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SPARROW TREATED MORE THAN 33,000 INPATIENTS, HAD MORE THAN 1.1 MILLION OUTPATIENT ENCOUNTERS, AND PROVIDED SERVICES TO ABOUT 115,000 EMERGENCY MEDICINE PATIENTS IN 2010. TODAY'S SPARROW HEALTH SYSTEM BLENDS THE KNOWLEDGE AND EXPERTISE OF ABOUT 900 PHYSICIANS, 7,500 ASSOCIATES AND APPROXIMATELY 2,000 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 (ABOUT 4,000 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 - ONE GOAL SPARROW HAS AGGRESSIVELY PURSUED IS GIVING EVERY PERSON IN MID-MICHIGAN READY ACCESS TO PRIMARY CARE, NO MATTER WHERE THEY LIVE. WITH INNOVATIVE AFFILIATIONS WITH SPARROW CLINTON MEMORIAL HOSPITAL, SPARROW IONIA HOSPITAL, AND CARSON CITY HOSPITAL, WE CONTINUE TO MAKE POSITIVE STRIDES IN THIS AREA. SPARROW COMMUNITY CARE - A NON-PROFIT ENTITY COMPRISING THE FORMER SPARROW MEDICAL SUPPLY AND SPARROW HOME CARE UNITS WITH SPARROW LABORATORIES AND SPARROW PHARMACY PLUS ROUND OUT SPARROW HEALTH SYSTEM'S NETWORK OF FACILITIES AND PRIMARY CARE SERVICES. THEY ARE DESIGNED TO PROVIDE QUALITY, CONVENIENT, COST EFFECTIVE HEALTH CARE TO THE PEOPLE OF MID-MICHIGAN. EMERGENCY PREPAREDNESS - SPARROW HAS DISTINGUISHED ITSELF AS A RECOGNIZED LEADER IN EMERGENCY PREPAREDNESS. THE HOSPITAL VIEWS PREPAREDNESS AS AN ONGOING PROCESS LED BY A MULTIDISCIPLINARY TEAM THAT INVOLVES ALL ASPECTS OF HOSPITAL OPERATIONS, INCLUDING MEDICAL AND NON-MEDICAL SERVICES. DRILLS ARE CONDUCTED YEAR-ROUND IN COLLABORATION WITH LOCAL, STATE AND FEDERAL AGENCIES TO ENSURE SPARROW IS PREPARED FOR ANY DISASTER, WHETHER IT IS THE RESULT OF A TERRORIST ACT OR A NATURAL DISASTER. SPARROW'S EMERGENCY PREPAREDNESS COMMITTEE REGULARLY TESTS THE HOSPITAL'S RESPONSE SKILLS INDEPENDENT OF ANY AGENCY OR GOVERNING BODY. THE HOSPITAL ALSO WORKS WITH LOCAL GOVERNMENT AGENCIES, INCLUDING THE POLICE DEPARTMENT, FIRE DEPARTMENT AND PUBLIC HEALTH DEPARTMENT TO COORDINATE A PLANNED RESPONSE IN THE EVENT OF A TRUE EMERGENCY. 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 LANSING WOMEN'S EXPO, HIKE FOR HOSPICE, THE FEELIN' GOOD MILEAGE CLUB FOR ELEMENTARY SCHOOLS AND FITKIDS. SPARROW ALSO HAS A PARTNERSHIP WITH THE NATION'S LARGEST AND MOST EXPERIENCED PROVIDER OF AIR AMBULANCE SERVICES, LIFENET OF MICHIGAN. LIFENET PROVIDES 24-HOUR AIR MEDICAL TRANSPORT SERVICE FOR IMPROVED ACCESS TO PATIENTS WHO NEED CRITICAL CARE. AS A TEACHING HOSPITAL, SPARROW HAS CONTINUED TO STRENGTHEN ITS AFFILIATION WITH MICHIGAN STATE UNIVERSITY'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. 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. FREE DIABETES TESTING, PROSTATE SCREENING, BREAST EXAMS AND BLOOD PRESSURE CHECKS ARE BUT A FEW OF THE MANY SUCH PROGRAMS SPARROW PROVIDES TO THE COMMUNITY. SPARROW ALSO PROVIDES MEETING FACILITIES FOR MANY 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 2010, SPARROW PROVIDED APPROXIMATELY 52.6 MILLION IN CHARITY, BAD DEBT AND COMMUNITY BENEFITS AND ABSORBED THE COST OF MORE THAN 15.4 MILLION IN MEDICARE AND MEDICAID UNDER-FUNDING. A BRIEF FINANCIAL SUMMARY OF THE ABOVE ACCOMPLISHMENTS IS: CHARITY AND BAD DEBTS 29,318,922, COMMUNITY BENEFITS (SUBSIDIZED PROGRAMS AND COMMUNITY OUTREACH) 23,320,193, AND MEDICARE AND MEDICAID UNDER-FUNDING 15,366,912.</Description>
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      <MortNotesPyblSecuredInvestProp>
        <BOY>7326786</BOY>
        <EOY>8094610</EOY>
      </MortNotesPyblSecuredInvestProp>
      <OtherLiabilities>
        <BOY>223624706</BOY>
        <EOY>176786482</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>532892466</BOY>
        <EOY>484394167</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>265679988</BOY>
        <EOY>351931595</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>265679988</BOY>
        <EOY>351931595</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>798572454</BOY>
        <EOY>836325762</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>34820611</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>51430996</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc3">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="RetDoc4">
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      <CorrectionMade>false</CorrectionMade>
      <Form1120PolFiled>false</Form1120PolFiled>
      <Form4720Filed>false</Form4720Filed>
      <Volunteers>false</Volunteers>
      <PaidStaffOrManagement>true</PaidStaffOrManagement>
      <MediaAdvertisements>false</MediaAdvertisements>
      <MailingsMembers>false</MailingsMembers>
      <PublicationsOrBroadcast>false</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>false</GrantsOtherOrganizations>
      <DirectContactLegislators>true</DirectContactLegislators>
      <DirectContactLegislatorsAmount>11596</DirectContactLegislatorsAmount>
      <RalliesDemonstrations>false</RalliesDemonstrations>
      <OtherActivities>false</OtherActivities>
      <TotalLobbyingExpendituresIIB>11596</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>false</NotDescribedIn501c3>
      <Form4720Filed4912Tax>false</Form4720Filed4912Tax>
      <SubstantiallyAllDuesNondeduct>false</SubstantiallyAllDuesNondeduct>
      <OnlyInHouseLobbying>false</OnlyInHouseLobbying>
      <AgreeToCarryoverPriorYear>false</AgreeToCarryoverPriorYear>
      <Form990ScheduleCPartIV>
        <Identifier>ADDITIONAL INFORMATION</Identifier>
        <ReturnReference>SCHEDULE C, PART IV</ReturnReference>
        <Explanation>SCHEDULE C, PART II-B, LINE 1G EMPLOYED GCSI TO REPRESENT THE ISSUES OF SPARROW HEALTH SYSTEM BEFORE PUBLIC OFFICIALS AND POLICY MAKERS IN THE STATE OF MICHIGAN.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc5">
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      <DisclosedForCharitablePurposes>false</DisclosedForCharitablePurposes>
      <WrittenPolicyMonitoring>false</WrittenPolicyMonitoring>
      <Sect170hRequirementsSatisfied>false</Sect170hRequirementsSatisfied>
      <SolicitedAssetsForSale>false</SolicitedAssetsForSale>
      <AgentTrusteeEtc>false</AgentTrusteeEtc>
      <IncludedOnFS>false</IncludedOnFS>
      <CurrentYear>
        <BeginningOfYearBalance>1550687</BeginningOfYearBalance>
        <Contributions>163793</Contributions>
        <InvestmentEarningsOrLosses>65279</InvestmentEarningsOrLosses>
        <EndOfYearBalance>1779759</EndOfYearBalance>
      </CurrentYear>
      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>1307182</BeginningOfYearBalance>
        <Contributions>134195</Contributions>
        <InvestmentEarningsOrLosses>109310</InvestmentEarningsOrLosses>
        <EndOfYearBalance>1550687</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <CurrentYearMinus2Years>
        <BeginningOfYearBalance>1416968</BeginningOfYearBalance>
        <Contributions>18917</Contributions>
        <InvestmentEarningsOrLosses>-128703</InvestmentEarningsOrLosses>
        <EndOfYearBalance>1307182</EndOfYearBalance>
      </CurrentYearMinus2Years>
      <PermanentEndowmentEOYBalance>1.00000</PermanentEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>false</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>true</EndowmentsHeldByRelatedOrgs>
      <AreRelatedOrgsListedScheduleR>true</AreRelatedOrgsListedScheduleR>
      <Land>
        <OtherCostOrOtherBasis>11494867</OtherCostOrOtherBasis>
        <BookValue>11494867</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>494394890</OtherCostOrOtherBasis>
        <Depreciation>163124782</Depreciation>
        <BookValue>331270108</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>7101088</OtherCostOrOtherBasis>
        <Depreciation>5021790</Depreciation>
        <BookValue>2079298</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>358352085</OtherCostOrOtherBasis>
        <Depreciation>327405272</Depreciation>
        <BookValue>30946813</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>21344831</OtherCostOrOtherBasis>
        <BookValue>21344831</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>397135917</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>UNFUNDED PENSION OBLIGATION</Description>
        <Amount>144967101</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>MEDICAL MALPRACTICE CLAIMS RESERVE</Description>
