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      <Form990PartVIISectionAGrp>
        <PersonNm>ELIZABETH TRIEZENBERG</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ANGELA VANDER HULST</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL WOOD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BARBARA WYBRECHT</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRIS SHEA</PersonNm>
        <TitleTxt>CONSULTANT</TitleTxt>
        <AverageHoursPerWeekRt>39.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.50</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>224794</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24866</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LESLIE PELKEY</PersonNm>
        <TitleTxt>ASSISTANT CM</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>204487</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22505</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TASHA BLACKMON</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>196028</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>19576</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LINDA CONSTANTINO</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>158643</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12271</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL REAGAN</PersonNm>
        <TitleTxt>CERO</TitleTxt>
        <AverageHoursPerWeekRt>39.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.50</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>96177</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>6471</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>THOMAS PLATT</PersonNm>
        <TitleTxt>CMO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>244783</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>26910</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PATRICIA ROELS</PersonNm>
        <TitleTxt>CHIEF DENTAL</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>178229</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>25265</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NANCY PRANGER</PersonNm>
        <TitleTxt>PROVIDER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>222628</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>21487</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SALEH DYKE</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>215762</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>27398</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MEGHAN CONDIT</PersonNm>
        <TitleTxt>DENTIST</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>204085</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>28364</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CRISTINA SEICARESCU</PersonNm>
        <TitleTxt>PSYCHIATRIST</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>203223</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>3585</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JONI VAN DUINEN</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>199492</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22646</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2348331</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>241344</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>58</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SPINDLE CONTRACTING</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2018 CALVIN SE</AddressLine1Txt>
            <CityNm>GRAND RAPIDS</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>49507</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION</ServicesDesc>
        <CompensationAmt>2156775</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ASSOCIATED LANGUAGE CONSULTANTS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>880 GRANDVILLE AVE SUITE B</AddressLine1Txt>
            <CityNm>GRAND RAPIDS</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>49503</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>TRANSLATION</ServicesDesc>
        <CompensationAmt>887964</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>WEST BROOK NORTH LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3210 EAGLE RUN DR NE SUITE 200</AddressLine1Txt>
            <CityNm>GRAND RAPIDS</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>49509</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL</ServicesDesc>
        <CompensationAmt>726108</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>TRIVALENT</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3145 PRAIRIE ST SW</AddressLine1Txt>
            <CityNm>GRANDVILLE</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>49418</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSULTING</ServicesDesc>
        <CompensationAmt>716392</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>QUALITY SYSTEMS INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 809390</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60680</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SOFTWARE</ServicesDesc>
        <CompensationAmt>569318</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>15</CntrctRcvdGreaterThan100KCnt>
      <FederatedCampaignsAmt>217670</FederatedCampaignsAmt>
      <RelatedOrganizationsAmt>2632941</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>10326456</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>625331</AllOtherContributionsAmt>
      <TotalContributionsAmt>13802398</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT FEES</Desc>
        <TotalRevenueColumnAmt>62956431</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>62956431</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>INSURANCE INCENTIVES</Desc>
