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      <Desc>SPARROW SPECIALTY HOSPITAL (SSH) IS AN ACUTE CARE HOSPITAL, PROVIDING MEDICALLY COMPLEX PATIENTS WITH HIGH LEVELS OF SPECIALIZED CARE OVER A LONGER PERIOD OF TIME THAN NORMALLY SEEN IN A GENERAL ACUTE CARE HOSPITAL SETTING. SPARROW SPECIALTY HOSPITAL IS HIGHLY FOCUSED ON SPECIFIC PATIENT NEEDS. COMMONLY KNOWN AS A LONG-TERM ACUTE CARE HOSPITAL (LTACH), SPARROW SPECIALTY HOSPITAL IS WORTH CONSIDERING FOR PEOPLE EXPERIENCING A WIDE RANGE OF SERIOUS MEDICAL ILLNESSES, INCLUDING RESPIRATORY PROBLEMS. OPEN SINCE APRIL 2004, SPARROW SPECIALTY HOSPITAL IS LANSING'S FIRST AND ONLY LTACH FACILITY. THE HOSPITAL TREATS ADULTS RECOVERING FROM MAJOR ILLNESS OR INJURIES THAT TYPICALLY REQUIRE AN AVERAGE EXPECTED STAY OF 25 DAYS. SPARROW SPECIALTY HOSPITAL WAS SPECIFICALLY CREATED TO PROVIDE PATIENTS THE OPPORTUNITY OF TIME FOR HEALING. THE HOSPITAL IS A 30-BED, COMMUNITY-BASED, NON-PROFIT HOSPITAL LOCATED ON THE EIGHTH FLOOR OF THE TOWER ON UNIVERSITY OF MICHIGAN HEALTH - SPARROW'S MAIN CAMPUS. SPARROW SPECIALTY HOSPITAL WAS CREATED TO FILL A GAP IN MEDICAL TREATMENT FOR THE PEOPLE OF MID-MICHIGAN. BEFORE THEN, PATIENTS WHO WERE LOOKING FOR A LONG-TERM ACUTE CARE FACILITY HAD TO BE MOVED TO GRAND RAPIDS, JACKSON, OR DETROIT CREATING A BURDEN FOR FAMILY MEMBERS WHO HAD TO TRAVEL LONG DISTANCES TO VISIT THEM. OUR PATIENTS HAVE A HIGH LEVEL OF DAILY CONTACT WITH PHYSICIANS AND A HIGHLY SKILLED NURSING STAFF. SPARROW SPECIALTY HOSPITAL PROVIDES CARE FOR PATIENTS WHO ARE RECOVERING FROM MULTIPLE SURGERIES AND THOSE WITH MULTIPLE ORGAN SYSTEM FAILURE. SPARROW SPECIALTY HOSPITAL USES AN INTERDISCIPLINARY APPROACH TO MAXIMIZE EACH PATIENT'S RECOVERY POTENTIAL. SERVICES INCLUDE BUT ARE NOT LIMITED TO: - 24-HOUR PROFESSIONAL NURSING CARE - 24-HOUR RESPIRATORY THERAPY - OCCUPATIONAL THERAPY - PHYSICAL THERAPY - SPEECH THERAPY - DISCHARGE PLANNING/CASE MANAGEMENT - IN-PATIENT PHARMACEUTICAL SERVICES - NUTRITIONAL SERVICES - DIALYSIS - VENTILATOR SUPPORT - WOUND CARE - PHYSICIAN SPECIALTY SERVICES - PASTORAL CARE ADDITIONAL SERVICES ARE AVAILABLE UNDER A CONTRACTUAL ARRANGEMENT WITH UNIVERSITY OF MICHIGAN HEALTH - SPARROW. THESE SERVICES INCLUDE LABORATORY SERVICES, MEDICAL IMAGING AND INTERVENTIONAL RADIOLOGY, SURGICAL SERVICES AND CARDIOLOGY SERVICES. WITH AN AGING POPULATION AND ADVANCES IN TECHNOLOGY, PATIENTS HAVE OPPORTUNITIES TO LIVE LONGER. THEREFORE, RECOGNIZING THE NEED FOR COMPLEX MEDICAL CARE THAT LASTS LONGER THAN THE TRADITIONAL HOSPITAL STAY, SPARROW SPECIALTY HOSPITAL WAS DESIGNED AS AN ADDITIONAL COMPONENT OF THE CONTINUUM OF CARE PROVIDED AT UNIVERSITY OF MICHIGAN HEALTH - SPARROW HEALTH SYSTEM TO CONTINUE THE HEALING PROCESS. SPARROW SPECIALTY HOSPITAL IS FULLY ACCREDITED BY THE JOINT COMMISSION. WE FOCUS ON SPECIFIC TYPES OF SERIOUSLY ILL PEOPLE WITH UNIQUE NEEDS. THIS MEANS OUR STAFF MEMBERS ARE HIGHLY SPECIALIZED IN THEIR FIELD OF TRAINING AND CAN PROVIDE AN EXTREMELY CONCENTRATED LEVEL OF CARE. THIS DEGREE OF SPECIALIZATION MEANS PEOPLE IN NEED OF A HIGH LEVEL OF CARE CAN BENEFIT FROM THE LATEST AND MOST ADVANCED MEDICAL TECHNOLOGY AT OUR FACILITY. ADMISSION TO SPARROW SPECIALTY HOSPITAL IS BASED UPON THE PATIENT'S NEED FOR THIS LEVEL OF CARE, VIA PHYSICIAN REFERRAL, OUR ADMISSIONS SPECIALIST OR THE PATIENT OR THEIR REPRESENTATIVE. SPARROW SPECIALTY HOSPITAL ONLY ADMITS PATIENTS WHO WILL BENEFIT FROM THE TYPE OF CARE WE PROVIDE. BECAUSE OF THE LONG-TERM NATURE OF MOST PATIENTS' ILLNESSES, FAMILY MEMBERS AND PERSONAL REPRESENTATIVES ARE ENCOURAGED TO PARTICIPATE IN INTERDISCIPLINARY TEAM DECISIONS REGARDING CARE. SPARROW SPECIALTY HOSPITAL'S GOAL IS TO PROVIDE AGGRESSIVE TREATMENT AND ACUTE CARE TO PATIENTS SUFFERING FROM A VARIETY OF UNFORTUNATE INCIDENTS AND/OR LATE STAGE ILLNESS PROGRESSION. OUR APPROACH TO PROVIDE ACUTE MEDICAL CARE AND THERAPY SERVICES HAND-IN-HAND OVER EXTENDED PERIODS OF TIME IS BETTER FOR THE PATIENT, PROVIDING IMPROVED PATIENT OUTCOMES AND REDUCED MEDICAL COSTS OVERALL. EARLY TRANSFER FROM A TRADITIONAL ACUTE CARE HOSPITAL'S CRITICAL CARE UNIT TO SPARROW SPECIALTY HOSPITAL DRASTICALLY DECREASES LONG-TERM SETBACKS FOR PATIENTS DUE TO DEBILITATION, MUSCLE ATROPHY AND INFECTIONS. SPARROW SPECIALTY HOSPITAL IS COMMITTED TO "CONTINUING THE HEALING PROCESS" WITHIN OUR COMMUNITY.</Desc>
