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        <PersonNm>DOUGLAS EDEMA</PersonNm>
        <TitleTxt>VP SPARROW M</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>413527</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>43039</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL REINERTH</PersonNm>
        <TitleTxt>SVP CHIEF HR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>362545</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>61656</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID KRUGER</PersonNm>
        <TitleTxt>VP PHYS PRAC</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>318269</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>52073</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KIRA CARTER-ROBERTSON</PersonNm>
        <TitleTxt>SVP AFFILIAT</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>315214</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>38895</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM HOWE</PersonNm>
        <TitleTxt>VP FINANCE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>262260</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>49561</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ANDREA KOSLOSKI</PersonNm>
        <TitleTxt>VP LEGAL/RIS</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>247066</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>35740</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ILENE CANTOR</PersonNm>
        <TitleTxt>VP MARKETING</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>239125</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>47079</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RICHARD FELLOWS</PersonNm>
        <TitleTxt>VP AUDIT, CO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>225190</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>36712</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KEVIN SHARP</PersonNm>
        <TitleTxt>VP REVENUE C</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>214240</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>45014</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HARMAN NAGLER MD</PersonNm>
        <TitleTxt>VP CLINICAL</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>176479</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>29152</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LISA PASCOE</PersonNm>
        <TitleTxt>DIRECTOR COR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>151221</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>29943</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TRENT CARPENTER</PersonNm>
        <TitleTxt>CHIEF INFO S</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>225521</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>32488</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KIFFI FORD</PersonNm>
        <TitleTxt>EXEC DIR - L</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>205339</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>51660</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KATHLEEN SMITH</PersonNm>
        <TitleTxt>EXEC DIR - I</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>195875</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>40123</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TERESA ZNIDARSIC</PersonNm>
        <TitleTxt>EXEC DIR - H</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>194206</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>25781</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JESLIE JACOB</PersonNm>
        <TitleTxt>DIRECTOR - I</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>186427</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>49940</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES OLSON MD</PersonNm>
        <TitleTxt>FORMER BOARD</TitleTxt>
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        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>313215</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>53966</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DAWN SPRINGER MD</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>40.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>230796</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>33945</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN ARMSTRONG MD</PersonNm>
        <TitleTxt>FORMER BOARD</TitleTxt>
        <AverageHoursPerWeekRltdOrgRt>40.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
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        <ReportableCompFromRltdOrgAmt>141015</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24391</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARY LOU WESLEY</PersonNm>
        <TitleTxt>FORMER SR VP</TitleTxt>
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        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
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        <ReportableCompFromRltdOrgAmt>306253</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>20713</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>6489396</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>1685290</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>1315391</TotalOtherCompensationAmt>
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      <FormerOfcrEmployeesListedInd>true</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>EPIC SYSTEMS CORPORATION</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 88314</AddressLine1Txt>
            <CityNm>MILWAUKEE</CityNm>
            <StateAbbreviationCd>WI</StateAbbreviationCd>
            <ZIPCd>532880314</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ENTELEGENT SOLUTIONS INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2520 WHITEHALL PARK DR SUITE 200</AddressLine1Txt>
            <CityNm>CHARLOTTE</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28273</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MICROSOFT CORP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 842103</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>752842103</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MCPC INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 643283</AddressLine1Txt>
            <CityNm>PITTSBURGH</CityNm>
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            <ZIPCd>152643283</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MAYO CLINIC ROCHESTER</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 4003</AddressLine1Txt>
            <CityNm>ROCHESTER</CityNm>
            <StateAbbreviationCd>MN</StateAbbreviationCd>
            <ZIPCd>559034003</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HOSPITAL AFFIL.</ServicesDesc>
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      <CntrctRcvdGreaterThan100KCnt>54</CntrctRcvdGreaterThan100KCnt>
      <ProgramServiceRevenueGrp>
