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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RACHAEL PLUMLEY</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>0.60</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>OSCAR SANCHEZ HERNANDEZ</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>0.60</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PAMELA SEALES</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>0.60</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DANIEL STRUBE</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>0.60</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <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>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>AMANDA VILLA</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>0.60</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JENNA WOOD</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>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRIS SHEA</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>195183</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14506</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LINDA CONSTANTINO</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>128995</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18655</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>THOMAS PLATT</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>220480</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24336</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NANCY PRANGER</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>214454</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>23048</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CASSIE STANTON</PersonNm>
        <TitleTxt>PSYCHIATRIST</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>182042</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>9024</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PHILIP CREPS</PersonNm>
        <TitleTxt>PSYCHIATRIST</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>181338</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>7458</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MAZHAR MUNIR</PersonNm>
        <TitleTxt>PSYCHIATRIST</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>239388</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12723</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BEVERLY SANKEY</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>182360</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>20973</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1544240</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>130723</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>34</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>TRIVALENT</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>3146 PRAIRIE ST SW</AddressLine1>
            <City>GRANDVILLE</City>
            <State>MI</State>
            <ZIPCode>49418</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSULTING &amp; DATA STORAGE</ServicesDesc>
        <CompensationAmt>781525</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>LOCUM TENENS</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>PO BOX 405547</AddressLine1>
            <City>ATLANTA</City>
            <State>GA</State>
            <ZIPCode>30384</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACT PHYSICIANS</ServicesDesc>
        <CompensationAmt>518872</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>QUALITY SYSTEMS INC</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>PO BOX 809390</AddressLine1>
            <City>CHICAGO</City>
            <State>IL</State>
            <ZIPCode>60680</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SOFTWARE MAINT &amp; CONSULTING</ServicesDesc>
        <CompensationAmt>469665</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>CD BARNES ASSOCIATES INC</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>3437 EASTERN AVE SE</AddressLine1>
            <City>GRAND RAPIDS</City>
            <State>MI</State>
            <ZIPCode>40508</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION</ServicesDesc>
        <CompensationAmt>414754</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>CUSTODIAL HOUSEKEEPING STAFFING INC</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>1554 KALAMAZOO AVE SE</AddressLine1>
            <City>GRAND RAPIDS</City>
            <State>MI</State>
            <ZIPCode>49507</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>JANITORIAL SERVICES</ServicesDesc>
        <CompensationAmt>399851</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>21</CntrctRcvdGreaterThan100KCnt>
      <FederatedCampaignsAmt>464499</FederatedCampaignsAmt>
      <RelatedOrganizationsAmt>1187192</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>9277267</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>958260</AllOtherContributionsAmt>
      <NoncashContributionsAmt>350</NoncashContributionsAmt>
      <TotalContributionsAmt>11887218</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT FEES</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>52215156</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>52215156</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>INSURANCE INCENTIVES</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>841086</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>841086</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER PROGRAM SERVICES</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>389640</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>389640</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CASE MANAGEMENT FEES</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>293074</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>293074</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAL RECORD REVENUE</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>43640</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>43640</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>53782596</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>543422</TotalRevenueColumnAmt>
        <ExclusionAmt>543422</ExclusionAmt>
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      <GrossRentsGrp>
        <RealAmt>100635</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>100635</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>100635</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>87299</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>13336</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>231570</SecuritiesAmt>
        <OtherAmt>489600</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>195630</SecuritiesAmt>
