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            <ZIPCd>48334</ZIPCd>
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        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
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      <ContractorCompensationGrp>
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          <USAddress>
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            <ZIPCd>49707</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>LINDA'S CLEAN TEAM</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>PO BOX 465</AddressLine1Txt>
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            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48740</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>JANITORIAL</ServicesDesc>
        <CompensationAmt>162431</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>7</CntrctRcvdGreaterThan100KCnt>
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      <TotalContributionsAmt>9016716</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT FEES</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>23289984</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>23289984</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PHARMACY FEES</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>16603193</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>16603193</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>OTHER PATIENT FEES</Desc>
        <BusinessCd>624100</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>1238453</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueTotalAmt>7761</OtherRevenueTotalAmt>
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        <ProgramServicesAmt>104119</ProgramServicesAmt>
        <ManagementAndGeneralAmt>198033</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>357699</ProgramServicesAmt>
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        <TotalAmt>1116652</TotalAmt>
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        <Desc>REPAIR AND MAINT</Desc>
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      <OtherExpensesGrp>
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      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
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        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CENTER IS INCORPORATED AS A NOT-FOR-PROFIT CORPORATION ORGANIZED UNDER THE LAWS OF THE STATE OF MICHIGAN. THE CENTER IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND THEREFORE HAS MADE NO PROVISION FOR FEDERAL INCOME TAXES IN THE ACCOMPANYING FINANCIAL STATEMENTS. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE CENTER AND RECOGNIZE A TAX LIABILITY IF THE CENTER HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS OR OTHER TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE CENTER AND HAS CONCLUDED THAT AS OF APRIL 30, 2024, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. ADDITIONALLY, THE CENTER HAS BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE NOT TO BE A PRIVATE FOUNDATION WITHIN THE MEANING AS DESCRIBED IN SECTION 509(A) OF THE INTERNAL REVENUE CODE. THERE WAS NO UNRELATED BUSINESS INCOME FOR THE YEAR ENDED APRIL 30, 2024.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>MI COMM HEALTH NETWORK K-1 7,761</ExplanationTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <MethodOfDeterminingRevenuesTxt>FAIR MARKET VALUE</MethodOfDeterminingRevenuesTxt>
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      <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>
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      <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 -7,761</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>