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        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>373740</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>64914</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LINDA REETZ</PersonNm>
        <TitleTxt>LEGACY BOARD</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>40.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>378805</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>47053</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HELEN JOHNSON</PersonNm>
        <TitleTxt>LEGACY BOARD</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>345010</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>25356</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KIM A CAPPS</PersonNm>
        <TitleTxt>FORMER OFFIC</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>164049</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>28076</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LAKEEYA TUCKER DO</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>78060</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CANDACE METCALF DO</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>1560</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOSEPH GARCIA</PersonNm>
        <TitleTxt>LEGACY BOARD</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>1560</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DANIEL BALICE</PersonNm>
        <TitleTxt>VICE CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JP BUCKINGHAM</PersonNm>
        <TitleTxt>LEGACY BOARD</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KATHLEEN COOK</PersonNm>
        <TitleTxt>LEGACY BOARD</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRUCE COURTADE</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARIA DAVIS</PersonNm>
        <TitleTxt>LEGACY BOARD</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TROY FERGUSON</PersonNm>
        <TitleTxt>LEGACY BOARD</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN HENDRICKSON</PersonNm>
        <TitleTxt>CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LAURA HOPSON</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANTHONY MAZZALI</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN MILEWSKI</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HARPER WILDERN OD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>COLETTE SCRIMGER</PersonNm>
        <TitleTxt>LEGACY BOARD</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAN SHAVER</PersonNm>
        <TitleTxt>LEGACY BOARD</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CAROL PRIEBE WILES</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TIMOTHY WILLIAMS</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>3871480</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>7720962</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>1196806</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>49</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>true</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>GRANGER CONSTRUCTION COMPANY</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>6267 AURELIUS ROAD</AddressLine1Txt>
            <CityNm>LANSING</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48909</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION</ServicesDesc>
        <CompensationAmt>4736779</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>AYA HEALTHCARE INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5930 CORNERSTONE CT W 300</AddressLine1Txt>
            <CityNm>SAN DIEGO</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>92121</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>TEMP LABOR</ServicesDesc>
        <CompensationAmt>1683422</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ALLIANCE-HNI LEASING CO LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>100 BAYVIEW CIRCLE SUITE 400</AddressLine1Txt>
