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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JERRY POTRATZ</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID WARREN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KENNETH WARREN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.75</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1394266</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>96677</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>5</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>UPJOHN COMMUNITY CARE CENTER</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2400 PORTAGE ST</AddressLine1Txt>
            <CityNm>KALAMAZOO</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>49001</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SKILLED CARE</ServicesDesc>
        <CompensationAmt>514672</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>TRANSCEND STRATEGY GROUP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1500 TIMBERWOLF DR</AddressLine1Txt>
            <CityNm>HOLLAND</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43528</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSULTING</ServicesDesc>
        <CompensationAmt>493328</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>BRONSON COMMONS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>23332 RED ARROW HIGHWAY</AddressLine1Txt>
            <CityNm>MATTAWAN</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>49071</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SKILLED CARE</ServicesDesc>
        <CompensationAmt>489530</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CMIT SOLUTIONS OF SOUTHWEST MI</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>8750 PORTAGE INDUSTRIAL DR</AddressLine1Txt>
            <CityNm>PORTAGE</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>49024</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SOFTWARE</ServicesDesc>
        <CompensationAmt>384203</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ALAMO NURSING HOME</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>8290 WEST C AVE</AddressLine1Txt>
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            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>49009</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SKILLED CARE</ServicesDesc>
        <CompensationAmt>379625</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>17</CntrctRcvdGreaterThan100KCnt>
      <FederatedCampaignsAmt>16966</FederatedCampaignsAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>MEDICAL SERVICES</Desc>
        <BusinessCd>623110</BusinessCd>
        <TotalRevenueColumnAmt>37356438</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>37356438</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>SOCIAL WORK AND COUNSELING</Desc>
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        <Desc>OTHER PROGRAM SERVICES</Desc>
        <BusinessCd>624190</BusinessCd>
        <TotalRevenueColumnAmt>379735</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>379735</RelatedOrExemptFuncIncomeAmt>
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        <RelatedOrExemptFuncIncomeAmt>972439</RelatedOrExemptFuncIncomeAmt>
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      <NetIncmFromFundraisingEvtGrp>
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      <GamingGrossIncomeAmt>21800</GamingGrossIncomeAmt>
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      <OtherRevenueMiscGrp>
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        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>3576400</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS INCOME</Desc>
        <BusinessCd>624200</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>69252</RelatedOrExemptFuncIncomeAmt>
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        <ExclusionAmt>814855</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>247603</ProgramServicesAmt>
        <ManagementAndGeneralAmt>66376</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>1266381</ProgramServicesAmt>
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      <FeesForServicesLegalGrp>
        <TotalAmt>75648</TotalAmt>
        <ManagementAndGeneralAmt>75648</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>37550</TotalAmt>
        <ManagementAndGeneralAmt>37550</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
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        <ManagementAndGeneralAmt>192579</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
        <TotalAmt>19846</TotalAmt>
        <ProgramServicesAmt>19846</ProgramServicesAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>103769</ProgramServicesAmt>
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        <FundraisingAmt>17857</FundraisingAmt>
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      <InformationTechnologyGrp>
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        <ProgramServicesAmt>171060</ProgramServicesAmt>
        <ManagementAndGeneralAmt>738482</ManagementAndGeneralAmt>
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      <OccupancyGrp>
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        <ProgramServicesAmt>241000</ProgramServicesAmt>
        <ManagementAndGeneralAmt>249667</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>1276</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1065</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>389970</ProgramServicesAmt>
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      <InsuranceGrp>
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        <ManagementAndGeneralAmt>158847</ManagementAndGeneralAmt>
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        <TotalAmt>3256227</TotalAmt>
        <ProgramServicesAmt>3256227</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>PRESCRIPTION DRUGS</Desc>
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        <ProgramServicesAmt>2672003</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>PATIENT SERVICE EXPENSE</Desc>
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        <ProgramServicesAmt>1692790</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
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        <ProgramServicesAmt>976959</ProgramServicesAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>32770758</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8433766</ManagementAndGeneralAmt>
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      <AccountsReceivableGrp>
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        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
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      <StatesWhereGamingConductedCd>MI</StatesWhereGamingConductedCd>
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      <IndividualWithBooksNm>DENISE KING</IndividualWithBooksNm>
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        <PersonNm>DR TODD WELTON</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS GUARANTEED THE DEBT UP TO 500,000 FOR THE PACE PROGRAM LOCATED IN KALAMAZOO, MI.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>VOLUNTEER SERVICES - COORDINATION OF TRAINING AND SERVICES PROVIDED BY HOSPICE VOLUNTEERS. BEREAVEMENT SERVICES - GRIEF COUNSELING SERVICES PROVIDED TO BEREAVED FOR THIRTEEN MONTHS AFTER A LOVED ONE'S DEATH AND GRIEF SUPPORT SERVICES PROVIDED TO COMMUNITY MEMBERS WHO HAVE EXPERIENCED GRIEF OR LOSS. MANAGE THE ADVANCED ILLNESS MANAGEMENT (AIM) PROGRAM FOR BRONSON HOSPITAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>KEN WARREN DAVID WARREN DIRECTOR DIRECTOR FATHER &amp; SON MONICA LLOYD MARCELLA BEARD DIRECTOR EMPLOYEE SIBLINGS</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION REVISED THEIR BYLAWS IN DECEMBER OF 2021.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FINANCE COMMITTEE REVIEWS THE 990 PRIOR TO FILING. THE TREASURER SIGNS THE RETURN. ADDITIONALLY, ALL MEMBERS OF THE BOARD RECEIVE A COPY OF THE 990 PRIOR TO FILING.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
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        <ExplanationTxt>DOCUMENTS ARE AVAILABLE ON SITE FOR REVIEW UPON REQUEST. IF NECESSARY, COPIES CAN BE MADE FOR A SMALL FEE THAT WILL COVER THE ADMINISTRATIVE COST OF COPYING THE DOCUMENTS.</ExplanationTxt>
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</Return>
