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      <Form990PartVIISectionAGrp>
        <PersonNm>SCOTT MONTEITH</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TOM LAUZON</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
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        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>3100</ReportableCompFromOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>FAIYAZ SYED</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GREG FORZLEY</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DENNIS SMITH</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>THOMAS SIMMER</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JIM COLLINS</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TAYLOR SCOTT</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CHRIS CROOK</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BRIAN KEISLING</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BRADLEY CLEGG</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JEROME FINKEL</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN FOX</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
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      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>510 W Savidge st ste B303</AddressLine1Txt>
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            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>49456</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Cloudticity</PersonNm>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 252172</AddressLine1Txt>
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            <StateAbbreviationCd>MI</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Ken VanDerWende</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>4279 Veranda Dr NE</AddressLine1Txt>
            <CityNm>GRAND RAPIDS</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>49525</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Health Info Exchange</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Advocate Consulting</PersonNm>
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        <ContractorAddress>
          <USAddress>
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            <CityNm>PRIOR LAKE</CityNm>
            <StateAbbreviationCd>MN</StateAbbreviationCd>
            <ZIPCd>55372</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>WilmerHale</PersonNm>
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        <ContractorAddress>
          <USAddress>
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            <CityNm>WASHINGTON</CityNm>
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            <ZIPCd>20006</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Health Info Exchange</ServicesDesc>
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      <GovernmentGrantsAmt>2788787</GovernmentGrantsAmt>
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      <TotalContributionsAmt>2788787</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>CONTRACTS AND GRANTS</Desc>
        <BusinessCd>518210</BusinessCd>
        <TotalRevenueColumnAmt>17346641</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>17346641</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>SERVICE FEES</Desc>
        <BusinessCd>518210</BusinessCd>
        <TotalRevenueColumnAmt>7028861</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>7028861</RelatedOrExemptFuncIncomeAmt>
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        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
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        <PersonalAmt>0</PersonalAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
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      <FundraisingDirectExpensesAmt>0</FundraisingDirectExpensesAmt>
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        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
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      <GamingGrossIncomeAmt>0</GamingGrossIncomeAmt>
      <GamingDirectExpensesAmt>0</GamingDirectExpensesAmt>
      <NetIncomeFromGamingGrp>
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      <CostOfGoodsSoldAmt>0</CostOfGoodsSoldAmt>
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      <GrantsToDomesticOrgsGrp>
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      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
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      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
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      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
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        <ProgramServicesAmt>1695138</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1258262</ManagementAndGeneralAmt>
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      </CompDisqualPersonsGrp>
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        <ProgramServicesAmt>7916827</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3788681</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>349180</ProgramServicesAmt>
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        <ProgramServicesAmt>1348457</ProgramServicesAmt>
        <ManagementAndGeneralAmt>697511</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>751919</ProgramServicesAmt>
        <ManagementAndGeneralAmt>393673</ManagementAndGeneralAmt>
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      <FeesForServicesManagementGrp>
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      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
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        <ProgramServicesAmt>112261</ProgramServicesAmt>
        <ManagementAndGeneralAmt>133385</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>66040</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
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      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
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      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
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      </FeesForSrvcInvstMgmntFeesGrp>
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        <ProgramServicesAmt>4084127</ProgramServicesAmt>
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        <ProgramServicesAmt>4000</ProgramServicesAmt>
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        <ProgramServicesAmt>37576</ProgramServicesAmt>
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      <InformationTechnologyGrp>
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        <ProgramServicesAmt>2279809</ProgramServicesAmt>
        <ManagementAndGeneralAmt>607882</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>407163</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>67299</ProgramServicesAmt>
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      <PymtTravelEntrtnmntPubOfclGrp>
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      <ConferencesMeetingsGrp>
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        <ManagementAndGeneralAmt>90665</ManagementAndGeneralAmt>
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      <PaymentsToAffiliatesGrp>
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        <ProgramServicesAmt>1554894</ProgramServicesAmt>
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        <ProgramServicesAmt>201173</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ManagementAndGeneralAmt>77789</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>20699992</ProgramServicesAmt>
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        <EOYAmt>4769046</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>821801</EOYAmt>
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        <EOYAmt>3164182</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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      <InvestmentsProgramRelatedGrp>
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        <EOYAmt>0</EOYAmt>
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      <IntangibleAssetsGrp>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>80248</EOYAmt>
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        <EOYAmt>11633055</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>4802087</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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      <DeferredRevenueGrp>
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        <EOYAmt>1300864</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
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      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
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    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>form 990, part i, line I:</FormAndLineReferenceDesc>
        <ExplanationTxt>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>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>form 990, part vi, section b, line 11b:</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990 is shared with the board either at a regular board of directors meeting or via formal electronic communications.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>form 990, part vi, section b, 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>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>form 990, part vi, section b, line 15:</FormAndLineReferenceDesc>
        <ExplanationTxt>Executive compensation is reviewed by the compensation committee and the board of directors and evaluated based on external reference data used in a renumeration study of similar positions. last reviewed December 2018 by obtaining and comparing market compensation data from a leading provider of such service.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>form 990, part vi, section c, 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>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>form 990, part xii, line c:</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>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE: -$3,279 INTERCOMPANY TRANSFER: $1,043,738</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:CONTRACT AND LABOR SERVICES TOTAL FEES:5241764</ExplanationTxt>
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