        <Amount>17250000</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>ASBESTOS ABATEMENT</Description>
        <Amount>4282120</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>PREMIUM ON 2007 BONDS</Description>
        <Amount>4029387</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>POST RETIREMENT BENEFITS PAYABLE</Description>
        <Amount>3641117</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>PREMIUM ON 2005 BONDS</Description>
        <Amount>2526960</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>PREMIUM ON 2001 BONDS</Description>
        <Amount>89797</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>176786482</TotalOfAmounts>
      <Form990ScheduleDPartXIV>
        <Identifier>INTENDED USES FOR ENDOWMENT FUNDS</Identifier>
        <ReturnReference>SCHEDULE D, PAGE 2, PART V, LINE 4</ReturnReference>
        <Explanation>EDWARD W. SPARROW HOSPITAL DOES NOT HOLD ENDOWMENTS. THE ENDOWMENTS ARE HELD BY SPARROW FOUNDATION. SPARROW HEALTH SYSTEM IS THE SOLE MEMBER OF BOTH EDWARD W. SPARROW HOSPITAL AND SPARROW FOUNDATION. THE ENDOWMENTS ARE MAINTAINED TO PROVIDE A PERMANENT SOURCE OF INCOME WITH THE STIPULATION THE PRINCIPAL IS KEPT INTACT IN PERPETUITY AND THE INCOME GENERATED FROM INVESTMENTS OF THE ENDOWMENT FUNDS CAN BE USED FOR THE PURPOSE ESTABLISHED BY THE ENDOWMENT.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc7">
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      <WrittenPolicy>true</WrittenPolicy>
      <PolicyTailoredToIndHospitals>X</PolicyTailoredToIndHospitals>
      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
      <Pcent150>X</Pcent150>
      <FPGReferenceDiscountedCare>true</FPGReferenceDiscountedCare>
      <Pcent400>X</Pcent400>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>true</ExpensesExceededBudget>
      <UnableToProvideCare>false</UnableToProvideCare>
      <AnnualCommunityBenefitReport>true</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>true</ReportPublicallyAvailable>
      <CharityCareAtCost>
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        <DirectOffsettingRevenue>783086</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>13411845</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01750</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
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        <PercentOfTotalExpense>0.03370</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <UnreimbursedCosts>
        <TotalCommunityBenefitExpense>2700825</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>1864100</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>836725</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00110</PercentOfTotalExpense>
      </UnreimbursedCosts>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>127458780</TotalCommunityBenefitExpense>
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        <NetCommunityBenefitExpense>40011558</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.05230</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
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        <NetCommunityBenefitExpense>9259956</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01210</PercentOfTotalExpense>
      </CommunityHealthServices>
      <SubsidizedHealthServices>
        <TotalCommunityBenefitExpense>2968988</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>2076274</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>892714</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00120</PercentOfTotalExpense>
      </SubsidizedHealthServices>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>23320193</TotalCommunityBenefitExpense>
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        <NetCommunityBenefitExpense>10152670</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01330</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>150778973</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>100614745</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>50164228</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.06560</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <EconomicDevelopment>
        <NumberOfActivitiesOrPrograms>11</NumberOfActivitiesOrPrograms>
      </EconomicDevelopment>
      <CommunitySupport>
        <NumberOfActivitiesOrPrograms>78</NumberOfActivitiesOrPrograms>
        <PersonsServed>13000</PersonsServed>
        <TotalCommunityBuildingExpense>24014</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>24014</NetCommunityBuildingExpense>
      </CommunitySupport>
      <CoalitionBuilding>
        <NumberOfActivitiesOrPrograms>97</NumberOfActivitiesOrPrograms>
        <PersonsServed>138</PersonsServed>
        <TotalCommunityBuildingExpense>6108</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>6108</NetCommunityBuildingExpense>
      </CoalitionBuilding>
      <HealthImprovementAdvocacy>
        <NumberOfActivitiesOrPrograms>5</NumberOfActivitiesOrPrograms>
        <PersonsServed>1000</PersonsServed>
      </HealthImprovementAdvocacy>
      <WorkforceDevelopment>
        <NumberOfActivitiesOrPrograms>148</NumberOfActivitiesOrPrograms>
        <PersonsServed>11000</PersonsServed>
        <TotalCommunityBuildingExpense>307550</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>307550</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00040</PercentOfTotalExpense>
      </WorkforceDevelopment>
      <Total>
        <NumberOfActivitiesOrPrograms>339</NumberOfActivitiesOrPrograms>
        <PersonsServed>25138</PersonsServed>
        <TotalCommunityBuildingExpense>337672</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>337672</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00040</PercentOfTotalExpense>
      </Total>
      <BadDebtExpenseReported>true</BadDebtExpenseReported>
      <BadDebtExpenseAmount>15123991</BadDebtExpenseAmount>
      <AmountAttributableTo>816696</AmountAttributableTo>
      <AmountReimbursedByMedicare>202024408</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>217391320</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-15366912</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>LANSING MED DENTAL</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>MEDICAL BUILDING OWNERSHIP</DescriptionEntPrimaryActivity>
        <OrganizationProfitOrOwnership>0.60000</OrganizationProfitOrOwnership>
        <PhysicansProfitOrOwnership>0.40000</PhysicansProfitOrOwnership>
      </Form990ScheduleHPartIV>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>MID-MI REG DIALYSIS</BusinessNameLine1>
        </NameOfEntity>
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        <PhysicansProfitOrOwnership>0.25000</PhysicansProfitOrOwnership>
      </Form990ScheduleHPartIV>
      <NumberOfHospitalFacilities>2</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>EDWARD W SPARROW HOSPITAL</BusinessNameLine1>
          <BusinessNameLine2>MAIN CAMPUS</BusinessNameLine2>
        </Name>
        <Address>
          <AddressLine1>1215 E MICHIGAN AVE</AddressLine1>
          <City>LANSING</City>
          <State>MI</State>
          <ZIPCode>48912</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <TeachingHospital>X</TeachingHospital>
        <Er24Hours>X</Er24Hours>
        <ErOther>X</ErOther>
        <Other>URGENT CARE</Other>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>2</FacilityNumber>
        <Name>
          <BusinessNameLine1>EDWARD W SPARROW HOSPITAL</BusinessNameLine1>
          <BusinessNameLine2>ST LAWRENCE CAMPUS</BusinessNameLine2>
        </Name>
        <Address>
          <AddressLine1>1210 W SAGINAW</AddressLine1>
          <City>LANSING</City>
          <State>MI</State>
          <ZIPCode>48915</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <TeachingHospital>X</TeachingHospital>
        <Er24Hours>X</Er24Hours>
        <Other>BEHAVIORAL HLTH HOSPICE SR SVC</Other>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>EDWARD W SPARROW HOSPITAL</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <EligibilityCriteriaExplained>true</EligibilityCriteriaExplained>
        <UsesFPGFree>true</UsesFPGFree>
        <FPGFreePercent>150.0</FPGFreePercent>
        <UsesFPGDiscounted>true</UsesFPGDiscounted>