        <Desc>SPARROW CARE NETWORK</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>7229585</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>7229585</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER CONTRACT REVENUE</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>1576777</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1576777</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>8806362</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>641990</TotalRevenueColumnAmt>
        <ExclusionAmt>641990</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>2072872</SecuritiesAmt>
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      <GainOrLossGrp>
        <SecuritiesAmt>2072872</SecuritiesAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>2072872</TotalRevenueColumnAmt>
        <ExclusionAmt>2072872</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>ALLOCATION REIMBURSEMENT</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>94497164</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>94497164</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueTotalAmt>94497164</OtherRevenueTotalAmt>
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        <TotalRevenueColumnAmt>106018388</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>103303526</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>2714862</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>6453274</TotalAmt>
        <ManagementAndGeneralAmt>6453274</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>4656704</ProgramServicesAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>223483</ProgramServicesAmt>
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        <ProgramServicesAmt>643778</ProgramServicesAmt>
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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>1384865</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>3117245</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>17183340</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>16768</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3059888</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>990499</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>220103</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>OTHER</Desc>
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        <Desc>CONSULTING</Desc>
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        <ManagementAndGeneralAmt>398072</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>95877854</ManagementAndGeneralAmt>
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        <EOYAmt>3688956</EOYAmt>
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        <EOYAmt>6764582</EOYAmt>
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        <EOYAmt>11291477</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>10063666</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>714827</LandBldgEquipAccumDeprecAmt>
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        <EOYAmt>9348839</EOYAmt>
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        <EOYAmt>855608489</EOYAmt>
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        <EOYAmt>919918068</EOYAmt>
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        <EOYAmt>60576005</EOYAmt>
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        <BOYAmt>31139534</BOYAmt>
        <EOYAmt>60576005</EOYAmt>
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      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
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        <EOYAmt>800838133</EOYAmt>
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        <EOYAmt>3606573</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>859342063</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>948563508</BOYAmt>
        <EOYAmt>919918068</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>2956262</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-4356018</NetUnrlzdGainsLossesInvstAmt>
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        <OtherCompensationFilingOrgAmt>772</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>25781</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>219987</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JESLIE JACOB</PersonNm>
        <TitleTxt>DIRECTOR - IT</TitleTxt>
        <BaseCompensationFilingOrgAmt>186261</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>166</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>11230</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>38710</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>236367</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES OLSON MD</PersonNm>
        <TitleTxt>FORMER BOARD MEMBER</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>282031</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>29386</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>1798</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>24000</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>29966</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>367181</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAWN SPRINGER MD</PersonNm>
        <TitleTxt>FORMER BOARD MEMBER</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>191136</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>38213</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>1447</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>16820</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>17125</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>264741</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN ARMSTRONG MD</PersonNm>
        <TitleTxt>FORMER BOARD MEMBER</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>113003</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>17059</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>10953</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>8100</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>16291</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>165406</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARY LOU WESLEY</PersonNm>
        <TitleTxt>FORMER SR VP/CNO</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>306253</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>8100</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>12613</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>326966</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>PRESIDENT/CEO DENNIS SWAN RECEIVED A LIFE INSURANCE GROSS-UP PAYMENT OF 27,494. CERTAIN BOARD MEMBERS- AND EXECUTIVES' MICHIGAN ATHLETIC CLUB DUES ARE PAID BY SPARROW HEALTH SYSTEM. THESE AMOUNTS ARE CONSIDERED TAXABLE COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>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>JOE RUTH 0 50,123 0 PAULA REICHLE 0 46,140 0 THOMAS BRES 0 44,577 0 MARY LOU WESLEY 320,857 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>JOHN ARMSTRONG, JAMES OLSON, MARY LOU WESLEY, AND DAWN SPRINGER ARE FORMER BOARD MEMBERS AND OFFICERS OF THE ENTITY. THE FORMER BOARD MEMBERS AND OFFICERS ARE BEING COMPENSATED BY THE ENTITY AND AFFILIATES FOR SERVICES PROVIDED TO THE ENTITY AND AFFILIATES IN POSITIONS OTHER THAN BOARD MEMBERS. THE FORMER BOARD MEMBERS AND OFFICERS ARE NOT BEING COMPENSATED FOR ANY PAST SERVICES PROVIDED TO THE ENTITY AS FORMER BOARD MEMBERS AND OFFICERS. SCHEDULE J, PART II, COLUMN (B)(I) - PAYMENTS TO GREG BROGAN FOR BROKER'S SALES COMMISSION FOR PHP INSURANCE COMPANY (641,936). ALL SALES COMMISSIONS ARE STANDARD AND WERE COMPLETED IN AN ARM'S LENGTH TRANSACTION. NONE OF THE SALES COMMISSIONS RECEIVED WERE COMPENSATION FOR SERVICES PROVIDED AS A MEMBER OF THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc4">
