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        <PaymentSubstantialContribtrInd>false</PaymentSubstantialContribtrInd>
        <LoanDisqualifiedPersonInd>false</LoanDisqualifiedPersonInd>
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        <ExcessBusinessHoldingsRulesInd>false</ExcessBusinessHoldingsRulesInd>
        <ContributionControllerInd>false</ContributionControllerInd>
        <ContributionFamilyInd>false</ContributionFamilyInd>
        <Contribution35ControlledInd>false</Contribution35ControlledInd>
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        <OperateBenefitNonSuprtOrgInd>false</OperateBenefitNonSuprtOrgInd>
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        <FormAndLineReferenceDesc>PART I, LINE 11H</FormAndLineReferenceDesc>
        <ExplanationTxt>SPARROW SPECIALTY HOSPITAL 14-1885340 3 X 0 0 SPARROW FOUNDATION 38-6100687 3 X 0 0 SPARROW CLINICAL RESEARCH INSTITUTE 38-3075242 3 X 0 0</ExplanationTxt>
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        <ContributionsAmt>273470</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>313164</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>9785856</EndYearBalanceAmt>
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        <BeginningYearBalanceAmt>6297032</BeginningYearBalanceAmt>
        <ContributionsAmt>5192208</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>-280050</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>11209190</EndYearBalanceAmt>
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        <BeginningYearBalanceAmt>5606321</BeginningYearBalanceAmt>
        <ContributionsAmt>561053</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>129658</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>6297032</EndYearBalanceAmt>
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        <BeginningYearBalanceAmt>4912247</BeginningYearBalanceAmt>
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        <EndYearBalanceAmt>5606321</EndYearBalanceAmt>
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        <BeginningYearBalanceAmt>4700296</BeginningYearBalanceAmt>
        <ContributionsAmt>39943</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>172008</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>4912247</EndYearBalanceAmt>
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      <EndowmentsHeldRelatedOrgInd>true</EndowmentsHeldRelatedOrgInd>
      <RelatedOrgListSchRInd>true</RelatedOrgListSchRInd>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>5535207</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>521006</DepreciationAmt>
        <BookValueAmt>5014201</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>45694082</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>26029288</DepreciationAmt>
        <BookValueAmt>19664794</BookValueAmt>
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      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>2573554</OtherCostOrOtherBasisAmt>
        <BookValueAmt>2573554</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>27252549</TotalBookValueLandBuildingsAmt>
      <InvstProgramRelatedOrgGrp>
        <Desc>INVEST IN SPARROW HOSPITAL</Desc>
        <BookValueAmt>702000490</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </InvstProgramRelatedOrgGrp>
      <InvstProgramRelatedOrgGrp>
        <Desc>INVEST IN SPARROW CLINTON</Desc>
        <BookValueAmt>182390781</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </InvstProgramRelatedOrgGrp>
      <InvstProgramRelatedOrgGrp>
        <Desc>INVEST IN SPARROW EATON</Desc>
        <BookValueAmt>89796938</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </InvstProgramRelatedOrgGrp>
      <InvstProgramRelatedOrgGrp>
        <Desc>INVEST IN SPARROW IONIA</Desc>
        <BookValueAmt>62805828</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </InvstProgramRelatedOrgGrp>