            <CityNm>NEWPORT BEACH</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>92660</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PATIENT CARE</ServicesDesc>
        <CompensationAmt>1142460</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>WOLVERINE BUILDING GROUP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>4045 BARDEN SE</AddressLine1Txt>
            <CityNm>GRAND RAPIDS</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>49512</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION MA</ServicesDesc>
        <CompensationAmt>884947</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>FASTAFF LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>6399 S FIDDLERS GREEN CIR STE 100</AddressLine1Txt>
            <CityNm>GREENWOOD VILLAGE</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>801114974</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>TEMP LABOR</ServicesDesc>
        <CompensationAmt>549491</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>19</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>110342</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>2112481</GovernmentGrantsAmt>
      <TotalContributionsAmt>2222823</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>95838027</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>95838027</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>95838027</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>1297984</TotalRevenueColumnAmt>
        <ExclusionAmt>1297984</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>209583</RealAmt>
      </GrossRentsGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>209583</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>209583</TotalRevenueColumnAmt>
        <ExclusionAmt>209583</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>1880436</SecuritiesAmt>
        <OtherAmt>174844</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>91142</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>1880436</SecuritiesAmt>
        <OtherAmt>83702</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>1964138</TotalRevenueColumnAmt>
        <ExclusionAmt>1964138</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <GrossSalesOfInventoryAmt>52363</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>36165</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>16198</TotalRevenueColumnAmt>
        <ExclusionAmt>16198</ExclusionAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>ALL OTHER REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>2753906</TotalRevenueColumnAmt>
        <ExclusionAmt>2753906</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>QUALITY INCENTIVE REVENUES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>213525</TotalRevenueColumnAmt>
        <ExclusionAmt>213525</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>340B PHARMACY REVENUE</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>205930</TotalRevenueColumnAmt>
        <ExclusionAmt>205930</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>82796</TotalRevenueColumnAmt>
        <ExclusionAmt>82796</ExclusionAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>3256157</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>104804910</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>95838027</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>6744060</ExclusionAmt>
      </TotalRevenueGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>34605421</TotalAmt>
        <ProgramServicesAmt>32978671</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1626750</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>1685663</TotalAmt>
        <ProgramServicesAmt>1606422</ProgramServicesAmt>
        <ManagementAndGeneralAmt>79241</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>3145042</TotalAmt>
