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      <RevenueSubtotalAmt>91439944</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>1440177</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>1440177</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>92880121</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>83728729</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>392071</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>392071</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>83336658</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>1440178</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>1440178</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>84776836</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ENDOWMENT FUNDS ARE HELD BY THE KALAMAZOO COMMUNITY FOUNDATION AND USED FOR THE PURPOSE OF SUPPORTING HEALTH, EDUCATION AND RESEARCH PROGRAMS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>GAIN ON ASSET DISPOSAL 117,637. RENTAL EXPENSES 274,434.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT 1,440,177.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>GAIN ON ASSET DISPOSAL 117,637. RENTAL EXPENSES 274,434.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT 1,440,178.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
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        <PersonNm>DANIEL CHAMBERLAIN</PersonNm>
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        <OtherCompensationFilingOrgAmt>49568</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>20000</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1029120</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MAZEN MISLMANI</PersonNm>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>997424</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRANDON MANCINI</PersonNm>
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        <TotalCompensationFilingOrgAmt>986879</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANNA MAGNAN</PersonNm>
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        <TotalCompensationFilingOrgAmt>729631</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BENJAMINE MIZE</PersonNm>
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        <PersonNm>BRIDGET VANDENBUSSCHE</PersonNm>
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        <DeferredCompensationFlngOrgAmt>8658</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>1823</NontaxableBenefitsFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>211933</TotalCompensationFilingOrgAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION PACKAGES OF PHYSICIANS INCLUDES A BONUS COMPONENT. BONUSES ARE BASED ON PERFORMANCE RELATED GOALS, SUCH AS PATIENT SATISFACTION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDICAL ONCOLOGY MOVED TO MEMBER HOSPITALS 01/31/21</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBER INSTITUTIONS OF THE CORPORATION SHALL BE BRONSON METHODIST HOSPITAL AND BORGESS MEDICAL CENTER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBERS HAVE THE AUTHORITY TO APPOINT OR REMOVE ANY OFFICER OR DIRECTOR OF THE CORPORATION.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>CERTAIN DECISIONS MADE BY THE GOVERNING BODY ARE SUBJECT TO APPROVAL OF THE MEMBERS AS STATED IN THE BY-LAWS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 WAS BE DISTRIBUTED TO THE FINANCE COMMITTEE FOR REVIEW AND APPROVAL. IT WAS THEN CIRCULATED TO THE BOARD VIA EMAIL PRIOR TO SUBMISSION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS WILL CONDUCT AN ANNUAL REVIEW OF THE POLICY AND BE REQUIRED TO SIGN A CONFLICT OF INTEREST STATEMENT ANNUALLY. IF THERE IS A CONFLICT OF INTEREST ON THE PART OF A BOARD MEMBER, THEY WILL ABSTAIN FROM VOTING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE DIRECTOR'S SALARY IS REVIEWED EVERY YEAR BY THE BOARD OF DIRECTORS. IT IS COMPARED WITH COMPENSATION FROM SIMILAR ORGANIZATIONS OR NOT-FOR-PROFITS WITH SIMILAR SIZE AND SCOPE. COMPENSATION FOR OTHER EXECUTIVES AND KEY EMPLOYEES ARE DETERMINED BY THE EXECUTIVE DIRECTOR FOLLOWING POLICIES AND PROCEDURES IN PLACE. THE MOST RECENT YEAR THE PROCESS WAS UNDERTAKEN WAS FISCAL YEAR 2021.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>DOCUMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBER TRANSACTIONS -5,217,819.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 3B:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE REQUIRED SINGLE AUDIT AS SET FORTH IN THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133 HAS NOT YET BEEN COMPLETED. PLANS HAVE BEEN MADE TO HAVE THE REQUIRED SINGLE AUDIT COMPLETED BY THE EXTENDED DUE DATE AS ESTABLISHED IN OMB M-20-26.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