      <InvstProgramRelatedOrgGrp>
        <Desc>INVEST IN SPARROW SPECIALTY</Desc>
        <BookValueAmt>46210120</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </InvstProgramRelatedOrgGrp>
      <InvstProgramRelatedOrgGrp>
        <Desc>INVEST IN SPARROW FOUNDATION</Desc>
        <BookValueAmt>35783354</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </InvstProgramRelatedOrgGrp>
      <InvstProgramRelatedOrgGrp>
        <Desc>INVEST IN COMMUNITY CARE</Desc>
        <BookValueAmt>9694667</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </InvstProgramRelatedOrgGrp>
      <InvstProgramRelatedOrgGrp>
        <Desc>INVEST IN SPARROW CARE NETWORK</Desc>
        <BookValueAmt>5320304</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </InvstProgramRelatedOrgGrp>
      <InvstProgramRelatedOrgGrp>
        <Desc>INVEST IN SPARROW DEVELOPMENT</Desc>
        <BookValueAmt>2444392</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </InvstProgramRelatedOrgGrp>
      <InvstProgramRelatedOrgGrp>
        <Desc>INVEST IN SPARROW CLINICAL RESEARCH</Desc>
        <BookValueAmt>-673829</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </InvstProgramRelatedOrgGrp>
      <InvstProgramRelatedOrgGrp>
        <Desc>INVEST IN CARSON CITY</Desc>
        <BookValueAmt>-3279858</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </InvstProgramRelatedOrgGrp>
      <TotalBookValueProgramRltdAmt>1132493187</TotalBookValueProgramRltdAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER LIABILITIES</Desc>
        <Amt>3196202</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>3196202</TotalLiabilityAmt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 2, PART V, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>SPARROW HEALTH SYSTEM DOES NOT HOLD ENDOWMENTS. THE ENDOWMENTS ARE HELD BY SPARROW FOUNDATION. SPARROW HEALTH SYSTEM IS THE SOLE MEMBER OF 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. BEGINNING OF YEAR BALANCE WAS ADJUSTED DUE TO THE REMOVAL OF 2,009,968 OF PLEDGES FROM THE ENDOWMENT BALANCE. THIS ADJUSTMENT WAS MADE DUE TO THE BEGINNING OF YEAR CONVERSION OF THE FINANCIAL STATEMENTS FROM FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) TO GOVERNMENTAL ACCOUNTING STANDARDS BOARD (GASB). THE FASB TO GASB CONVERSION WAS REQUIRED DUE TO THE AFFILIATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc3">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990</FormAndLineReferenceDesc>
        <ExplanationTxt>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 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>SPARROW HEALTH SYSTEM (SHS), PART OF UNIVERSITY OF MICHIGAN HEALTH, IS A FULLY INTEGRATED HEALTHCARE SYSTEM HEADQUARTERED IN LANSING, MICH. SERVING A CORE EIGHT-COUNTY REGION IN MID-MICHIGAN. SHS INCLUDES SIX HOSPITALS ENCOMPASSING 845 LICENSED HOSPITAL BEDS, 36 HOSPICE BEDS, MORE THAN 150 AMBULATORY/OUTPATIENT LOCATIONS, HUNDREDS OF EMPLOYED PHYSICIANS, A HEALTH PLAN, AND A POST-ACUTE CARE NETWORK CONSISTING OF OUTREACH LABORATORY, HOMECARE, HOSPICE, PHARMACY, AND DME SERVICES. SHS ALSO OWNS AND OPERATES THE MICHIGAN ATHLETIC CLUB, THE LARGEST HOSPITAL-OWNED FITNESS CLUB IN THE UNITED STATES. SHS IS A MICHIGAN NON STOCK, NON PROFIT TAX-EXEMPT CORPORATION, AND IS THE PARENT CORPORATION OF THE FOLLOWING TAX-EXEMPT, 501(C)(3) ENTITIES: EDWARD W. SPARROW HOSPITAL ASSOCIATION (E. W. SPARROW HOSPITAL), SPARROW CARSON HOSPITAL, SPARROW CLINTON HOSPITAL, SPARROW EATON HOSPITAL, SPARROW IONIA HOSPITAL, SPARROW SPECIALTY HOSPITAL, SPARROW COMMUNITY CARE, AND SPARROW FOUNDATION. SPARROW FOUNDATION SERVES AS THE FUNDRAISING ARM OF SHS. EACH OF THESE ENTITIES FILE THEIR OWN 990 RETURN. LASTLY, SHS IS THE PARENT CORPORATION OF SPARROW DEVELOPMENT, INC. (SDI), A MICHIGAN STOCK, FOR-PROFIT CORPORATION. SDI INCLUDES, AS