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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>370958</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>29545</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN FATA MD</PersonNm>
        <TitleTxt>ED PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>36.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>484025</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>15415</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RYAN JONES MD</PersonNm>
        <TitleTxt>ED PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>36.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>375628</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>29932</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TIMOTHY EKPO DO</PersonNm>
        <TitleTxt>ORTHOPEDIC SURGEON</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>1346354</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22294</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>3501688</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>143863</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>39</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>LUTZ ENTERPRISES</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>9103 WEST END DR</AddressLine1Txt>
            <CityNm>PORTAGE</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>49002</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ANESTHESIA SERVICES</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>NET REVENUE ASSOCIATES</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <AddressLine2Txt>SUITE 100</AddressLine2Txt>
            <CityNm>HUDSON</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>44236</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>REVENUE RECOVERY SERVICES</ServicesDesc>
        <CompensationAmt>1146383</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>FASTAFF LLC</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 209452</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75320</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HEALTHCARE SERVICES</ServicesDesc>
        <CompensationAmt>678375</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ALLIANCE HNI</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 772550</AddressLine1Txt>
            <CityNm>DETROIT</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48277</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IMAGING &amp; RADIOLOGY SERVICES</ServicesDesc>
        <CompensationAmt>392517</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PGPA LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3544 MERIDIAN CROSSING DR</AddressLine1Txt>
            <AddressLine2Txt>SUITE 120</AddressLine2Txt>
            <CityNm>OKEMOS</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48864</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHARMACY SERVICES</ServicesDesc>
        <CompensationAmt>368703</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>8</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>5954</RelatedOrganizationsAmt>
      <TotalContributionsAmt>5954</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>51585403</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>51585403</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>LAB REVENUE</Desc>
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        <RelatedOrExemptFuncIncomeAmt>313630</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>PHYSICIAN STAFFING/SUPPORT</Desc>
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      <ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>332879</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>SPECIALISTS RENTAL FEES</Desc>
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        <RelatedOrExemptFuncIncomeAmt>113053</RelatedOrExemptFuncIncomeAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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      <InvestmentIncomeGrp>
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      <NetGainOrLossInvestmentsGrp>
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        <ExclusionAmt>80290</ExclusionAmt>
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      <OtherRevenueMiscGrp>
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        <ExclusionAmt>6790</ExclusionAmt>
