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        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>249974</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>23211</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2418700</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>205682</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>38</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>COMPHEALTH</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 972651</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75397</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>STAFFING</ServicesDesc>
        <CompensationAmt>687502</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HENRY FORD ALLEGIANCE HEALTH</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>205 N EAST AVE</AddressLine1Txt>
            <CityNm>JACKSON</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>49201</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>STAFFING</ServicesDesc>
        <CompensationAmt>405500</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>XCEL SPECIALIZED LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>146 W CORTLAND</AddressLine1Txt>
            <CityNm>JACKSON</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
        <ServicesDesc>STAFFING</ServicesDesc>
        <CompensationAmt>182395</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MANPOWER OF LANSING MI INC</BusinessNameLine1Txt>
          </BusinessName>
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        <ContractorAddress>
          <USAddress>
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          </USAddress>
        </ContractorAddress>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ELLIOT HARDY</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <CityNm>ANN ARBOR</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48105</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>DENTIST</ServicesDesc>
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      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
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      <AllOtherContributionsAmt>493970</AllOtherContributionsAmt>
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      <TotalContributionsAmt>8657212</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICE FEES</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>14950310</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>14950310</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PHARMACY SERVICES</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>6395020</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>6395020</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>INCENTIVES</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>1522158</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1522158</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>22867488</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
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        <ExclusionAmt>11902</ExclusionAmt>
      </InvestmentIncomeGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>10517</TotalRevenueColumnAmt>
        <ExclusionAmt>10517</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>10517</OtherRevenueTotalAmt>
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        <RelatedOrExemptFuncIncomeAmt>22867488</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>22419</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>219467</ProgramServicesAmt>
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        <ProgramServicesAmt>11448153</ProgramServicesAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>826115</ProgramServicesAmt>
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      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>4607</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>43760</ManagementAndGeneralAmt>
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      <FeesForServicesOtherGrp>
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        <ManagementAndGeneralAmt>627536</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
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        <ProgramServicesAmt>101135</ProgramServicesAmt>
        <ManagementAndGeneralAmt>101134</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>240977</ProgramServicesAmt>
        <ManagementAndGeneralAmt>187744</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
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        <ProgramServicesAmt>352866</ProgramServicesAmt>
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      <OccupancyGrp>
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        <ProgramServicesAmt>178969</ProgramServicesAmt>
        <ManagementAndGeneralAmt>44742</ManagementAndGeneralAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>43224</ProgramServicesAmt>
        <ManagementAndGeneralAmt>50145</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>22085</ProgramServicesAmt>
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      </ConferencesMeetingsGrp>