        <OtherAmt>517876</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>35940</SecuritiesAmt>
        <OtherAmt>-28276</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>7664</TotalRevenueColumnAmt>
        <ExclusionAmt>7664</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>66321535</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>53782596</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>87299</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>564422</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>599955</TotalAmt>
        <ProgramServicesAmt>250443</ProgramServicesAmt>
        <ManagementAndGeneralAmt>349512</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>34239290</TotalAmt>
        <ProgramServicesAmt>32255126</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1912810</ManagementAndGeneralAmt>
        <FundraisingAmt>71354</FundraisingAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>9335965</TotalAmt>
        <ProgramServicesAmt>8731931</ProgramServicesAmt>
        <ManagementAndGeneralAmt>585008</ManagementAndGeneralAmt>
        <FundraisingAmt>19026</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>82279</TotalAmt>
        <ProgramServicesAmt>2883</ProgramServicesAmt>
        <ManagementAndGeneralAmt>79396</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>150572</TotalAmt>
        <ProgramServicesAmt>1514</ProgramServicesAmt>
        <ManagementAndGeneralAmt>149058</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>3939957</TotalAmt>
        <ProgramServicesAmt>3448493</ProgramServicesAmt>
        <ManagementAndGeneralAmt>467350</ManagementAndGeneralAmt>
        <FundraisingAmt>24114</FundraisingAmt>
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      <AdvertisingGrp>
        <TotalAmt>94042</TotalAmt>
        <ProgramServicesAmt>18052</ProgramServicesAmt>
        <ManagementAndGeneralAmt>71711</ManagementAndGeneralAmt>
        <FundraisingAmt>4279</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>921783</TotalAmt>
        <ProgramServicesAmt>779224</ProgramServicesAmt>
        <ManagementAndGeneralAmt>142043</ManagementAndGeneralAmt>
        <FundraisingAmt>516</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>1341754</TotalAmt>
        <ProgramServicesAmt>1113490</ProgramServicesAmt>
        <ManagementAndGeneralAmt>225690</ManagementAndGeneralAmt>
        <FundraisingAmt>2574</FundraisingAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>3661944</TotalAmt>
        <ProgramServicesAmt>3423809</ProgramServicesAmt>
        <ManagementAndGeneralAmt>238135</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>537935</TotalAmt>
        <ProgramServicesAmt>469665</ProgramServicesAmt>
        <ManagementAndGeneralAmt>68146</ManagementAndGeneralAmt>
        <FundraisingAmt>124</FundraisingAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>179454</TotalAmt>
        <ProgramServicesAmt>119583</ProgramServicesAmt>
        <ManagementAndGeneralAmt>59670</ManagementAndGeneralAmt>
        <FundraisingAmt>201</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>202912</TotalAmt>
        <ProgramServicesAmt>190178</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12734</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>1738493</TotalAmt>
        <ProgramServicesAmt>1611282</ProgramServicesAmt>
        <ManagementAndGeneralAmt>127211</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>291156</TotalAmt>
        <ProgramServicesAmt>254332</ProgramServicesAmt>
        <ManagementAndGeneralAmt>36824</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>3892751</TotalAmt>
        <ProgramServicesAmt>3859854</ProgramServicesAmt>
        <ManagementAndGeneralAmt>32897</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>CLIENT ASSISTANCE</Desc>
        <TotalAmt>1176107</TotalAmt>
        <ProgramServicesAmt>1175904</ProgramServicesAmt>
        <ManagementAndGeneralAmt>203</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>EQUIPMENT EXPENSE</Desc>
        <TotalAmt>847133</TotalAmt>
        <ProgramServicesAmt>773576</ProgramServicesAmt>
        <ManagementAndGeneralAmt>73532</ManagementAndGeneralAmt>
        <FundraisingAmt>25</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTAINENC</Desc>
        <TotalAmt>742953</TotalAmt>
        <ProgramServicesAmt>692886</ProgramServicesAmt>
        <ManagementAndGeneralAmt>50067</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>857370</TotalAmt>
        <ProgramServicesAmt>777463</ProgramServicesAmt>
        <ManagementAndGeneralAmt>79717</ManagementAndGeneralAmt>
        <FundraisingAmt>190</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>64833805</TotalAmt>
        <ProgramServicesAmt>59949688</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4761714</ManagementAndGeneralAmt>
        <FundraisingAmt>122403</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>2850697</BOYAmt>
        <EOYAmt>1520403</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>1628805</BOYAmt>
        <EOYAmt>765298</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>684449</BOYAmt>
        <EOYAmt>624462</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>6146874</BOYAmt>
        <EOYAmt>9165658</EOYAmt>
      </AccountsReceivableGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>13992075</BOYAmt>
        <EOYAmt>13992075</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>264235</BOYAmt>
        <EOYAmt>279277</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>225296</BOYAmt>
        <EOYAmt>272467</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>25805043</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>7862064</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>16575699</BOYAmt>
        <EOYAmt>17942979</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>1900194</EOYAmt>
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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, 2014. WITH LIMITED EXCEPTIONS, CHERRY STREET SERVICES, INC. IS NO LONGER SUBJECT TO AUDITS BY FEDERAL TAXING AUTHORITIES FOR YEARS PRIOR TO 2010.</ExplanationTxt>
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        <PersonNm>THOMAS PLATT</PersonNm>
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        <ExplanationTxt>SEE SCHEDULE 0</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>
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        <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>
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        <ExplanationTxt>AVAILABLE UPON REQUEST. ARTICLES OF INCORPORATION AVAILABLE FROM THE STATE OF MICHIGAN.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2C EXPLANATION</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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</Return>