        <ProgramServicesAmt>2997198</ProgramServicesAmt>
        <ManagementAndGeneralAmt>147844</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>2115019</TotalAmt>
        <ProgramServicesAmt>2015595</ProgramServicesAmt>
        <ManagementAndGeneralAmt>99424</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>102901</TotalAmt>
        <ManagementAndGeneralAmt>102901</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>3083154</TotalAmt>
        <ProgramServicesAmt>3047122</ProgramServicesAmt>
        <ManagementAndGeneralAmt>36032</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>37691</TotalAmt>
        <ProgramServicesAmt>5361</ProgramServicesAmt>
        <ManagementAndGeneralAmt>32330</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>85261</TotalAmt>
        <ProgramServicesAmt>78768</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6493</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>1267718</TotalAmt>
        <ProgramServicesAmt>1267718</ProgramServicesAmt>
      </OccupancyGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>232966</TotalAmt>
        <ProgramServicesAmt>225582</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7384</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>430882</TotalAmt>
        <ProgramServicesAmt>18198</ProgramServicesAmt>
        <ManagementAndGeneralAmt>412684</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>4534761</TotalAmt>
        <ManagementAndGeneralAmt>4534761</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>407998</TotalAmt>
        <ManagementAndGeneralAmt>407998</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
        <TotalAmt>11963691</TotalAmt>
        <ProgramServicesAmt>11820246</ProgramServicesAmt>
        <ManagementAndGeneralAmt>143445</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PURCHASED SERVICES</Desc>
        <TotalAmt>9727631</TotalAmt>
        <ProgramServicesAmt>2047136</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7680495</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
        <TotalAmt>3883256</TotalAmt>
        <ProgramServicesAmt>3883256</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>RENT, REPAIR, AND MAINT</Desc>
        <TotalAmt>1955812</TotalAmt>
        <ProgramServicesAmt>1932360</ProgramServicesAmt>
        <ManagementAndGeneralAmt>23452</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>230382</TotalAmt>
        <ProgramServicesAmt>174652</ProgramServicesAmt>
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        <FormAndLineReferenceDesc>FACILITY 1, SPARROW EATON HOSPITAL - PART V, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>HEALTHY CAPITAL COUNTIES FOCUS GROUPS: IN ORDER TO GATHER INFORMATION FROM TRADITIONALLY HARD TO SURVEY POPULATIONS AND TO DOCUMENT THE EXPERIENCE, THOUGHTS, BELIEFS, AND STORIES OF THE COMMUNITY, A SERIES OF FOCUS GROUPS WERE CONDUCTED FOR THE PROJECT. EIGHT FOCUS GROUPS WERE CONDUCTED BETWEEN MARCH AND MAY 2024 AND WERE CONDUCTED VIRTUALLY AS WELL AS IN VARIOUS LOCATIONS THROUGHOUT THE THREE COUNTIES. GROUPS THAT WERE ACTIVELY SOLICITED FOR INPUT WERE: - PERSONS WITH LIVED EXPERIENCE OF SUBSTANCE USE DISORDER - REFUGEE AND NEWCOMER PERSONS - SPANISH SPEAKING PERSONS - PERSONS UNDER 18 YEARS OF AGE - BLACK, INDIGENOUS, AND OTHER PEOPLE OF COLOR (BIPOC) - PERSONS ELIGIBLE FOR MEDICAID/UNINSURED - UNHOUSED PERSONS - PERSONS WITH DISABILITIES CAPITAL AREA BEHAVIORAL RISK FACTOR &amp; SOCIAL CAPITAL SURVEY (BRFS): SINCE 2000, THE CAPITAL AREA UNITED WAY, BARRY-EATON DISTRICT HEALTH DEPARTMENT, INGHAM COUNTY HEALTH DEPARTMENT, AND MID-MICHIGAN DISTRICT HEALTH DEPARTMENT HAVE CONDUCTED A TELEPHONE HEALTH SURVEY OF THE ADULT POPULATION IN THEIR JURISDICTIONS (BARRY, EATON, INGHAM, CLINTON, GRATIOT, AND MONTCALM COUNTIES) ON VARIOUS BEHAVIORS, MEDICAL CONDITIONS, AND PREVENTATIVE HEALTH CARE