        <TotalRevenueColumnAmt>1842841</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1842841</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER PROGRAM SERVICES</Desc>
        <TotalRevenueColumnAmt>1485432</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1485432</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAL RECORD REVENUE</Desc>
        <TotalRevenueColumnAmt>29045</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>29045</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>66313749</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>516373</TotalRevenueColumnAmt>
        <ExclusionAmt>516373</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>105547</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>115539</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>-9992</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>-9992</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>-9992</UnrelatedBusinessRevenueAmt>
      </NetRentalIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>GAIN ON FINANCING</Desc>
        <TotalRevenueColumnAmt>2181529</TotalRevenueColumnAmt>
        <ExclusionAmt>2181529</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>EXCESS OF FMV</Desc>
        <TotalRevenueColumnAmt>1515172</TotalRevenueColumnAmt>
        <ExclusionAmt>1515172</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>3696701</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>84319229</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>66313749</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>-9992</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>4213074</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1206964</TotalAmt>
        <ProgramServicesAmt>627499</ProgramServicesAmt>
        <ManagementAndGeneralAmt>579465</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>41971706</TotalAmt>
        <ProgramServicesAmt>39117597</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2707335</ManagementAndGeneralAmt>
        <FundraisingAmt>146774</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>10198086</TotalAmt>
        <ProgramServicesAmt>9426397</ProgramServicesAmt>
        <ManagementAndGeneralAmt>738668</ManagementAndGeneralAmt>
        <FundraisingAmt>33021</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>1796823</TotalAmt>
        <ProgramServicesAmt>1207061</ProgramServicesAmt>
        <ManagementAndGeneralAmt>586706</ManagementAndGeneralAmt>
        <FundraisingAmt>3056</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <OfficeExpensesGrp>
        <TotalAmt>1021415</TotalAmt>
        <ProgramServicesAmt>842373</ProgramServicesAmt>
        <ManagementAndGeneralAmt>174905</ManagementAndGeneralAmt>
        <FundraisingAmt>4137</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>1741106</TotalAmt>
        <ProgramServicesAmt>1579660</ProgramServicesAmt>
        <ManagementAndGeneralAmt>153368</ManagementAndGeneralAmt>
        <FundraisingAmt>8078</FundraisingAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>2576472</TotalAmt>
        <ProgramServicesAmt>2311345</ProgramServicesAmt>
        <ManagementAndGeneralAmt>263357</ManagementAndGeneralAmt>
        <FundraisingAmt>1770</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>476403</TotalAmt>
        <ProgramServicesAmt>397955</ProgramServicesAmt>
        <ManagementAndGeneralAmt>77401</ManagementAndGeneralAmt>
        <FundraisingAmt>1047</FundraisingAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>256076</TotalAmt>
        <ProgramServicesAmt>199246</ProgramServicesAmt>
        <ManagementAndGeneralAmt>55467</ManagementAndGeneralAmt>
        <FundraisingAmt>1363</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>182758</TotalAmt>
        <ProgramServicesAmt>170649</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12109</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>1796884</TotalAmt>
        <ProgramServicesAmt>1712054</ProgramServicesAmt>
        <ManagementAndGeneralAmt>81113</ManagementAndGeneralAmt>
        <FundraisingAmt>3717</FundraisingAmt>
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      <InsuranceGrp>
        <TotalAmt>248455</TotalAmt>
        <ProgramServicesAmt>211187</ProgramServicesAmt>
        <ManagementAndGeneralAmt>37268</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
        <TotalAmt>7507732</TotalAmt>
        <ProgramServicesAmt>7491487</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16131</ManagementAndGeneralAmt>
        <FundraisingAmt>114</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>CONTRACTED SERVICES</Desc>
        <TotalAmt>2081051</TotalAmt>
        <ProgramServicesAmt>1950130</ProgramServicesAmt>
        <ManagementAndGeneralAmt>125515</ManagementAndGeneralAmt>
        <FundraisingAmt>5406</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>CLIENT DISCRETIONARY</Desc>
        <TotalAmt>1092040</TotalAmt>
        <ProgramServicesAmt>1091740</ProgramServicesAmt>
        <ManagementAndGeneralAmt>300</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTENANCE</Desc>
        <TotalAmt>906742</TotalAmt>
        <ProgramServicesAmt>854380</ProgramServicesAmt>
        <ManagementAndGeneralAmt>52362</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>2787847</TotalAmt>
        <ProgramServicesAmt>2513704</ProgramServicesAmt>
        <ManagementAndGeneralAmt>234194</ManagementAndGeneralAmt>
        <FundraisingAmt>39949</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>77848560</TotalAmt>
        <ProgramServicesAmt>71704464</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5895664</ManagementAndGeneralAmt>