        <FPGDiscountPercent>400.0</FPGDiscountPercent>
        <ExplainsBasis>true</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <MedicalIndigency>X</MedicalIndigency>
        <InsuranceStatus>X</InsuranceStatus>
        <UninsuredDiscount>X</UninsuredDiscount>
        <ExplainsApplicationMethod>true</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>true</IncludesPublicityMeasures>
        <PostedOnWebsite>X</PostedOnWebsite>
        <ProvidedOnAdmission>X</ProvidedOnAdmission>
        <AvailableOnRequest>X</AvailableOnRequest>
        <ActionsOnNonpayment>true</ActionsOnNonpayment>
        <PermitReportToCreditAgency>X</PermitReportToCreditAgency>
        <PermitLawsuit>X</PermitLawsuit>
        <CollectionActivities>true</CollectionActivities>
        <ReportToCreditAgency>X</ReportToCreditAgency>
        <Lawsuit>X</Lawsuit>
        <NotifyUponAdmission>X</NotifyUponAdmission>
        <NotifyBeforeDischarge>X</NotifyBeforeDischarge>
        <NotifiedAllPatients>X</NotifiedAllPatients>
        <DocumentedDetermination>X</DocumentedDetermination>
        <NondiscrimEmergencyCarePolicy>true</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>false</AmountsGenerallyBilled>
        <GrossCharges>true</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>EDWARD W SPARROW HOSPITAL</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>2</HospitalFacilityNumber>
        <EligibilityCriteriaExplained>true</EligibilityCriteriaExplained>
        <UsesFPGFree>true</UsesFPGFree>
        <FPGFreePercent>150.0</FPGFreePercent>
        <UsesFPGDiscounted>true</UsesFPGDiscounted>
        <FPGDiscountPercent>400.0</FPGDiscountPercent>
        <ExplainsBasis>true</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <MedicalIndigency>X</MedicalIndigency>
        <InsuranceStatus>X</InsuranceStatus>
        <UninsuredDiscount>X</UninsuredDiscount>
        <ExplainsApplicationMethod>true</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>true</IncludesPublicityMeasures>
        <PostedOnWebsite>X</PostedOnWebsite>
        <ProvidedOnAdmission>X</ProvidedOnAdmission>
        <AvailableOnRequest>X</AvailableOnRequest>
        <ActionsOnNonpayment>true</ActionsOnNonpayment>
        <PermitReportToCreditAgency>X</PermitReportToCreditAgency>
        <PermitLawsuit>X</PermitLawsuit>
        <CollectionActivities>true</CollectionActivities>
        <ReportToCreditAgency>X</ReportToCreditAgency>
        <Lawsuit>X</Lawsuit>
        <NotifyUponAdmission>X</NotifyUponAdmission>
        <NotifyBeforeDischarge>X</NotifyBeforeDischarge>
        <NotifiedAllPatients>X</NotifiedAllPatients>
        <DocumentedDetermination>X</DocumentedDetermination>
        <NondiscrimEmergencyCarePolicy>true</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>false</AmountsGenerallyBilled>
        <GrossCharges>true</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionC>
        <NumberOfOtherFacilities>27</NumberOfOtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>EDWARD W SPARROW HOSPITAL</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>MEDICAL ARTS BUILDING</AddressLine1>
            <AddressLine2>1322 E MICHIGAN</AddressLine2>
            <City>LANSING</City>
            <State>MI</State>
            <ZIPCode>48823</ZIPCode>
          </Address>
          <FacilityType>OCC HEALTH WOUND CLINIC, OB/GYN</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>EDWARD W SPARROW HOSPITAL</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>SPARROW PROF BUILDING</AddressLine1>
            <AddressLine2>1200 E MICHIGAN</AddressLine2>
            <City>LANSING</City>
            <State>MI</State>
            <ZIPCode>48823</ZIPCode>
          </Address>
          <FacilityType>CLINICS, PHARMACY, REHAB</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>EDWARD W SPARROW HOSPITAL</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>MED CENTER WEST</AddressLine1>
            <AddressLine2>1100 W SAGINAW</AddressLine2>
            <City>LANSING</City>
            <State>MI</State>
            <ZIPCode>48823</ZIPCode>
          </Address>
          <FacilityType>PHARMACY PLUS, OB/GYN CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>EDWARD W SPARROW HOSPITAL</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>MASON COMMUNITY CENTER</AddressLine1>
            <AddressLine2>800 E COLUMBIA</AddressLine2>
            <City>MASON</City>
            <State>MI</State>
            <ZIPCode>48854</ZIPCode>
          </Address>
          <FacilityType>URGENT CARE, FAMILY PRACTICE, RADIOLOGY</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>EDWARD W SPARROW HOSPITAL</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>LANSING OB/GYN</AddressLine1>
            <AddressLine2>1600 W GRAND RIVER</AddressLine2>
            <City>OKEMOS</City>
            <State>MI</State>
            <ZIPCode>48864</ZIPCode>
          </Address>
          <FacilityType>FAMILY PRACTICE, OB/GYN, LAB, RADIOLOGY</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>EDWARD W SPARROW HOSPITAL</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>SPARROW REG LAB</AddressLine1>
            <AddressLine2>2035 ASHER CT SUITE 200</AddressLine2>
            <City>EAST LANSING</City>
            <State>MI</State>
            <ZIPCode>48823</ZIPCode>
          </Address>
          <FacilityType>LABORATORY</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>EDWARD W SPARROW HOSPITAL</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>SMG NORTH</AddressLine1>
            <AddressLine2>2035 ASHER CT SUITE 200</AddressLine2>
            <City>EAST LANSING</City>
            <State>MI</State>
            <ZIPCode>48823</ZIPCode>
          </Address>
          <FacilityType>FAMILY PRACTICE, PHY THERAPY, RADIOLOGY</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>EDWARD W SPARROW HOSPITAL</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>OP REHAB</AddressLine1>
            <AddressLine2>1288 W GRAND RIVER</AddressLine2>
            <City>WILLIAMSTON</City>
            <State>MI</State>
            <ZIPCode>48895</ZIPCode>
          </Address>
          <FacilityType>PHYSICAL THERAPY</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>EDWARD W SPARROW HOSPITAL</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>SMG MASON</AddressLine1>
            <AddressLine2>230 TEMPLE SUITE 3</AddressLine2>
            <City>MASON</City>
            <State>MI</State>
            <ZIPCode>48854</ZIPCode>
          </Address>
          <FacilityType>FAMILY PRACTICE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>EDWARD W SPARROW HOSPITAL</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>SMG WEST</AddressLine1>
            <AddressLine2>7335 WESTSHIRE SUITE 10</AddressLine2>
            <City>LANSING</City>
            <State>MI</State>
            <ZIPCode>48912</ZIPCode>
          </Address>
          <FacilityType>FAMILY PRACTICE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>EDWARD W SPARROW HOSPITAL</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>SPARROW REGIONAL LAB</AddressLine1>
            <AddressLine2>11615 HARTEL</AddressLine2>
            <City>GRAND LEDGE</City>
            <State>MI</State>
            <ZIPCode>48837</ZIPCode>
          </Address>
          <FacilityType>LABORATORY</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>EDWARD W SPARROW HOSPITAL</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>SMG POTTERVILLE</AddressLine1>
            <AddressLine2>113 E LANSING</AddressLine2>
            <City>POTTERVILLE</City>
            <State>MI</State>
            <ZIPCode>48876</ZIPCode>
          </Address>
          <FacilityType>FAMILY PRACTICE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>EDWARD W SPARROW HOSPITAL</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>RAMBLEWOOD IMG CENTER</AddressLine1>
            <AddressLine2>1575 RAMBLEWOOD</AddressLine2>
            <City>EAST LANSING</City>
            <State>MI</State>
            <ZIPCode>48823</ZIPCode>
          </Address>
          <FacilityType>RADIOLOGY</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>EDWARD W SPARROW HOSPITAL</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>SPARROW REGIONAL LAB</AddressLine1>
