﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2024v5.2">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2025-11-12T16:20:11-06:00</ReturnTs>
    <TaxPeriodEndDt>2024-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>450250958</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>Eide Bailly LLP</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>4585 Coleman St Ste 200</AddressLine1Txt>
        <CityNm>Bismarck</CityNm>
        <StateAbbreviationCd>ND</StateAbbreviationCd>
        <ZIPCd>58503</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2024-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>742517055</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>Schoolcraft Memorial Hospital</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>SCHO</BusinessNameControlTxt>
      <PhoneNum>9063413221</PhoneNum>
      <USAddress>
        <AddressLine1Txt>7870 W US Hwy 2</AddressLine1Txt>
        <CityNm>Manistique</CityNm>
        <StateAbbreviationCd>MI</StateAbbreviationCd>
        <ZIPCd>49854</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>Eric Price</PersonNm>
      <PersonTitleTxt>CFO</PersonTitleTxt>
      <PhoneNum>9063413221</PhoneNum>
      <SignatureDt>2025-11-10</SignatureDt>
      <DiscussWithPaidPreparerInd>1</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>1</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>Lisa Chaffee CPA</PreparerPersonNm>
      <PTIN>P00193453</PTIN>
      <PhoneNum>7012551091</PhoneNum>
      <PreparationDt>2025-11-10</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2024</TaxYr>
    <BuildTS>2025-03-06 01:10:19Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="12">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <PrincipalOfficerNm>Andrew Bertapelle</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>7870 W US Hwy 2</AddressLine1Txt>
        <CityNm>Manistique</CityNm>
        <StateAbbreviationCd>MI</StateAbbreviationCd>
        <ZIPCd>49854</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>72110504</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>0</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>www.SCMH.org</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1950</FormationYr>
      <LegalDomicileStateCd>MI</LegalDomicileStateCd>
      <ActivityOrMissionDesc>Provide comprehensive inpatient, outpatient, emergency, medical clinic, and home health services.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>9</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>7</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>437</TotalEmployeeCnt>
      <TotalVolunteersCnt>20</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>0</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>398929</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>6869414</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>55056535</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>64659997</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>707519</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>481756</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>16108</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>8878</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>56179091</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>72020045</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>48666</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>43807</CYGrantsAndSimilarPaidAmt>
      <PYBenefitsPaidToMembersAmt>0</PYBenefitsPaidToMembersAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>30956481</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>36788720</CYSalariesCompEmpBnftPaidAmt>
      <PYTotalProfFndrsngExpnsAmt>0</PYTotalProfFndrsngExpnsAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>0</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>25877669</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>29145172</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>56882816</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>65977699</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>-703725</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>6042346</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>49862336</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>55135462</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>45547473</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>44778253</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>4314863</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>10357209</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>Schoolcraft Memorial Hospital is committed to providing quality healthcare and wellness for the people of our community.</MissionDesc>
      <SignificantNewProgramSrvcInd>0</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>0</SignificantChangeInd>
      <ExpenseAmt>48433559</ExpenseAmt>
      <GrantAmt>43807</GrantAmt>
      <RevenueAmt>45443078</RevenueAmt>
      <Desc>Schoolcraft Memorial Hospital (SMH), a component unit of Schoolcraft County, is organized under Public Act of 230 and is a county hospital corporation that operates a 12-bed acute care facility. SMH provides comprehensive inpatient, outpatient, emergency, medical clinic, and home health services in total. Healthcare is offered in at least 30 specialties, some of which include cardiology, neurology, general and orthopedic surgery, a 24-hour physician staffed emergency room, a walk-in clinic, physical and occupational therapy, cardiac rehabilitation, and a wide range of diagnostic services including a full-service laboratory, x-ray, mammography, CT scans, MRI's, and nuclear medicine. SMH is an equal opportunity provider and employer. (continued on Schedule O)During 2024, SMH had 1,159 acute and swing bed patient days, 1,382 inpatient and outpatient surgeries, 65,822 outpatient visits, and 344 Home Health Admits.The Hospital provides health care services to patients who meet certain criteria under its charity care policy without charge or at amounts less than established rates. Since the Hospital does not pursue collection of these amounts, they are not reported as patient service revenue. The estimated cost of providing these services was $312,000 in 2024, calculated by multiplying the ratio of cost to gross charges for the Hospital by the gross uncompensated charges associated with providing charity care to its patients.</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>5400923</ExpenseAmt>
        <RevenueAmt>11880994</RevenueAmt>
        <Desc>SMH owns a provider based rural health clinic which had five full time and one per diem physician, seven nurse practitioners, and two physician assistants. SMH had 27,980 RHC visits in 2024.</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <ExpenseAmt>2954028</ExpenseAmt>
        <RevenueAmt>7335925</RevenueAmt>
