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        <AverageHoursPerWeekRt>45.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>244485</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18652</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>REBECCA BROSCHART</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>34.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>240962</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22486</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ADRIENNE WESTPHAL</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>239953</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>15472</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1983706</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>184438</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>43</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MCLAREN MEDICAL GROUP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>G-1080 N BALLENGER HWY</AddressLine1Txt>
            <CityNm>FLINT</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48504</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HEALTH CARE</ServicesDesc>
        <CompensationAmt>458937</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MCLAREN NORTHERN MICHIGAN</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>416 CONNABLE AVE</AddressLine1Txt>
            <CityNm>PETOSKY</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>49770</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>RENTAL</ServicesDesc>
        <CompensationAmt>375012</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ADVANCED PSYCHIATRIC SERVICES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>32905 W 12 MILE RD</AddressLine1Txt>
            <CityNm>FARMINGTON HILLS</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48334</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PSYCHIATRIC</ServicesDesc>
        <CompensationAmt>320180</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>LINDA'S CLEAN TEAM</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 465</AddressLine1Txt>
            <CityNm>HARRISVILLE</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48740</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>JANITORIAL</ServicesDesc>
        <CompensationAmt>184077</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>D&amp;T SERVICES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>6419 E STATE ST</AddressLine1Txt>
            <CityNm>PELLSTON</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>49769</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SERVICES</ServicesDesc>
        <CompensationAmt>177158</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>8495342</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>3376328</AllOtherContributionsAmt>
      <NoncashContributionsAmt>626299</NoncashContributionsAmt>
      <TotalContributionsAmt>11871670</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT FEES</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>21816258</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>21816258</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PHARMACY FEES</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>14397128</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>14397128</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER PATIENT FEES</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>897511</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>897511</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>37110897</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>19815</TotalRevenueColumnAmt>
        <ExclusionAmt>19815</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>155550</RealAmt>
      </GrossRentsGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>155550</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>155550</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>155550</RelatedOrExemptFuncIncomeAmt>
      </NetRentalIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>MI COMM HEALTH NETWORK K-1</Desc>
        <TotalRevenueColumnAmt>-19448</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>-19448</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>-19448</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>49138484</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>37246999</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>19815</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>730133</TotalAmt>
        <ManagementAndGeneralAmt>730133</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>20545381</TotalAmt>
        <ProgramServicesAmt>16292756</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4252625</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>5406041</TotalAmt>
        <ProgramServicesAmt>3352532</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2053509</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>1536783</TotalAmt>
        <ProgramServicesAmt>1181817</ProgramServicesAmt>
        <ManagementAndGeneralAmt>354966</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>3445602</TotalAmt>
        <ProgramServicesAmt>2643023</ProgramServicesAmt>
        <ManagementAndGeneralAmt>802579</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <AdvertisingGrp>
        <TotalAmt>327029</TotalAmt>
        <ProgramServicesAmt>110822</ProgramServicesAmt>
        <ManagementAndGeneralAmt>216207</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>566923</TotalAmt>
        <ProgramServicesAmt>361545</ProgramServicesAmt>
        <ManagementAndGeneralAmt>205378</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>403435</TotalAmt>
        <ProgramServicesAmt>281346</ProgramServicesAmt>
        <ManagementAndGeneralAmt>122089</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>310571</TotalAmt>
        <ProgramServicesAmt>83799</ProgramServicesAmt>
        <ManagementAndGeneralAmt>226772</ManagementAndGeneralAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>519066</TotalAmt>
        <ProgramServicesAmt>394886</ProgramServicesAmt>
        <ManagementAndGeneralAmt>124180</ManagementAndGeneralAmt>
      </InterestGrp>
      <InsuranceGrp>
        <TotalAmt>91086</TotalAmt>
        <ProgramServicesAmt>45486</ProgramServicesAmt>
        <ManagementAndGeneralAmt>45600</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>7477203</TotalAmt>
        <ProgramServicesAmt>7477203</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <TotalAmt>1778129</TotalAmt>
        <ProgramServicesAmt>1405347</ProgramServicesAmt>
        <ManagementAndGeneralAmt>372782</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIR AND MAINT</Desc>
        <TotalAmt>1286279</TotalAmt>
        <ProgramServicesAmt>525589</ProgramServicesAmt>
        <ManagementAndGeneralAmt>760690</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DONATED DRUGS ANDSUPPLIES</Desc>
        <TotalAmt>618949</TotalAmt>
        <ProgramServicesAmt>618949</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>664162</TotalAmt>
        <ProgramServicesAmt>172664</ProgramServicesAmt>
        <ManagementAndGeneralAmt>491498</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>45706772</TotalAmt>
        <ProgramServicesAmt>34947764</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10759008</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>5837386</BOYAmt>
        <EOYAmt>7845894</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>1561978</BOYAmt>
        <EOYAmt>2258576</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>647008</BOYAmt>
        <EOYAmt>180378</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>4505085</BOYAmt>
        <EOYAmt>4436323</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>655475</BOYAmt>
        <EOYAmt>650891</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>306700</BOYAmt>
        <EOYAmt>490986</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>24800249</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>9621132</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>14920412</BOYAmt>
