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      <TotalReportableCompFromOrgAmt>1827083</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>246799</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>19</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>COMMERICIAL CONTRACTING NORTH</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>181 N INDUSTRIAL HWY</AddressLine1Txt>
            <CityNm>ALPENA</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>49707</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION</ServicesDesc>
        <CompensationAmt>386852</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>BRUCE DIETZ</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>430 S STATE AVE</AddressLine1Txt>
            <CityNm>ALPENA</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>49707</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>RENT</ServicesDesc>
        <CompensationAmt>145590</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>2</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>4270388</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>1816713</AllOtherContributionsAmt>
      <NoncashContributionsAmt>1812481</NoncashContributionsAmt>
      <TotalContributionsAmt>6087101</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT FEES</Desc>
        <TotalRevenueColumnAmt>9023762</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>9023762</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PHARMACY SALES</Desc>
        <TotalRevenueColumnAmt>6231394</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>6231394</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>INCENTIVES</Desc>
        <TotalRevenueColumnAmt>156221</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>156221</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>OTHER PROGRAM REVENUE</Desc>
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        <RelatedOrExemptFuncIncomeAmt>124563</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>MI CARE TEAM</Desc>
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      <TotalOthProgramServiceRevGrp>
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        <RelatedOrExemptFuncIncomeAmt>34800</RelatedOrExemptFuncIncomeAmt>
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        <RelatedOrExemptFuncIncomeAmt>20524</RelatedOrExemptFuncIncomeAmt>
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        <SecuritiesAmt>21311</SecuritiesAmt>
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      <NetGainOrLossInvestmentsGrp>
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        <RelatedOrExemptFuncIncomeAmt>-21311</RelatedOrExemptFuncIncomeAmt>
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      <TotalRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>15686329</RelatedOrExemptFuncIncomeAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>386912</ProgramServicesAmt>
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        <ProgramServicesAmt>6671562</ProgramServicesAmt>
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        <ProgramServicesAmt>1325556</ProgramServicesAmt>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>534551</ProgramServicesAmt>
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      <FeesForServicesManagementGrp>
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        <ManagementAndGeneralAmt>185286</ManagementAndGeneralAmt>
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      <FeesForServicesOtherGrp>
        <TotalAmt>1340804</TotalAmt>
        <ProgramServicesAmt>1340804</ProgramServicesAmt>
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      <AdvertisingGrp>
        <TotalAmt>133370</TotalAmt>
        <ProgramServicesAmt>119087</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14283</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>269813</TotalAmt>
        <ProgramServicesAmt>117207</ProgramServicesAmt>
        <ManagementAndGeneralAmt>152606</ManagementAndGeneralAmt>
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      <OccupancyGrp>
        <TotalAmt>453389</TotalAmt>
        <ProgramServicesAmt>280736</ProgramServicesAmt>
        <ManagementAndGeneralAmt>172653</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>176052</TotalAmt>
        <ProgramServicesAmt>88542</ProgramServicesAmt>
        <ManagementAndGeneralAmt>87510</ManagementAndGeneralAmt>
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      <InterestGrp>
        <TotalAmt>163001</TotalAmt>
        <ProgramServicesAmt>152981</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10020</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>513786</TotalAmt>
        <ProgramServicesAmt>413221</ProgramServicesAmt>
        <ManagementAndGeneralAmt>100565</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>37894</TotalAmt>
        <ProgramServicesAmt>22699</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15195</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>5410581</TotalAmt>
        <ProgramServicesAmt>5410581</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>REPAIR AND MAINT</Desc>
        <TotalAmt>279122</TotalAmt>
        <ProgramServicesAmt>256975</ProgramServicesAmt>
        <ManagementAndGeneralAmt>22147</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>DUES AND LICENSES</Desc>
        <TotalAmt>121419</TotalAmt>
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      <OtherExpensesGrp>
        <Desc>OTHER</Desc>
        <TotalAmt>65162</TotalAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>21485517</TotalAmt>
        <ProgramServicesAmt>17175563</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4309954</ManagementAndGeneralAmt>
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      <CashNonInterestBearingGrp>
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      <SavingsAndTempCashInvstGrp>
        <BOYAmt>1696113</BOYAmt>
        <EOYAmt>1591649</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>97500</BOYAmt>
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      <AccountsReceivableGrp>
        <BOYAmt>777781</BOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>169798</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>188259</BOYAmt>
        <EOYAmt>231781</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>12369316</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>4442807</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>7613322</BOYAmt>
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      <InvestmentsProgramRelatedGrp>
        <BOYAmt>9500</BOYAmt>
        <EOYAmt>11500</EOYAmt>
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      <OtherAssetsTotalGrp>
        <BOYAmt>97850</BOYAmt>
        <EOYAmt>119030</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>11592313</BOYAmt>
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      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>1070451</BOYAmt>
        <EOYAmt>1034437</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>3752782</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>5131746</BOYAmt>
        <EOYAmt>4787219</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>6460567</BOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>6460567</BOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>11592313</BOYAmt>
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      <ReconcilationRevenueExpnssAmt>287913</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc7">
      <HospitalInd>X</HospitalInd>
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    <IRS990ScheduleB documentId="RetDoc1">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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    <IRS990ScheduleD documentId="RetDoc3">
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        <BookValueAmt>445021</BookValueAmt>
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      <BuildingsGrp>
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        <BookValueAmt>6143183</BookValueAmt>
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        <OtherCostOrOtherBasisAmt>255149</OtherCostOrOtherBasisAmt>
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        <BookValueAmt>1147213</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>7926509</TotalBookValueLandBuildingsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>22041333</TotalRevEtcAuditedFinclStmtAmt>
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      <RevenueSubtotalAmt>21773430</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>21773430</TotalRevenuePerForm990Amt>
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      <DonatedServicesUseFcltsAmt>267903</DonatedServicesUseFcltsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT HAS EVALUTED TAX POSITIONS TAKEN BY THE CENTER AND HAS CONCLUDED THAT AS OF FEBRUARY 29, 2020 THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS.</ExplanationTxt>
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    <IRS990ScheduleJ documentId="RetDoc4">
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      <IndependentConsultantInd>X</IndependentConsultantInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
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      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARION HAUTEA</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JEMELLEE JACALA-TADIAN</PersonNm>
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        <TotalCompensationFilingOrgAmt>292762</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHELLE STYMA</PersonNm>
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        <DeferredCompensationFlngOrgAmt>14134</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>19312</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>291193</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MANUEL HERNANDEZ</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JEFFREY TAYLOR</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WAYNE MCEWEN</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CAROL WEISE</PersonNm>
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        <NontaxableBenefitsFilingOrgAmt>1726</NontaxableBenefitsFilingOrgAmt>
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    <IRS990ScheduleM documentId="RetDoc5">
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        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>1812481</NoncashContributionsRptF990Amt>
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      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>false</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
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    <IRS990ScheduleO documentId="RetDoc6">
      <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>
    </IRS990ScheduleO>
  </ReturnData>
</Return>