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        <ReportableCompFromOrgAmt>1900</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JIM LEE</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>1700</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN VISMARA</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>1700</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHARON THEUT</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>1600</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DR FAIYAZ SYED</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>1500</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DR JOHN FOX</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>1400</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>AARON WOOTTON</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>1400</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DR ANDREW ROSENBERG</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>1300</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DR BRADLEY CLEGG</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DR JEROME FINKEL</PersonNm>
        <TitleTxt>BOARD TREASU</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ELIZABETH HERTEL</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHELLE ILITCH</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRIAN KEISLING</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DR THOMAS SIMMER MD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DR SCOTT MONTEITH</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SONDRA PEDIGO</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DENNIS SMITH</PersonNm>
        <TitleTxt>BOARD SECRET</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>3945969</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>494014</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>37</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>true</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CLOUDTICITY</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 252172</AddressLine1Txt>
            <CityNm>WEST BLOOMFLIED</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48325</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CLOUD SERVICES</ServicesDesc>
        <CompensationAmt>3804830</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>J2 INTERACTIVE LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2 THIRTEENTH STREET</AddressLine1Txt>
            <CityNm>CHARLESTOWN</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02129</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>STAFF AUGMENT</ServicesDesc>
        <CompensationAmt>485688</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>VLASIC &amp; ROTH LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>38710 WOODWARD AVE 100</AddressLine1Txt>
            <CityNm>BLOOMFLIED HILLS</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48304</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HLTH INFO EXCHG</ServicesDesc>
        <CompensationAmt>317446</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SNAPS SOLUTIONS DBA HOLON SOLUTIONS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3655 BROOKSIDE PARKWAY SUITE 200</AddressLine1Txt>
            <CityNm>ALPHARETTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30022</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HLTH INFO EXCHG</ServicesDesc>
        <CompensationAmt>200000</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>JOSEPHINE BONASSO</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5454 DEXTER PINCKNEY RD</AddressLine1Txt>
            <CityNm>DEXTER</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48130</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>DATA CODING</ServicesDesc>
        <CompensationAmt>177081</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>7</CntrctRcvdGreaterThan100KCnt>
      <ProgramServiceRevenueGrp>
        <Desc>CONTRACTS AND GRANTS</Desc>
        <BusinessCd>518210</BusinessCd>
        <TotalRevenueColumnAmt>31729119</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>31729119</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>SERVICE FEES</Desc>
        <BusinessCd>518210</BusinessCd>
        <TotalRevenueColumnAmt>12680101</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>12680101</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>44409220</TotalProgramServiceRevenueAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>44409220</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>44409220</RelatedOrExemptFuncIncomeAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>2592513</TotalAmt>
        <ProgramServicesAmt>1202199</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1390314</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>12505508</TotalAmt>
        <ProgramServicesAmt>10658390</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1847118</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>735244</ProgramServicesAmt>
        <ManagementAndGeneralAmt>112553</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>2018257</ProgramServicesAmt>
        <ManagementAndGeneralAmt>401872</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>1102033</TotalAmt>
        <ProgramServicesAmt>936728</ProgramServicesAmt>
        <ManagementAndGeneralAmt>165305</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>313698</TotalAmt>
        <ManagementAndGeneralAmt>313698</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>62625</TotalAmt>
        <ManagementAndGeneralAmt>62625</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>21000</TotalAmt>
        <ProgramServicesAmt>21000</ProgramServicesAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>16048715</TotalAmt>
        <ProgramServicesAmt>15559685</ProgramServicesAmt>
        <ManagementAndGeneralAmt>489030</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>1500</TotalAmt>
        <ProgramServicesAmt>360</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1140</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>42116</TotalAmt>
        <ProgramServicesAmt>25691</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16425</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>11692300</TotalAmt>
        <ProgramServicesAmt>11464705</ProgramServicesAmt>
        <ManagementAndGeneralAmt>227595</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>139066</TotalAmt>
        <ManagementAndGeneralAmt>139066</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>89233</TotalAmt>
        <ProgramServicesAmt>55324</ProgramServicesAmt>
        <ManagementAndGeneralAmt>33909</ManagementAndGeneralAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>324080</TotalAmt>
        <ProgramServicesAmt>77779</ProgramServicesAmt>
        <ManagementAndGeneralAmt>246301</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>847698</TotalAmt>
        <ProgramServicesAmt>830744</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16954</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>313746</TotalAmt>
        <ProgramServicesAmt>229035</ProgramServicesAmt>
        <ManagementAndGeneralAmt>84711</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS EXPENSE</Desc>
        <TotalAmt>1021235</TotalAmt>
        <ProgramServicesAmt>252692</ProgramServicesAmt>