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        <PersonNm>GINA HALL</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 2, PART V, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>SPARROW SPECIALTY HOSPITAL DOES NOT HOLD ENDOWMENTS. THE ENDOWMENTS ARE HELD BY SPARROW FOUNDATION. SPARROW HEALTH SYSTEM IS THE SOLE MEMBER OF SPARROW SPECIALTY 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 ENDOWMENTS.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FACILITY 1, SPARROW SPECIALTY HOSPITAL - PART V, LINE 3E</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SIGNIFICANT HEALTH NEEDS WERE PRIORITIZED AND DOCUMENTED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FACILITY 1, SPARROW SPECIALTY 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 EXPERIENCES, THOUGHTS, BELIEFS, AND STORIES OF THE COMMUNITY, HEALTHY CAPITAL COUNTIES CONDUCTED A SERIES OF FOCUS GROUPS FOR THE PROJECT. SIX FOCUS GROUPS WERE HELD BETWEEN JUNE AND JULY OF 2021 AND TOOK PLACE IN VARIOUS LOCATIONS THROUGHOUT THE THREE-COUNTY FOCUS AREA (CLINTON, EATON, AND INGHAM COUNTIES). GROUPS THAT WERE ACTIVELY SOLICITED FOR INPUT INCLUDED: - PEOPLE WITH DISABILITIES; - PEOPLE RECOVERED/RECOVERING FROM SUBSTANCE ADDICTION; - PEOPLE WHO DO NOT HAVE HEALTH INSURANCE; - PEOPLE WHO HAVE LOW INCOMES OR ARE UNEMPLOYED; - PEOPLE WHO IDENTIFY AS SPANISH-SPEAKING HISPANIC OR LATINO/A; AND - PEOPLE WHO IDENTIFY AS PERSONS OF COLOR. 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 PREVENTIVE 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 PREVENTIONS BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM QUESTIONNAIRE AS WELL AS QUESTIONS DEVELOPED BY THE HEALTH DEPARTMENTS TO COLLECT INFORMATION OF INTEREST TO THE LOCAL COMMUNITY. DURING THE 2017-2019 DATA COLLECTION CYCLE, A TOTAL OF 2,634 ADULTS IN CLINTON, EATON, AND INGHAM COUNTIES RESPONDED TO THE LANDLINE/MOBILE PHONE SURVEY. COMMUNITY AND HEALTH CARE PROVIDER SURVEYS: IN ORDER TO GATHER INPUT ABOUT THE COMMUNITYS HEALTH NEEDS FROM STAKEHOLDERS AND THE GENERAL PUBLIC, TWO ONLINE SURVEYS WERE ADMINISTERED BETWEEN FEBRUARY AND MAY OF 2021. ONE SURVEY WAS FOR ANY COMMUNITY RESIDENT WHO LIVED AND/OR WORKED IN THE TRI- COUNTY AREA, AND THE SECOND SURVEY WAS FOR HEALTH CARE PROVIDERS ASSOCIATED WITH THE HOSPITAL SYSTEMS PARTICIPATING IN THE HCC COLLABORATIVE.</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, SPARROW SPECIALTY HOSPITAL - PART V, LINE 6A</FormAndLineReferenceDesc>
        <ExplanationTxt>SPARROW HEALTH SYSTEM, CONSISTING OF SIX COMMUNITY HOSPITALS, THREE OF WHICH ARE LOCATED IN THE THREE-COUNTY GREATER LANSING REGION: - EDWARD W SPARROW HOSPITAL, LANSING, MI - SPARROW SPECIALTY HOSPITAL, LANSING, MI - SPARROW CLINTON HOSPITAL, ST. JOHNS, MI - SPARROW IONIA HOSPITAL, IONIA, MI - SPARROW CARSON HOSPITAL, CARSON CITY, MI - SPARROW EATON HOSPITAL, CHARLOTTE, MI - MCLAREN GREATER LANSING - EATON RAPIDS MEDICAL CENTER</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, SPARROW SPECIALTY HOSPITAL - PART V, LINE 6B</FormAndLineReferenceDesc>
        <ExplanationTxt>- MICHIGAN PUBLIC HEALTH INSTITUTE - BARRY-EATON DISTRICT HEALTH DEPARTMENT - INGHAM COUNTY HEALTH DEPARTMENT - MID MICHIGAN DISTRICT HEALTH DEPARTMENT</ExplanationTxt>
