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        <Title>SENIOR VP</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>225837</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>88605</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DAVID SEAMAN</NamePerson>
        <Title>EXECUTIVE VICE PRESIDENT</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>426274</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>105413</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>2379990</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>0</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>883065</TotalOtherCompensation>
      <NumberIndividualsGT100K>15</NumberIndividualsGT100K>
      <FormersListed>0</FormersListed>
      <TotalCompGT150K>1</TotalCompGT150K>
      <CompensationFromOtherSources>0</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>MICHIGAN ASSOCIATION OF HEALTH PLANS</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>327 SEYMOUR AVE</AddressLine1>
            <City>LANSING</City>
            <State>MI</State>
            <ZIPCode>48933</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>PROFESSIONAL</DescriptionOfServices>
        <Compensation>130000</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>1</NumberOfContractorsGT100K>
      <ProgramServiceRevenue>
        <Description>MEMBERSHIP DUES</Description>
        <BusinessCode>541900</BusinessCode>
        <TotalRevenueColumn>6676601</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>6676601</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>SERVICE FEES</Description>
        <BusinessCode>561499</BusinessCode>
        <TotalRevenueColumn>3665156</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>3665156</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>MANAGEMENT FEES</Description>
        <BusinessCode>561000</BusinessCode>
        <TotalRevenueColumn>1951552</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>1951552</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>PROFESSIONAL/CONTRACT</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>789603</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>789603</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>REGISTRATION FEES</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>224196</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>224196</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalOthProgramServiceRevenue>
        <TotalRevenueColumn>343763</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>335123</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>8640</UnrelatedBusinessRevenue>
      </TotalOthProgramServiceRevenue>
      <TotalProgramServiceRevenue>13650871</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>504334</TotalRevenueColumn>
        <ExclusionAmount>504334</ExclusionAmount>
      </InvestmentIncome>
      <GrossAmountSalesAssets>
        <Securities>265053</Securities>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Securities>259735</Securities>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Securities>5318</Securities>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>5318</TotalRevenueColumn>
        <ExclusionAmount>5318</ExclusionAmount>
      </NetGainOrLossInvestments>
      <OtherRevenueMisc>
        <Description>SPONSORSHIP</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>163250</TotalRevenueColumn>
        <ExclusionAmount>163250</ExclusionAmount>
      </OtherRevenueMisc>
      <TotalOtherRevenue>163250</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>14323773</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>13642231</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>8640</UnrelatedBusinessRevenue>
        <ExclusionAmount>672902</ExclusionAmount>
      </TotalRevenue>
      <CompCurrentOfficersDirectors>
        <Total>2287145</Total>
      </CompCurrentOfficersDirectors>
      <OtherSalariesAndWages>
        <Total>3546912</Total>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>1580098</Total>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>625725</Total>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>339989</Total>
      </PayrollTaxes>
      <FeesForServicesLegal>
        <Total>106954</Total>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>23023</Total>
      </FeesForServicesAccounting>
      <FeesForServicesInvstMgmntFees>
        <Total>43693</Total>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>1239602</Total>
      </FeesForServicesOther>
      <OfficeExpenses>
        <Total>550157</Total>
      </OfficeExpenses>
      <Occupancy>
        <Total>568127</Total>
      </Occupancy>
      <Travel>
        <Total>905298</Total>
      </Travel>
      <DepreciationDepletion>
        <Total>239412</Total>
      </DepreciationDepletion>
      <Insurance>
        <Total>54836</Total>
      </Insurance>
      <OtherExpenses>
        <Description>MCHAP GRANT IMPLEMENTAT</Description>
        <Total>1105430</Total>
      </OtherExpenses>
      <OtherExpenses>
        <Description>DUES AND SUBSCRIPTIONS</Description>
        <Total>124754</Total>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MANAGEMENT FEE</Description>
        <Total>53750</Total>
      </OtherExpenses>
      <OtherExpenses>
        <Description>BANK FEES</Description>
        <Total>45220</Total>
      </OtherExpenses>
      <OtherExpenses>
        <Description>SPECIAL PROGRAMS</Description>
        <Total>3103</Total>
      </OtherExpenses>
      <TotalFunctionalExpenses>
        <Total>13443228</Total>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>304541</BOY>
        <EOY>780468</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>6004978</BOY>
        <EOY>4953561</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
        <BOY>98743</BOY>
        <EOY>2733721</EOY>