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        <ManagementAndGeneralAmt>466405</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>529699</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>39626</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>VACCINES</Desc>
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        <ProgramServicesAmt>2053877</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
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        <ProgramServicesAmt>1889227</ProgramServicesAmt>
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      <OtherExpensesGrp>
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      <OtherExpensesGrp>
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      <TotalFunctionalExpensesGrp>
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      <CashNonInterestBearingGrp>
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      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 2, PART V, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>ENDOWMENT FUNDS ESTABLISHED TO BE IRREVOCABLY INVESTED, EARNINGS ON THESE FUNDS, AS DETERMINED BY THE FOUNDATION, ARE AVAILABLE ANNUALLY FOR DISTRIBUTION TO THE CENTER FOR OPERATIONS.</ExplanationTxt>
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        <PersonNm>MOLLY KASER</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <PersonNm>KATHRYN THORNTON</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>YEAR END PERFORMANCE BONUSES</ExplanationTxt>
      </SupplementalInformationDetail>
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    <IRS990ScheduleM documentId="RetDoc5">
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        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>1350419</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
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      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
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      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
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    <IRS990ScheduleO documentId="RetDoc6">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>990 IS REVIEWED BY AUDITOR, CFO AND FINANCE COMMITTE PRIOR TO SUBMISSION AND RECOMMENDATION TO FILE REVIEWED FORM IS APPROVED BY BOARD. ENTIRE BOARD HAS THE OPPROTUNITY TO REVIEW FORM PRIOR TO SUBMISSION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ANY CONFLICT OF INTEREST IS ADDRESSED AT BOARD MEETINGS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS HAS ESTABLISHED AN EXECUTIVE COMPENSATION PHILOSOPHY WITH COMPENSATION OPPORTUNITIES SET AT THE MEDIAN OF THE COMPETITIVE LABOR MARKET DESCRIBED AS COMPARABLE FQHCS AND OTHER NOT FOR PROFIT HEALTH CARE ORGANIZATIONS, TYPICALLY THOSE IN THE STATE OF MICHIGAN AND MIDWEST. THE BOARD RETAINS THE SERVICES OF MERCES CONSULTING GROUP, INC., AN INDEPENDENT COMPENSATION CONSULTING FIRM, WHO COLLECTS, ANALYZES AND REPORTS DATA ON COMPETITIVE COMPARABLE ORGANIZATIONS FROM A VARIETY OF PUBLISHED SURVEYS. THESE INCLUDE THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS AND MICHIGAN PRIMARY CARE ASSOCIATION AS WELL AS INFORMATION REPORTED IN OTHER FQHC FORM 990S. EACH YEAR A SALARY RANGE IS ESTABLISHED WITH A MIDPOINT SET AT THE COMPETITIVE MARKET RATE. THE RANGE IS DIVIDED INTO SEGMENTS APPROPRIATE FOR VARIOUS LEVELS OF LONG-TERM PERFORMANCE. THE COMPENSATION COMMITTEE, CONSISTING OF DISINTERESTED DIRECTORS, COMPLETES THE PERFORMANCE APPRAISAL FOR THE CEO WITH INPUT FROM OTHER BOARD MEMBERS AND DETERMINES WHAT PART OF THE RANGE IS APPROPRIATE FOR THE CEO'S PERFORMANCE, AND WHAT INCREASE, IF ANY, IS WARRANTED. THE CONSULTANT'S REPORT, THE COMMITTEE'S REVIEW, AND RECOMMENDATIONS FOR AN INCREASE ARE SUBMITTED TO THE FULL BOARD FOR APPROVAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS HAS ESTABLISHED AN EXECUTIVE COMPENSATION PHILOSOPHY WITH COMPENSATION OPPORTUNITIES SET AT THE MEDIAN OF THE COMPETITIVE LABOR MARKET DESCRIBED AS COMPARABLE FQHCS AND OTHER NOT FOR PROFIT HEALTHCARE ORGANIZATIONS TYPICALLY THOSE OF THE STATE OF MICHIGAN AND THE MIDWEST. THE BOARD RETAINS THE SERVICES OF MERCES CONSULTING GROUP, INC, AN INDEPENDENT CONSULTING FIRM, WHO COLLECTS, ANALYZES, AND REPORTS DATA ON COMPETITIVE COMPARABLE ORGANIZATIONS FROM A VARIETY OF PUBLISHED SURVEYS. THESE INCLUDE THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS AND MICHIGAN PRIMARY CARE ASSOCIATION AS WELL AS INFORMATION REPORTED IN OTHER FQHC FORM 990S. EACH YEAR A SALARY RANGE IS ESTABLISHED WITH A MIDPOINT SET AT THE COMPETITIVE MARKET RATE. THE RANGE IS DIVIDED INTO SEGMENTS APPROPRIATE FOR VARIOUS LEVELS OF LONG-TERM PERFORMANCE. THE COMPENSATION COMMITTEE APPROVES THE RANGES THEN DELEGATES THE EVALUATION AND COMPENSATION DECISION MAKING AUTHORITY TO THE CEO WHO HAS AUTHORITY OVER THE OFFICER'S COMPENSATION. IN ADDITION, THE BOARD OF DIRECTORS APPROVES THE OFFICER COMPENSATION IN THE ANNUAL BUDGET APPROVAL PROCESS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS ARE AVAILABLE AT MICHIGAN DEPARTMENT OF COMMERCE OR AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
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</Return>