PRACTICES. THE SURVEY WAS CONDUCTED USING THE CAPITAL AREA BEHAVIORAL RISK FACTOR &amp; SOCIAL CAPITAL SURVEY INSTRUMENT, WHICH INCLUDES QUESTIONS FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION'S BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM QUESTIONNAIRE AS WELL AS QUESTION DEVELOPED BY THE HEALTH DEPARTMENTS TO COLLECT INFORMATION OF INTEREST TO THE LOCAL COMMUNITY. DURING THE 2020-2022 SAMPLING PERIOD, A TOTAL OF 2,492 ADULTS IN CLINTON, EATON, AND INGHAM COUNTIES RESPONDED TO THE LANDLINE/MOBILE PHONE SURVEY. COMMUNITY, PARTNER, AND HEALTH CARE PROVIDER SURVEYS: IN ORDER TO GATHER INPUT ABOUT THE COMMUNITY'S HEALTH NEEDS FROM STAKEHOLDERS AND THE GENERAL PUBLIC, AN ONLINE SURVEY WAS ADMINISTERED DURING APRIL-MAY 2024. THIS SURVEY WAS BROKEN DOWN INTO THREE DIFFERENT SECTIONS: THE COMMUNITY SURVEY SECTION WAS FOR ANY COMMUNITY RESIDENT WHO LIVED AND/OR WORKED IN THE TRI- COUNTY AREA; THE COMMUNITY PARTNER SURVEY FOR STAKEHOLDERS AND COMMUNITY ORGANIZATIONS WHO SERVE RESIDENTS IN THE TRI-COUNTY AREA; AND THE HEALTH CARE PROVIDER SURVEY WAS FOR HEALTH CARE PROVIDERS INCLUDING PROVIDERS WHO ARE NOT ASSOCIATED WITH THE PROJECT'S HOSPITAL SYSTEM PARTNERS.</ExplanationTxt>
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        <ExplanationTxt>UNIVERSITY OF MICHIGAN HEALTH-SPARROW, CONSISTING OF SIX COMMUNITY HOSPITALS, FOUR OF WHICH ARE LOCATED IN THE THREE-COUNTY GREATER LANSING REGION: - EDWARD W SPARROW HOSPITAL, LANSING, MI - SPARROW SPECIALTY HOSPITAL, LANSING, MI - SPARROW CLINTON HOSPITAL, ST. JOHNS, MI - SPARROW IONIA HOSPITAL, IONIA, MI - SPARROW CARSON HOSPITAL, CARSON CITY, MI - SPARROW EATON HOSPITAL, CHARLOTTE, MI - MCLAREN GREATER LANSING - EATON RAPIDS MEDICAL CENTER</ExplanationTxt>
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        <ExplanationTxt>SPARROW EATON HOSPITAL HAS DEVELOPED AN IMPLEMENTATION STRATEGY FOR THE TOP TWO PRIORITY NEEDS THAT WERE IDENTIFIED IN ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT. THE TOP NEEDS IDENTIFIED WERE ACCESS TO HEALTHY FOODS AND HEALTH CARE ACCESS AND QUALITY. FOR EACH OF THE NEEDS IDENTIFIED MULTIPLE KEY OBJECTIVES WERE IDENTIFIED TO CREATE A STRATEGY ON HOW TO MEET THE NEEDS. FOR EACH KEY OBJECTIVE AN IMPLEMENTATION STRATEGY WAS CREATED, INCLUDING TIMING FOR THE IMPLEMENTATION AND GOALS TO MONITOR THE SUCCESS OF MEETING THE NEEDS. PLEASE FIND ENCLOSED A COPY OF THE IMPLEMENTATION STRATEGY. OTHER NEEDS IDENTIFIED IN THE CHNA BUT NOT ADDRESSED IN THIS STRATEGY INCLUDED BEHAVIORAL HEALTH, TRANSPORTATION AND HOUSING. THESE HEALTH NEEDS ARE IMPORTANT BUT WERE NOT INCLUDED IN THE ATTACHED IMPLEMENTATION STRATEGY DUE TO LIMITED RESOURCES AND THE NEED TO ALLOCATE SIGNIFICANT RESOURCES TO SPARROW EATON HOSPITAL'S TOP TWO PRIORITY HEALTH NEEDS.</ExplanationTxt>
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        <ExplanationTxt>ALL PATIENTS AND INSURANCES ARE CHARGED THE SAME GROSS CHARGE FROM OUR FEE SCHEDULE. DISCOUNTS ARE THEN PROVIDED TO UNINSURED PATIENTS BASED UPON OUR FINANCIAL ASSISTANCE POLICY AND/OR INDIVIDUAL CIRCUMSTANCES.</ExplanationTxt>
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        <FormAndLineReferenceDesc>SCHEDULE H, PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>USED WORKSHEET 2 PROVIDED IN SCHEDULE H INSTRUCTIONS TO CALCULATE COST TO CHARGE RATIO RELATED TO PATIENT CARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART II</FormAndLineReferenceDesc>
