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        <PersonNm>Steven J Lins MD</PersonNm>
        <TitleTxt>Director</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Neil Nyberg</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Mahesh C Karamchandani</PersonNm>
        <TitleTxt>director</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
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        <ReportableCompFromRltdOrgAmt>785883</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>28745</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Aaron Lane-Davies</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
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        <OtherCompensationAmt>35444</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>John Lawlor</PersonNm>
        <TitleTxt>director</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>James Liggins Jr</PersonNm>
        <TitleTxt>director</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Michael Odar</PersonNm>
        <TitleTxt>director</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Frank J Sardone</PersonNm>
        <TitleTxt>President and CEO</TitleTxt>
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        <PersonNm>Kenneth L Taft</PersonNm>
        <TitleTxt>Executive Vice President</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>James Falahee</PersonNm>
        <TitleTxt>Sr VP Legal &amp; Leg. Affairs</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Scott Larson MD</PersonNm>
        <TitleTxt>Sr VP Medical Affairs/CMO</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>35.40</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>John Hayden</PersonNm>
        <TitleTxt>SR. VP &amp; Chief HR Officer</TitleTxt>
        <AverageHoursPerWeekRt>4.60</AverageHoursPerWeekRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Rebecca East</PersonNm>
        <TitleTxt>Sr VP CFO</TitleTxt>
        <AverageHoursPerWeekRt>4.60</AverageHoursPerWeekRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Kathleen M Harrelson</PersonNm>
        <TitleTxt>Sr VP, Clinical Operations</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>John L Jones Jr</PersonNm>
        <TitleTxt>SR. VP, REG. &amp; PHYS. SVS.</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Michael S Way</PersonNm>
        <TitleTxt>SR. VP Mat. Mgt. &amp; Facility Sv</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Denise J Neely</PersonNm>
        <TitleTxt>VP CNO</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Rebecca Trella</PersonNm>
        <TitleTxt>VP Post Acute Care</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>William J Mayer</PersonNm>
        <TitleTxt>VP CMIO &amp; Comm Health BHG</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Marijo Snyder</PersonNm>
        <TitleTxt>VP Med Staff &amp; Clin Engage</TitleTxt>
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        <PersonNm>Paul S Peabody</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Ashutosh Goel</PersonNm>
        <TitleTxt>Chief Med Informatics Officer</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Elizabeth J Warner</PersonNm>
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          <USAddress>
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            <CityNm>Grand Rapids</CityNm>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Fieger &amp; Fieger</BusinessNameLine1Txt>
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            <CityNm>Southfield</CityNm>
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            <ZIPCd>48075</ZIPCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Epic Systems Corporation</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 88314</AddressLine1Txt>
            <CityNm>Milwaukee</CityNm>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>NUCO Health LLc</BusinessNameLine1Txt>
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          <USAddress>
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            <ZIPCd>48075</ZIPCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Deloitte Consulting LLP</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>PO Box 844717</AddressLine1Txt>
            <CityNm>Dallas</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75284</ZIPCd>
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        <Desc>Management Srvcs revenue</Desc>
        <BusinessCd>561000</BusinessCd>
        <TotalRevenueColumnAmt>197464471</TotalRevenueColumnAmt>
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        <TotalRevenueColumnAmt>1827443</TotalRevenueColumnAmt>
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        <Desc>Outside Service Revenue</Desc>
        <BusinessCd>900099</BusinessCd>
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        <Desc>Other Revenue</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>262062</TotalRevenueColumnAmt>
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        <ProgramServicesAmt>85871419</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>1415108</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>555566</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>10723021</ProgramServicesAmt>
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        <ProgramServicesAmt>3478459</ProgramServicesAmt>
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        <ProgramServicesAmt>1996699</ProgramServicesAmt>
        <ManagementAndGeneralAmt>127449</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>8401436</ProgramServicesAmt>
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        <ProgramServicesAmt>1005850</ProgramServicesAmt>
        <ManagementAndGeneralAmt>64203</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>739674</ProgramServicesAmt>
        <ManagementAndGeneralAmt>47213</ManagementAndGeneralAmt>
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        <TotalAmt>162600</TotalAmt>