            <AddressLine2>2199 JOLLY SUITE 120</AddressLine2>
            <City>OKEMOS</City>
            <State>MI</State>
            <ZIPCode>48864</ZIPCode>
          </Address>
          <FacilityType>LABORATORY</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>EDWARD W SPARROW HOSPITAL</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>SPARROW REGIONAL LAB</AddressLine1>
            <AddressLine2>1650 RAMBLEWOOD</AddressLine2>
            <City>EAST LANSING</City>
            <State>MI</State>
            <ZIPCode>48823</ZIPCode>
          </Address>
          <FacilityType>LABORATORY</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>EDWARD W SPARROW HOSPITAL</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>OKEMOS URGENT CARE</AddressLine1>
            <AddressLine2>2248 MOUNT HOPE</AddressLine2>
            <City>OKEMOS</City>
            <State>MI</State>
            <ZIPCode>48864</ZIPCode>
          </Address>
          <FacilityType>URGENT CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>EDWARD W SPARROW HOSPITAL</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>SPARROW REGIONAL LAB</AddressLine1>
            <AddressLine2>6254 W SAGINAW</AddressLine2>
            <City>LANSING</City>
            <State>MI</State>
            <ZIPCode>48912</ZIPCode>
          </Address>
          <FacilityType>LABORATORY</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>EDWARD W SPARROW HOSPITAL</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>SPARROW REGIONAL LAB</AddressLine1>
            <AddressLine2>6030 S PENNSYLVANIA</AddressLine2>
            <City>LANSING</City>
            <State>MI</State>
            <ZIPCode>48913</ZIPCode>
          </Address>
          <FacilityType>LABORATORY</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>EDWARD W SPARROW HOSPITAL</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>EDWARD W SPARROW HOSPITAL</AddressLine1>
            <AddressLine2>11653 HARTEL SUITE 1000</AddressLine2>
            <City>GRAND LEDGE</City>
            <State>MI</State>
            <ZIPCode>48837</ZIPCode>
          </Address>
          <FacilityType>PHYSICAL THERAPY</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>EDWARD W SPARROW HOSPITAL</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>OUTPATIENT REHAB</AddressLine1>
            <AddressLine2>13105 SCHAVEY</AddressLine2>
            <City>DEWITT</City>
            <State>MI</State>
            <ZIPCode>48820</ZIPCode>
          </Address>
          <FacilityType>PHYSICAL THERAPY</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>EDWARD W SPARROW HOSPITAL</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>EDWARD W SPARROW HOSPITAL</AddressLine1>
            <AddressLine2>SOUTHPOINT MALL SUITE A14-A17</AddressLine2>
            <City>ST JOHNS</City>
            <State>MI</State>
            <ZIPCode>48879</ZIPCode>
          </Address>
          <FacilityType>PHYSICAL THERAPY</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>EDWARD W SPARROW HOSPITAL</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>SMG DEWITT</AddressLine1>
            <AddressLine2>13191 SCHAVEY</AddressLine2>
            <City>DEWITT</City>
            <State>MI</State>
            <ZIPCode>48820</ZIPCode>
          </Address>
          <FacilityType>FAMILY PRACTICE, LAB, RADIOLOGY</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>EDWARD W SPARROW HOSPITAL</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>EDWARD W SPARROW HOSPITAL</AddressLine1>
            <AddressLine2>138 SERVICE</AddressLine2>
            <City>EAST LANSING</City>
            <State>MI</State>
            <ZIPCode>48823</ZIPCode>
          </Address>
          <FacilityType>LABORATORY</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>EDWARD W SPARROW HOSPITAL</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>SPARROW PHARMACY PLUS</AddressLine1>
            <AddressLine2>129 S PUTNAM</AddressLine2>
            <City>WILLIAMSTON</City>
            <State>MI</State>
            <ZIPCode>48895</ZIPCode>
          </Address>
          <FacilityType>PHARMACY</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>EDWARD W SPARROW HOSPITAL</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>SPARROW PHARMACY PLUS</AddressLine1>
            <AddressLine2>508 S CLINTON</AddressLine2>
            <City>GRAND LEDGE</City>
            <State>MI</State>
            <ZIPCode>48837</ZIPCode>
          </Address>
          <FacilityType>PHARMACY</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>EDWARD W SPARROW HOSPITAL</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>SPARROW PHARMACY PLUS</AddressLine1>
            <AddressLine2>915 E MICHIGAN</AddressLine2>
            <City>LANSING</City>
            <State>MI</State>
            <ZIPCode>48912</ZIPCode>
          </Address>
          <FacilityType>PHARMACY</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>EDWARD W SPARROW HOSPITAL</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>SPARROW PHARMACY PLUS</AddressLine1>
            <AddressLine2>1200 E MICHIGAN SUITE 310</AddressLine2>
            <City>LANSING</City>
            <State>MI</State>
            <ZIPCode>48912</ZIPCode>
          </Address>
          <FacilityType>PHARMACY</FacilityType>
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      </Form990ScheduleHPartVSectionC>
      <Form990ScheduleHPartVI>
        <Identifier>COMMUNITY BUILDING ACTIVITIES</Identifier>
        <ReturnReference>PART II</ReturnReference>
        <Explanation>SPARROW HEALTH SYSTEMS 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 REGIONS 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</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>BAD DEBT EXPENSE EXPLANATION</Identifier>
        <ReturnReference>PART III LINE 4</ReturnReference>
        <Explanation>THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENTS 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 WRITEOFF EXPERIENCE AND CURRENT MARKET CONDITIONS THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE THE HEALTH SYSTEM FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST DUE PATIENT BALANCES WITH COLLECTION AGENCIES THE COST TO CHARGE RATIO IS USED IN DETERMINING BAD DEBT INFORMATION</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>MEDICARE EXPLANATION</Identifier>
        <ReturnReference>PART III LINE 8</ReturnReference>
        <Explanation>THE COST TO CHARGE RATIO IS USED</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>COLLECTION PRACTICES EXPLANATION</Identifier>
        <ReturnReference>PART III LINE 9B</ReturnReference>
        <Explanation>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</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>NEEDS ASSESSMENT</Identifier>
        <ReturnReference>PART VI</ReturnReference>
        <Explanation>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 REGIONS HEALTH CARE NEEDS IS A KEY COMPONENT OF THIS STRATEGIC PLAN WHICH IS FOCUSED ON ECONOMIC DEVELOPMENT FOR THE REGION</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE</Identifier>
        <ReturnReference>PART VI</ReturnReference>
        <Explanation>SPARROW HOSPITAL EMPLOYS SEVERAL METHODS TO COMMUNICATE ELIGIBILITY FOR ASSISTANCE TO PATIENTS ALL UNINSURED INPATIENTS ARE DIRECTLY SCREENED FOR POTENTIAL MEDICAID ELIGIBILITY AND ANY OTHER GOVERNMENT PROGRAMS COBRA BENEFITS ETC SIGNAGE IS POSTED IN OUR PATIENT REGISTRATION AREAS REGARDING AVAILABILITY OF SPARROW COMMUNITY FINANCIAL AID CFA PROGRAM CHARITY CARE ALL PATIENT BILLING STATEMENTS HAVE A NOTE REGARDING THE CFA PROGRAM AND OUR WEBSITE CONTAINS LINKS TO OUR CFA POLICY AND APPLICATION</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>COMMUNITY INFORMATION</Identifier>
        <ReturnReference>PART VI</ReturnReference>
        <Explanation>SPARROW SERVES THE MIDMICHIGAN REGION WHICH CONSISTS OF THE GREATER LANSING AREA A POPULATION OF APPROXIMATELY 450000 STRATEGICALLY LOCATED IN THE HEART OF MICHIGAN SPARROW IS LOCATED WITHIN 90 MINUTES OF 90 PERCENT OF THE STATES 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 BIOTECHNOLOGY HEALTHCARE INSURANCE AND FINANCIAL SERVICES</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE</Identifier>