        <ExplanationTxt>SPARROW EATON HOSPITAL TAKES AN ACTIVE ROLE IN SUPPORTING COMMUNITY ORGANIZATIONS AND ACTIVITIES THAT CAN IMPACT COMMUNITY HEALTH AND PREVENTION AS WELL AS ECONOMIC DEVELOPMENT EFFORTS THAT WILL FOSTER SUPPORT FOR RESOURCES NEEDED BY HEALTH COMMUNITIES. SOME EXAMPLES ARE PROVIDING STAFF RESOURCES FOR LOCAL COMMUNITY ORGANIZATIONS, ACCESS TO AN INDOOR WALKING PATH THAT PROMOTES HEALTH AND WELL-BEING, SUPPORTING MOBILE MEALS FOR HOUSE-BOUND COMMUNITY MEMBERS AND PROVIDING RESOURCES FOR SUPPORT GROUPS SUCH AS CANCER SURVIVORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE AND CURRENT MARKET CONDITIONS. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, THE HEALTH SYSTEM FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST DUE PATIENT BALANCES WITH COLLECTION AGENCIES. THE COST TO CHARGE RATIO IS USED IN DETERMINING BAD DEBT INFORMATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>IN REVIEWING ACCOUNTS CLASSIFIED AS BAD DEBT, THE AMOUNT REPORTED ON SCHEDULE H, PART III, LINE 3, REFLECTS PATIENTS WHO HAD PREVIOUSLY QUALIFIED FOR MEDICAID OR OTHER MEANS-TESTED SUPPORT, BUT WHO AT THE TIME OF SERVICES, WERE NO LONGER ELIGIBLE FOR MEDICAID OR OTHER MEANS-TESTED SUPPORT OR THE SERVICES PROVIDED WERE NOT COVERED BENEFITS. THE HOSPITAL FURTHER REVIEWED THESE PATIENTS TO MAKE A DETERMINATION OF THE PATIENTS' ELIGIBILITY FOR ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT FOOTNOTE - SEE THE ATTACHED AUDITED FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 8</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE ORGANIZATION'S MEDICARE COST REPORT, IS A RATIO OF COSTS TO CHARGES. CARING FOR MEDICARE PATIENTS FULFILLS A COMMUNITY NEED AND RELIEVES A GOVERNMENT BURDEN AS THESE PATIENTS TYPICALLY HAVE LOW AND/OR FIXED INCOMES. THE REVENUE AND COSTS REPORTED IN THIS SECTION ARE STRICTLY FACILITY COSTS AND REIMBURSEMENT FOR TRADITIONAL MEDICARE AND MEDICARE ADVANTAGE PLANS. MEDICARE ADVANTAGE PLANS DO NOT PROVIDE FOR A SETTLEMENT PROCESS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 9B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CHARGES FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE ARE WRITTEN OFF THE SYSTEM TO CHARITY CARE AT THE TIME THE PATIENT'S CHARITY CARE STATUS IS DETERMINED. AS SUCH, NO FURTHER COLLECTION EFFORTS TAKE PLACE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>SPARROW EATON HOSPITAL HAS ASSESSED THE HEALTH CARE NEEDS OF THE COMMUNITY THROUGH THE DEVELOPMENT OF THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT WAS COMPLIED IN COLLABORATION WITH FOUR HOSPITAL SYSTEMS AND LOCAL HEALTH DEPARTMENTS. IN ADDITION, SPARROW EATON ALSO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITIES WE SERVE BY UTILIZING DATA COLLECTED BOTH INTERNALLY AND FROM A VARIETY OF EXTERNAL SOURCES INCLUDING THE MICHIGAN HOSPITAL ASSOCIATION, MICHIGAN DEPARTMENT OF COMMUNITY HEALTH, BARRY-EATON HEALTH DEPARTMENT, LOCAL SOCIAL SERVICE AGENCIES, AND OUR PAYORS. THE BARRY-EATON HEALTH DEPARTMENT COMPLETED A BEHAVIORAL RISK FACTOR SURVEY WHICH SOUGHT TO MEASURE THE HEALTH STATUS, RISK BEHAVIORS, CLINICAL PREVENTATIVE CARE PRACTICES, AND CHRONIC DISEASE RATES OF BARRY AND EATON COUNTY RESIDENTS. THE SURVEY PROVIDED CRUCIAL DATA TO IDENTIFY PRIORITY HEALTH ISSUES IN OUR COMMUNITY. THE RESULTS OF THE SURVEY HAVE BEEN USED IN PLANNING EFFORTS AND EFFECTIVE TARGETING OF RESOURCES TO SUPPORT INTERVENTION PROGRAMS. IN ADDITION, THE HOSPITAL UTILIZED THE HEALTH STATISTICS AND REPORTS PUBLISHED BY THE MICHIGAN DEPARTMENT OF COMMUNITY HEALTH (MDCH). THESE REPORTS WHO STATE, COUNTY, AND COMMUNITY LEVEL DATA FOR SUCH STATISTICS AS INFANT MORTALITY, CANCER INCIDENCE AND MORTALITY, COMMUNICABLE DISEASE, AND LEADING HOSPITALIZATIONS. THIS INFORMATION IS USEFUL TO IDENTIFY EMERGING HEALTH ISSUES AND HOSPITAL TRENDS SO THAT HEALTH PROGRAMS CAN BE TARGETED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>SPARROW EATON HOSPITAL STRIVES TO INFORM AND EDUCATE OUR PATIENTS OR GUARANTORS REGARDING ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE HOSPITAL'S CHARITY CARE POLICY. THE ORGANIZATION EMPLOYS A PATIENT ACCOUNT REPRESENTATIVE WHO IS RESPONSIBLE FOR ADDRESSING PAYMENT QUESTIONS FROM PATIENTS AND ASSISTING WITH PAYMENT ARRANGEMENTS, COMPLETING PAPERWORK TO QUALIFY FOR CHARITY