      </AccountsReceivable>
      <OtherNotesLoansReceivableNet>
        <BOY>2431723</BOY>
        <EOY>694277</EOY>
      </OtherNotesLoansReceivableNet>
      <PrepaidExpensesDeferredCharges>
        <BOY>59368</BOY>
        <EOY>50334</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>3773865</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>2754585</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>801972</BOY>
        <EOY>1019280</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsOtherSecurities>
        <BOY>6518321</BOY>
        <EOY>7395212</EOY>
      </InvestmentsOtherSecurities>
      <TotalAssets>
        <BOY>16219646</BOY>
        <EOY>17626853</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>4004468</BOY>
        <EOY>5784188</EOY>
      </AccountsPayableAccruedExpenses>
      <MortNotesPyblSecuredInvestProp>
        <BOY>745319</BOY>
        <EOY>1007198</EOY>
      </MortNotesPyblSecuredInvestProp>
      <OtherLiabilities>
        <BOY>1940927</BOY>
        <EOY>57598</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>6690714</BOY>
        <EOY>6848984</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>9528932</BOY>
        <EOY>10777869</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>9528932</BOY>
        <EOY>10777869</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>16219646</BOY>
        <EOY>17626853</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>880545</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>368392</ReconcilationOtherChanges>
      <InfoInScheduleOPartXII>X</InfoInScheduleOPartXII>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleC documentId="RetDoc1039700001">
      <SubstantiallyAllDuesNondeduct>1</SubstantiallyAllDuesNondeduct>
      <OnlyInHouseLobbying>0</OnlyInHouseLobbying>
      <AgreeToCarryoverPriorYear>0</AgreeToCarryoverPriorYear>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <Equipment>
        <OtherCostOrOtherBasis>3773865</OtherCostOrOtherBasis>
        <Depreciation>2754585</Depreciation>
        <BookValue>1019280</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>1019280</TotalOfBookValueLandBuildings>
      <OtherSecurities>
        <Description>OTHER INVESTMENTS</Description>
        <BookValue>210749</BookValue>
        <MethodOfValuation>C</MethodOfValuation>
      </OtherSecurities>
      <OtherSecurities>
        <Description>LONG TERM INVESTMENTS</Description>
        <BookValue>7184463</BookValue>
        <MethodOfValuation>C</MethodOfValuation>
      </OtherSecurities>
      <TotalOfBookValueSecurities>7395212</TotalOfBookValueSecurities>
      <OtherLiabilities>
        <Description>UNEARNED INCOME</Description>
        <Amount>11255</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>TRADE PAYABLES TO RELATED PARTIES</Description>
        <Amount>46343</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>57598</TotalOfAmounts>
      <TotalRevenue>14323773</TotalRevenue>
      <TotalExpenses>13443228</TotalExpenses>
      <ExcessOrDeficitForYear>880545</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>768392</NetUnrealizedGLOnInvestments>
      <OtherAmount>-400000</OtherAmount>
      <TotalAdjustments>368392</TotalAdjustments>
      <ExcessOrDeficitPerFS>1248937</ExcessOrDeficitPerFS>
      <Form990ScheduleDPartXIV>
        <Identifier>DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:</Identifier>
        <ReturnReference>PART X:</ReturnReference>
        <Explanation>ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILTY IF THE ORGANIZATION 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 ORGANIZATIONS, AND HAS CONCLUDED THAT AS OF JUNE 30, 2011, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE COMBINED FINANCIAL STATEMENTS. THE ORGANIZATIONS ARE SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS. SUBSEQUENT TO YEAR END, THE ASSOCIATION WAS NOTIFIED THAT IT WILL BE AUDITED FOR TAX PERIOD ENDED JUNE 30, 2009. MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2008.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XI, LINE 8 - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>CONTRIBUTIONS -400,000.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <FirstClassOrCharterTravel>X</FirstClassOrCharterTravel>
      <DiscretionarySpendingAccount>X</DiscretionarySpendingAccount>
      <ClubDuesOrFees>X</ClubDuesOrFees>
      <WrittenPolicyReTAndEExpenses>1</WrittenPolicyReTAndEExpenses>
      <SubstantiationRequired>1</SubstantiationRequired>
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>1</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <Form990ScheduleJPartII>
        <NamePerson>SPENCER JOHNSON</NamePerson>
        <BaseCompensationFilingOrg>606528</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>326446</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>403432</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>30021</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>1366427</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>GARY HENRIKSEN</NamePerson>
        <BaseCompensationFilingOrg>222398</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>40000</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>66450</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>5020</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>333868</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>PETER SCHONFELD</NamePerson>
        <BaseCompensationFilingOrg>220923</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>35000</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>66844</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>25818</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>348585</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>BRIAN PETERS</NamePerson>