        <ReturnReference>PART VI</ReturnReference>
        <Explanation>AS NOTED ABOVE THE ORGANIZATIONS 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</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>AFFILIATED HEALTH CARE INFORMATION</Identifier>
        <ReturnReference>PART VI</ReturnReference>
        <Explanation>EDWARD W SPARROW HOSPITAL IS A WHOLLYOWNED SUBSIDIARY OF SPARROW HEALTH SYSTEM SPARROW HEALTH SYSTEM IS A NONPROFIT COMMUNITY GOVERNED INTEGRATED HEALTH DELIVERY AND FINANCING SYSTEM SERVING MIDMICHIGAN SPARROW HEALTH SYSTEM PROVIDES SERVICES TO THE COMMUNITIES IT SERVES THROUGH ITS WHOLLY OWNED AND CONTROLLED SUBSIDIARIES PHYSICIAN HEALTH PLAN OF MIDMICHIGAN PHYSICIAN HEALTH NETWORK EDWARD W SPARROW HOSPITAL CLINTON MEMORIAL HOSPITAL SPARROW SPECIALTY HOSPITAL SPARROW DEVELOPMENT INC HOME HEALTH CARE OF SPARROW INC IONIA COUNTY MEMORIAL HOSPITAL AND SPARROW FOUNDATION</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>EDWARD W SPARROW HOSPITAL LINE NUMBER 1 PART V LINE 19D</Identifier>
        <ReturnReference>PART V LINE 19D</ReturnReference>
        <Explanation>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 ANDOR INDIVIDUAL CIRCUMSTANCES</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>EDWARD W SPARROW HOSPITAL LINE NUMBER 1 PART V LINE 21</Identifier>
        <ReturnReference>PART V LINE 21</ReturnReference>
        <Explanation>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 ANDOR INDIVIDUAL CIRCUMSTANCES</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>EDWARD W SPARROW HOSPITAL LINE NUMBER 2 PART V LINE 19D</Identifier>
        <ReturnReference>PART V LINE 19D</ReturnReference>
        <Explanation>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 ANDOR INDIVIDUAL CIRCUMSTANCES</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>EDWARD W SPARROW HOSPITAL LINE NUMBER 2 PART V LINE 21</Identifier>
        <ReturnReference>PART V LINE 21</ReturnReference>
        <Explanation>ALL PATIENTS ARE INSURANCES ARE CHARGED THE SAME GROSS CHARGE FROM OUR FEE SCHEDULE DISCOUNTS ARE THEN PROVIDED TO UNINSURED PATIENTS BASED ON OUR FINANCIAL ASSISTANCE POLICY ANDOR INDIVIDUAL CIRCUMSTANCES</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
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        <BonusFilingOrg>34580</BonusFilingOrg>
        <OtherCompensationFilingOrg>26316</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>19792</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>11793</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>271333</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>CAROL DWYER</NamePerson>
        <BaseCompensationFilingOrg>225667</BaseCompensationFilingOrg>
        <BonusFilingOrg>12947</BonusFilingOrg>
        <OtherCompensationFilingOrg>757</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>13954</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>12622</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>265947</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>IRA GINSBURG</NamePerson>
        <BaseCompensationFilingOrg>193846</BaseCompensationFilingOrg>
        <BonusFilingOrg>33542</BonusFilingOrg>
        <OtherCompensationFilingOrg>6723</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>17324</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>12273</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>263708</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>ANDREA KOSLOSKI</NamePerson>
        <BaseCompensationFilingOrg>167928</BaseCompensationFilingOrg>
        <BonusFilingOrg>24503</BonusFilingOrg>
        <OtherCompensationFilingOrg>1676</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>15938</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>14117</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>224162</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>RICHARD FELLOWS</NamePerson>
        <BaseCompensationFilingOrg>160313</BaseCompensationFilingOrg>
        <BonusFilingOrg>26956</BonusFilingOrg>
        <OtherCompensationFilingOrg>584</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>13901</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>9279</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>211033</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JOEL COHN MD</NamePerson>
        <BaseCompensationFilingOrg>649679</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>795</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>13546</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>14278</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>678298</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DARYL MELVIN MD</NamePerson>
        <BaseCompensationFilingOrg>643050</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>3103</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>14700</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>13824</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>674677</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>TODD HICKOX MD</NamePerson>
        <BaseCompensationFilingOrg>643550</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>1375</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>14700</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>13824</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>673449</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>CHRISTOPHER D'HAEM MD</NamePerson>
        <BaseCompensationFilingOrg>636795</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>795</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>14700</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>14278</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>666568</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>GEORGE KLEIBER MD</NamePerson>
        <BaseCompensationFilingOrg>621216</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>4026</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>14700</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>7651</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>647593</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>STEPHEN GUERTIN MD</NamePerson>
        <BaseCompensationFilingOrg>211205</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>2266</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>15797</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>6444</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>235712</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>GARY REETZ</NamePerson>
        <BaseCompensationFilingOrg>187769</BaseCompensationFilingOrg>
        <BonusFilingOrg>23086</BonusFilingOrg>
        <OtherCompensationFilingOrg>1720</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>15731</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>4278</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>232584</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DAWN SPRINGER MD</NamePerson>
        <BaseCompensationFilingOrg>145453</BaseCompensationFilingOrg>
        <BonusFilingOrg>38356</BonusFilingOrg>
        <OtherCompensationFilingOrg>3751</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>13879</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>3469</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>204908</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>FRINGE OR EXPENSE EXPLANATION</Identifier>
        <ReturnReference>SCHEDULE J, PAGE 1, PART I, LINE 1A</ReturnReference>
        <Explanation>PRESIDENT/CEO DENNIS SWAN RECEIVED A LIFE INSURANCE GROSS-UP PAYMENT OF 9,466. CERTAIN BOARD MEMBERS' AND EXECUTIVES' MICHIGAN ATHLETIC CLUB DUES ARE PAID BY EDWARD W. SPARROW HOSPITAL. THESE AMOUNTS ARE CONSIDERED TAXABLE COMPENSATION.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS</Identifier>
        <ReturnReference>SCHEDULE J, PAGE 1, PART I, LINE 4</ReturnReference>
        <Explanation>MIKE WALL 23,875 0 0</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>COMPENSATION CONTINGENT UPON REVENUES OF ORGANIZATION</Identifier>
        <ReturnReference>SCHEDULE J, PAGE 1, PART I, LINE 5A</ReturnReference>
