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        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION</ServicesDesc>
        <CompensationAmt>593394</CompensationAmt>
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      <ContractorCompensationGrp>
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          <BusinessName>
            <BusinessNameLine1Txt>SOUTH ARM CONSTRUCTION</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 1069</AddressLine1Txt>
            <CityNm>EAST JORDAN</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>49727</ZIPCd>
          </USAddress>
        </ContractorAddress>
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        <CompensationAmt>283550</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>BRUCE DIETZ DEVELPER</BusinessNameLine1Txt>
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        </ContractorName>
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            <ZIPCd>49707</ZIPCd>
          </USAddress>
        </ContractorAddress>
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        <CompensationAmt>186117</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>BRUCE DIETZ</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>430 S STATE AVE</AddressLine1Txt>
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            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>49707</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>RENT</ServicesDesc>
        <CompensationAmt>134553</CompensationAmt>
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        <ContractorName>
          <PersonNm>JOHN ALEXANDER</PersonNm>
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          <USAddress>
            <AddressLine1Txt>4530 MARSH WOOD CT SE</AddressLine1Txt>
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            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28461</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <GovernmentGrantsAmt>10263633</GovernmentGrantsAmt>
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      <TotalContributionsAmt>10268542</TotalContributionsAmt>
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        <TotalRevenueColumnAmt>9642773</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>9642773</RelatedOrExemptFuncIncomeAmt>
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        <RelatedOrExemptFuncIncomeAmt>7574229</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>154445</RelatedOrExemptFuncIncomeAmt>
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        <TotalRevenueColumnAmt>-71162</TotalRevenueColumnAmt>
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        <TotalRevenueColumnAmt>28303437</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>18034895</RelatedOrExemptFuncIncomeAmt>
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        <ProgramServicesAmt>282660</ProgramServicesAmt>
        <ManagementAndGeneralAmt>234277</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>108246</ProgramServicesAmt>
        <ManagementAndGeneralAmt>132801</ManagementAndGeneralAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>136817</TotalAmt>
        <ProgramServicesAmt>122528</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14289</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>588134</ProgramServicesAmt>
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        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>3832054</TotalAmt>
        <ProgramServicesAmt>3832054</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>REPAIR AND MAINT</Desc>
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        <ProgramServicesAmt>273727</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>DUES AND LICENSES</Desc>
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      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>MI COMMUNITY HEALTH NETWORK K-1 161,308</ExplanationTxt>
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        <PersonNm>MANUEL HERNANDEZ</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARION HAUTEA</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHELLE STYMA</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WAYNE MCEWEN</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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    <IRS990ScheduleO documentId="RetDoc5">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 1, PART I, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS ARE ALL VOLUNTEERS IN ADDITION TO COMMUNITY MEMBERS WHO DONATE TIME FOR VARIOUS CENTER ACTIVITIES</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>AUDITOR REVIEWS RETURN WITH FINANCE COMMITTEE AND PRESENTS REVIEW TO ENTIRE BOARD PRIOR TO SUBMISSION</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS SUBMIT WRITTEN STATEMENTS TO EXECUTIVE TEAM FOR REVIEW ON ANY CONFLICT OF INTEREST ISSUES</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>CEO COMPENSATION IS DETERMINED BY EXECUTIVE COMMITTEE BASED UPON COMPARABILITY DATA FOR SIMILIAR POSTION. ENTIRE BOARD MAKES FINAL APPROVAL OF WAGE DETERMINATION</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD APPROVES WAGES OF CEO AND KEY EMPLOYEES BASED UPON BOARD APPROVED WAGE SCALE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST, PREFERABLY IN WRITING. THE ORGANIZATION MAKES COPIES OF THE REQUESTED DOCUMENTS AND MAKES THEM AVAILABLE FOR PICK UP OR MAIL TO THE REQUESTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>MI COMMUNITY HEALTH NETWORK K-1 -161,308</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