        <ProgramServicesAmt>152844</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9756</ManagementAndGeneralAmt>
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        <TotalAmt>2704488</TotalAmt>
        <ProgramServicesAmt>2542219</ProgramServicesAmt>
        <ManagementAndGeneralAmt>162269</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>6477327</ProgramServicesAmt>
        <ManagementAndGeneralAmt>413446</ManagementAndGeneralAmt>
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        <Desc>Dues/Subscription expen</Desc>
        <TotalAmt>2031146</TotalAmt>
        <ProgramServicesAmt>1909277</ProgramServicesAmt>
        <ManagementAndGeneralAmt>121869</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>Special Events/projects</Desc>
        <TotalAmt>1521854</TotalAmt>
        <ProgramServicesAmt>1430543</ProgramServicesAmt>
        <ManagementAndGeneralAmt>91311</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>Recruitment Expenses</Desc>
        <TotalAmt>593214</TotalAmt>
        <ProgramServicesAmt>557621</ProgramServicesAmt>
        <ManagementAndGeneralAmt>35593</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>Unrelated Business Inco</Desc>
        <TotalAmt>26982</TotalAmt>
        <ProgramServicesAmt>26982</ProgramServicesAmt>
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        <RecipientBusinessName>
          <BusinessNameLine1Txt>Kalamazoo Loaves and Fishes</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>901 Portage Street</AddressLine1Txt>
          <CityNm>kalamazoo</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>49001</ZIPCd>
        </USAddress>
        <RecipientEIN>382420575</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
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        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
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      <Total501c3OrgCnt>10</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>There is no formal procedure. Grants are made by the organization on a discretionary basis for purposes consistent with the organization's mission. Grants are unrestricted.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
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      <RltdOrgOfficerTrstKeyEmplGrp>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Rebecca East</PersonNm>
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        <PersonNm>Michael S Way</PersonNm>
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        <PersonNm>Paul S Peabody</PersonNm>
        <TitleTxt>VP CIO</TitleTxt>
        <BaseCompensationFilingOrgAmt>310056</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>63912</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>28536</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>94844</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>12774</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>510122</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Ashutosh Goel</PersonNm>
        <TitleTxt>Chief Med Informatics Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>296135</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>121627</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>19189</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>76304</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>1563</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>514818</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Elizabeth J Warner</PersonNm>
        <TitleTxt>Medical Director CIS</TitleTxt>
        <BaseCompensationFilingOrgAmt>277107</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>43450</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>27362</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>17225</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>17129</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>382273</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>26786</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 1a</FormAndLineReferenceDesc>
        <ExplanationTxt>HEALTH CLUB DUES ARE AVAILABLE FOR BOARD OF DIRECTORS. THOSE WHO PARTICIPATE RECEIVE A 1099 AND THE DUES ARE TREATED AS A TAXABLE FRINGE BENEFIT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>Taft,Kenneth L $77,646 SERP Distribution Taft,Kenneth L $87,018 SERP Contribution Falahee Jr.,James B $65,507 SERP Distribution Falahee Jr.,James B $67,724 SERP Contribution Sardone,Frank J $217,342 SERP Distribution Sardone,Frank J $190,920 SERP Contribution Larson,Scott D $77,408 SERP Distribution Larson,Scott D $74,846 SERP Contribution Hayden,John T $83,769 SERP Distribution Hayden,John T $38,389 SERP Contribution East,Rebecca L $66,751 SERP Contribution Harrelson,Kathleen M $48,820 SERP Contribution Jones Jr., John L $44,861 SERP Contribution INCLUDED IN PART II, COLUMN (B) (III) AND (F) ARE AMOUNTS THAT WERE PAID TO THE EXECUTIVE UNDER THE BRONSON HEALTHCARE GROUP, INC. SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THESE AMOUNTS WERE CREDITED TO AN ACCOUNT FOR THE EXECUTIVE IN PRIOR YEARS AND WERE PREVIOUSLY REPORTED IN COLUMN C IN THE PRIOR YEAR, BUT THE EXECUTIVE WAS REQUIRED TO REMAIN EMPLOYED UNTIL THE YEAR FOR WHICH THIS FORM IS BEING FILED IN ORDER TO BECOME VESTED IN HIS OR HER ACCOUNT. AMOUNTS HAVE BEEN CREDITED TO THESE EXECUTIVES' ACCOUNTS EACH YEAR SINCE THE SERP WAS ADOPTED IN 1994, AND THE ACCOUNTS HAVE ALSO BEEN ADJUSTED FOR GAINS AND LOSSES SINCE THAT TIME. THEREFORE, THESE AMOUNTS SHOULD BE VIEWED AS HAVING BEEN EARNED OVER THE EXECUTIVE'S ENTIRE PERIOD OF EMPLOYMENT AS AN EXECUTIVE OF BRONSON. THE AMOUNT CREDITED TO EACH EXECUTIVE'S ACCOUNT IN THE SERP EACH YEAR AND EACH EXECUTIVE'S TOTAL COMPENSATION PACKAGE WAS APPROVED BY AN INDEPENDENT CONSULTANT TO ENSURE THAT THESE AMOUNTS ARE COMPARABLE TO OR LESS THAN THE AMOUNTS AWARDED TO EXECUTIVES OF COMPARABLE HEALTH CARE ORGANIZATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>City of Kalamazoo Hospital Finance Authority</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>386004627</BondIssuerEIN>