        <Explanation>THE 2010 INCENTIVE COMPENSATION PLAN PAYMENTS WERE ACCRUED IN 2010 AND WILL BE PAID IN 2011. 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.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>COMPENSATION CONTINGENT UPON REVENUES OF RELATED ORG</Identifier>
        <ReturnReference>SCHEDULE J, PAGE 1, PART I, LINE 5B</ReturnReference>
        <Explanation>THE 2010 INCENTIVE COMPENSATION PLAN PAYMENTS WERE ACCRUED IN 2010 AND WILL BE PAID IN 2011. 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.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>COMPENSATION CONTINGENT UPON NET EARNINGS OF ORGANIZATION</Identifier>
        <ReturnReference>SCHEDULE J, PAGE 1, PART I, LINE 6A</ReturnReference>
        <Explanation>THE 2010 INCENTIVE COMPENSATION PLAN PAYMENTS WERE ACCRUED IN 2010 AND WILL BE PAID IN 2011. 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.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>COMPENSATION CONTINGENT UPON NET EARNINGS OF RELATED ORG</Identifier>
        <ReturnReference>SCHEDULE J, PAGE 1, PART I, LINE 6B</ReturnReference>
        <Explanation>THE 2010 INCENTIVE COMPENSATION PLAN PAYMENTS WERE ACCRUED IN 2010 AND WILL BE PAID IN 2011. 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.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>NON-FIXED PAYMENTS PROVIDED</Identifier>
        <ReturnReference>SCHEDULE J, PAGE 1, PART I, LINE 7</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>OTHER ADDITIONAL INFORMATION</Identifier>
        <ReturnReference>SCHEDULE J, PART III</ReturnReference>
        <Explanation>SCHEDULE J, PART I, LINE 4A: MICHAEL WALL AND EDWARD W. SPARROW HOSPITAL REACHED A SEPARATION AGREEMENT IN 2010. THE PAYMENTS REFERENCED ON FORM 990 PART VII, SECTION A, LINE 1A REFLECT THE TERMS OF THESE AGREEMENTS. GARY REETZ IS A FORMER OFFICER AND STEPHEN GUERTIN AND DAWN SPRINGER ARE FORMER BOARD MEMBERS OF EDWARD W. SPARROW HOSPITAL. THESE FORMER OFFICER 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 OFFICER OR BOARD MEMBER. THE FORMER OFFICER AND BOARD MEMBERS ARE NOT BEING COMPENSATED FOR ANY PAST SERVICES PROVIDED TO EDWARD W. SPARROW HOSPITAL AS FORMER OFFICER OR BOARD MEMBERS.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc9">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>MICHIGAN STATE HOSPITAL FINANCE AUT</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>382889417</IssuerEIN>
        <CUSIPNumber>59465HAC0</CUSIPNumber>
        <DateIssued>2005-04-26</DateIssued>
        <IssuePrice>92941319</IssuePrice>
        <DescriptionOfPurpose>10-STRY ADD. TO HOSP.</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>MICHIGAN STATE HOSPITAL FINANCE AUT</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>382889417</IssuerEIN>
        <CUSIPNumber>59465HEQ5</CUSIPNumber>
        <DateIssued>2007-04-01</DateIssued>
        <IssuePrice>140209630</IssuePrice>
        <DescriptionOfPurpose>FINISH 10-STRY ADD.</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <TotalProceeds>92941319</TotalProceeds>
        <RefundingEscrow>40072062</RefundingEscrow>
        <IssuanceCostsFromProceeds>2868252</IssuanceCostsFromProceeds>
        <CapitalExpenditures>50001005</CapitalExpenditures>
        <YearOfSubstCompletion>2006</YearOfSubstCompletion>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <TotalProceeds>140209630</TotalProceeds>
        <RefundingEscrow>41432241</RefundingEscrow>
        <IssuanceCostsFromProceeds>1203994</IssuanceCostsFromProceeds>
        <CapitalExpenditures>97573395</CapitalExpenditures>
        <YearOfSubstCompletion>2008</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>true</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>false</BondCounselRoutinelyEngaged>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>false</BondCounselRoutinelyEngaged>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>true</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>MORGANSTANLEY &amp;</BusinessNameLine1>
          <BusinessNameLine2>CO INCORPORATED</BusinessNameLine2>
        </NameOfGICProvider>
        <TermOfGIC>2.7</TermOfGIC>
        <RegulatorySafeHarborSatisfied>true</RegulatorySafeHarborSatisfied>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>true</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>true</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>HYPO PUBLIC FIN</BusinessNameLine1>
          <BusinessNameLine2>BANK</BusinessNameLine2>
        </NameOfGICProvider>
        <TermOfGIC>2.7</TermOfGIC>
        <RegulatorySafeHarborSatisfied>true</RegulatorySafeHarborSatisfied>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>true</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartV>
        <Identifier>ADDITIONAL INFORMATION</Identifier>
        <ReturnReference>SCHEDULE K</ReturnReference>
        <Explanation>MICHIGAN STATE HOSPITAL FINANCE AUT THE ISSUE PRICE FOR THE MICHIGAN STATE HOSPITAL FINANCE AUTHORITY CUSIP 59465HAC0 REPORTED ON FORM 8038 WAS XXX-XX-XXXX THIS TAXEXEMPT BOND IS BEING ALLOCATED BETWEEN EDWARD W SPARROW HOSPITAL AND CLINTON MEMORIAL HOSPITAL THE AMOUNT OF THE ISSUE PRICE REPORTED ON EDWARD W SPARROW HOSPITAL IS XXX-XX-XXXX AND THE AMOUNT REPORTED ON CLINTON MEMORIAL HOSPITAL IS 4148209 SPARROW HEALTH SYSTEM IS THE SOLE MEMBER OF BOTH EDWARD W SPARROW HOSPITAL AND CLINTON MEMORIAL HOSPITAL</Explanation>
      </Form990ScheduleKPartV>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc10">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>DEBORAH GINSBURG</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>WIFE OF VP</Relationship>
        <AmountOfTransaction>27503</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYEE</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>MAUREEN FELLOWS</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>WIFE OF VP</Relationship>
        <AmountOfTransaction>49004</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYEE</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc11">
      <GeneralExplanation>
        <Identifier>ADDITIONAL INFORMATION</Identifier>
        <ReturnReference>FORM 990</ReturnReference>
        <Explanation>ALL LINES LEFT BLANK ARE NOT APPLICABLE TO THE ORGANIZATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FIRST ACHIEVEMENT DESCRIPTION</Identifier>
        <ReturnReference>FORM 990, PAGE 2, PART III, LINE 4A</ReturnReference>
        <Explanation>CANCER CARE INCLUDING RADIATION THERAPY, TRAUMA CARE, NEUROLOGICAL CARE, HIGH-RISK OBSTETRICS, NEONATAL INTENSIVE CARE, BEHAVIORAL HEALTH, AND CARDIOVASCULAR SERVICES. SPARROW TREATED MORE THAN 33,000 INPATIENTS, HAD MORE THAN 1.1 MILLION OUTPATIENT ENCOUNTERS, AND PROVIDED SERVICES TO ABOUT 115,000 EMERGENCY MEDICINE PATIENTS IN 2010. TODAY'S SPARROW HEALTH SYSTEM BLENDS THE KNOWLEDGE AND EXPERTISE OF ABOUT 900 PHYSICIANS, 7,500 ASSOCIATES AND APPROXIMATELY 2,000 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 (ABOUT 4,000 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 - ONE GOAL SPARROW HAS AGGRESSIVELY PURSUED IS GIVING EVERY PERSON IN MID-MICHIGAN READY ACCESS TO PRIMARY CARE, NO MATTER WHERE THEY LIVE. WITH INNOVATIVE AFFILIATIONS WITH SPARROW CLINTON MEMORIAL HOSPITAL, SPARROW IONIA HOSPITAL, AND CARSON CITY HOSPITAL, WE CONTINUE TO MAKE POSITIVE STRIDES IN THIS AREA. SPARROW COMMUNITY CARE - A NON-PROFIT ENTITY COMPRISING THE FORMER SPARROW MEDICAL SUPPLY AND SPARROW HOME CARE UNITS WITH SPARROW LABORATORIES AND SPARROW PHARMACY PLUS ROUND OUT SPARROW HEALTH SYSTEM'S NETWORK OF FACILITIES AND PRIMARY CARE SERVICES. THEY ARE DESIGNED TO PROVIDE QUALITY, CONVENIENT, COST EFFECTIVE HEALTH CARE TO THE PEOPLE OF MID-MICHIGAN. EMERGENCY PREPAREDNESS - SPARROW HAS DISTINGUISHED ITSELF AS A RECOGNIZED LEADER IN EMERGENCY PREPAREDNESS. THE HOSPITAL VIEWS PREPAREDNESS AS AN ONGOING PROCESS LED BY A MULTIDISCIPLINARY TEAM THAT INVOLVES ALL ASPECTS OF HOSPITAL OPERATIONS, INCLUDING MEDICAL AND NON-MEDICAL SERVICES. DRILLS ARE CONDUCTED YEAR-ROUND IN COLLABORATION WITH LOCAL, STATE AND FEDERAL AGENCIES TO ENSURE SPARROW IS PREPARED FOR ANY DISASTER, WHETHER IT IS THE RESULT OF A TERRORIST ACT OR A NATURAL DISASTER. SPARROW'S EMERGENCY PREPAREDNESS COMMITTEE REGULARLY TESTS THE HOSPITAL'S RESPONSE SKILLS INDEPENDENT OF ANY AGENCY OR GOVERNING BODY. THE HOSPITAL ALSO WORKS WITH LOCAL GOVERNMENT AGENCIES, INCLUDING THE POLICE DEPARTMENT, FIRE DEPARTMENT AND PUBLIC HEALTH DEPARTMENT TO COORDINATE A PLANNED RESPONSE IN THE EVENT OF A TRUE EMERGENCY. 