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      <TotalExpensesPerForm990>45454732</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIII>
        <Identifier>DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:</Identifier>
        <ReturnReference>PART X, LINE 2:</ReturnReference>
        <Explanation>TAX POSITIONS ARE TAKEN BASED ON INTERPRETATION OF FEDERAL, STATE AND LOCAL INCOME TAX LAWS. MANAGEMENT PERIODICALLY REVIEWS AND EVALUATES THE STATUS OF UNCERTAIN TAX POSITIONS AND MAKES ESTIMATES OF AMOUNTS, INCLUDING INTEREST AND PENALTIES, ULTIMATELY DUE OR OWED. NO AMOUNTS HAVE BEEN IDENTIFIED, OR RECORDED, AS UNCERTAIN TAX POSITIONS. FEDERAL, STATE AND LOCAL TAX RETURNS GENERALLY REMAIN OPEN FOR EXAMINATION BY THE VARIOUS TAXING AUTHORITIES FOR A PERIOD OF THREE TO FOUR YEARS.</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>PART XI, LINE 4B - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>INVESTMENT INCOME 49,510. REALIZED GAINS ON INVESTMENTS 24,019. ROUNDING -1.</Explanation>
      </Form990ScheduleDPartXIII>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <Form990OfOtherOrganizations>X</Form990OfOtherOrganizations>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>0</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>0</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>0</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>0</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>JEFFREY R TAYLOR PHD</NamePerson>
        <Title>CHIEF EXECUTIVE OFFICER</Title>
        <BaseCompensationFilingOrg>210500</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>22920</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>766</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>234186</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>LIMIN KINSEY</NamePerson>
        <Title>CHIEF FINANCIAL OFFICER</Title>
        <BaseCompensationFilingOrg>126549</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>9101</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>19727</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>155377</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 4</ReturnReference>
        <Explanation>THE ORGANIZATION MADE SOME AMENDMENTS TO THE ORGANIZATON'S BY-LAWS THAT BECAME EFFECTIVE AS OF DECEMBER 3, 2012. THESE CHANGES INCLUDE THE ADDITION OF ALLOWING ELECTRONIC COMMUNICATION FOR GOVERNING ACTIVITIES, REDEFINING A QUORUM AS A MAJORITY OF MEMBERS OF THE BOARD OF DIRECTORS INSTEAD OF THE EXECUTIVE COMMITTEE, GIVING THE BOARD OF DIRECTORS OVERSIGHT OF COMMITTEES, AND CHANGING THE TITLE OF EXECUTIVE DIRECTOR TO CHIEF EXECUTIVE OFFICER.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7A</ReturnReference>
        <Explanation>THE UNIVERSITY OF MICHIGAN, MICHIGAN STATE UNIVERSITY, AND WAYNE STATE UNIVERSITY EACH HAVE THE AUTHORITY TO SELECT TWO DIRECTORS TO REPRESENT EACH ENTITY ON THE BOARD. THE MICHIGAN DEPARTMENT OF COMMUNITY HEALTH HAS THE AUTHORITY TO APPOINT SIX DIRECTORS; AT LEAST ONE OF WHICH SHALL REPRESENT LOCAL HEALTH DEPARTMENTS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>THE FORM 990 IS PREPARED IN COOPERATION WITH THE CHIEF FINANCIAL OFFICER AND THE CHIEF EXECUTIVE OFFICER. AFTER PREPARATION OF THE FORM 990 BY THE ACCOUNTING FIRM SELECTED BY MPHI, THE DRAFT FORM 990 IS PROVIDED TO AND REVIEWED BY THE CHIEF FINANCIAL OFFICER. ANY REQUIRED CHANGES AND/OR REVISIONS ARE MADE AND ANY CONCERNS ARE RESOLVED. THE CHIEF FINANCIAL OFFICER THEN REVIEWS THE FINALIZED FORM 990 WITH THE CHIEF EXECUTIVE OFFICER TO BE PRESENTED TO THE AUDIT COMMITTEE MEMBERS FOR THEIR APPROVAL. UPON APPROVAL, IT IS MADE AVAILABLE TO THE FULL BOARD IN ELECTRONIC FORMAT. THE CHIEF FINANCIAL OFFICER THEN SIGNS AND FILES THE RETURN.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>CONFLICTS OF INTEREST ARE REQUIRED TO BE DISCLOSED BY ALL MEMBERS OF THE BOARD OF DIRECTORS. THERE IS AN ANNUAL WRITTEN CONFLICT OF INTEREST STATEMENT DISCLOSURE SIGNED BY ALL BOARD MEMBERS DETAILING AND CERTIFYING THE BOARD MEMBERS REPRESENTATION THAT THE MEMBERS OUTSIDE INTEREST OR WORK AND OTHER OUTSIDE COMMITMENTS, PERSONAL OR OTHERWISE, ARE NOT IN ANY WAY IN CONFLICT WITH THE PERFORMANCE OF THE MEMBERS OFFICIAL DUTIES OF MPHI AND WOULD NOT DIVERT THEM FROM THEIR DUTY TO FURTHER THE INTEREST OF MPHI. CONFLICTS ARISING DURING THE YEAR ARE DISCLOSED AT THE NEXT BOARD MEETING. ANY DIRECTOR HAVING A CONFLICT OF INTEREST SHALL, DURING THE COURSE OF DISCUSSION ON THE MATTER GIVING RISE TO THE CONFLICT AND AT SUCH TIME DURING THAT DISCUSSION AS IS DETERMINED BY THE PRESIDENT (OR CHAIR OF THE MEETING), RECUSE HIMSELF OR HERSELF FROM FURTHER DISCUSSION OF THE MATTER, AND ALSO FROM A VOTE ON THE MATTER. THE MINUTES REFLECT THE RECUSAL FROM A PORTION OF THE DISCUSSION AND FROM THE VOTE ON THE MATTER.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS CONDUCTS AN ANNUAL EVALUATION OF THE CHIEF EXECUTIVE OFFICER AND RECOMMENDS TO THE BOARD OF DIRECTORS THE CONTINUATION OF THE CONTRACT AND THE AMOUNT OF COMPENSATION. THE RECOMMENDATION IS DOCUMENTED IN THE EXECUTIVE COMMITTEE MEETING MINUTES AND ANY RECOMMENDATION OF COMPENSATION IS REQUIRED BY THE BYLAWS OF THE ORGANIZATION TO BE JUST AND REASONABLE. COMPENSATION COMPARISONS ARE MADE USING AVAILABLE COMPENSATION RESOURCE MATERIALS, THE STUDY OF THE FORM 990 OF COMPARABLE ORGANIZATIONS, AND WAGE STUDIES WITH COMPARISONS TO LIKE SIZED ORGANIZATIONS IN SIMILAR GEOGRAPHIC LOCATIONS WITH CONSIDERATION TO REQUIRED AND DESIRED SKILLS, EDUCATION AND EXPERIENCE. THE BOARD OF DIRECTORS THEN DETERMINES THE COMPENSATION OF THE CHIEF EXECUTIVE OFFICER.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>ALL ITEMS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION ALSO PARTICIPATES ON GUIDESTAR. PRIOR YEAR 990S AND ANNUAL REPORTS ARE AVAILABLE ON MPHI'S WEBSITE AT WWW.MPHI.ORG.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>AUDIT COMMITTEE</Identifier>
        <ReturnReference>FORM 990, PART XII, LINE 2C</ReturnReference>
        <Explanation>THERE IS NO CHANGE FROM THE PRIOR YEAR</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>