        <CUSIPNum>483233NF5</CUSIPNum>
        <BondIssuedDt>2011-11-03</BondIssuedDt>
        <IssuePriceAmt>5433646</IssuePriceAmt>
        <PurposeDesc>see supplemental info - acquisition</PurposeDesc>
        <DefeasedInd>1</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>City of Kalamazoo Hospital Finance Authority</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>386004627</BondIssuerEIN>
        <CUSIPNum>4883233NY</CUSIPNum>
        <BondIssuedDt>2016-10-25</BondIssuedDt>
        <IssuePriceAmt>4633545</IssuePriceAmt>
        <PurposeDesc>see supplemental info - refunding</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>461140</RetiredAmt>
        <BondDefeasedAmt>3839625</BondDefeasedAmt>
        <TotalProceedsAmt>5433646</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>104982</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>5328664</CapitalExpendituresAmt>
        <SubstantialCompletionYr>2011</SubstantialCompletionYr>
        <CurrentRefundingInd>0</CurrentRefundingInd>
        <AdvanceRefundingInd>0</AdvanceRefundingInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <TotalProceedsAmt>4633545</TotalProceedsAmt>
        <RefundingEscrowAmt>4596091</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>37454</IssuanceCostsFromProceedsAmt>
        <SubstantialCompletionYr>2016</SubstantialCompletionYr>
        <CurrentRefundingInd>0</CurrentRefundingInd>
        <AdvanceRefundingInd>1</AdvanceRefundingInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>1</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>1</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>0</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>0</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Bond Issue A Part I Line E</FormAndLineReferenceDesc>
        <ExplanationTxt>The total issue price was $22,564,973. Bronson Healthcare Group, Inc. has been allocated $5,433,646 of such amount. This is for acquisition of capital assets of Lifespan, Inc. Bronson Nursing and Rehabilitation Center has been allocated the remaining $17,131,328 on their books for the construction, furnishing and equipping of a new 75,000 Sq. foot nursing home.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Bond Issue A Part V</FormAndLineReferenceDesc>
        <ExplanationTxt>We have general written procedures that we will comply with all tax laws.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Bond Issue A Part I Line F</FormAndLineReferenceDesc>
        <ExplanationTxt>Acquisition of capital assets of Lifespan, Inc.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Bond issue B, Part I, Line (f) - Description of Purpose</FormAndLineReferenceDesc>
        <ExplanationTxt>Proceeds of bond issue B were used to advance refund a portion of bond issue A</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Kimberly James</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Daughter of board member Barbara James</RelationshipDescriptionTxt>
        <TransactionAmt>86152</TransactionAmt>
        <TransactionDesc>Total compensation for being an employee of Bronson Methodist Hospital</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Marla Atkinson</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>spouse of board member Mark Atkinson</RelationshipDescriptionTxt>
        <TransactionAmt>136953</TransactionAmt>
        <TransactionDesc>Total compensation for being an employee of Bronson Methodist Hospital</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Jaideep Karamchandani</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Son of Board member Mahesh Karamchandani</RelationshipDescriptionTxt>
        <TransactionAmt>17091</TransactionAmt>
        <TransactionDesc>Total compensation for being an employee of Bronson Methodist Hospital</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleN documentId="RetDoc1043200001">
      <DispositionOfAssetsDetail>
        <AssetsDistriOrExpnssPaidDesc>Stock in BMSC</AssetsDistriOrExpnssPaidDesc>
        <DistributionDt>2016-01-02</DistributionDt>
        <FairMarketValueOfAssetAmt>100345000</FairMarketValueOfAssetAmt>
        <MethodOfFMVDeterminationTxt>Book Value</MethodOfFMVDeterminationTxt>
        <EIN>382415032</EIN>
        <BusinessName>
          <BusinessNameLine1Txt>Bronson Management Services Corporation</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>601 John Street</AddressLine1Txt>
          <CityNm>Kalamazoo</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>49007</ZIPCd>
        </USAddress>
        <IRCSectionTxt>C-Corp</IRCSectionTxt>
      </DispositionOfAssetsDetail>
      <DirectorOfSuccessor2Ind>0</DirectorOfSuccessor2Ind>
      <EmployeeOfSuccessor2Ind>0</EmployeeOfSuccessor2Ind>
      <OwnerOfSuccessor2Ind>0</OwnerOfSuccessor2Ind>
      <ReceiveCompensation2Ind>0</ReceiveCompensation2Ind>
    </IRS990ScheduleN>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Kenneth Taft, Frank Sardone, Steven J. Lins, M.D. and Scott C. Gibson, M.D. have a business relationship. All board members have a business relationship with all Bronson subsidiares due to being on the Bronson Healthcare Group Board of Directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SR VP/CFO &amp; CONTROLLER REVIEWS THE 990S. THE SR VP/CFO MET WITH THE FINANCE COMMITTEE CHAIRPERSON ON OCTOBER 5TH, 2017 TO REVIEW THE PREPARED FORM 990 AND SCHEDULES. THE FINANCE COMMITTEE OF THE BOARD REVIEWED THE PREPARED FORM 990S AT ITS REGULARLY SCHEDULED MEETING ON OCTOBER 23RD, 2017. THE REVIEW WAS LED BY THE SR VP/CFO AND PLANTE MORAN. THE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY WERE PROVIDED THE PREPARED FORM 990 FOR REVIEW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy. The conflict of interest policy and its accompanying questionnaire are reviewed, and revised, if necessary, on an annual basis by the organization's General Counsel/Corporate Compliance Officer and the Boards Executive committee. All Board members and all employees holding the title of Vice President and above are covered by the conflict of interest policy and annually complete the conflict of interest questionnaire. All completed conflict of interest questionnaires are reviewed by the organization's General Counsel/Corporate Compliance Officer and the Executive Committee. Determinations as to whether a conflict exists are made by the General Counsel/Corporate Compliance Officer and the Executive Committee. Actual conflicts are reviewed by the General Counsel/Corporate Compliance Officer and the Executive Committee. Persons with a conflict are prohibited from participating in the Governing bodys deliberations and decision on the transaction in question.