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        <ManagementAndGeneralAmt>30605</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>79456</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>15419631</ProgramServicesAmt>
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        <EOYAmt>56291</EOYAmt>
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        <EOYAmt>15114527</EOYAmt>
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        <EOYAmt>5072691</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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        <EOYAmt>22998716</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>17930</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>28089337</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>4080210</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>57456</NetUnrlzdGainsLossesInvstAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
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        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
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      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
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    <IRS990ScheduleA documentId="RetDoc6">
      <HospitalInd>X</HospitalInd>
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    <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>
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        <InvestmentEarningsOrLossesAmt>2407</InvestmentEarningsOrLossesAmt>
        <AdministrativeExpensesAmt>206</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>17839</EndYearBalanceAmt>
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      <CYMinus4YrEndwmtFundGrp>
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        <AdministrativeExpensesAmt>170</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>14538</EndYearBalanceAmt>
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      <EndowmentsHeldRelatedOrgInd>false</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
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        <BookValueAmt>95185</BookValueAmt>
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      <BuildingsGrp>
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        <BookValueAmt>14238774</BookValueAmt>
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        <DepreciationAmt>148546</DepreciationAmt>
        <BookValueAmt>780568</BookValueAmt>
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        <Desc>CERTIFICATES OF DEPOSIT</Desc>
        <BookValueAmt>2515110</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
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        <MethodValuationCd>F</MethodValuationCd>
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        <Desc>LEASE PAYABLE</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>COMPENSATED ABSENCES</Desc>
        <Amt>434117</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>CURRENT PORTION OF LEASE PAYABLE</Desc>
        <Amt>177969</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>1118169</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>24362181</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>57456</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>57456</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>24304725</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>24304725</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>20224515</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>20224515</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>20224515</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 2, PART V, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>TO PROVIDE SUPPORT TO ISABELLA CITIZENS FOR HEALTH, INC TO CARRY OUT ITS ROLE AND MISSION AS DESCRIBED BY ITS GOVERNING DOCUMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc4">
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      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
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      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
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      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
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      <InitialContractExceptionInd>false</InitialContractExceptionInd>
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        <PersonNm>MICHAEL SWIRTZ</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>17300</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>394939</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BITTANY VAN HOUTEN</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>354333</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>14845</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>369178</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHELLE SANDERS</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>18300</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>345999</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL L MCCONNON</PersonNm>
        <TitleTxt>CMO/PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>309344</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>18300</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>327644</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JENNIFER WHITE</PersonNm>
        <TitleTxt>CEO</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>14300</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>281047</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BROCK HORSLEY</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>14845</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>267379</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SHAMEL AMIN</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>243492</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>16800</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>260292</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RACHEL BLIZZARD</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <BaseCompensationFilingOrgAmt>138068</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>14300</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>152368</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc5">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>TO PROMOTE ACCESS TO HEALTHCARE FOR ALL RESIDENTS OF ISABELLA COUNTY, REGARDLESS OF ABILITY TO PAY, INSURANCE STATUS, OR INCOME LEVEL; TO IMPROVE THE HEALTH STATUS OF THE UNDERSERVED POPULATION OF ISABELLA COUNTY; TO PROVIDE COMPREHENSIVE PRIMARY CARE, ORAL CARE, AND MENTAL HEALTH/SUBSTANCE ABUSE SERVICES, AS WELL AS SUPPORTIVE SERVICES THAT PROMOTE ACCESSS TO HEALTHCARE, FOR ALL RESIDENTS OF ISABELLA COUNTY; SUCH AS SPECIALTY PROVIDERS, HOSPITALS, AND ENABLING AND OTHER SOCIAL AGENCIES, AND TO STRIVE TO BECOME PART OF ISABELLA COUNTY'S HEALTHCARE AND SOCIAL SERVICE INFRASTRUCTURE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>TAX RETURN IS PRESENTED TO AND REVIEWED BY THE FINANCE COMMITTEE AND EXECUTIVE DIRECTOR. THE RETURN IS THEN PRESENTED TO THE FULL BOARD FOR REVIEW AND APPROVAL FOR FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>AT EACH BOARD MEETING DIRECTORS ARE ASKED TO DISCLOSE ANY CONFLICTS OF INTERESTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION OF EXECUTIVE DIRECTOR HAS BEEN COMPARED TO OTHER EXECUTIVE DIRECTORS WORKING FOR FQHC'S.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>CEO USES ANNUAL MPCA COMPENSATION SURVEY TO DETERMINE ORGANIZATION WAGE SCALE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>