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 LANSING WOMEN'S EXPO, HIKE FOR HOSPICE, THE FEELIN' GOOD MILEAGE CLUB FOR ELEMENTARY SCHOOLS AND FITKIDS. SPARROW ALSO HAS A PARTNERSHIP WITH THE NATION'S LARGEST AND MOST EXPERIENCED PROVIDER OF AIR AMBULANCE SERVICES, LIFENET OF MICHIGAN. LIFENET PROVIDES 24-HOUR AIR MEDICAL TRANSPORT SERVICE FOR IMPROVED ACCESS TO PATIENTS WHO NEED CRITICAL CARE. AS A TEACHING HOSPITAL, SPARROW HAS CONTINUED TO STRENGTHEN ITS AFFILIATION WITH MICHIGAN STATE UNIVERSITY'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. 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. FREE DIABETES TESTING, PROSTATE SCREENING, BREAST EXAMS AND BLOOD PRESSURE CHECKS ARE BUT A FEW OF THE MANY SUCH PROGRAMS SPARROW PROVIDES TO THE COMMUNITY. SPARROW ALSO PROVIDES MEETING FACILITIES FOR MANY 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 2010, SPARROW PROVIDED APPROXIMATELY 52.6 MILLION IN CHARITY, BAD DEBT AND COMMUNITY BENEFITS AND ABSORBED THE COST OF MORE THAN 15.4 MILLION IN MEDICARE AND MEDICAID UNDER-FUNDING. A BRIEF FINANCIAL SUMMARY OF THE ABOVE ACCOMPLISHMENTS IS: CHARITY AND BAD DEBTS 29,318,922, COMMUNITY BENEFITS (SUBSIDIZED PROGRAMS AND COMMUNITY OUTREACH) 23,320,193, AND MEDICARE AND MEDICAID UNDER-FUNDING 15,366,912.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CLASSES OF MEMBERS OR STOCKHOLDERS</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 6</ReturnReference>
        <Explanation>SPARROW HEALTH SYSTEM IS THE SOLE MEMBER OF EDWARD W. SPARROW HOSPITAL AND HAS 100% OWNERSHIP.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ELECTION OF MEMBERS AND THEIR RIGHTS</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 7A</ReturnReference>
        <Explanation>SPARROW HEALTH SYSTEM CAN 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DECISIONS SUBJECT TO APPROVAL OF MEMBERS</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 7B</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ORGANIZATION'S PROCESS USED TO REVIEW FORM 990</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 11B</ReturnReference>
        <Explanation>COPIES OF THE 2010 FORM 990 WHICH WAS REVIEWED BY MANAGEMENT WAS PROVIDED AT THE OCTOBER 2011 AUDIT COMMITTEE MEETINGS FOR ALL MEMBERS TO REVIEW AND COMMENT ON. THE AUDIT COMMITTEE IS THE GOVERNING BODY WITH THE AUTHORITY TO REVIEW AND COMMENT ON THE 990.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ENFORCEMENT OF CONFLICTS POLICY</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 12C</ReturnReference>
        <Explanation>1) CORPORATE COMPLIANCE SENDS OUT 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)</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION PROCESS FOR TOP OFFICIAL</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 15A</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION PROCESS FOR OFFICERS</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 15B</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>GOVERNING DOCUMENTS DISCLOSURE EXPLANATION</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 19</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc12">
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>SPARROW HEALTH SYSTEM</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1215 EAST MICHIGAN AVENUE</AddressLine1>
          <City>LANSING</City>
          <State>MI</State>
          <ZIPCode>48912</ZIPCode>
        </AddressUS>
        <EIN>382542859</EIN>
        <PrimaryActivities>PARENT</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501C3</ExemptCodeSection>
        <PublicCharityStatus>11A</PublicCharityStatus>
        <DirectControllingEntityName>
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        <ControlledOrg>false</ControlledOrg>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HOME HEALTH CARE OF SPARROW INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2909 EAST GRAND RIVER</AddressLine1>
          <City>LANSING</City>
          <State>MI</State>
          <ZIPCode>48912</ZIPCode>
        </AddressUS>
        <EIN>382543305</EIN>
        <PrimaryActivities>HOME HLTH</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501C3</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>PHYSICIANS HEALTH PLAN OF MID MICH</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1400 EAST MICHIGAN AVENUE</AddressLine1>
          <City>LANSING</City>
          <State>MI</State>
          <ZIPCode>48912</ZIPCode>
        </AddressUS>
        <EIN>382356288</EIN>
        <PrimaryActivities>INSURANCE</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501C4</ExemptCodeSection>
        <DirectControllingEntityName>
          <BusinessNameLine1>SHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>PHY HLTH PLAN OF MID MI FAMILY CARE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1400 EAST MICHIGAN AVENUE</AddressLine1>
          <City>LANSING</City>
          <State>MI</State>
          <ZIPCode>48912</ZIPCode>
        </AddressUS>
        <EIN>364497604</EIN>
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        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501C4</ExemptCodeSection>
        <DirectControllingEntityName>
          <BusinessNameLine1>PHPMM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>PHYSICIANS HEALTH NETWORK</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1400 EAST MICHIGAN AVENUE</AddressLine1>
          <City>LANSING</City>
          <State>MI</State>
          <ZIPCode>48912</ZIPCode>
        </AddressUS>
        <EIN>382594856</EIN>
        <PrimaryActivities>HMO</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501C4</ExemptCodeSection>
        <DirectControllingEntityName>
          <BusinessNameLine1>SHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SPARROW FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1110 EAST MICHIGAN AVENUE</AddressLine1>
          <City>LANSING</City>
          <State>MI</State>
          <ZIPCode>48912</ZIPCode>
        </AddressUS>
        <EIN>386100687</EIN>
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        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501C3</ExemptCodeSection>
        <PublicCharityStatus>11B</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CLINTON MEMORIAL HOSPITAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>805 SOUTH OAKLAND</AddressLine1>
          <City>ST JOHNS</City>
          <State>MI</State>
          <ZIPCode>48879</ZIPCode>
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        <EIN>381358172</EIN>
        <PrimaryActivities>HLTH CARE</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501C3</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SPARROW SPECIALTY HOSPITAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1210 WEST SAGINAW</AddressLine1>
          <City>LANSING</City>
          <State>MI</State>
          <ZIPCode>48915</ZIPCode>
        </AddressUS>
        <EIN>141885340</EIN>
        <PrimaryActivities>LT ACUTE C</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501C3</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>IONIA COUNTY MEMORIAL HOSPITAL CORP</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>479 LAFAYETTE STREET</AddressLine1>
          <City>IONIA</City>
          <State>MI</State>
          <ZIPCode>48846</ZIPCode>
        </AddressUS>
        <EIN>383218134</EIN>
        <PrimaryActivities>HLTH CARE</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501C3</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>LANSING MEDICAL DENTAL BUILDING</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2909 EAST GRAND RIVER</AddressLine1>
          <City>LANSING</City>
          <State>MI</State>
          <ZIPCode>48909</ZIPCode>
        </AddressUS>
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        <ShareOfEOYAssets>514720</ShareOfEOYAssets>
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        <PercentageOwnership>0.60420</PercentageOwnership>