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        <FormAndLineReferenceDesc>FACILITY 1, SPARROW SPECIALTY HOSPITAL - PART V, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>SPARROW SPECIALTY HOSPITAL HAS DEVELOPED AN IMPLEMENTATION STRATEGY FOR THE TOP PRIORITY NEED THAT WAS IDENTIFIED IN ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENTS. THE TOP NEEDS IDENTIFIED WERE HEALTH CARE ACCESS AND QUALITY BEHAVIORAL HEALTH. FOR THE NEED IDENTIFIED MULTIPLE KEY OBJECTIVES WERE IDENTIFIED TO CREATE A STRATEGY ON HOW TO MEET THE NEED. FOR EACH KEY OBJECTIVE AN IMPLEMENTATION STRATEGY WAS CREATED, INCLUDING TIMING FOR THE IMPLEMENTATION AND GOALS TO MONITOR THE SUCCESS OF MEETING THE NEED.</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, SPARROW SPECIALTY HOSPITAL - PART V, LINE 24</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL PATIENTS AND INSURANCES ARE CHARGED THE SAME GROSS CHARGE FROM OUR FEE SCHEDULE. DISCOUNTS ARE THEN PROVIDED TO UNINSURED PATIENTS BASED ON OUR FINANCIAL ASSISTANCE POLICY AND/OR INDIVIDUAL CIRCUMSTANCES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>A COST TO CHARGE RATIO WAS USED TO COMPLETE THE CHARITY CARE (LINE 7A) AND MEANS-TESTED GOVERNMENT PROGRAM (LINE 7B). THE COST TO CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 THAT ACCOMPANIES THE INSTRUCTIONS TO THIS SCHEDULE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART II</FormAndLineReferenceDesc>
        <ExplanationTxt>SPARROW SPECIALTY HOSPITAL WORKS TOGETHER WITH SPARROW HEALTH SYSTEM TO EXTEND THE REACH FAR BEYOND JUST THE ACUTE CARE SETTING OF SPARROW SPECIALTY HOSPITAL. THERE ARE MANY WAYS OUR STAFF PROACTIVELY SUPPORT THE COMMUNITY, ESPECIALLY THOSE WHO HAVE THE GREATEST NEED. WHETHER THROUGH CHARITABLE CARE, SUBSIDIZED HOSPITAL PROGRAMS AND SERVICES, MEDICAL EDUCATION OR COMMUNITY HEALTH EDUCATION, SPARROW STRIVES TO RESPOND TO THE REGION'S MOST PRESSING HEALTH NEEDS. FOR MORE THAN 120 YEARS, SPARROW HAS BEEN DISTINGUISHED BY ITS PASSIONATE COMMITMENT TO CARE FOR ALL, REGARDLESS OF THEIR ABILITY TO PAY. FINANCIAL ASSISTANCE IS AVAILABLE TO PATIENTS WHO MEET CERTAIN QUALIFICATIONS. SPARROW ALSO PROVIDES "SUBSIDIZED HEALTH SERVICES". THESE ARE SERVICES THAT ARE OFFERED DESPITE FINANCIAL LOSS BECAUSE THE COMMUNITY NEEDS THEM, BECAUSE OTHER PROVIDERS ARE NOT WILLING TO OFFER THEM, OR BECAUSE THE SERVICE WOULD OTHERWISE NOT BE ABLE TO MEET PATIENT DEMAND.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROVISION FOR BAD DEBT 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 DEBT 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 4</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT FOOTNOTE - SEE THE ATTACHED AUDITED FINANCIAL STATEMENTS.</ExplanationTxt>
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      <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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 9B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CHARGES OF 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>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THROUGH CONTINUAL ANALYSIS IN COLLABORATION WITH SPARROW HEALTH SYSTEM AND COMMUNITY PARTNERS SPARROW SPECIALTY HOSPITAL IS ABLE TO MAKE ACCURATE ASSESSMENT OF THE HEALTH CARE NEEDS OF THE REGION IT SERVES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>SPARROW SPECIALTY HOSPITAL EMPLOYS SEVERAL METHODS TO COMMUNICATE ELIGIBILITY FOR ASSISTANCE TO PATIENTS. ALL UNINSURED PATIENTS ARE DIRECTLY SCREENED FOR POTENTIAL MEDICAID ELIGIBILITY, AND ANY OTHER GOVERNMENT PROGRAMS, COBRA BENEFITS, ETC. SIGNAGE IS POSTED IN OUR PATIENT REGISTRATION AREAS REGARDING AVAILABILITY OF SPARROW COMMUNITY FINANCIAL AID (CFA) PROGRAM (CHARITY CARE). ALL PATIENT BILLING STATEMENTS HAVE A NOTE REGARDING THE CFA PROGRAM AND OUR WEBSITE CONTAINS LINKS TO OUR CFA POLICY AND APPLICATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>SPARROW SPECIALTY HOSPITAL (SSH) SERVES THE MID-MICHIGAN REGION WHICH CONSISTS OF THE GREATER LANSING AREA (A POPULATION OF APPROXIMATELY 450,000). STRATEGICALLY LOCATED IN THE HEART OF MICHIGAN, SSH IS LOCATED WITHIN 90 MINUTES OF 90 PERCENT OF THE STATE'S POPULATION OF APPROXIMATELY 10 MILLION PEOPLE. THE STATE CAPITAL, MICHIGAN STATE UNIVERSITY, AND TWO GENERAL MOTORS ASSEMBLY FACILITIES MAKE THE LANSING REGION AMONG THE MOST STABLE AND DIVERSE ECONOMIES IN MICHIGAN. THE REGION IS EVOLVING AS A LEADING ECONOMIC FORCE IN RESEARCH AND DEVELOPMENT, WAREHOUSING AND DISTRIBUTION, INFORMATION TECHNOLOGY, BIO-TECHNOLOGY, HEALTHCARE, INSURANCE AND FINANCIAL SERVICES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>AS NOTED ABOVE, THE ORGANIZATION'S COMMUNITY BUILDING ACTIVITIES PROMOTE THE HEALTH OF THE COMMUNITIES THE ORGANIZATION SERVES. THESE SERVICES ARE PROVIDED UNDER THE MISSION OF THE ORGANIZATION - "IMPROVING THE HEALTH OF THE PEOPLE IN OUR COMMUNITIES BY PROVIDING QUALITY, COMPASSIONATE CARE TO EVERYONE, EVERY TIME."</ExplanationTxt>