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>For the CEO, Officers and other key employees, the Executive committee of the Board of Directors, which functions as the compensation committee for Bronson HealthCare Group, retains the services of an external executive compensation consultant (Sullivan, Cotter and Associates) who conducts a thorough compensation and benefit survey process that is used to determine the appropriate adjustment in cash compensation and benefits provided. This process is done annually and was under taken in 2016. The consultant uses three to five national healthcare-based surveys for comparability data, each one of like revenue sized healthcare systems to the Bronson Healthcare Group. The consultant prepares a detailed report with recommendations for pay and/or benefit adjustments, and presents the information to the executive committee of the Board of Directors (when the CEOs survey data and recommendations are presented, the CEO and staff are excused from the deliberations). After all questions of the Board members are answered, formal motions are proposed, seconded and voted on (for any pay adjustments and for receipt of the consultants report). At the subsequent meeting of the full Board of Directors, the Chair presents recommendations of the Executive Committee, and the full Board acts on a formal motion that is seconded and voted on.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization makes its governing documents and conflict of interest policy available to the public by posting them on the organization's website and providing copies on request. The organization's financial statements, other than the Form 990, are not available to the public.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, line 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>Minimum Pension Liability Adjustment -14,814,422. Retiree Health Adjustment -8,123,766. Gain on joint ventures 2,547,309. Loss on Refunded Debt -788,391. Investment in BMSC -100,507,691.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Line 2c:</FormAndLineReferenceDesc>
        <ExplanationTxt>bronson healthcare group has an audit committee that assumes responsibility for oversight of the audit and selection of an independent accounting firm. this process has not changed from the prior year.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Bronson Methodist Hospital</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>601 John Street</AddressLine1Txt>
          <CityNm>Kalamazoo</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>49007</ZIPCd>
        </USAddress>
        <EIN>381359087</EIN>
        <PrimaryActivitiesTxt>Hospital</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Bronson Healthcare Group</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Bronson Health Foundation</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>601 John Street</AddressLine1Txt>
          <CityNm>Kalamazoo</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>49007</ZIPCd>
        </USAddress>
        <EIN>382415081</EIN>
        <PrimaryActivitiesTxt>Supports Health Organization</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Bronson Healthcare Group</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Bronson Commons</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>601 John Street</AddressLine1Txt>
          <CityNm>kalamazoo</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>49007</ZIPCd>
        </USAddress>
        <EIN>382842451</EIN>
        <PrimaryActivitiesTxt>Skilled Nursing facility</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>bronson Healthcare Group</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Bronson Battle Creek Hospital</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>300 North Ave</AddressLine1Txt>
          <CityNm>Battle Creek</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>49016</ZIPCd>
        </USAddress>
        <EIN>382776791</EIN>
        <PrimaryActivitiesTxt>hospital</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>bronson Healthcare Group</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VBEMS</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>601 John Street</AddressLine1Txt>
          <CityNm>kalamazoo</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>49007</ZIPCd>
        </USAddress>
        <EIN>382745910</EIN>
        <PrimaryActivitiesTxt>ambulance services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>bronson Healthcare Group</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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          <BusinessNameLine1Txt>Bronson At Home</BusinessNameLine1Txt>
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          <CityNm>kalamazoo</CityNm>
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          <ZIPCd>49007</ZIPCd>
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        <PrimaryActivitiesTxt>Nursing, Hospice, Equipment sales</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
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      <IdRelatedTaxExemptOrgGrp>
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        <USAddress>
          <AddressLine1Txt>601 John Street</AddressLine1Txt>