        <Desc>SMH offers 24/7 emergency services staffed with a physician who is on-site. SMH treats all patients regardless of their ability to pay. SMH had 4,970 ER visits in 2024.</Desc>
      </ProgSrvcAccomActy3Grp>
      <TotalProgramServiceExpensesAmt>56788510</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc1039100001">1</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1234500001">1</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd referenceDocumentId="RetDoc1039700001">0</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd referenceDocumentId="RetDoc1039700001">1</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd referenceDocumentId="RetDoc1039700001">0</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc1040000001">0</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc1040000001">0</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc1040000001">0</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc1040000001">0</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd>0</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc1040000001">1</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc1040000001">0</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc1040000001">0</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc1040000001">1</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc1040000001">1</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc1040000001">0</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">1</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">0</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>0</SchoolOperatingInd>
      <ForeignOfficeInd>0</ForeignOfficeInd>
      <ForeignActivitiesInd>0</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>0</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>0</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd referenceDocumentId="RetDoc1041300001">0</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd referenceDocumentId="RetDoc1041300001">1</FundraisingActivitiesInd>
      <GamingActivitiesInd referenceDocumentId="RetDoc1041300001">1</GamingActivitiesInd>
      <OperateHospitalInd referenceDocumentId="RetDoc1041500001">1</OperateHospitalInd>
      <AuditedFinancialStmtAttInd referenceDocumentId="RetDoc2317200001">1</AuditedFinancialStmtAttInd>
      <GrantsToOrganizationsInd referenceDocumentId="RetDoc1041900001">0</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd referenceDocumentId="RetDoc1041900001">1</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc1042400001">1</ScheduleJRequiredInd>
      <TaxExemptBondsInd>0</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>0</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>0</PYExcessBenefitTransInd>
      <LoanOutstandingInd>0</LoanOutstandingInd>
      <GrantToRelatedPersonInd>0</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>0</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>0</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>0</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd referenceDocumentId="RetDoc1042900001">1</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd referenceDocumentId="RetDoc1042900001">0</DeductibleArtContributionInd>
      <TerminateOperationsInd>0</TerminateOperationsInd>
      <PartialLiquidationInd>0</PartialLiquidationInd>
      <DisregardedEntityInd referenceDocumentId="RetDoc1043400001">0</DisregardedEntityInd>
      <RelatedEntityInd referenceDocumentId="RetDoc1043400001">1</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>0</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd referenceDocumentId="RetDoc1043400001">0</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd referenceDocumentId="RetDoc1043400001">0</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>1</ScheduleORequiredInd>
      <IRPDocumentCnt>86</IRPDocumentCnt>
      <IRPDocumentW2GCnt>25</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>1</BackupWthldComplianceInd>
      <EmployeeCnt>437</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>1</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>0</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>0</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>0</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>0</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>0</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>1</QuidProQuoContributionsInd>
      <QuidProQuoContriDisclInd>1</QuidProQuoContriDisclInd>
      <Form8282PropertyDisposedOfInd>0</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>0</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>0</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>0</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>0</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>0</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>9</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>7</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>0</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>0</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>0</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>0</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>0</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>1</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>1</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>1</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>1</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>0</OfficerMailingAddressInd>
      <LocalChaptersInd>0</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>1</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>1</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>1</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>1</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>1</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>1</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>1</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>0</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>0</InvestmentInJointVentureInd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <BusinessName>
          <BusinessNameLine1Txt>Laura Steffen</BusinessNameLine1Txt>
        </BusinessName>
        <PhoneNum>9063413767</PhoneNum>
        <USAddress>
          <AddressLine1Txt>7870W US Highway 2</AddressLine1Txt>
          <CityNm>Manistique</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>49854</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>Peter Hood</PersonNm>
        <TitleTxt>Chair</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>1845</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>James Blanchard</PersonNm>
        <TitleTxt>Vice Chair</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>870</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Kevin Knaffla</PersonNm>