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        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>SPARROW SPECIALTY HOSPITAL IS A CONTROLLED 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 CONTROLLED SUBSIDIARIES: EDWARD W. SPARROW HOSPITAL, SPARROW CLINTON HOSPITAL, SPARROW DEVELOPMENT, INC., SPARROW COMMUNITY CARE, SPARROW IONIA HOSPITAL, SPARROW FOUNDATION, SPARROW CLINICAL RESEARCH INSTITUTE, SPARROW EATON HOSPITAL, AND SPARROW CARSON HOSPITAL. A GREAT NUMBER OF PATIENTS OF SPARROW SPECIALTY HOSPITAL USE THE FULL SERVICES OF THE SPARROW HEALTH SYSTEM. BY WORKING WITHIN THE FULL HEALTH SYSTEM NETWORK SPARROW SPECIALTY HOSPITAL PATIENTS ARE ABLE TO UTILIZE THE BENEFITS OF CHARITY CARE WITHIN THE SPARROW HEALTH SYSTEM NETWORK RESULTING IN MORE BENEFITS BEING PROVIDED TO PATIENTS AND THE COMMUNITY THAN REPORTED IN THIS SCHEDULE.</ExplanationTxt>
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        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>MICHIGAN</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE H, PART V, LINE 16 FULL WEBSITE FOR LINES A, B, AND C HTTPS://WWW.UOFMHEALTHSPARROW.ORG/PATIENT-RESOURCES/FINANCIAL- RESOURCES/FINANCIAL-ASSISTANCE</ExplanationTxt>
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        <BaseCompensationFilingOrgAmt>122540</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>10000</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>57</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>9129</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>34499</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>176225</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GINA HALL</PersonNm>
        <TitleTxt>RN</TitleTxt>
        <BaseCompensationFilingOrgAmt>122623</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>7500</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>28</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>3868</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>28261</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>162280</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARTHA SAMSEL</PersonNm>
        <TitleTxt>MGR CLINICAL SERVICE</TitleTxt>
        <BaseCompensationFilingOrgAmt>123864</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>3292</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>400</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>7563</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>26981</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>162100</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>SPARROW HEALTH SYSTEM IS THE SOLE MEMBER OF SPARROW SPECIALTY HOSPITAL. SPARROW HEALTH SYSTEM IS AN INTEGRATED NON-PROFIT ORGANIZATION THAT INCLUDES A NUMBER OF NON-PROFIT ENTITIES. THE METHODS SELECTED FOR DETERMINING THE COMPENSATION OF THE CEO/EXECUTIVE DIRECTOR ARE METHODS WHICH ARE BEING USED BY ALL SPARROW HEALTH SYSTEM RELATED ENTITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>PAULA REICHLE 157,503 52,404 0 KIRA CARTER-ROBERTSON 0 30,517 0 AMY BROWN 33,670 0 0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION INCLUDES BOTH BASE AND VARIABLE COMPENSATION (NON-FIXED PAYMENTS). IN ACCORDANCE WITH ITS POLICIES, ALL ELEMENTS (BASE, VARIABLE, BENEFITS, AND PERQUISITES) ARE COMPARED TO MARKET.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART III</FormAndLineReferenceDesc>