CARE OR COMPLETING FORMS FOR GOVERNMENT ASSISTANCE. OUR WEBSITE ALSO REFERENCES THE NUMBER TO CALL FOR PAYMENT ASSISTANCE. IN ADDITION, WE HAVE A PATIENT RIGHTS AND RESPONSIBILITIES BROCHURE THAT IS GIVEN TO EVERY INPATIENT AND MADE AVAILABLE TO OUTPATIENTS. IT STATES THAT "YOU ARE ENTITLED TO RECEIVE AND EXAMINE AN EXPLANATION OF YOUR BILL AND TO RECEIVE, UPON REQUEST, INFORMATION RELATING TO FINANCIAL ASSISTANCE AVAILABLE THROUGH THE HOSPITAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>SPARROW EATON HOSPITAL IS LOCATED IN CENTRAL MICHIGAN APPROXIMATELY 22 MILES SOUTHWEST OF LANSING AND IS ONE OF TWO HOSPITALS IN EATON COUNTY. SPARROW EATON IS ALSO IN CLOSE PROXIMITY TO MICHIGAN STATE UNIVERSITY AND GENERAL MOTORS ASSEMBLY FACILITY. CHARLOTTE IS A COUNTY SEAT FOR EATON COUNTY AND IS THE PRIMARY SERVICE AREA FOR THE HOSPITAL. THERE ARE OVER 108,000 PEOPLE IN THE COUNTY WITH 20,000 IN THE HOSPITAL'S PRIMARY SERVICE AREA. THE MEDIAN HOUSEHOLD INCOME FOR EATON COUNTY IS 72,173 AND FOR CHARLOTTE IT IS 59,640. 8.8% OF PEOPLE IN EATON COUNTY ARE BELOW THE POVERTY LEVEL COMPARED TO 13.4% IN MICHIGAN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MISSION OF SPARROW EATON HOSPITAL IS TO IMPROVE THE HEALTH OF THE PEOPLE IN OUR COMMUNITIES BY PROVIDING QUALITY, COMPASSIONATE CARE TO EVERYONE, EVERY TIME. THE HOSPITAL HAS A LONG AND SUCCESSFUL HISTORY OF REINVESTING SURPLUS FUNDS IN EXPANDING ITS SERVICES TO MEET THE CURRENT AND ANTICIPATED HEALTH CARE DEMANDS OF THE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>SPARROW EATON HOSPITAL IS A WHOLLY-OWNED SUBSIDIARY OF SPARROW HEALTH SYSTEM. SPARROW HEALTH SYSTEM IS A NON-PROFIT, COMMUNITY GOVERNED, INTEGRATED HEALTH DELIVERY SYSTEM SERVING MID-MICHIGAN. SPARROW HEALTH SYSTEM PROVIDES SERVICES TO THE COMMUNITIES IT SERVES THROUGH ITS WHOLLY- OWNED AND CONTROLLED SUBSIDIARIES: PHYSICIAN HEALTH PLAN, PHYSICIAN HEALTH NETWORK, EDWARD W SPARROW HOSPITAL, SPARROW CLINTON HOSPITAL, SPARROW SPECIALTY HOSPITAL, SPARROW CARSON HOSPITAL, SPARROW DEVELOPMENT, INC., SPARROW COMMUNITY CARE, INC., SPARROW IONIA HOSPITAL, SPARROW FOUNDATION, SPARROW CLINICAL RESEARCH INSTITUTE, AND SPARROW EATON HOSPITAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>MICHIGAN</ExplanationTxt>
      </SupplementalInformationDetail>
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        <PersonNm>KIMBERLY FRIAR MD</PersonNm>
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        <PersonNm>SCOT RANDALL DO</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <PersonNm>GREG HOLZHEI DO</PersonNm>
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        <PersonNm>PAULA REICHLE</PersonNm>
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        <PersonNm>MATTHEW NOBIS</PersonNm>
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        <PersonNm>LINDA REETZ</PersonNm>
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        <PersonNm>HELEN JOHNSON</PersonNm>
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        <PersonNm>KIM A CAPPS</PersonNm>
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        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>MARGARET DIMOND, PHD 0 51,577 0 JAMES DOVER 1,051,835 0 0 PAULA REICHLE 472,508 0 0 HELEN JOHNSON 345,010 0 0</ExplanationTxt>
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        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 7</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART III</FormAndLineReferenceDesc>
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    <IRS990ScheduleO documentId="RetDoc8">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990</FormAndLineReferenceDesc>
