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        <ManagementAndGeneral>4332</ManagementAndGeneral>
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      <PayrollTaxes>
        <Total>646843</Total>
        <ProgramServices>634664</ProgramServices>
        <ManagementAndGeneral>12179</ManagementAndGeneral>
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      <FeesForServicesManagement>
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        <ManagementAndGeneral>22276</ManagementAndGeneral>
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      <FeesForServicesLegal>
        <Total>39115</Total>
        <ManagementAndGeneral>39115</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
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        <ManagementAndGeneral>10695</ManagementAndGeneral>
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      <FeesForServicesOther>
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        <ManagementAndGeneral>534966</ManagementAndGeneral>
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      <Advertising>
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        <ProgramServices>84087</ProgramServices>
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        <ProgramServices>1241442</ProgramServices>
        <ManagementAndGeneral>146263</ManagementAndGeneral>
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        <ProgramServices>204914</ProgramServices>
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      <Travel>
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        <ProgramServices>91069</ProgramServices>
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      <Interest>
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        <ProgramServices>25500</ProgramServices>
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        <ProgramServices>33510</ProgramServices>
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      <OtherExpenses>
        <Description>COST OF GOODS SOLD</Description>
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        <ProgramServices>2421218</ProgramServices>
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      <OtherExpenses>
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        <ProgramServices>81322</ProgramServices>
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      <OtherExpenses>
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        <ProgramServices>56397</ProgramServices>
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      <OtherExpenses>
        <Description>LICENSES, FEES AND DUES</Description>
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      <AllOtherExpenses>
        <Total>99105</Total>
        <ProgramServices>99105</ProgramServices>
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      <Form990ScheduleDPartXIII>
        <Identifier>DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:</Identifier>
        <ReturnReference>PART X, LINE 2:</ReturnReference>
        <Explanation>ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE CENTER AND RECOGNIZE A TAX LIABILITY IF THE CENTER HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS OR OTHER APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE CENTER AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2012, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE CENTER IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO DECEMBER 31, 2009.</Explanation>
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    </IRS990ScheduleD>
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        <NamePerson>CAROL SAFFOLD</NamePerson>
        <Title>CHIEF MEDICAL OFFICER</Title>
        <BaseCompensationFilingOrg>256100</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>10000</BonusFilingOrg>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DENISE CRAWFORD</NamePerson>
        <Title>PRESIDENT &amp; CEO</Title>
        <BaseCompensationFilingOrg>191166</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>21989</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>AHED ZAYZAFOON</NamePerson>
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        <NamePerson>KATHY JACKSON</NamePerson>
        <Title>PHYSICIAN</Title>
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        <BonusFilingOrg>25908</BonusFilingOrg>
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        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MARGUERITE SAITH</NamePerson>
        <Title>INTERNAL MEDICINE PHYSICIAN</Title>
        <BaseCompensationFilingOrg>185000</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
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        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
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        <NamePerson>PETRA SABALA</NamePerson>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>TAMRA MAYNIE MABEN</NamePerson>
        <Title>FAMILY MEDICINE PHYSICIAN</Title>
        <BaseCompensationFilingOrg>166462</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>17358</BonusFilingOrg>
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        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
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        <NontaxableBenefitsFilingOrg>15680</NontaxableBenefitsFilingOrg>
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        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>THE FORM 990 WILL BE PRESENTED AT THE NOVEMBER 2013 BOARD MEETING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>THE FHC BOARD MEMBERS ARE REQUIRED TO COMPLETE THE 990 BOARD QUESTIONNAIRE ANNUALLY. THE COMPLETED QUESTIONNAIRES ARE FILED AT FAMILY HEALTH CENTER, INC., 117 W. PATERSON, KALAMAZOO, MI 49007. THE CEO AND CFO MONITOR THE BOARD QUESTIONNAIRES FOR POTENTIAL CONFLICTS. IF ANY CONFLICTS ARISE, THE CEO AND BOARD CHAIR WILL REVIEW AND WILL TAKE APPROPRIATE ACTIONS TO HANDLE THE CONFLICT AND THE BOARD MEMBER ABSTAINS FROM VOTING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>FOR THE CEO POSITION, THE BOARD OF DIRECTORS IS INVOLVED IN COMPARING THE CANDIDATE'S CREDENTIALS TO FORMER CEO AND EXPERIENCE. FOR OFFICERS OR KEY EMPLOYEES SUCH AS DIRECTORS, THE DIRECTOR OF HUMAN RESOURCES AND/OR THE CHIEF FINANCIAL OFFICER REVIEW THE DATA FROM NACHC/MPCA AND COMPARE WITH OTHER COMMUNITY HEALTH CENTERS. WE ALSO CONSIDER EXPERIENCE AND REVIEW SIMILAR POSITIONS IN THE ORGANIZATION. THE MOST RECENT YEAR THIS PROCESS WAS UNDERTAKEN WAS 2012.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>DOCUMENTS ARE AVAILABLE UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER FEES</Identifier>
        <ReturnReference>FORM 990, PART IX, LINE 11G</ReturnReference>
        <Explanation>OTHER FEES: PROGRAM SERVICE EXPENSES 1,892,537. MANAGEMENT AND GENERAL EXPENSES 534,966. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,427,503.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART XII, LINE 2C:</ReturnReference>
        <Explanation>THE PROCESS HAS NOT CHANGED FROM THE PREVIOUS YEAR.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>