        <ExplanationTxt>PAULA REICHLE IS A FORMER OFFICER OF UMH - SPARROW SPECIALTY HOSPITAL. THE FORMER OFFICER IS BEING COMPENSATED BY UMH - SPARROW AND AFFILIATES FOR SERVICES PROVIDED TO UMH - SPARROW AND AFFILIATES IN POSITIONS OTHER THAN AS AN OFFICER. THE FORMER OFFICER IS NOT BEING COMPENSATED FOR ANY PAST SERVICES PROVIDED TO UMH - SPARROW SPECIALTY HOSPITAL AS A FORMER OFFICER. PART I, LINE 4B - NONQUALIFIED CERTAIN EXECUTIVES PARTICIPATE IN THE 457(F) SUPPLEMENTAL RETIREMENT PLAN AND ARE MAKING CURRENT YEAR CONTRIBUTIONS AS WELL AS RECEIVING CURRENT YEAR DISTRIBUTIONS. CONTRIBUTIONS TO THE PLAN ARE DISCLOSED IN PART I LINE 4B AND REQUIRED DISTRIBUTIONS FROM THE PLAN ARE REPORTED BELOW AS A NEGATIVE AS WELL AS BEING DISCLOSED ON SCHEDULE J, PART II COLUMN B(III) PAULA REICHLE: -52,404 KIRA CARTER-ROBERTSON: -141,657</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc5">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 1, ITEM C</FormAndLineReferenceDesc>
        <ExplanationTxt>UNIVERSITY OF MICHIGAN HEALTH - SPARROW SPECIALTY HOSPITAL</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990</FormAndLineReferenceDesc>
        <ExplanationTxt>FULL WEBSITE - HTTPS://WWW.UOFMHEALTHSPARROW.ORG/OUR-HOSPITALS-SERVICES/UM-HEALTH- SPARROW-HOSPITALS/SPECIALTY-HOSPITAL ALL LINES LEFT BLANK ARE NOT APPLICABLE TO THE ORGANIZATION. ON APRIL 1, 2023, SPARROW HEALTH SYSTEM, THE REGENTS OF THE UNIVERSITY OF MICHIGAN, AND UM HEALTH CONSUMMATED THEIR AFFILIATION. AS A RESULT OF THE TRANSACTION UM HEALTH CORP BECAME THE SOLE CORPORATE MEMBER OF SPARROW HEALTH SYSTEM. DUE TO AFFILIATION, THE ORGANIZATION CHANGED ITS YEAR END TO A FISCAL YEAR ENDING 6/30. THE PRIOR YEAR FINANCIAL INFORMATION REPORTED THROUGHOUT FORM 990 AND SUPPORTING SCHEDULES IS BASED ON A 6-MONTH SHORT PERIOD RETURN FOR 6/30/2023. 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 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>SPARROW SPECIALTY HOSPITAL (SSH) IS AN ACUTE CARE HOSPITAL, PROVIDING MEDICALLY COMPLEX PATIENTS WITH HIGH LEVELS OF SPECIALIZED CARE OVER A LONGER PERIOD OF TIME THAN NORMALLY SEEN IN A GENERAL ACUTE CARE HOSPITAL SETTING. SPARROW SPECIALTY HOSPITAL IS HIGHLY FOCUSED ON SPECIFIC PATIENT NEEDS. COMMONLY KNOWN AS A LONG-TERM ACUTE CARE HOSPITAL (LTACH), SPARROW SPECIALTY HOSPITAL IS WORTH CONSIDERING FOR PEOPLE EXPERIENCING A WIDE RANGE OF SERIOUS MEDICAL ILLNESSES, INCLUDING RESPIRATORY PROBLEMS. OPEN SINCE APRIL 2004, SPARROW SPECIALTY HOSPITAL IS LANSING'S FIRST AND ONLY LTACH FACILITY. THE HOSPITAL TREATS ADULTS RECOVERING FROM MAJOR ILLNESS OR INJURIES THAT TYPICALLY REQUIRE AN AVERAGE EXPECTED STAY OF 25 DAYS. SPARROW SPECIALTY HOSPITAL WAS SPECIFICALLY CREATED TO PROVIDE PATIENTS THE OPPORTUNITY OF TIME FOR HEALING. THE HOSPITAL IS A 30-BED, COMMUNITY-BASED, NON-PROFIT HOSPITAL LOCATED ON THE EIGHTH FLOOR OF THE TOWER ON UNIVERSITY OF MICHIGAN HEALTH - SPARROW'S MAIN CAMPUS. SPARROW SPECIALTY HOSPITAL WAS CREATED TO FILL A GAP IN MEDICAL TREATMENT FOR THE PEOPLE OF MID-MICHIGAN. BEFORE THEN, PATIENTS WHO WERE LOOKING FOR A LONG-TERM ACUTE CARE FACILITY HAD TO BE MOVED TO GRAND RAPIDS, JACKSON, OR DETROIT CREATING A BURDEN FOR FAMILY MEMBERS WHO HAD TO TRAVEL LONG DISTANCES TO VISIT THEM. OUR PATIENTS HAVE A HIGH LEVEL OF DAILY CONTACT WITH PHYSICIANS AND A HIGHLY SKILLED NURSING STAFF. SPARROW SPECIALTY HOSPITAL PROVIDES CARE FOR PATIENTS WHO ARE RECOVERING FROM MULTIPLE SURGERIES AND THOSE WITH MULTIPLE ORGAN SYSTEM FAILURE. SPARROW SPECIALTY HOSPITAL USES AN INTERDISCIPLINARY APPROACH TO MAXIMIZE EACH PATIENT'S RECOVERY POTENTIAL. SERVICES INCLUDE BUT ARE NOT LIMITED TO: - 24-HOUR PROFESSIONAL NURSING CARE - 24-HOUR RESPIRATORY THERAPY - OCCUPATIONAL THERAPY - PHYSICAL THERAPY - SPEECH THERAPY - DISCHARGE PLANNING/CASE MANAGEMENT - IN-PATIENT PHARMACEUTICAL SERVICES - NUTRITIONAL SERVICES - DIALYSIS - VENTILATOR SUPPORT - WOUND CARE - PHYSICIAN SPECIALTY SERVICES - PASTORAL CARE ADDITIONAL SERVICES ARE AVAILABLE UNDER A CONTRACTUAL ARRANGEMENT WITH UNIVERSITY OF MICHIGAN