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          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>426 W OTTAWA</AddressLine1>
            <City>LANSING</City>
            <State>MI</State>
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          </AddressUS>
        </AddressOfContractor>
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        <Description>MEMBERSHIP DUES</Description>
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        <RelatedOrExemptFunctionIncome>6837345</RelatedOrExemptFunctionIncome>
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      <ProgramServiceRevenue>
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        <RelatedOrExemptFunctionIncome>3298136</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
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        <RelatedOrExemptFunctionIncome>1884461</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
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        <RelatedOrExemptFunctionIncome>1250734</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>SUBSCRIPTIONS AND ADVE</Description>
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        <RelatedOrExemptFunctionIncome>24068</RelatedOrExemptFunctionIncome>
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        <TotalRevenueColumn>373919</TotalRevenueColumn>
        <ExclusionAmount>373919</ExclusionAmount>
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      <GrossAmountSalesAssets>
        <Securities>1261837</Securities>
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      <LessCostOthBasisSalesExpenses>
        <Securities>972659</Securities>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Securities>289178</Securities>
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      <NetGainOrLossInvestments>
        <TotalRevenueColumn>289178</TotalRevenueColumn>
        <ExclusionAmount>289178</ExclusionAmount>
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        <TotalRevenueColumn>147500</TotalRevenueColumn>
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        <Total>46312</Total>
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      <OtherExpenses>
        <Description>DUES AND SUBSCRIPTIONS</Description>
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        <Description>MANAGEMENT FEE</Description>
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        <Description>BANK FEES</Description>
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      <OtherExpenses>
        <Description>MISCELLANEOUS OTHER</Description>
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      </OtherExpenses>
      <TotalFunctionalExpenses>
        <Total>11911803</Total>
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        <BOY>135300</BOY>
        <EOY>304541</EOY>
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        <EOY>59368</EOY>
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        <EOY>745319</EOY>
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        <BOY>3075221</BOY>
        <EOY>1940927</EOY>
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      <TotalLiabilities>
        <BOY>6861089</BOY>
        <EOY>6690714</EOY>
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      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>6806475</BOY>
        <EOY>9528932</EOY>
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      <TotalNetAssetsFundBalances>
        <BOY>6806475</BOY>
        <EOY>9528932</EOY>
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      <TotalLiabNetAssetsFundBalances>
        <BOY>13667564</BOY>
        <EOY>16219646</EOY>
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      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
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      <AuditCommittee>1</AuditCommittee>
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        <Description>OTHER INVESTMENTS</Description>
        <BookValue>210749</BookValue>
        <MethodOfValuation>C</MethodOfValuation>
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      <OtherSecurities>
        <Description>LONG TERM INVESTMENTS</Description>
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        <MethodOfValuation>C</MethodOfValuation>
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      <TotalOfBookValueSecurities>6518321</TotalOfBookValueSecurities>
      <OtherLiabilities>
        <Description>UNEARNED INCOME</Description>
        <Amount>21692</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>TRADE PAYABLES TO RELATED PARTIES</Description>
        <Amount>1919235</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>1940927</TotalOfAmounts>
      <TotalRevenue>14105691</TotalRevenue>
      <TotalExpenses>11911803</TotalExpenses>
      <ExcessOrDeficitForYear>2193888</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>528568</NetUnrealizedGLOnInvestments>
      <TotalAdjustments>528568</TotalAdjustments>
      <ExcessOrDeficitPerFS>2722456</ExcessOrDeficitPerFS>
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    <IRS990ScheduleJ documentId="RetDoc1042400001">
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      <DiscretionarySpendingAccount>X</DiscretionarySpendingAccount>
      <ClubDuesOrFees>X</ClubDuesOrFees>
      <WrittenPolicyReTAndEExpenses>1</WrittenPolicyReTAndEExpenses>
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      <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>
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        </NameBusiness>
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        <BonusFilingOrg>163365</BonusFilingOrg>
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        <CompReportPrior990FilingOrg>1774349</CompReportPrior990FilingOrg>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>64332</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
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        <NontaxableBenefitsFilingOrg>21596</NontaxableBenefitsFilingOrg>
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        <TotalCompensationFilingOrg>433274</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>95755</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
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          <BusinessNameLine1>CLARK BALLARD</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>145028</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>13000</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>74780</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>43377</DeferredCompFilingOrg>
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        <NontaxableBenefitsFilingOrg>6241</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>74780</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>DAVID SEAMAN</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>302638</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>65000</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
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        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>90207</DeferredCompFilingOrg>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 1a</ReturnReference>
        <Explanation>FIRST CLASS TRAVEL USED PRIMARILY 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 4a</ReturnReference>
        <Explanation>SPENCER JOHNSON $1,774,349 DAVID SEAMAN $198,831 GARY HENRIKSEN $144,249 BRIAN PETERS $92,755 PETER SCHONFELD $64,332 CLARK BALLARD $74,780</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>
        <Identifier>Form 990, Part VI, Section B, line 12c</Identifier>
        <Explanation>We require Board members to sign Conflict of Interest statements and verbally remind them of that periodically during the year.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 15</Identifier>
        <Explanation>Independent compensation committee receives comparability data annually and documents decision in written form.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section C, line 19</Identifier>
        <Explanation>We do not actively disclose our policies to the public, but would supply upon request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>PROCESS IS SAME AS IN PRIOR YEARS.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>MHA HEALTH FOUNDATION DBA MHA CENTER FOR HEALTH RESOURCES</BusinessNameLine1>
        </NameOfDisregardedEntity>
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          <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>
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        </NameOfRelatedOrg>
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          <City>LANSING</City>
          <State>MI</State>
          <ZIPCode>48917</ZIPCode>
        </AddressUS>
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        <PrimaryActivity>Services to hospitals</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
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        <ShareOfEOYAssets>10024231</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
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      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
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      <RentalOfFacilitiesFrOtherOrgs>1</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>1</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>1</PerformOfServicesByOtherOrgs>
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      <TransactionsRelatedOrgsTable>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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      <TransactionsRelatedOrgsTable>
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      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MHA HEALTH FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>I</TransactionType>
        <AmountInvolved>17000</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MHA HEALTH FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>373595</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MHA HEALTH FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>L</TransactionType>
        <AmountInvolved>64391</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MHA HEALTH FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
        <AmountInvolved>87260</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>