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      <Form990PartVIISectionAGrp>
        <PersonNm>OSCAR SANCHEZ</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MELISSA LAGRAND</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>0.60</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARSHALL SUTTLES</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>0.60</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ALLISON SWETS</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>0.60</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANGELA VANDER HULST</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>0.60</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ALLEN TEN HOOR</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>0.60</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL WOOD</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRIS SHEA</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>206073</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24562</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LINDA CONSTANTINO</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>135096</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>20305</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>THOMAS PLATT</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>181540</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>30535</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PATRICIA ROELS</PersonNm>
        <TitleTxt>CHIEF ORAL HEALTH OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>159241</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>30168</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NANCY PRANGER</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>214762</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>35120</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JONI VAN DUINEN</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>185516</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31755</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BEVERLY SANKEY</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>186087</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>30541</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NAUDIA PICKENS</PersonNm>
        <TitleTxt>PSYCHIATRIST</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>211185</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22084</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SALEH DYKE</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>196488</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14088</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1675988</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>239158</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>50</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <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 &amp; DATA STORAGE</ServicesDesc>
        <CompensationAmt>691985</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 MAINT &amp; CONSULTING</ServicesDesc>
        <CompensationAmt>549362</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CUSTODIAL HOUSEKEEPING STAFFING INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1554 KALAMAZOO AVE SE</AddressLine1Txt>
            <CityNm>GRAND RAPIDS</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>49507</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>JANITORIAL SERVICES</ServicesDesc>
        <CompensationAmt>519916</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 SERVICES</ServicesDesc>
        <CompensationAmt>348713</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 SERVICES</ServicesDesc>
        <CompensationAmt>274238</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>11</CntrctRcvdGreaterThan100KCnt>
      <FederatedCampaignsAmt>309083</FederatedCampaignsAmt>
      <RelatedOrganizationsAmt>1484085</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>10349773</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>320781</AllOtherContributionsAmt>
      <TotalContributionsAmt>12463722</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT FEES</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>56108656</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>56108656</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>INSURANCE INCENTIVES</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>1509483</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1509483</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER PROGRAM SERVICES</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>508056</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>508056</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>MEDICAL RECORD REVENUE</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>36478</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>36478</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>58162673</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>560742</TotalRevenueColumnAmt>
        <ExclusionAmt>560742</ExclusionAmt>
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      <GrossRentsGrp>
        <RealAmt>100530</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>100530</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>100530</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>100530</UnrelatedBusinessRevenueAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>733961</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>644863</SecuritiesAmt>
        <OtherAmt>11477</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>89098</SecuritiesAmt>
        <OtherAmt>-11477</OtherAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>77621</TotalRevenueColumnAmt>
        <ExclusionAmt>77621</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>71365288</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>58162673</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>100530</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>638363</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>577745</TotalAmt>
        <ProgramServicesAmt>207468</ProgramServicesAmt>
        <ManagementAndGeneralAmt>370277</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>36494780</TotalAmt>
        <ProgramServicesAmt>33662501</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2720546</ManagementAndGeneralAmt>
        <FundraisingAmt>111733</FundraisingAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>9113168</TotalAmt>
        <ProgramServicesAmt>8373058</ProgramServicesAmt>
        <ManagementAndGeneralAmt>712066</ManagementAndGeneralAmt>
        <FundraisingAmt>28044</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>64171</TotalAmt>
        <ProgramServicesAmt>16522</ProgramServicesAmt>
        <ManagementAndGeneralAmt>47649</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>163626</TotalAmt>
        <ProgramServicesAmt>4961</ProgramServicesAmt>
        <ManagementAndGeneralAmt>158665</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>2945495</TotalAmt>
        <ProgramServicesAmt>2521332</ProgramServicesAmt>
        <ManagementAndGeneralAmt>376965</ManagementAndGeneralAmt>
        <FundraisingAmt>47198</FundraisingAmt>
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      <AdvertisingGrp>
        <TotalAmt>209766</TotalAmt>