        <BaseCompensationFilingOrg>236584</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>40000</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>67399</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>24063</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>368046</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DAVID FINKBEINER</NamePerson>
        <BaseCompensationFilingOrg>195837</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>30000</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>64381</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>24224</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>314442</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DAVID SEAMAN</NamePerson>
        <BaseCompensationFilingOrg>311274</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>115000</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>76270</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>29143</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>531687</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 1A</ReturnReference>
        <Explanation>FIRST CLASS TRAVEL USED BY BOARD MEMBERS FOR BUSINESS ONLY AND NOT TAXED AS COMPENSATION. DISCRETIONARY SPENDING ACCOUNTS USED FOR SELECT INDIVIDUALS AND TAXED AS COMPENSATION. BUSINESS CLUBS FOR EXECUTIVE STAFF AND NOT TAXED AS COMPENSATION.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 4B</ReturnReference>
        <Explanation>THE FOLLOWING INDIVIDUALS PARTICIPATED A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: SPENCER JOHNSON DAVID SEASAN GARY HENRIKSEN BRIAN PETERS DAVID FINKBEINER PETER SCHONFELD NANCY MCKEAGUE CLARK BALLARD THERE WERE NO PAYMENTS MADE IN THE CURRENT YEAR.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 6</Identifier>
        <Explanation>MEMBERS</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 7A</Identifier>
        <Explanation>EXECUTIVE COMMITTEE CONSISTS OF MEMBERS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 7B</Identifier>
        <Explanation>HOUSE OF DELEGATES APPROVES SOME DECISIONS OF GOVERNING BODY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION B, LINE 11</Identifier>
        <Explanation>PREPARED BY INDEPENDENT ACCOUNTING/AUDIT FIRM, REVIEWED BY CONTROLLER, CFO, AND PRESIDENT.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>WE REQUIRE BOARD MEMBERS TO SIGN CONFLICT OF INTEREST STATEMENTS AND VERBALLY REMIND THEM OF THAT PERIODICALLY DURING THE YEAR.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>INDEPENDENT COMPENSATION COMMITTEE RECEIVES COMPARABILITY DATA ANNUALLY AND DOCUMENTS DECISION IN WRITTEN FORM.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>WE DO NOT ACTIVELY DISCLOSE OUR POLICIES TO THE PUBLIC, BUT WOULD SUPPLY UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>NET UNREALIZED GAINS ON INVESTMENTS: 768,392. CONTRIBUTIONS -400,000. TOTAL TO FORM 990, PART XI, LINE 5: 368,392.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>PROCESS IS SAME AS IN PRIOR YEARS.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MHA HEALTH FOUNDATION DBA MHA CENTER FOR HEALTH RESOURCES</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>6215 WEST ST JOSEPH HIGHWAY</AddressLine1>
          <City>LANSING</City>
          <State>MI</State>
          <ZIPCode>48917</ZIPCode>
        </AddressUS>
        <EIN>386091188</EIN>
        <PrimaryActivities>PERFORM CHARITABLE AND EDUCATIONAL FUNCTIONS OF THE MHA.</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)3</ExemptCodeSection>
        <PublicCharityStatus>509(A)(3) - TYPE 1</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MHA SERVICE CORPORATION</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>6215 WEST ST JOSEPH HIGHWAY</AddressLine1>
          <City>LANSING</City>
          <State>MI</State>
          <ZIPCode>48917</ZIPCode>
        </AddressUS>
        <EIN>382259766</EIN>
        <PrimaryActivity>SERVICES TO HOSPITALS</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
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        <PercentageOwnership>1.00000</PercentageOwnership>
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      <ReceiptOfIntAnnRentsRoyalties>1</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>0</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
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      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>1</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>1</RentalOfFacilitiesFrOtherOrgs>
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      <ReimbursementPaidByOtherOrg>0</ReimbursementPaidByOtherOrg>
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      <OtherTransferFromOtherOrg>1</OtherTransferFromOtherOrg>
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        <TransactionType>A</TransactionType>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>MHA SERVICE CORPORATION</BusinessNameLine1>
        </NameOfOtherOrganization>
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      <TransactionsRelatedOrgsTable>
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      <TransactionsRelatedOrgsTable>
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      <TransactionsRelatedOrgsTable>
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      <TransactionsRelatedOrgsTable>
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      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>MHA SERVICE CORPORATION</BusinessNameLine1>
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      <TransactionsRelatedOrgsTable>
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      <TransactionsRelatedOrgsTable>
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      <TransactionsRelatedOrgsTable>
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      <TransactionsRelatedOrgsTable>
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    </IRS990ScheduleR>
  </ReturnData>
</Return>