        <FundraisingAmt>248432</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>5021259</BOYAmt>
        <EOYAmt>3881954</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>913325</BOYAmt>
        <EOYAmt>1212953</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>716816</BOYAmt>
        <EOYAmt>396593</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>9757973</BOYAmt>
        <EOYAmt>9381448</EOYAmt>
      </AccountsReceivableGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>13992075</BOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>251547</BOYAmt>
        <EOYAmt>260411</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>513745</BOYAmt>
        <EOYAmt>480413</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>50328270</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>13327805</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>16153409</BOYAmt>
        <EOYAmt>37000465</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>3707529</BOYAmt>
        <EOYAmt>3971608</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>302781</BOYAmt>
        <EOYAmt>307702</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <InvestmentsProgramRelatedGrp>
        <BOYAmt>7197694</BOYAmt>
      </InvestmentsProgramRelatedGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>15449</BOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>58543602</BOYAmt>
        <EOYAmt>56893547</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>4970323</BOYAmt>
        <EOYAmt>5058236</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>166379</BOYAmt>
        <EOYAmt>457411</EOYAmt>
      </DeferredRevenueGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>5351007</BOYAmt>
        <EOYAmt>3117438</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>2907</BOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>10490616</BOYAmt>
        <EOYAmt>8633085</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>47666496</BOYAmt>
        <EOYAmt>47880682</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>93709</BOYAmt>
        <EOYAmt>72078</EOYAmt>
      </TemporarilyRstrNetAssetsGrp>
      <PermanentlyRstrNetAssetsGrp>
        <BOYAmt>292781</BOYAmt>
        <EOYAmt>307702</EOYAmt>
      </PermanentlyRstrNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>48052986</BOYAmt>
        <EOYAmt>48260462</EOYAmt>
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        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ENTITIES ARE INCORPORATED AS NOT-FOR-PROFIT CORPORATIONS UNDER THE LAWS OF THE STATE OF MICHIGAN. THE ENTITIES ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND THEREFORE HAS MADE NO PROVISION FOR FEDERAL INCOME TAXES IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ENTITIES AND RECOGNIZE A TAX LIABILITY IF THE ENTITIES HAVE TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS OR OTHER TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ENTITIES AND HAS CONCLUDED THAT AS OF MARCH 31, 2018, 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. ADDITIONALLY, THE ENTITIES HAVE BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE NOT TO BE A PRIVATE FOUNDATION WITHIN THE MEANING AS DESCRIBED IN SECTION 509(A) OF THE INTERNAL REVENUE CODE. THE ENTITIES HAD UNRELATED BUSINESS INCOME FROM RENTAL ACTIVITIES BUT NO TAX PROVISION HAS BEEN MADE DUE TO LOSS CARRYOVER AND CURRENT YEAR EXPENSES OFFSETTING INCOME FOR THE YEARS ENDED MARCH 31, 2018 AND 2017.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>CORRECTIONS - TO PROVIDE THE HIGHEST QUALITY AND MOST EFFECTIVE RESIDENTIAL RE-ENTRY AND TRANSITIONAL SERVICES TO THOSE ADULTS RELEASED FROM THE FEDERAL CORRECTIONAL PROGRAMS. VISION - TO PROVIDE THE HIGHEST QUALITY AND MOST EFFECTIVE VISION CARE SERVICES TO PEOPLE OF ALL ECONOMIC LEVELS, WITH A SPECIAL SENSITIVITY TO THE NEEDS OF ECONOMICALLY DISADVANTAGED PEOPLE OF DIVERSE CULUTRAL BACKGROUNDS, REMOVING BARRIERS TO VISION CARE AND PROMOTING PREVENTION, PERSONAL RESPONSIBILITY AND VISION HEALTH EDUCATION. PHARMACY - TO OPERATE A RETAIL PHARMACY FOR THE CONVENIENCE OF OUR PATIENTS AND THE GREATER COMMUNITY.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 IS REVIEWED BY THE FINANCE COMMITTEE AND CFO, THEN FORWARDED TO THE ENTIRE BOARD PRIOR TO SUBMISSION TO THE IRS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS SIGN THE CONFLICT OF INTEREST POLICY ANNUALLY AND DECLARE IN WRITING ANY CONFLICTS. IN ADDITION, MEMBERS DECLARE ANY CONFLICTS AS MATTERS COME BEFORE THE BOARD AND REFRAIN FROM VOTING IF APPROPRIATE. ALL CONFLICTS OF INTEREST ARE REFLECTED IN THE MEETING MINUTES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION COMMITTEE MAKES RECOMMENDATIONS TO THE BOARD FOR THE CEO SALARY. CEO COMPENSATION IS GENERALLY LIMITED TO THE 75TH PERCENTILE OF THE CEO COMPENSATION FROM REGIONAL NACHC AND MGMA COMPENSATION SURVEYS. MEDICAL AND DENTAL DIRECTOR SALARY COMPENSATION POLICIES ARE SIMILAR TO THE CEO POLICY AND PROCEDURE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION COMMITTEE MAKES RECOMMENDATIONS TO THE BOARD FOR THE CEO SALARY. CEO COMPENSATION IS GENERALLY LIMITED TO THE 75TH PERCENTILE OF THE CEO COMPENSATION FROM REGIONAL NACHC AND MGMA COMPENSATION SURVEYS. MEDICAL AND DENTAL DIRECTOR SALARY COMPENSATION POLICIES ARE SIMILAR TO THE CEO POLICY AND PROCEDURE.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>AVAILABLE UPON REQUEST. ARTICLES OF INCORPORATION AVAILABLE FROM THE STATE OF MICHIGAN.</ExplanationTxt>
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        <ExplanationTxt>BOOK / TAX DEPRECIATION DIFFERENCE 43,789 ELIMINATE HOTCHC BALANCE -6,525,713 TOTAL -6,481,924</ExplanationTxt>
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