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      <TotalRevenueGrp>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <BenefitsToMembersGrp>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>613178</ManagementAndGeneralAmt>
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      <FeesForServicesLegalGrp>
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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>110175</ManagementAndGeneralAmt>
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      <FeesForServicesLobbyingGrp>
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      <InterestGrp>
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        <ProgramServicesAmt>124896</ProgramServicesAmt>
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        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 3 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - EATON RAPIDS MEDICAL CENTER: PART V, SECTION B, LINE 3J:. THE CHNA INCLUDES OPPORTUNITY MEASURES; SOCIAL, ECONOMIC AND ENVIRONMENTAL FACTORS; BEHAVIORS, STRESS AND PHYSICAL CONDITIONS; AND HEALTH OUTCOMES. IT ALSO INCLUDES FOCUS GROUPS AND SURVEY RESULTS.</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - EATON RAPIDS MEDICAL CENTER: PART V, SECTION B, LINE 5:. PARTNERS FOR THE END OF THE 2022-24 AND THE UPCOMING 2025-27 HEALTHY CAPITAL COUNTIES (HICC) WORKGROUP INCLUDE BIMONTHLY MEETINGS WITH REPRESENTATION FROM EATON RAPIDS MEDICAL CENTER, MCLAREN GREATER LANSING, UNIVERSITY OF MICHIGAN/SPARROW HOSPITAL HEALTH SYSTEM, MID-MICHIGAN DISTRICT HEALTH DEPARTMENT (CLINTON COUNTY), BARRY-EATON DISTRICT HEALTH DEPARTMENT, AND THE INGHAM COUNTY HEALTH DEPARTMENT. DATA MAPPING, ADDITIONAL INFOMATION, AND INPUT WAS OBTAINED FROM THE TRI-COUNTY REGION PLANNING COMMISSION, CAPITAL AREA HOUSING PARTNERSHIP, REGIONAL STRATEGY SESSIONS WITH COMMUNITY LEADERS, ELECTED OFFICIALS AND THE PUBLIC, COMMUNITY AND TARGETED SURVEYS, A STRATEGY SESSION DATA PARTY IN JULY 2024 WITH PRELIMINARY FINDINGS IN FALL OF 2024.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6a Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - EATON RAPIDS MEDICAL CENTER: PART V, SECTION B, LINE 6A:. MCLAREN GREATER LANSING UNIVERSITY OF MICHIGAN HEALTH-SPARROW</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6b Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - EATON RAPIDS MEDICAL CENTER: PART V, SECTION B, LINE 6B:. BARRY-EATON DISTRICT HEALTH DEPARTMENT INGHAM COUNTY HEALTH DEPARTMENT MID-MICHIGAN DISTRICT HEALTH DEPARTMENT</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - EATON RAPIDS MEDICAL CENTER: PART V, SECTION B, LINE 11:. EATON RAPIDS MEDICAL CENTER SUPPORTS HEALTH CAPITAL COUNTIES (HICC) GOALS BY ACTIVELY PARTICIPATING IN THE PLANNING PROCESS AND IDENTIFYING OPPORTUNITIES FOR US TO ADDRESS THE HEALTH NEEDS OF OUR COMMUNITY. AS WE CLOSE OUT THE 2022-24 CYCLE, WE HAVE SUPPORTED THE GOALS BY EXPANDING OUR SERVICES (NEW ORTHOPEDIC CLINIC AND PROVIDER, SWING BED PROGRAM, ETC.), RECRUITING NEW PROVIDERS AND HEALTHCARE STAFF, HOSTING BLOOD DRIVES, PARTICIPATION IN COMMUNITY EVENTS TO PROMOTE HEALTH AND WELLNESS, FOCUSING ON EXCEEDING QUALITY BENCHMARKS, AND PLANNING TO EXPAND OUR INPATIENT UNIT TO ADDRESS THE FUTURE HEALTHCARE NEEDS OF THIS COMMUNITY. ACCESS TO MENTAL HEALTH SERVICES AND HOUSING NEEDS ARE BEING ADDRESSED VIA REFERRAL TO AVAILABLE PROVIDERS AND LOCAL RESOURCES AND ARE OPPORTUNITIES FOR GROWTH. WE ARE CURRENTLY IN THE PROCESS OF IDENTIFYING ORGANIZATIOAL STRATEGIES AND ACTIVITIES TO SPECIFICALLY ADDRESS THE 2025-27 COMMUNITY HEALTH IMPROVEMENT PLAN GOALS. THE FOCUS AREAS IDENTIFIED INCLUDE HOUSING, ACCESS TO CARE, AND BEHAVIORAL HEALTH.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 15 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - EATON RAPIDS MEDICAL CENTER: PART V, SECTION B, LINE 15E:. EATON RAPIDS MEDICAL CENTER HAS STAFF ONSITE AVAILABLE TO ASSIST PATIENTS WITH THE COMPLETION OF THE FINANCIAL ASSISTANCE FORMS FOR BOTH CHARITY CARE AND WHEN POSSIBLE WITH OTHER PROGRAMS SUCH AS MEDICAID AND MEDICARE PART D.</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - EATON RAPIDS MEDICAL CENTER: PART V, SECTION B, LINE 16J:. LINE 16I DISCLOSURE - THE HOSPITAL FACILITY HAS REVIEWED THE POPULATION OF ITS COMMUNITY AND CONCLUDED THAT ENGLISH IS THE ONLY PRIMARY LANGUAGE AS DEFINTED BY THE REGULATIONS OF MORE THAN 5% OR 1,000 PERSONS. THEREFORE, THE FAP, FAP APPLICATION FORM, OR PLAIN LANGUAGE SUMMARY HAVE NOT BEEN TRANSLATED INTO ANOTHER LANGUAGE. THE HOSPITAL FACILITY WILL CONTINUE TO MONITOR THIS GOING FORWARD AS NEW CENSUS DATA BECOMES AVAILABLE.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 22 PART V LINE 22B:</FormAndLineReferenceDesc>