        <ExplanationTxt>FULL WEBSITE HTTPS://WWW.UOFMHEALTHSPARROW.ORG/OUR-HOSPITALS-SERVICES/UM-HEALTH- SPARROW-HOSPITALS/EATON ALL LINES LEFT BLANK ARE NOT APPLICABLE TO THE ORGANIZATION. PART IV, QUESTION 4 - THE ORGANIZATION DOES NOT ENGAGE IN DIRECT LOBBYING ACTIVITIES. THE ORGANIZATION DOES HAVE MEMBERSHIPS IN VARIOUS TRADE ASSOCIATIONS THAT USE A PORTION OF THE DUES PAID TO THE TRADE ASSOCIATIONS FOR LOBBYING ACTIVITIES ON BEHALF OF THE APPLICABLE TRADE ASSOCIATION INDUSTRIES, THUS INDIRECTLY BENEFITING THE ORGANIZATION. THE PERCENTAGE OF DUES ALLOCATED TO THIS INDUSTRY-WIDE LOBBYING ACTIVITY IS MINOR AND IS NOT CONSIDERED BY THE ORGANIZATION AS LOBBYING ACTIVITIES REQUIRED FOR DISCLOSURE ON SCHEDULE C, PART II.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>UMH-SPARROW EATON'S OUTPATIENT SERVICES ARE TYPICAL OF A SMALL RURAL FACILITY. THE EMERGENCY DEPARTMENT PROVIDES NURSING AND PHYSICIAN SERVICES 24 HOURS A DAY, 7 DAYS A WEEK, WITH PHYSICIANS ON SITE 100% OF THE TIME. SCREENING EXAMS ARE PROVIDED TO EVERYONE WHO PRESENTS FOR SERVICES PRIOR TO ANY FINANCIAL INFORMATION BEING OBTAINED OR CHARGES DISCUSSED WITH PATIENTS IN ACCORDANCE WITH EMERGENCY MEDICAL TREATMENT AND ACTIVE LABOR ACT (EMTALA). LABORATORY, RADIOLOGY, RESPIRATORY SERVICES, SURGERY, AS WELL AS INFUSION/ONCOLOGY ARE TYPICAL OF OTHER OUTPATIENT SERVICES PROVIDED. UMH- SPARROW EATON ACCEPTS ALL GOVERNMENTAL PAYERS INCLUDING MEDICARE, MEDICAID, AND TRICARE WITH REIMBURSEMENT AT OR BELOW COSTS. ADDITIONALLY, UMH-SPARROW EATON'S CHARITY CARE POLICY COVERS SERVICES IN THE OUTPATIENT SETTING, IN TURN PROVIDING FREE CARE TO THOSE IN THE COMMUNITY WHO QUALIFY. FOR THE YEAR ENDED JUNE 30, 2025, UMH-SPARROW EATON RECORDED 18,525 EMERGENCY ROOM VISITS; 283,857 LAB TESTS; 44,776 RADIOLOGY PROCEDURES; 16,976 RESPIRATORY/CARDIOLOGY PROCEDURES; 1,268 SURGERIES/992 SCOPES; AND 5,449 AMBULANCE RUNS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>UNIVERSITY OF MICHIGAN HEALTH CORP IS THE SOLE MEMBER OF UMH-SPARROW. UMH- SPARROW IS THE SOLE MEMBER OF UMH-SPARROW EATON AND HAS 100% OWNERSHIP.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>UMH-SPARROW HAS THE RIGHT TO ELECT, REPLACE, AND REMOVE DIRECTORS OF UMH- SPARROW EATON.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>UMH-SPARROW HAVE THE RIGHT TO ELECT, REPLACE, AND REMOVE DIRECTORS OF UMH- SPARROW EATON AS WELL AS HAVE THE AUTHORITY TO APPROVE DECISIONS OF THE UMH-SPARROW EATON BOARD WHEN IT IS DEEMED NECESSARY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>COPIES OF THE FORM 990 ARE REVIEWED BY MANAGEMENT. THE FORM 990 COPIES ARE PROVIDED AT THE BOARD MEETING FOR ALL BOARD MEMBERS TO REVIEW AND COMMENT ON PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>1) CORPORATE COMPLIANCE SENDS OUT THE CONFLICT OF INTEREST POLICY AND QUESTIONNAIRES TO ALL VOTING BOARD MEMBERS AND THE EXECUTIVE TEAM ANNUALLY. 2) ALL DISCLOSURES ARE RECEIVED AND REVIEWED BY CORPORATE COMPLIANCE. 3) ALL DISCLOSURES ARE GIVEN A RESOLUTION CODE AND PRESENTED TO THE CEO AND GOVERNANCE COMMITTEE OF THE BOARD. 4) ALL BOARD/COMMITTEE LEVEL DISCLOSURES ARE PROVIDED TO THE RESPECTIVE BOARD CHAIR AND EXECUTIVE LIAISON TO ENSURE ISSUES CAN BE ADDRESSED ON A TRANSACTIONAL LEVEL (I.E. IF A VOTE IS REQUIRED ON A TRANSACTION INVOLVING AN INTERESTED PERSON).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS FOR DETERMINING COMPENSATION FOR THE CEO INVOLVED THE FOLLOWING: UTILIZING THE COMPENSATION COMMITTEE, USING INDEPENDENT CONSULTANTS, REVIEWING OTHER SIMILAR ORGANIZATIONS' 990S, USING COMPENSATION SURVEYS AND FINAL APPROVAL BY THE SHS BOARD OF DIRECTORS, AS WELL AS FINALIZING THE SALARY PACKAGE WITH A WRITTEN EMPLOYMENT CONTRACT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS FOR DETERMINING COMPENSATION FOR OFFICERS OR KEY EMPLOYEES OF THE ORGANIZATION INVOLVED THE FOLLOWING: UTILIZING THE COMPENSATION COMMITTEE, USING INDEPENDENT CONSULTANTS, REVIEWING OTHER SIMILAR ORGANIZATIONS' 990S, USING COMPENSATION SURVEYS AND FINAL APPROVAL BY THE SHS BOARD OF DIRECTORS, AS WELL AS FINALIZING THE SALARY PACKAGE WITH A WRITTEN EMPLOYMENT CONTRACT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNANCE DOCUMENTS AND THE CONFLICT OF INTEREST POLICY IS MADE AVAILABLE UPON THE ADVICE OF ATTORNEYS. FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>UNIV OF MICHIGAN HLTH HOLDINGS LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1400 E MICHIGAN AVE</AddressLine1Txt>