        <ProgramServicesAmt>38138</ProgramServicesAmt>
        <ManagementAndGeneralAmt>169834</ManagementAndGeneralAmt>
        <FundraisingAmt>1794</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>1030996</TotalAmt>
        <ProgramServicesAmt>891949</ProgramServicesAmt>
        <ManagementAndGeneralAmt>137638</ManagementAndGeneralAmt>
        <FundraisingAmt>1409</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>1002091</TotalAmt>
        <ProgramServicesAmt>908908</ProgramServicesAmt>
        <ManagementAndGeneralAmt>86724</ManagementAndGeneralAmt>
        <FundraisingAmt>6459</FundraisingAmt>
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      <OccupancyGrp>
        <TotalAmt>3375456</TotalAmt>
        <ProgramServicesAmt>3096887</ProgramServicesAmt>
        <ManagementAndGeneralAmt>278470</ManagementAndGeneralAmt>
        <FundraisingAmt>99</FundraisingAmt>
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      <TravelGrp>
        <TotalAmt>438831</TotalAmt>
        <ProgramServicesAmt>378787</ProgramServicesAmt>
        <ManagementAndGeneralAmt>57497</ManagementAndGeneralAmt>
        <FundraisingAmt>2547</FundraisingAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>132440</TotalAmt>
        <ProgramServicesAmt>68232</ProgramServicesAmt>
        <ManagementAndGeneralAmt>62664</ManagementAndGeneralAmt>
        <FundraisingAmt>1544</FundraisingAmt>
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      <InterestGrp>
        <TotalAmt>258305</TotalAmt>
        <ProgramServicesAmt>229548</ProgramServicesAmt>
        <ManagementAndGeneralAmt>28757</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>1945844</TotalAmt>
        <ProgramServicesAmt>1848413</ProgramServicesAmt>
        <ManagementAndGeneralAmt>94005</ManagementAndGeneralAmt>
        <FundraisingAmt>3426</FundraisingAmt>
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      <InsuranceGrp>
        <TotalAmt>241107</TotalAmt>
        <ProgramServicesAmt>205472</ProgramServicesAmt>
        <ManagementAndGeneralAmt>35635</ManagementAndGeneralAmt>
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        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>5296998</TotalAmt>
        <ProgramServicesAmt>5291900</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3298</ManagementAndGeneralAmt>
        <FundraisingAmt>1800</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>CLIENT ASSISTANCE</Desc>
        <TotalAmt>1018940</TotalAmt>
        <ProgramServicesAmt>1018940</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTAINENC</Desc>
        <TotalAmt>872453</TotalAmt>
        <ProgramServicesAmt>831267</ProgramServicesAmt>
        <ManagementAndGeneralAmt>41186</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>EQUIPMENT EXPENSE</Desc>
        <TotalAmt>835675</TotalAmt>
        <ProgramServicesAmt>783923</ProgramServicesAmt>
        <ManagementAndGeneralAmt>49974</ManagementAndGeneralAmt>
        <FundraisingAmt>1778</FundraisingAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>1587842</TotalAmt>
        <ProgramServicesAmt>1512983</ProgramServicesAmt>
        <ManagementAndGeneralAmt>73752</ManagementAndGeneralAmt>
        <FundraisingAmt>1107</FundraisingAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>67605729</TotalAmt>
        <ProgramServicesAmt>61891189</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5505602</ManagementAndGeneralAmt>
        <FundraisingAmt>208938</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>2972575</BOYAmt>
        <EOYAmt>3613292</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>1064674</BOYAmt>
        <EOYAmt>1934293</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>805455</BOYAmt>
        <EOYAmt>633417</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>9239073</BOYAmt>
        <EOYAmt>10313012</EOYAmt>
      </AccountsReceivableGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>13992075</BOYAmt>
        <EOYAmt>13992075</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>213583</BOYAmt>
        <EOYAmt>305383</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>366009</BOYAmt>
        <EOYAmt>430676</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>25512446</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>10516354</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>15953935</BOYAmt>
        <EOYAmt>14996092</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>2105910</BOYAmt>
        <EOYAmt>2931153</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>352786</BOYAmt>
        <EOYAmt>317946</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <InvestmentsProgramRelatedGrp>
        <BOYAmt>7197694</BOYAmt>
        <EOYAmt>7197694</EOYAmt>
      </InvestmentsProgramRelatedGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>32174</BOYAmt>
        <EOYAmt>32174</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>54295943</BOYAmt>
        <EOYAmt>56697207</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>5468256</BOYAmt>
        <EOYAmt>4861833</EOYAmt>
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      <DeferredRevenueGrp>
        <BOYAmt>284418</BOYAmt>
        <EOYAmt>208119</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>6422250</BOYAmt>
        <EOYAmt>5853680</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
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        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
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        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>.THE INTERNAL REVENUE SERVICE HAS DETERMINED THAT CHERRY STREET SERVICES, INC. IS EXEMPT FROM INCOME TAXES UNDER PROVISIONS OF CODE SECTION 501(C)(3). IN ADDITION, CHERRY STREET SERVICES, INC. QUALIFIES FOR THE CHARITABLE CONTRIBUTION DEDUCTIONS AND HAS BEEN CLASSIFIED AS AN ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION UNDER SECTION 509(A)(2). TAX POSITIONS TAKEN ARE ASSESSED FOR UNCERTAINTY AND A PROVISION MAY BE RECORDED IF A TAX POSITION IS NOT LIKELY TO BE SUSTAINED UPON EXAMINATION. ALTHOUGH CHERRY STREET SERVICES, INC WAS GRANTED INCOME TAX EXCEPTION BY THE INTERNAL REVENUE SERVICE, SUCH EXCEPTIONS DO NOT APPLY TO UNRELATED BUSINESS TAXABLE INCOME. SUCH INCOME, PURSUANT TO THE INTERNAL REVENUE CODE AND RELATED REGULATIONS, INCLUDES RENTAL INCOME. THERE WAS NO PROVISION FOR UNRELATED BUSINESS TAX FOR THE YEAR ENDED MARCH 31, 2016.</ExplanationTxt>
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        <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, PART VI, SECTION B, 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>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</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>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>AVAILABLE UPON REQUEST. ARTICLES OF INCORPORATION AVAILABLE FROM THE STATE OF MICHIGAN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD'S FINANCE COMMITTEE REVIEWS PROPOSALS FOR AUDIT AND TAX SERVICES AND SELECTS THE INDEPENDENT AUDIT FIRM TO PERFORM AUDIT AND TAX SERVICES. THE FINANCE COMMITTEE REVIEWS THE RESULTING WORK OF THE INDEPENDENT AUDITOR UPON COMPLETION.</ExplanationTxt>
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        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
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