HEALTH - SPARROW. THESE SERVICES INCLUDE LABORATORY SERVICES, MEDICAL IMAGING AND INTERVENTIONAL RADIOLOGY, SURGICAL SERVICES AND CARDIOLOGY SERVICES. WITH AN AGING POPULATION AND ADVANCES IN TECHNOLOGY, PATIENTS HAVE OPPORTUNITIES TO LIVE LONGER. THEREFORE, RECOGNIZING THE NEED FOR COMPLEX MEDICAL CARE THAT LASTS LONGER THAN THE TRADITIONAL HOSPITAL STAY, SPARROW SPECIALTY HOSPITAL WAS DESIGNED AS AN ADDITIONAL COMPONENT OF THE CONTINUUM OF CARE PROVIDED AT UNIVERSITY OF MICHIGAN HEALTH - SPARROW HEALTH SYSTEM TO CONTINUE THE HEALING PROCESS. SPARROW SPECIALTY HOSPITAL IS FULLY ACCREDITED BY THE JOINT COMMISSION. WE FOCUS ON SPECIFIC TYPES OF SERIOUSLY ILL PEOPLE WITH UNIQUE NEEDS. THIS MEANS OUR STAFF MEMBERS ARE HIGHLY SPECIALIZED IN THEIR FIELD OF TRAINING AND CAN PROVIDE AN EXTREMELY CONCENTRATED LEVEL OF CARE. THIS DEGREE OF SPECIALIZATION MEANS PEOPLE IN NEED OF A HIGH LEVEL OF CARE CAN BENEFIT FROM THE LATEST AND MOST ADVANCED MEDICAL TECHNOLOGY AT OUR FACILITY. ADMISSION TO SPARROW SPECIALTY HOSPITAL IS BASED UPON THE PATIENT'S NEED FOR THIS LEVEL OF CARE, VIA PHYSICIAN REFERRAL, OUR ADMISSIONS SPECIALIST OR THE PATIENT OR THEIR REPRESENTATIVE. SPARROW SPECIALTY HOSPITAL ONLY ADMITS PATIENTS WHO WILL BENEFIT FROM THE TYPE OF CARE WE PROVIDE. BECAUSE OF THE LONG-TERM NATURE OF MOST PATIENTS' ILLNESSES, FAMILY MEMBERS AND PERSONAL REPRESENTATIVES ARE ENCOURAGED TO PARTICIPATE IN INTERDISCIPLINARY TEAM DECISIONS REGARDING CARE. SPARROW SPECIALTY HOSPITAL'S GOAL IS TO PROVIDE AGGRESSIVE TREATMENT AND ACUTE CARE TO PATIENTS SUFFERING FROM A VARIETY OF UNFORTUNATE INCIDENTS AND/OR LATE STAGE ILLNESS PROGRESSION. OUR APPROACH TO PROVIDE ACUTE MEDICAL CARE AND THERAPY SERVICES HAND-IN-HAND OVER EXTENDED PERIODS OF TIME IS BETTER FOR THE PATIENT, PROVIDING IMPROVED PATIENT OUTCOMES AND REDUCED MEDICAL COSTS OVERALL. EARLY TRANSFER FROM A TRADITIONAL ACUTE CARE HOSPITAL'S CRITICAL CARE UNIT TO SPARROW SPECIALTY HOSPITAL DRASTICALLY DECREASES LONG-TERM SETBACKS FOR PATIENTS DUE TO DEBILITATION, MUSCLE ATROPHY AND INFECTIONS. SPARROW SPECIALTY HOSPITAL IS COMMITTED TO "CONTINUING THE HEALING PROCESS" WITHIN OUR COMMUNITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>UNIVERSITY OF MICHIGAN HEALTH CORP IS THE SOLE MEMBER OF UNIVERSITY OF MICHIGAN HEALTH - SPARROW. UNIVERSITY OF MICHIGAN HEALTH - SPARROW IS THE SOLE MEMBER OF UNIVERSITY OF MICHIGAN HEALTH - SPARROW SPECIALTY HOSPITAL AND HAS 100% OWNERSHIP.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>UNIVERSITY OF MICHIGAN HEALTH - SPARROW HAS THE RIGHT TO ELECT, REPLACE, AND REMOVE DIRECTORS OF UMH - SPARROW SPECIALTY HOSPITAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>UMH HEALTH CORP AND UNIVERSITY OF MICHIGAN HEALTH - SPARROW HAVE THE RIGHT TO ELECT, REPLACE, AND REMOVE DIRECTORS OF UMH - SPARROW SPECIALTY HOSPITAL AS WELL AS HAVE THE AUTHORITY TO APPROVE DECISIONS OF THE UMH - SPARROW SPECIALTY HOSPITAL 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 WERE 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 TRANSACTION LEVEL (I.E. IF A VOTE IS REQUIRED ON A TRANSACTION INVOLVING AN INTERESTED PERSON).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS FOR DETERMINING COMPENSATION FOR THE CEO OF THE ORGANIZATION INVOLVED THE FOLLOWING: UTILIZING THE COMPENSATION COMMITTEE, INDEPENDENT CONSULTANTS, REVIEWING OTHER SIMILAR ORGANIZATIONS' 990S, COMPENSATION SURVEYS, AND FINAL APPROVAL BY THE 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, INDEPENDENT CONSULTANTS, REVIEWING OTHER SIMILAR ORGANIZATIONS' 990S, 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>GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>REGENTS OF THE UNIV OF MICHIGAN</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>5082 WOLVERINE TWR 3003 S STATE</AddressLine1Txt>
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          <ZIPCd>481091287</ZIPCd>
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          <BusinessNameLine1Txt>WEST MICHIGAN RADIATION ONCOLOGY</BusinessNameLine1Txt>