        <TitleTxt>Treasurer</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>1055</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Cindy Olli</PersonNm>
        <TitleTxt>Secretary</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>840</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Kelly George</PersonNm>
        <TitleTxt>Trustee (As of Mar 24)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>630</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Dennis Wiethoff</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>900</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Howard Parmentier</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>760</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Kristi Kusnier</PersonNm>
        <TitleTxt>Trustee/Family Medicine</TitleTxt>
        <AverageHoursPerWeekRt>41.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>373565</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>26850</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Mark Rayner</PersonNm>
        <TitleTxt>Trustee/Otolaryngologist</TitleTxt>
        <AverageHoursPerWeekRt>41.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>514119</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>49411</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Ryan Fausett</PersonNm>
        <TitleTxt>Trustee (Until Mar 24)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Andrew Bertapelle</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>234246</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>39049</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Eric Price</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>195546</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>16941</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Scott Blixt</PersonNm>
        <TitleTxt>CNO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>171697</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31676</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Kyle Randall</PersonNm>
        <TitleTxt>Orthopedic Surgeon</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>725367</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>21179</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Gregory Bamabach</PersonNm>
        <TitleTxt>General Surgeon</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>532820</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>48327</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Christon Dums</PersonNm>
        <TitleTxt>Family Medicine</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>568915</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>33641</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Shahar Madjar</PersonNm>
        <TitleTxt>Urologist</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>533682</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>13377</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jon Foltz</PersonNm>
        <TitleTxt>ER Physician</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>533734</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>49411</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>4390591</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>329862</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>54</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Cerner Corporation</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2800 Rockcreek Pkwy</AddressLine1Txt>
            <CityNm>Kansas City</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>64117</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>EMR software support</ServicesDesc>
        <CompensationAmt>995721</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Green Bay Oncology</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1726 Shawano Ave</AddressLine1Txt>
            <CityNm>Green Bay</CityNm>
            <StateAbbreviationCd>WI</StateAbbreviationCd>
            <ZIPCd>54303</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Oncology Services</ServicesDesc>
        <CompensationAmt>538600</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Dr Joseph Hance</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1623 N Lamkin Dr</AddressLine1Txt>
            <CityNm>Harbor Springs</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>49740</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Orthopedics</ServicesDesc>
        <CompensationAmt>450132</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>UP Health Care Solutions</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>853 W Washington St</AddressLine1Txt>
            <CityNm>Marquette</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>49854</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MRI Services</ServicesDesc>
        <CompensationAmt>444412</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>DLP Marquette</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>Dept 4608</AddressLine1Txt>
            <CityNm>Carol Stream</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60122</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Lab and EKG services</ServicesDesc>
        <CompensationAmt>353697</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>10</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>20111</FundraisingAmt>
      <GovernmentGrantsAmt>6762215</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>87088</AllOtherContributionsAmt>
      <NoncashContributionsAmt>49393</NoncashContributionsAmt>
      <TotalContributionsAmt>6869414</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Net Patient Revenue</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>61779526</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>61779526</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>340B Retail Pharmacy</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>1924679</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1924679</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>955792</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>955792</RelatedOrExemptFuncIncomeAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>64659997</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>473261</TotalRevenueColumnAmt>
        <ExclusionAmt>473261</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>7331</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>953</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>6378</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>6378</TotalRevenueColumnAmt>
        <ExclusionAmt>6378</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <OtherAmt>8495</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>0</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>8495</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>8495</TotalRevenueColumnAmt>