          <CityNm>LANSING</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48912</ZIPCd>
        </USAddress>
        <EIN>833965697</EIN>
        <PrimaryActivitiesTxt>HOLDING CO</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>KENT HEALTH CARE PHYSICIAN ORG</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>2225 MAIN STREET SW STE 110</AddressLine1Txt>
          <CityNm>WYOMING</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>49519</ZIPCd>
        </USAddress>
        <EIN>383404658</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SPARROW DEVELOPMENT INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1215 E MICHIGAN AVENUE</AddressLine1Txt>
          <CityNm>LANSING</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48912</ZIPCd>
        </USAddress>
        <EIN>382595963</EIN>
        <PrimaryActivitiesTxt>RENTAL PRO</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>UNIV OF MICH HLTH INSURANCE COMPANY</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1400 E MICHIGAN AVENUE</AddressLine1Txt>
          <CityNm>LANSING</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48912</ZIPCd>
        </USAddress>
        <EIN>205565219</EIN>
        <PrimaryActivitiesTxt>INSURANCE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>UNIV OF MICH HLTH SERVICE COMPANY</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1400 E MICHIGAN AVENUE</AddressLine1Txt>
          <CityNm>LANSING</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48912</ZIPCd>
        </USAddress>
        <EIN>383344741</EIN>
        <PrimaryActivitiesTxt>MED SERV</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>EAST LANSING ATHLETIC CLUB</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>2900 HANNAH BLVD</AddressLine1Txt>
          <CityNm>EAST LANSING</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48823</ZIPCd>
        </USAddress>
        <EIN>382886420</EIN>
        <PrimaryActivitiesTxt>HLTH CLUB</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>MAC RESTAURANT LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>2900 HANNAH BLVD</AddressLine1Txt>
          <CityNm>EAST LANSING</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48823</ZIPCd>
        </USAddress>
        <EIN>205120690</EIN>
        <PrimaryActivitiesTxt>RESTAURANT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>CLINTON SERVICES CORPORATION</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>805 SOUTH OAKLAND</AddressLine1Txt>
          <CityNm>ST JOHNS</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48879</ZIPCd>
        </USAddress>
        <EIN>382494110</EIN>
        <PrimaryActivitiesTxt>SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>EAST LANSING HLTH ATH CLUB &amp; HSP</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1200 E MICHIGAN AVENUE STE 600</AddressLine1Txt>
          <CityNm>LANSING</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48912</ZIPCd>
        </USAddress>
        <EIN>813131851</EIN>
        <PrimaryActivitiesTxt>CONDO ASSO</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SPARROW FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>110342</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>EDWARD W SPARROW HOSPITAL</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>1511113</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>EDWARD W SPARROW HOSPITAL</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>213287</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>