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      <Form990ScheduleRPartIII>
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          <BusinessNameLine1>SPARROW REGIONAL MEDICAL SUPPLY</BusinessNameLine1>
        </NameOfRelatedOrg>
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          <AddressLine1>1215 E MICHIGAN AVE</AddressLine1>
          <City>LANSING</City>
          <State>MI</State>
          <ZIPCode>48912</ZIPCode>
        </AddressUS>
        <EIN>383243561</EIN>
        <PrimaryActivity>SALES/RENT</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
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      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>LANSING MEDICAL DENTAL BUILDING</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2909 EAST GRAND RIVER</AddressLine1>
          <City>LANSING</City>
          <State>MI</State>
          <ZIPCode>48909</ZIPCode>
        </AddressUS>
        <EIN>382566150</EIN>
        <PrimaryActivity>RENTAL PRO</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
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          <BusinessNameLine1>EWSH</BusinessNameLine1>
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        <CodeVAmount>-166</CodeVAmount>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.60420</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
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          <BusinessNameLine1>SPARROW REGIONAL MEDICAL SUPPLY</BusinessNameLine1>
        </NameOfRelatedOrg>
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          <AddressLine1>1215 E MICHIGAN AVE</AddressLine1>
          <City>LANSING</City>
          <State>MI</State>
          <ZIPCode>48912</ZIPCode>
        </AddressUS>
        <EIN>383243561</EIN>
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        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIV>
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          <BusinessNameLine1>SPARROW DEVELOPMENT INC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>1210 WEST SAGINAW ST</AddressLine1>
          <City>LANSING</City>
          <State>MI</State>
          <ZIPCode>48915</ZIPCode>
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        <EIN>382595963</EIN>
        <PrimaryActivity>MED SUPPLY</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
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      <Form990ScheduleRPartIV>
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        <AddressUS>
          <AddressLine1>1100 WEST SAGINAW ST</AddressLine1>
          <City>LANSING</City>
          <State>MI</State>
          <ZIPCode>48915</ZIPCode>
        </AddressUS>
        <EIN>382635630</EIN>
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        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>EWSH</BusinessNameLine1>
        </DirectControllingEntityName>
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      <Form990ScheduleRPartIV>
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        <AddressUS>
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          <City>LANSING</City>
          <State>MI</State>
          <ZIPCode>48909</ZIPCode>
        </AddressUS>
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        <PrimaryActivity>INSURANCE</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
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      <Form990ScheduleRPartIV>
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          <State>MI</State>
          <ZIPCode>48912</ZIPCode>
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        <EIN>383344741</EIN>
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        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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      <Form990ScheduleRPartIV>
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        <AddressUS>
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          <City>LANSING</City>
          <State>MI</State>
          <ZIPCode>48823</ZIPCode>
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        <EIN>382886420</EIN>
        <PrimaryActivity>HLTH CLUB</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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      <Form990ScheduleRPartIV>
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        <AddressUS>
          <AddressLine1>2900 HANNAH BLVD</AddressLine1>
          <City>LANSING</City>
          <State>MI</State>
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      <Form990ScheduleRPartIV>
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        <AddressUS>
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          <City>ST JOHNS</City>
          <State>MI</State>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
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        <AddressUS>
          <AddressLine1>1210 WEST SAGINAW ST</AddressLine1>
          <City>LANSING</City>
          <State>MI</State>
          <ZIPCode>48915</ZIPCode>
        </AddressUS>
        <EIN>382595963</EIN>
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        <LegalDomicileState>MI</LegalDomicileState>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MEDICAL CENTER WEST CONDO ASSOC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1100 WEST SAGINAW ST</AddressLine1>
          <City>LANSING</City>
          <State>MI</State>
          <ZIPCode>48915</ZIPCode>
        </AddressUS>
        <EIN>382635630</EIN>
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          <BusinessNameLine1>EWSH</BusinessNameLine1>
        </DirectControllingEntityName>
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        <PercentageOwnership>0.94610</PercentageOwnership>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>PHPMM INSURANCE COMPANY</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>PO BOX 30377</AddressLine1>
          <City>LANSING</City>
          <State>MI</State>
          <ZIPCode>48909</ZIPCode>
        </AddressUS>
        <EIN>205565219</EIN>
        <PrimaryActivity>INSURANCE</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>PHP OF MID MICHIGAN TPA INC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>1400 EAST MICHIGAN AVE</AddressLine1>
          <City>LANSING</City>
          <State>MI</State>
          <ZIPCode>48912</ZIPCode>
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        <EIN>383344741</EIN>
        <PrimaryActivity>MED SERV</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>EAST LANSING ATHLETIC CLUB</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2900 HANNAH BLVD</AddressLine1>
          <City>LANSING</City>
          <State>MI</State>
          <ZIPCode>48823</ZIPCode>
        </AddressUS>
        <EIN>382886420</EIN>
        <PrimaryActivity>HLTH CLUB</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MAC RESTAURANT LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2900 HANNAH BLVD</AddressLine1>
          <City>LANSING</City>
          <State>MI</State>
          <ZIPCode>48823</ZIPCode>
        </AddressUS>
        <EIN>205120690</EIN>
        <PrimaryActivity>RESTAURANT</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>CLINTON SERVICE CORPORATION</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>805 SOUTH OAKLAND</AddressLine1>
          <City>ST JOHNS</City>
          <State>MI</State>
          <ZIPCode>48879</ZIPCode>
        </AddressUS>
        <EIN>382494110</EIN>
        <PrimaryActivity>SERVICES</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>true</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>true</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>true</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>true</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>PHYSICIAN HEALTH PLAN OF MID MICH</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
        <AmountInvolved>265763</AmountInvolved>
        <MethodOfAmtDetermination>COST</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>PHYSICIAN HEALTH PLAN OF MID MICH</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>9609002</AmountInvolved>
        <MethodOfAmtDetermination>COST</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