        <ExclusionAmt>8495</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>31267</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>20111</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>36833</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-5566</TotalRevenueColumnAmt>
        <ExclusionAmt>-5566</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <GamingGrossIncomeAmt>60739</GamingGrossIncomeAmt>
      <GamingDirectExpensesAmt>52673</GamingDirectExpensesAmt>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>8066</TotalRevenueColumnAmt>
        <ExclusionAmt>8066</ExclusionAmt>
      </NetIncomeFromGamingGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>72020045</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>64659997</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>490634</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>43807</TotalAmt>
        <ProgramServicesAmt>43807</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1661842</TotalAmt>
        <ProgramServicesAmt>964624</ProgramServicesAmt>
        <ManagementAndGeneralAmt>697218</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>26803480</TotalAmt>
        <ProgramServicesAmt>23303412</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3500068</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>1378273</TotalAmt>
        <ProgramServicesAmt>1210915</ProgramServicesAmt>
        <ManagementAndGeneralAmt>167358</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>5131593</TotalAmt>
        <ProgramServicesAmt>4418628</ProgramServicesAmt>
        <ManagementAndGeneralAmt>712965</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>1813532</TotalAmt>
        <ProgramServicesAmt>1550248</ProgramServicesAmt>
        <ManagementAndGeneralAmt>263284</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>34371</TotalAmt>
        <ManagementAndGeneralAmt>34371</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>223181</TotalAmt>
        <ManagementAndGeneralAmt>223181</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>4209</TotalAmt>
        <ManagementAndGeneralAmt>4209</ManagementAndGeneralAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>6649810</TotalAmt>
        <ProgramServicesAmt>5074835</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1574975</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>143628</TotalAmt>
        <ProgramServicesAmt>4023</ProgramServicesAmt>
        <ManagementAndGeneralAmt>139605</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>1991561</TotalAmt>
        <ProgramServicesAmt>1752893</ProgramServicesAmt>
        <ManagementAndGeneralAmt>238668</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>1229412</TotalAmt>
        <ProgramServicesAmt>1192254</ProgramServicesAmt>
        <ManagementAndGeneralAmt>37158</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>201705</TotalAmt>
        <ProgramServicesAmt>73856</ProgramServicesAmt>
        <ManagementAndGeneralAmt>127849</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>176165</TotalAmt>
        <ProgramServicesAmt>131366</ProgramServicesAmt>
        <ManagementAndGeneralAmt>44799</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>1299913</TotalAmt>
        <ProgramServicesAmt>1299913</ProgramServicesAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>3224929</TotalAmt>
        <ProgramServicesAmt>3224929</ProgramServicesAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>531552</TotalAmt>
        <ManagementAndGeneralAmt>531552</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Medical Supplies</Desc>
        <TotalAmt>11807900</TotalAmt>
        <ProgramServicesAmt>11317643</ProgramServicesAmt>
        <ManagementAndGeneralAmt>490257</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Bad Debt Expense</Desc>
        <TotalAmt>870687</TotalAmt>
        <ProgramServicesAmt>870687</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Food</Desc>
        <TotalAmt>207481</TotalAmt>
        <ProgramServicesAmt>207481</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Dues and Licenses</Desc>
        <TotalAmt>174899</TotalAmt>
        <ProgramServicesAmt>82729</ProgramServicesAmt>
        <ManagementAndGeneralAmt>92170</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>373769</TotalAmt>
        <ProgramServicesAmt>64267</ProgramServicesAmt>
        <ManagementAndGeneralAmt>309502</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>65977699</TotalAmt>
        <ProgramServicesAmt>56788510</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9189189</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>3682891</BOYAmt>
        <EOYAmt>4476093</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>102952</BOYAmt>
        <EOYAmt>45442</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>8358268</BOYAmt>
        <EOYAmt>8638086</EOYAmt>
      </AccountsReceivableGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>300171</BOYAmt>
        <EOYAmt>169086</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>629541</BOYAmt>
        <EOYAmt>726054</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>275332</BOYAmt>
        <EOYAmt>400484</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>50008060</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>26844511</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>24136927</BOYAmt>
        <EOYAmt>23163549</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>4011083</BOYAmt>
        <EOYAmt>3671946</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <IntangibleAssetsGrp>
        <BOYAmt>121259</BOYAmt>
        <EOYAmt>106228</EOYAmt>
      </IntangibleAssetsGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>8243912</BOYAmt>
        <EOYAmt>13738494</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>49862336</BOYAmt>
        <EOYAmt>55135462</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>3668715</BOYAmt>
        <EOYAmt>5868922</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>28581098</BOYAmt>
        <EOYAmt>27551637</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>13297660</BOYAmt>
        <EOYAmt>11357694</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>45547473</BOYAmt>
        <EOYAmt>44778253</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrgDoesNotFollowFASB117Ind>X</OrgDoesNotFollowFASB117Ind>
      <CapStkTrPrinCurrentFundsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </CapStkTrPrinCurrentFundsGrp>
      <PdInCapSrplsLandBldgEqpFundGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </PdInCapSrplsLandBldgEqpFundGrp>
      <RtnEarnEndowmentIncmOthFndsGrp>
        <BOYAmt>4314863</BOYAmt>
        <EOYAmt>10357209</EOYAmt>
      </RtnEarnEndowmentIncmOthFndsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>4314863</BOYAmt>
        <EOYAmt>10357209</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>49862336</BOYAmt>
