD 4) ALL BOARD/COMMITTEE LEVEL DISCLOSURES ARE PROVIDED TO THE RESPECTIVE BOARD CHAIR AND EXECUTIVE LIAISON TO ENSURE ISSUES CAN BE ADDRESSED ON A TRANSACTION LEVEL (I.E. IF A VOTE IS REQUIRED ON A TRANSACTION INVOLVING AN INTERESTED PERSON)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS FOR DETERMINING COMPENSATION FOR THE CEO OF THE ORGANIZATION INVOLVED THE FOLLOWING: UTILIZING THE COMPENSATION COMMITTEE, INDEPENDENT CONSULTANTS, REVIEWING OTHER SIMILAR ORGANIZATIONS' 990S, COMPENSATION SURVEYS, AND FINAL APPROVAL BY THE BOARD OF DIRECTORS, AS WELL AS FINALIZING THE SALARY PACKAGE WITH A WRITTEN EMPLOYMENT CONTRACT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS FOR DETERMINING COMPENSATION FOR 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VII</FormAndLineReferenceDesc>
        <ExplanationTxt>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).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>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</ExplanationTxt>
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      <GiftGrntOrCapContriToOthOrgInd>true</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>true</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
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      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
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          <BusinessNameLine1Txt>SPARROW SPECIALTY HOSPITAL</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>SPARROW FOUNDATION</BusinessNameLine1Txt>
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      <TransactionsRelatedOrgGrp>
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          <BusinessNameLine1Txt>SPARROW CLINTON HOSPITAL</BusinessNameLine1Txt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SPARROW DEVELOPMENT INC</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>SPARROW SPECIALTY HOSPITAL</BusinessNameLine1Txt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SPARROW IONIA HOSPITAL</BusinessNameLine1Txt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>PHYSICIANS HEALTH PLAN</BusinessNameLine1Txt>
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      <TransactionsRelatedOrgGrp>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SPARROW DEVELOPMENT INC</BusinessNameLine1Txt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>PHYSICIANS HEALTH PLAN</BusinessNameLine1Txt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SPARROW SPECIALTY HOSPITAL</BusinessNameLine1Txt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
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    </IRS990ScheduleR>
  </ReturnData>
</Return>