          <CityNm>kalamazoo</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>49007</ZIPCd>
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        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
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          <AddressLine1Txt>601 John Street</AddressLine1Txt>
          <CityNm>Kalamazoo</CityNm>
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          <CityNm>Portage</CityNm>
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          <ZIPCd>49002</ZIPCd>
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        <RelatedOrganizationName>
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        <USAddress>
          <AddressLine1Txt>601 John Street</AddressLine1Txt>
          <CityNm>Kalamazoo</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>49007</ZIPCd>
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        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
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      <IdRelatedOrgTxblCorpTrGrp>
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          <BusinessNameLine1Txt>Bronson Practice Management</BusinessNameLine1Txt>
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          <AddressLine1Txt>601 John Street</AddressLine1Txt>
          <CityNm>kalamazoo</CityNm>
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          <AddressLine1Txt>601 John Street</AddressLine1Txt>
          <CityNm>kalamazoo</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>49007</ZIPCd>
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          <BusinessNameLine1Txt>bronson Healthcare Group</BusinessNameLine1Txt>
        </DirectControllingEntityName>
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        <OwnershipPct>1.00000</OwnershipPct>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Westley Development Company</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>301 John Street</AddressLine1Txt>
          <CityNm>Kalamazoo</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>49007</ZIPCd>
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        <PrimaryActivitiesTxt>Real Estate Ownership</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>Bronson Healthcare Group</BusinessNameLine1Txt>
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      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
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      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
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      <TransferFromOtherOrgInd>1</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
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          <BusinessNameLine1Txt>Bronson Methodist Hospital</BusinessNameLine1Txt>
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      <TransactionsRelatedOrgGrp>
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      <TransactionsRelatedOrgGrp>
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      <TransactionsRelatedOrgGrp>
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          <BusinessNameLine1Txt>Bronson At Home</BusinessNameLine1Txt>
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        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>2855742</InvolvedAmt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Bronson Lakeview Hospital</BusinessNameLine1Txt>
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        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>5503479</InvolvedAmt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>bronson health Foundation</BusinessNameLine1Txt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>VBEMS</BusinessNameLine1Txt>
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        <InvolvedAmt>282088</InvolvedAmt>
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      <TransactionsRelatedOrgGrp>
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          <BusinessNameLine1Txt>Bronson Commons</BusinessNameLine1Txt>
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        <InvolvedAmt>1076489</InvolvedAmt>
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        <OtherOrganizationName>
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        <InvolvedAmt>790659</InvolvedAmt>
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        <OtherOrganizationName>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Bronson Lifestyle Improvement Research Center</BusinessNameLine1Txt>
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      <TransactionsRelatedOrgGrp>
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      <TransactionsRelatedOrgGrp>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>bronson health Foundation</BusinessNameLine1Txt>
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        <MethodOfAmountDeterminationTxt>cash transfer</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>bronson commons</BusinessNameLine1Txt>
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        <MethodOfAmountDeterminationTxt>method based on actual cost</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Bronson Management Services Corp</BusinessNameLine1Txt>
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        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>253049</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>method based on actual cost</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>bronson battle Creek Hospital</BusinessNameLine1Txt>
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      <TransactionsRelatedOrgGrp>
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          <BusinessNameLine1Txt>Bronson management Services Corp</BusinessNameLine1Txt>
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        <InvolvedAmt>101000000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>method based on actual cost</MethodOfAmountDeterminationTxt>
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</Return>