MENTIONED ABOVE, THE MICHIGAN ATHLETIC CLUB (MAC), AS WELL AS THE MAC RESTAURANT, AND ST. LAWRENCE OR MANAGEMENT COMPANY, LLC. ON APRIL 1, 2023, SPARROW HEALTH SYSTEM, THE REGENTS OF THE UNIVERSITY OF MICHIGAN, AND UM HEALTH CONSUMMATED THEIR AFFILIATION PURSUANT TO AN AFFILIATION AGREEMENT DATED DECEMBER 8, 2022. AS A RESULT OF THE TRANSACTION, UM HEALTH BECAME THE SOLE MEMBER OF SPARROW AND RECEIVED AN ASSIGNMENT OF SPARROW'S MEMBERSHIP INTEREST IN PHP HOLDINGS, LLC. PHP HOLDINGS IS THE SOLE MEMBER OF CERTAIN JOINT VENTURES, INCLUDING PHYSICIANS HEALTH PLAN, A PROVIDER-SPONSORED HEALTH PLAN. THE PARTNERSHIP, STRUCTURED AS A MEMBERSHIP SUBSTITUTION, BETWEEN UM HEALTH AND SPARROW HEALTH SYSTEM IS AIMED AT EXPANDING SERVICES TO MID-MICHIGAN RESIDENTS, PROVIDING INCREASED ACCESS TO THE HIGHEST LEVEL OF CARE, AND IMPROVING FACILITIES AND TECHNOLOGIES. SPARROW HEALTH WILL PLAY A KEY ROLE IN UM HEALTH ESTABLISHING A STATEWIDE SYSTEM OF CARE. THIS PARTNERSHIP IS A DEFINITIVE STEP FORWARD TO POSITION THE COMBINED ORGANIZATION AND TEAMS FOR CONTINUED GROWTH AND LONG-TERM SUCCESS. BY COMING TOGETHER, THE COMBINED ORGANIZATION IS CREATING A CLINICAL CARE NETWORK THAT BUILDS UPON THE STRENGTHS OF THE WORLD-CLASS UM HEALTH ACADEMIC MEDICAL CENTER AND SPARROW HEALTH'S SUCCESSFUL COMMUNITY-BASED HEALTH SYSTEM. JOINING UM HEALTH ENABLES SPARROW TO ACCELERATE THE EXPANSION OF SERVICES, BUILD GREATER BREADTH AND DEPTH OF CLINICAL EXPERTISE, AND SEAMLESSLY INTEGRATE LEADING-EDGE TECHNOLOGY AND OTHER UPDATES INTO FACILITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING 2023, THE HEALTH SYSTEM ENTERED INTO A LETTER OF INTENT WITH THE REGENTS OF THE UNIVERSITY OF MICHIGAN, SETTING FORTH UNDERSTAND IN PRINCIPLE WITH RESPECT TO THE HEALTH SYSTEM PARTNERING WITH THE UNIVERSITY OF MICHIGAN HEALTH SYSTEM. A DEFINITIVE AGREEMENT WAS SIGNED BY BOTH THE REGENTS OF THE UNIVERSITY OF MICHIGAN AND THE HEALTH SYSTEM IN DECEMBER 2022. THE HEALTH SYSTEM FINALIZED THE PARTNERSHIP, STRUCTURED AS A MEMBER SUBSTITUTION, ON APRIL 1, 2023. AS A RESULT OF THE AGREEMENT, UM HEALTH BECAME THE SOLE MEMBER OF SPARROW AND RECEIVED AN ASSIGNMENT OF SPARROW'S MEMBERSHIP INTEREST IN PHP HOLDINGS. AS A RESULT OF THE AFFILIATION THE BASIS OF ACCOUNTING UTILIZED BY THE ORGANIZATION HAD CHANGED FROM FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) TO GOVERNMENTAL ACCOUNTING STANDARDS BOARD (GASB), AND THE FISCAL YEAR END CHANGED FROM DECEMBER 31 TO JUNE 30. THE ORGANIZATION'S BYLAWS WERE AMENDED AND RESTATED TO REFLECT UM HEALTH CORP AS THE SOLE MEMBER OF THE SPARROW HEALTH SYSTEM. UM HEALTH CORP HAS AUTHORIZED THE BOARD OF DIRECTORS OF UM HEALTH CORP TO EXERCISE ITS POWER ON THE CORPORATION'S BEHALF. UM HEALTH CORP'S BOARD OF DIRECTORS HAS THE FOLLOWING AUTHORITY OVER SPARROW HEATH SYSTEM AND AFFILIATES: - APPOINT TWO OFFICERS OF UM HEALTH CORP TO ACT ON ITS BEHALF REGARDING GENERAL AND SPECIFIC INSTANCES. - RESERVED POWERS REQUIRING APPROVAL OF THE BOARD REGARDING: O STRATEGIC PLANNING O MISSIONS AND VISION CHANGES O BUDGET AND CAPITAL EXPENDITURE BUDGETS O INCURRENCE OF DEBT OR MORTGAGING/GUARANTEEING ASSETS O ENGAGING IN ACQUISITION OR MERGER O MAKING MATERIAL CHANGES IN CLINICAL SERVICES</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>SPARROW HEALTH SYSTEM, A COMPONENT UNIT OF THE REGENTS OF THE UNIVERSITY OF MICHIGAN, IS THE PARENT ORGANIZATION OF AN INTEGRATED HEALTH DELIVERY SYSTEM SERVING MID-MICHIGAN. THE SOLE MEMBER OF SPARROW HEALTH SYSTEM IS UM HEALTH, WHICH IS A WHOLLY OWNED SUBSIDIARY OF UNIVERSITY OF MICHIGAN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>UM HEALTH, WHICH IS A WHOLLY OWNED SUBSIDIARY OF UNIVERSITY OF MICHIGAN HAS THE RIGHT TO ELECT MEMBERS OF THE SPARROW HEALTH SYSTEM BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>UM HEALTH, WHICH IS A WHOLLY OWNED SUBSIDIARY OF UNIVERSITY OF MICHIGAN HAS THE RIGHT TO ELECT MEMBERS OF THE SPARROW HEALTH SYSTEM BOARD. UM HEALTH ALSO HAS THE AUTHORITY TO APPROVE DECISIONS OF THE SPARROW HEALTH SYSTEM BOARD WHEN IT IS DEEMED NECESSARY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>COPIES OF THE FISCAL YEAR 6/30/2023 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 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 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS ARE ON SEVERAL INTERNET WEBSITES, INCLUDING THE EMMA, MSRB, AND MHA WEBSITES, AS WELL AS AVAILABLE UPON REQUEST. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER ADJUSTMENTS 2,802,203 UNREALIZED GAIN ON INVESTMENT IN AFFILIATES -11,958,745 TOTAL -9,156,542</ExplanationTxt>
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        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>UM</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>METROPOLITAN FOUNDATION</BusinessNameLine1Txt>
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          <AddressLine1Txt>5900 BYRON CENTER AVENUE SW</AddressLine1Txt>
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          <BusinessNameLine1Txt>SHS</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>SPARROW SPECIALTY HOSPITAL</BusinessNameLine1Txt>
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          <AddressLine1Txt>1215 E MICHIGAN AVE 8W SPARROW TWR</AddressLine1Txt>
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          <ZIPCd>48912</ZIPCd>
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        <PrimaryActivitiesTxt>LT ACUTE C</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>SPARROW IONIA HOSPITAL</BusinessNameLine1Txt>
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          <CityNm>IONIA</CityNm>
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          <BusinessNameLine1Txt>SPARROW CLINICAL RESEARCH HOSPITAL</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <AddressLine1Txt>2225 MAIN STREET SW STE 110</AddressLine1Txt>
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          <AddressLine1Txt>1215 E MICHIGAN AVE</AddressLine1Txt>
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          <AddressLine1Txt>1400 E MICHIGAN AVE</AddressLine1Txt>
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          <AddressLine1Txt>1400 E MICHIGAN AVE</AddressLine1Txt>
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          <BusinessNameLine1Txt>EAST LANSING ATHLETIC CLUB</BusinessNameLine1Txt>
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          <AddressLine1Txt>2900 HANNAH BLVD</AddressLine1Txt>
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          <AddressLine1Txt>2900 HANNAH BLVD</AddressLine1Txt>
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          <BusinessNameLine1Txt>PHYSICINS HEALTH PLAN</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>SPARROW COMMUNITY CARE</BusinessNameLine1Txt>
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        <InvolvedAmt>860259</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SPARROW FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>348553</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SPARROW EATON HOSPITAL</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>2617856</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SPARROW DEVELOPMENT INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>304056</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>REGENTS OF THE UNIV OF MICHIGAN</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>5150000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH TRANSFER</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>PHYSICIAN ORGANIZATION OF MI ACO</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>2212500</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH TRANSER</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