        <EOYAmt>15179117</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <IntangibleAssetsGrp>
        <EOYAmt>1466645</EOYAmt>
      </IntangibleAssetsGrp>
      <TotalAssetsGrp>
        <BOYAmt>28434044</BOYAmt>
        <EOYAmt>32508810</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>1455898</BOYAmt>
        <EOYAmt>769893</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>498091</BOYAmt>
        <EOYAmt>266312</EOYAmt>
      </DeferredRevenueGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>8899236</BOYAmt>
        <EOYAmt>8256440</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>715230</BOYAmt>
        <EOYAmt>2441787</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>11568455</BOYAmt>
        <EOYAmt>11734432</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>16865589</BOYAmt>
        <EOYAmt>20774378</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>16865589</BOYAmt>
        <EOYAmt>20774378</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>28434044</BOYAmt>
        <EOYAmt>32508810</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>3431712</ReconcilationRevenueExpnssAmt>
      <PriorPeriodAdjustmentsAmt>457629</PriorPeriodAdjustmentsAmt>
      <OtherChangesInNetAssetsAmt>19448</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc7">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc3">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>840188</OtherCostOrOtherBasisAmt>
        <BookValueAmt>840188</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>17871563</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>5655043</DepreciationAmt>
        <BookValueAmt>12216520</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>483447</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>399342</DepreciationAmt>
        <BookValueAmt>84105</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>5175647</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3566747</DepreciationAmt>
        <BookValueAmt>1608900</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>429404</OtherCostOrOtherBasisAmt>
        <BookValueAmt>429404</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>15179117</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>ROU - OPERATING LEASE</Desc>
        <Amt>1452133</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>COMPENSATED ABSENCES</Desc>
        <Amt>627699</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>COST REPORT SETTLEMENTS</Desc>
        <Amt>332771</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ROU - FINANCING LEASE</Desc>
        <Amt>29184</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>2441787</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>49157932</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>49157932</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>-19448</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>-19448</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>49138484</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>45706772</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>45706772</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>45706772</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>MI COMM HEALTH NETWORK K-1 -19,448</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc4">
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NANCY SPENCER</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>223347</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>25412</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>248759</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN MCMASTER</PersonNm>
        <TitleTxt>CMO</TitleTxt>
        <BaseCompensationFilingOrgAmt>159221</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>829</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>160050</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RAJ RAO</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>281665</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>24180</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>305845</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ELEANOR MANZINI</PersonNm>
        <TitleTxt>DDS</TitleTxt>
        <BaseCompensationFilingOrgAmt>246508</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>15385</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>261893</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CLAUDIO DUARTE</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>244485</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>18652</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>263137</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>REBECCA BROSCHART</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>240962</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>22486</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>263448</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ADRIENNE WESTPHAL</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>239953</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>15472</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>255425</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="RetDoc5">
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>626299</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FAIR MARKET VALUE</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>false</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc6">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PURPOSE OF ALCONA CITIZENS FOR HEALTH, INC., SHALL BE TO PROMOTE, DEVELOP AND OPERATE SUCH FACILITIES AND PROGRAMS AS ARE NECESSARY TO PROVIDE QUALITY HEALTH CARE TO ALL RESIDENTS OF ALCONA COUNTY AND THE SURROUNDING AREAS, REGARDLESS OF ABILITY TO PAY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 1, PART I, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>CENTER HAS A VOLUNTEER BOARD OF DIRECTORS WHO ARE THE GOVERING BODY OF THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>DENTAL SERVICES - TO PROVIDE HIGH QUALITY, EFFECTIVE AND COMPREHENSIVE DENTAL CARE SERVICES THAT ARE ACCESSIBLE TO ALL REGARDLESS OF THE ABILITY TO PAY AND OTHER SOCIAL AND ECONOMICAL FACTORS BY OFFERING A FULL-RANGE OF DENTAL SERVICES FROM CLEANING, PREVENTATIVE AND RESTORATIVE SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE INDEPENDENT AUDITOR COMPLETES THE RETURN BASED ON THE AUDITED FINANCIAL STATEMENTS AND PAYROLL INFORMATION PROVIDED FROM STAFF OF THE ORGANIZATION. ONCE A DRAFT IS COMPLETE, THE CFO REVIEWS THE CONTENT. THE RETURN IS ACCEPTED BY THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>WE ASK THE BOARD OF DIRECTORS AT EACH BOARD MEETING IF ANYONE HAS A CONFLICT OF INTEREST TO DISCLOSE. WE REQUIRE STAFF TO COMPLETE TRAINING AND SUBMIT ACKNOWLEDGMENT OF THE UNDERSTANDING OF OUR CONFLICT OF INTEREST POLICY ON AN ANNUAL BASIS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>CEO COMPENSATION ANNUALLY REVIEWED AND DETERMINED BY BOARD</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION IS REVIEWED BY AN AHC GROUP COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A CONFLICT OF INTEREST WITH RESPECT TO COMPENSATION FOR OTHER OFFICERS OR KEY EMPLOYEES. AHC RELIES ON COMPARABILITY DATA THAT DEMONSTRATES THE FAIR MARKET VALUE OF THE COMPENSATION IN QUESTION. WHEN CRAFTING COMPENSATION PACKAGES, WE SECURE DATA THAT DOCUMENTS COMPENSATION LEVELS FOR SIMILARLY QUALIFIED INDIVIDUALS IN LIKE POSITIONS AT LIKE ORGANIZATIONS. THIS DATA MAY INCLUDE THE FOLLOWING: A) EXPERT COMPENSATION STUDIES OF NON-PROFIT AND FOR-PROFIT BY INTEREST GROUPS, AND INDEPENDENT FIRMS; B) WRITTEN JOB POSTINGS FOR POSITIONS AT SIMILAR ORGANIZATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>UPON REQUEST</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>MI COMM HEALTH NETWORK K-1 19,448</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