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          <ZIPCd>49519</ZIPCd>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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          <BusinessNameLine1Txt>METROPOLITAN HOSPITAL (UMH WEST)</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>5900 BYRON CENTER AVE SW</AddressLine1Txt>
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          <AddressLine1Txt>5082 WOLVERINE TWR 3003 S STATE</AddressLine1Txt>
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          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>481091287</ZIPCd>
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        <EIN>814913150</EIN>
        <PrimaryActivitiesTxt>SUP ORG</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>UM</BusinessNameLine1Txt>
        </DirectControllingEntityName>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>METROPLITAN FOUNDATION</BusinessNameLine1Txt>
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          <AddressLine1Txt>5900 BYRON CENTER AVE SW</AddressLine1Txt>
          <CityNm>WYOMING</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>49519</ZIPCd>
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        <PrimaryActivitiesTxt>SUP HOSP</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>METRO HOSP</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SPARROW HEALTH SYSTEM</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>1215 E MICHIGAN AVENUE</AddressLine1Txt>
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          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48912</ZIPCd>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>SPARROW COMMUNITY CARE</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>3315 E MICHIGAN AVENUE SUITE 4</AddressLine1Txt>
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          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48912</ZIPCd>
        </USAddress>
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        <PrimaryActivitiesTxt>HOME HLTH</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>UNIVERSITY OF MICHIGAN HEALTH PLAN</BusinessNameLine1Txt>
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          <AddressLine1Txt>1400 E MICHIGAN AVENUE</AddressLine1Txt>
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          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48912</ZIPCd>
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          <BusinessNameLine1Txt>PHP HO LLC</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <AddressLine1Txt>1400 E MICHIGAN AVENUE</AddressLine1Txt>
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          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48912</ZIPCd>
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          <BusinessNameLine1Txt>PHP</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PHYSICIANS HEALTH NETWORK</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>1400 E MICHIGAN AVENUE</AddressLine1Txt>
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          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48912</ZIPCd>
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        <PrimaryActivitiesTxt>HMO</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>PHP HO LLC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SPARROW FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>1215 E MICHIGAN AVENUE</AddressLine1Txt>
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          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48912</ZIPCd>
        </USAddress>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SPARROW CLINTON HOSPITAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>805 S OAKLAND STREET</AddressLine1Txt>
          <CityNm>ST JOHNS</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48879</ZIPCd>
        </USAddress>
        <EIN>381358172</EIN>