      <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) IS A FULLY INTEGRATED HEALTHCARE SYSTEM HEADQUARTERED IN LANSING, MICH. SERVING A CORE EIGHT-COUNTY REGION IN MID-MICHIGAN. SHS INCLUDES FIVE HOSPITALS ENCOMPASSING 841 LICENSED BEDS, MORE THAN 100 AMBULATORY/OUTPATIENT LOCATIONS, 258 EMPLOYED PHYSICIANS, A 56,000-MEMBER 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 WITH ABOUT 13,000 MEMBERS. IN ADDITION, SHS WORKS WITH OVER 950 PHYSICIANS AND OTHER PROVIDERS THROUGH SPARROW CARE NETWORK, A CLINICALLY INTEGRATED NETWORK OF PHYSICIANS. IN 2012, SHS BECAME A MEMBER OF THE MAYO CLINIC CARE NETWORK, A NON-OWNERSHIP COLLABORATIVE ARRANGEMENT. SHS IS A MICHIGAN NON STOCK, NONPROFIT TAX EXEMPT CORPORATION, AND IS THE PARENT CORPORATION OF THE FOLLOWING TAX-EXEMPT, 501(C)(3) ENTITIES: EDWARD W. SPARROW HOSPITAL ASSOCIATION (SPARROW HOSPITAL), SPARROW CLINTON (CLINTON MEMORIAL HOSPITAL), SPARROW IONIA (IONIA COUNTY MEMORIAL HOSPITAL), SPARROW CARSON (CARSON CITY 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. SHS IS ALSO THE PARENT CORPORATION OF PHYSICIANS HEALTH PLAN (PHP), A MICHIGAN NONPROFIT, TAX-EXEMPT HEALTH MAINTENANCE ORGANIZATION, AS WELL AS PHYSICIANS HEALTH NETWORK (PHN), A MICHIGAN NONPROFIT, TAX-EXEMPT CORPORATION. BOTH OF THESE COMPANIES ARE TAX-EXEMPT UNDER IRS CODE 501(C) (4). BOTH 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>COPIES OF THE 2018 FORM 990 ARE REVIEWED BY MANAGEMENT. THE FORM 990 COPIES WERE PROVIDED AT THE FALL 2019 BOARD MEETING FOR ALL BOARD MEMBERS TO REVIEW AND COMMENT ON.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>1) CORPORATE COMPLIANCE SENDS OUT THE CONFLICT OF INTEREST POLICY AND QUESTIONNAIRES TO ALL VOTING BOARD MEMBERS AND THE EXECUTIVE TEAM ANNUALLY. 2) ALL DISCLOSURES ARE RECEIVED AND REVIEWED BY CORPORATE COMPLIANCE. 3) ALL DISCLOSURES ARE GIVEN A RESOLUTION CODE AND PRESENTED TO THE CEO AND GOVERNANCE COMMITTEE OF THE BOARD. 4) ALL BOARD/COMMITTEE LEVEL DISCLOSURES ARE PROVIDED TO THE RESPECTIVE BOARD CHAIR AND EXECUTIVE LIAISON TO ENSURE ISSUES CAN BE ADDRESSED ON A 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 OF THE ORGANIZATION INVOLVED THE FOLLOWING: UTILIZING THE COMPENSATION COMMITTEE, INDEPENDENT CONSULTANTS, REVIEWING OTHER SIMILAR ORGANIZATIONS' 990S, COMPENSATION SURVEYS, AND FINAL APPROVAL BY THE BOARD OF DIRECTORS, AS WELL AS FINALIZING THE SALARY PACKAGE WITH A WRITTEN EMPLOYMENT CONTRACT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS FOR DETERMINING COMPENSATION FOR OFFICERS OR KEY EMPLOYEES OF THE ORGANIZATION INVOLVED THE FOLLOWING: UTILIZING THE COMPENSATION COMMITTEE, INDEPENDENT CONSULTANTS, REVIEWING OTHER SIMILAR ORGANIZATIONS' 990S, COMPENSATION SURVEYS, AND FINAL APPROVAL BY THE BOARD OF DIRECTORS, AS WELL AS FINALIZING THE SALARY PACKAGE WITH A WRITTEN EMPLOYMENT CONTRACT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS ARE 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 VII</FormAndLineReferenceDesc>
        <ExplanationTxt>PART VII, SECTION A, COLUMN (E) REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS - PAYMENTS TO GREG BROGAN FOR BROKER'S SALES COMMISSION FOR PHP INSURANCE COMPANY (641,936). ALL SALES COMMISSIONS ARE STANDARD AND WERE COMPLETED IN AN ARM'S LENGTH TRANSACTION. NONE OF THE SALES COMMISSIONS RECEIVED WERE COMPENSATION FOR SERVICES PROVIDED AS A MEMBER OF THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>UNREALIZED GAIN ON INVESTMENT IN AFFILIATES -56,682,155</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>SPARROW CARE NETWORK</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>1215 E MICHIGAN AVENUE</AddressLine1Txt>
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          <ZIPCd>48912</ZIPCd>
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          <AddressLine1Txt>3315 E MICHIGAN AVENUE STE 4</AddressLine1Txt>
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          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48912</ZIPCd>
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          <BusinessNameLine1Txt>PHYSICIANS HEALTH PLAN</BusinessNameLine1Txt>
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          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48912</ZIPCd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PHP MEDICARE</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</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SPARROW CARSON HOSPITAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>406 E ELM ST PO BOX 879</AddressLine1Txt>
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          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48811</ZIPCd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CARSON CITY FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>406 E ELM ST PO BOX 879</AddressLine1Txt>
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          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48811</ZIPCd>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CCH</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>PHYSICIANS HEALTH NETWORK</BusinessNameLine1Txt>
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          <StateAbbreviationCd>MI</StateAbbreviationCd>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>SPARROW FOUNDATION</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>SHS</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>SPARROW CLINTON HOSPITAL</BusinessNameLine1Txt>
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          <AddressLine1Txt>805 S OAKLAND</AddressLine1Txt>
          <CityNm>ST JOHNS</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48879</ZIPCd>
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          <BusinessNameLine1Txt>SHS</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SPARROW SPECIALTY HOSPITAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1215 E MICH AVE 8W SPARROW TOWER</AddressLine1Txt>
          <CityNm>LANSING</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48912</ZIPCd>
        </USAddress>
        <EIN>141885340</EIN>
        <PrimaryActivitiesTxt>LT ACCUTE</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>
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          <BusinessNameLine1Txt>SHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
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</Return>