        <ExplanationTxt>BASED ON INTERNAL LIMITATIONS THE AMOUNTS GENERALLY BILLED COMPUTATION MAY NOT HAVE TAKEN INTO ACCOUNT THE COMBINED AMOUNT OF MEDICARE AND PRIVATE INSURANCE.</ExplanationTxt>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>COSTING METHODOLOGY IS A COST TO CHARGE RATIO AS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part II Community Building Activities</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION PROMOTES THE HEALTH OF THE COMMUNITY IT SERVES THROUGH A FREE HEALTH FAIR, FREE HEALTH SCREENINGS, DIABETES SUPPORT GROUP, EDUCATIONAL TOURS FOR SECOND GRADERS, ARTICLES IN THE NEWSPAPER ABOUT MEDICAL CONDITIONS AND HEALTHY LIVING, TRAINING FOR STUDENTS IN THE HEALTHCARE FIELD, FREE EDUCATIONAL SEMINARS, FREE FITNESS, NUTRITION AND CONFIDENCE PROGRAM FOR 4TH THROUGH 6TH GRADERS, CONTRIBUTIONS TO ORGANIZATIONS SUCH AS EATON COMMUNITY HOSPICE AND MEALS ON WHEELS, COALITION BUILDING PARTICIPATION AND CONTRIBUTIONS TO ORGANIZATIONS SUCH AS EATON RAPIDS ROTARY AND LIONS CLUB AS WELL AS THE CHAMBER OF COMMERCE, HOSTING BABYSITTING AND CPR CLASSES, AND HOSTING TWO AMERICAN RED CROSS BLOOD DRIVES PER YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2, IS THE BAD DEBT EXPENSE REPORTED ON FORM 990, PART IX.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 3 Bad Debt Expense Methodology</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATIONS FINANCIAL ASSISTANCE POLICY, $450,740 IS EQUAL TO APPROXIMATELY 20 PERCENT OF BAD DEBT EXPENSE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>ACCOUNTS RECEIVABLE FINANCIAL STATEMENT FOOTNOTE: ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES, REDUCED BY EXPLICIT PRICE CONCESSIONS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO QUALIFYING INDIVIDUALS AS PART OF THE CENTER'S FINANCIAL ASSISTANCE POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED PRIMARILY TO SELF-PAY PATIENTS. ESTIMATES FOR EXPLICIT PRICE CONCESSIONS ARE BASED ON PROVIDER CONTRACTS, PAYMENT TERMS FOR RELEVANT PROSPECTIVE PAYMENT SYSTEMS, AND HISTORICAL EXPERIENCE ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE CENTER'S ABILITY TO COLLECT OUTSTANDING AMOUNTS FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL, THE CENTER RECORDS SIGNIFICANT IMPLICIT PRICE CONCESSIONS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 8 Community benefit &amp; methodology for determining medicare costs</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEDICARE SURPLUS (SHORTFALL), FROM THE MEDICARE COST REPORT, WAS CALCULATED BY UTILIZING A COST TO CHARGE RATIO. ANY SHORTFALLS WOULD BE CONSIDERED COMMUNITY BENEFIT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL PATIENTS' COLLECTIONS ARE TREATED THE SAME.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a FAP website</FormAndLineReferenceDesc>
        <ExplanationTxt>- EATON RAPIDS MEDICAL CENTER: Line 16a URL: https://www.eatonrapidsmedicalcenter.org/financial-assistance/;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16b FAP Application website</FormAndLineReferenceDesc>
        <ExplanationTxt>- EATON RAPIDS MEDICAL CENTER: Line 16b URL: https://www.eatonrapidsmedicalcenter.org/financial-assistance/;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16c FAP plain language summary website</FormAndLineReferenceDesc>
        <ExplanationTxt>- EATON RAPIDS MEDICAL CENTER: Line 16c URL: https://www.eatonrapidsmedicalcenter.org/financial-assistance/;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2 Needs assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION ASSESSES NEEDS THROUGH PATIENT SATISFACTION SURVEYS, SUGGESTIONS FROM EMPLOYEES THAT RESIDE IN OUR SERVICE AREA, RESPONSES FROM FOCUS GROUP PARTICIPANTS, COMMENTS ON OUR SOCIAL MEDIA PAGES, SUGGESTION BOXES, AND REQUESTS FROM COMMUNITY GROUPS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3 Patient education of eligibility for assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>INFORMATION REGARDING ELIGIBILITY IS PROVIDED AT TIME OF SERVICE AS WELL AS ATTACHED TO BILLING INVOICES, POSTED IN THE ADMISSIONS OFFICE, AND AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 4 Community information</FormAndLineReferenceDesc>