        <PrimaryActivitiesTxt>HLTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>EDWARD W SPARROW HOSPITAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1215 E MICHIGAN AVENUE</AddressLine1Txt>
          <CityNm>LANSING</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48912</ZIPCd>
        </USAddress>
        <EIN>381360584</EIN>
        <PrimaryActivitiesTxt>HLTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SPARROW IONIA HOSPITAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3565 S STATE RD</AddressLine1Txt>
          <CityNm>IONIA</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48846</ZIPCd>
        </USAddress>
        <EIN>383218134</EIN>
        <PrimaryActivitiesTxt>HLTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SPARROW CLINICAL RESEARCH INSTITUTE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1200 E MICHIGAN AVENUE</AddressLine1Txt>
          <CityNm>LANSING</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48912</ZIPCd>
        </USAddress>
        <EIN>383075242</EIN>
        <PrimaryActivitiesTxt>RESEARCH</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>4</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SPARROW CARSON HOSPITAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>406 E ELM STREET PO BOX 879</AddressLine1Txt>
          <CityNm>CARSON CITY</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48811</ZIPCd>
        </USAddress>
        <EIN>381490180</EIN>
        <PrimaryActivitiesTxt>HLTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SPARROW EATON HOSPITAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>321 E HARRIS ST</AddressLine1Txt>
          <CityNm>CHARLOTTE</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48813</ZIPCd>
        </USAddress>
        <EIN>382007629</EIN>
        <PrimaryActivitiesTxt>HLTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SPARROW EATON HOSPITAL AUXILIARY</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>321 E HARRIS ST</AddressLine1Txt>
          <CityNm>CHARLOTTE</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48813</ZIPCd>
        </USAddress>
        <EIN>382377160</EIN>
        <PrimaryActivitiesTxt>FUNDRAISE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>MICHIGAN DIALYSIS SERVICES LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>5082 WOLVERINE TWR 3003 S STATE ST</AddressLine1Txt>
          <CityNm>ANN ARBOR</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>481091287</ZIPCd>
        </USAddress>
        <EIN>383472138</EIN>
        <PrimaryActivitiesTxt>DIALYSIS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>PHYSICIAN ORGANIZATION OF MI ACO</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>5082 WOLVERINE TWR 3003 S STATE ST</AddressLine1Txt>
          <CityNm>ANN ARBOR</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>481091287</ZIPCd>
        </USAddress>
        <EIN>454542046</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>UNIV OF MICHIGAN HLTH HOLDINGS LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1400 E MICHIGAN AVENUE</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>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>METRO HOSP</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C CORP</EntityTypeTxt>
        <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 S 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>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>EDWARD W SPARROW HOSPITAL</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>K</TransactionTypeTxt>
        <InvolvedAmt>544441</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>EDWARD W SPARROW HOSPITAL</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>1578725</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>EDWARD W SPARROW HOSPITAL</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>1385336</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>EDWARD W SPARROW HOSPITAL</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>310000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>