        <ManagementAndGeneralAmt>768543</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEMBERSHIPS</Desc>
        <TotalAmt>104670</TotalAmt>
        <ProgramServicesAmt>25121</ProgramServicesAmt>
        <ManagementAndGeneralAmt>79549</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PURCHASE ADJUSTMENT</Desc>
        <TotalAmt>41333</TotalAmt>
        <ProgramServicesAmt>9920</ProgramServicesAmt>
        <ManagementAndGeneralAmt>31413</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>TRAINING</Desc>
        <TotalAmt>27936</TotalAmt>
        <ManagementAndGeneralAmt>27936</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>50558931</TotalAmt>
        <ProgramServicesAmt>44102874</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6456057</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>5963317</BOYAmt>
        <EOYAmt>3603121</EOYAmt>
      </CashNonInterestBearingGrp>
      <AccountsReceivableGrp>
        <BOYAmt>5451294</BOYAmt>
        <EOYAmt>9187553</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>1207073</BOYAmt>
        <EOYAmt>743531</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>6877999</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>6421420</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>1346537</BOYAmt>
        <EOYAmt>456579</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
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        <EOYAmt>3520148</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>16978463</BOYAmt>
        <EOYAmt>17510932</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>9092063</EOYAmt>
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      <DeferredRevenueGrp>
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        <EOYAmt>3640094</EOYAmt>
      </DeferredRevenueGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <EOYAmt>165884</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <UnsecuredNotesLoansPayableGrp>
        <EOYAmt>6000000</EOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <OtherLiabilitiesGrp>
        <EOYAmt>10352</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
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        <EOYAmt>18908393</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>4756242</BOYAmt>
        <EOYAmt>-1397461</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>4756242</BOYAmt>
        <EOYAmt>-1397461</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>16978463</BOYAmt>
        <EOYAmt>17510932</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-6149711</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>-3992</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc7">
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        <TotalAmt>2788787</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>17826922</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>20818521</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>24375502</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>41944426</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>44409220</CurrentTaxYearAmt>
        <TotalAmt>149374591</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>17826922</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>20818521</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>27164289</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>41944426</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>44409220</CurrentTaxYearAmt>
        <TotalAmt>152163378</TotalAmt>
      </Total509Grp>
      <SubstantialContributorsAmtGrp>
        <CurrentTaxYearMinus4YearsAmt>12069472</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>12391383</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>11867293</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>22521488</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>26157534</CurrentTaxYearAmt>
        <TotalAmt>85007170</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <CurrentTaxYearMinus4YearsAmt>12069472</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>12391383</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>11867293</CurrentTaxYearMinus2YearsAmt>
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        <PersonNm>MARLEN WOODRUFF</PersonNm>
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        <PersonNm>IGOR VOYTSEKHIVSKYY</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JULIE KLAUSING</PersonNm>
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        <PersonNm>SHREYA PATEL</PersonNm>
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        <PersonNm>PATRICK SAGAN</PersonNm>
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        <PersonNm>DREW MURRAY</PersonNm>
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        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 4</FormAndLineReferenceDesc>
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        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MICHIGAN HEALTH INFORMATION NETWORK (MIHIN) SHARED SERVICES IS A PUBLIC AND PRIVATE COLLABORATION DEDICATED TO IMPROVING THE HEALTHCARE EXPERIENCE, IMPROVING QUALITY AND DECREASING COST FOR MICHIGAN'S PEOPLE BY SUPPORTING THE STATE WIDE EXCHANGE OF HEALTH INFORMATION AND MAKING VALUABLE DATA AVAILABLE AT THE POINT OF CARE.</ExplanationTxt>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>CONCERNS IDENTIFIED OR EXPRESSED ARE BROUGHT TO THE ATTENTION OF THE BOARD CHAIR. THESE CONFLICTS ARE MANAGED AT THE CHAIR'S DISCRETION BY REMOVAL FROM THE ROOM, VIA NOTED ABSTENTION FROM THE VOTING PROCESS. SHOULD THE CHAIR HAVE A CONFLICT THE VICE CHAIR WOULD ASSUME THIS ROLE.</ExplanationTxt>
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        <ExplanationTxt>EXECUTIVE COMPENSATION IS REVIEWED BY THE COMPENSATION COMMITTEE AND THE BOARD OF DIRECTORS AND EVALUATED BASED ON EXTERNAL REFERENCE DATA USED IN A REMUNERATION STUDY OF SIMILAR POSITIONS. LAST REVIEWED DECEMBER 2018 BY OBTAINING AND COMPARING MARKET COMPENSATION DATA FROM A LEADING PROVIDER OF SUCH SERVICE.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>EXECUTIVE COMPENSATION IS REVIEWED BY THE COMPENSATION COMMITTEE AND THE BOARD OF DIRECTORS AND EVALUATED BASED ON EXTERNAL REFERENCE DATA USED IN A REMUNERATION STUDY OF SIMILAR POSITIONS. LAST REVIEWED DECEMBER 2018 BY OBTAINING AND COMPARING MARKET COMPENSATION DATA FROM A LEADING PROVIDER OF SUCH SERVICE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>REQUESTS FOR GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS CAN COME IN THROUGH THE OFFICIAL WEBSITE (HTTPS://MIHIN.ORG/REQUESTHELP/) AND ARE TRACKED IN THE MIHIN HELP DESK.</ExplanationTxt>
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        <ExplanationTxt>INTERCOMPANY TRANSFER (GLHC) -3,992 IN DECEMBER 2019, MIHIN ENTERED INTO A TRANSACTION WITH GREAT LAKES HEALTH CONNECT (GLHC) WHEREBY GLHC BECAME A FULLY-OWNED SUBSIDIARY OF MIHIN. THE MAJORITY OF GLHC'S OPERATIONS WERE CLOSED DOWN AND TRANSITIONED TO MIHIN IN APRIL 2021 WITH THE REMAINDER TRANSITIONED TO MIHIN DURING 2022.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FINANCE COMMITTEE REVIEWS THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THEY PROVIDE A RECOMMENDATION TO THE BOARD OF DIRECTORS WHO APPROVES THE AUDIT AND AN INDEPENDENT ACCOUNTANT.</ExplanationTxt>
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</Return>