        <ExplanationTxt>EATON RAPIDS MEDICAL CENTER'S IMMEDIATE SERVICE AREA INCLUDES EATON RAPIDS, SPRINGPORT, AND ONONDAGA. WE ALSO DRAW PATIENTS FROM LESLIE, MASON, DIAMONDALE AND CHARLOTTE. 13% OF OUR PATIENTS ARE AGES 0-17, 11% OF PATIENTS AGES 18-34, 15% OF PATIENTS AGES 35-50, 22% OF PATIENTS AGES 51-64, 29% OF PATIENTS AGES 65-79, AND 10% OF PATIENTS AGES 80+. PATIENT INSURANCE DEMOGRAPHICS ARE MEDICARE 52%, MEDICAID 11%, COMMERCIAL 8%, HMO/PPO 2%, BLUE CROSS 26%, AND SELF-PAY 1%.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 Promotion of community health</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION PROMOTES THE HEALTH OF THE COMMUNITY IT SERVES THROUGH A FREE HEALTH FAIR, FREE HEALTH SCREENINGS, DIABETES SUPPORT GROUP, EDUCATIONAL TOURS FOR SECOND GRADERS, FARMERS MARKET HELD ON HOSPITAL GROUNDS, ARTICLES IN NEWSPAPERS ABOUT MEDICAL CONDITIONS AND HEALTHY LIVING, TRAINING FOR STUDENTS IN THE HEALTH CARE FIELD, FREE EDUCATIONAL SEMINARS, FREE FITNESS, NUTRITION AND SELF-CONFIDENCE PROGRAM FOR 4TH THROUGH 6TH GRADERS, CONTRIBUTIONS TO ORGANIZATIONS SUCH AS EATON COMMUNITY HOSPICE AND MEALS ON WHEELS, COALITION BUILDING PARTICIPATION AND CONTRIBUTIONS TO ORGANIZATIONS SUCH AS THE EATON RAPIDS ROTARY AND LIONS CLUB AS WELL AS THE CHAMBER OF COMMERCE, HOSTING BABYSITTING AND CPR CLASSES, AND HOSTING TWO AMERICAN RED CROSS BLOOD DRIVES EACH YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 7 State filing of community benefit report</FormAndLineReferenceDesc>
        <ExplanationTxt>MI</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule J, Part I, Line 7 Non-fixed payments</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO BONUS IS DETERMINED BY THE BOARD AND THE REMAINING BONUSES ARE DETERMINED BY THE EXECUTIVE MANAGEMENT COUNCIL AND APPROVED BY THE BOARD.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS REVIEWED BY ACCOUNTING STAFF AND PRESENTED TO THE FINANCE COMMITTEE PRIOR TO SUBMISSION. THE FORM 990 IS NOT PROVIDED TO THE FULL BOARD PRIOR TO FILING.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>IN ACCORDANCE WITH EATON RAPIDS MEDICAL CENTER'S CONFLICT OF INTEREST POLICY, CONFLICT OF INTEREST DISCLOSURE STATEMENTS ARE SIGNED ANNUALLY BY THE HOSPITAL'S BOARD. THE FORMS ARE REVIEWED BY THE CEO WHO TRACKS AND MONITORS THE CONFLICTS THAT ARISE. THE CEO NOTIFIES THE BOARD OF ANY CONFLICTS AND THOSE PERSONS ARE PROHIBITED FROM PARTICIPATING IN THE DELIBERATIONS AND DECISIONS, INCLUDING BEING ASKED TO LEAVE THE ROOM.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>CURRENTLY THE BOARD REVIEWS COMPENSATION STUDIES FROM SIMILAR HOSPITALS AND THE COMMITTEE USES THAT TO DETERMINE THE COMPENSATION FOR THE CEO. THIS IS DOCUMENTED IN THE BOARD MINUTES. THE BOARD ALSO DETERMINES COMPENSATION BASED ON PRIOR YEAR PERFORMANCE. A COMPARABILITY STUDY WAS LAST DONE FOR THE CEO, OTHER OFFICERS AND KEY EMPLOYEES IN 2025.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOES NOT MAKE THESE DOCUMENTS AVAILABLE TO THE PUBLIC.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g Other Fees</FormAndLineReferenceDesc>
        <ExplanationTxt>PURCHASED SERVICES: - Total Expense: 3490861, Program Service Expense: 2943675, Management and General Expenses: 547186, Fundraising Expenses: ; MAINTENANCE CONTRACTS: - Total Expense: 1078015, Program Service Expense: 637140, Management and General Expenses: 440875, Fundraising Expenses: ; CONTRACT SERVICES: - Total Expense: 2152551, Program Service Expense: 2152551, Management and General Expenses: , Fundraising Expenses: ; PHYSICIAN SERVICES: - Total Expense: 365165, Program Service Expense: 365165, Management and General Expenses: , Fundraising Expenses: ; PROFESSIONAL SERVICES: - Total Expense: 1039702, Program Service Expense: 1001869, Management and General Expenses: 37833, Fundraising Expenses: ;</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part XII, Line 2c Change of oversight process or selection process</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS FOR THE COMMITTEE THAT ASSUMES THE RESPONSIBILITY OF OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT AUDITORS HAS NOT CHANGED.</ExplanationTxt>
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          <AddressLine1Txt>1500 SOUTH MAIN ST</AddressLine1Txt>
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        <PrimaryActivitiesTxt>TO RECEIVE AND ADMINISTER FUNDS AND USE THEM FOR EATON RAPIDS MEDICAL CENTER</PrimaryActivitiesTxt>
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