        <EOYAmt>55135462</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>6042346</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="RetDoc1039700001">
      <VolunteersInd>0</VolunteersInd>
      <PaidStaffOrManagementInd>0</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>0</MediaAdvertisementsInd>
      <MailingsMembersInd>0</MailingsMembersInd>
      <PublicationsOrBroadcastInd>0</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>1</GrantsOtherOrganizationsInd>
      <GrantsOtherOrganizationsAmt>4209</GrantsOtherOrganizationsAmt>
      <DirectContactLegislatorsInd>0</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>0</RalliesDemonstrationsInd>
      <OtherActivitiesInd>0</OtherActivitiesInd>
      <TotalLobbyingExpendituresAmt>4209</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>0</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II-B, Line 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>SMH is a member of the American Hospital Association (AHA) and Michigan Health and Hospital Association (MHA). A portion of the membership dues for these organizations is used for lobbying - $1,087 MHA and $3,122 AHA.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>751758</OtherCostOrOtherBasisAmt>
        <BookValueAmt>751758</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>32118444</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>13904883</DepreciationAmt>
        <BookValueAmt>18213561</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>16883233</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>12847147</DepreciationAmt>
        <BookValueAmt>4036086</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>254625</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>92481</DepreciationAmt>
        <BookValueAmt>162144</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>23163549</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>Pension Outflows Investment</Desc>
        <BookValueAmt>1792347</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Right to Use Assets, Net</Desc>
        <BookValueAmt>4772549</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Estimated Third Party</Desc>
        <BookValueAmt>772872</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>ERC Receivable</Desc>
        <BookValueAmt>6400726</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>13738494</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Capital Leases</Desc>
        <Amt>1526620</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Pension Liability</Desc>
        <Amt>6355176</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Subscription Liability</Desc>
        <Amt>3475898</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>11357694</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>69893011</TotalRevEtcAuditedFinclStmtAmt>
      <DonatedServicesAndUseFcltsAmt>2500</DonatedServicesAndUseFcltsAmt>
      <OtherRevenueAmt>-2170600</OtherRevenueAmt>
      <RevenueNotReportedAmt>-2168100</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>72061111</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>-41066</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>-41066</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>72020045</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>63850665</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>2500</DonatedServicesUseFcltsAmt>
      <OtherExpensesIncludedAmt>41066</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>43566</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>63807099</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>2170600</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>2170600</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>65977699</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 2d - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>Interest Expenses reported in Revenue on Financial Statements -1,299,913. Bad Debt Expenses reported in Revenue on Financial Statements -870,687.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 4b - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>Rental Expenses Reported in Expenses on Financial Statements -953. Fundraising Expenses reported in Expenses on Financial Statements -36,833. Fundraising Contributions reported in Expenses on Financial Statements 49,393. Gaming Expenses reported in Expenses on Financial Statements -52,673.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XII, Line 2d - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>Rental Expenses Reported in Expenses on Financial Statements 953. Fundraising Expenses reported in Expenses on Financial Statements 36,833. Fundraising Contributions reported in Expenses on Financial Statements -49,393. Gaming Expenses reported in Expenses on Financial Statements 52,673.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XII, Line 4b - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>Interest Expenses reported in Revenue on Financial Statements 1,299,913. Bad Debt Expenses reported in Revenue on Financial Statements 870,687.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <FundraisingEventInformationGrp>
        <Event1Nm>Festival of Trees</Event1Nm>
        <GrossReceiptsEvent1Amt>23397</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>15272</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>8125</GrossRevenueEvent1Amt>
        <NonCashPrizesEvent1Amt>10501</NonCashPrizesEvent1Amt>
        <OtherDirectExpensesEvent1Amt>5521</OtherDirectExpensesEvent1Amt>
        <Event2Nm>Gala</Event2Nm>
        <GrossReceiptsEvent2Amt>27981</GrossReceiptsEvent2Amt>
        <CharitableContriEvent2Amt>4839</CharitableContriEvent2Amt>
        <GrossRevenueEvent2Amt>23142</GrossRevenueEvent2Amt>
        <NonCashPrizesEvent2Amt>1928</NonCashPrizesEvent2Amt>
        <RentFacilityCostsEvent2Amt>4941</RentFacilityCostsEvent2Amt>
        <FoodAndBeverageEvent2Amt>8211</FoodAndBeverageEvent2Amt>
        <EntertainmentEvent2Amt>3259</EntertainmentEvent2Amt>
        <OtherDirectExpensesEvent2Amt>2472</OtherDirectExpensesEvent2Amt>
        <GrossReceiptsTotalAmt>51378</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>20111</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>31267</GrossRevenueTotalEventsAmt>
        <NonCashPrizesTotalEventsAmt>12429</NonCashPrizesTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>4941</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>8211</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>3259</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>7993</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>36833</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-5566</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
      <GamingInformationGrp>
        <GrossRevenueOtherGamingAmt>60739</GrossRevenueOtherGamingAmt>
        <CashPrizesOtherGamingAmt>194</CashPrizesOtherGamingAmt>
        <NonCashPrizesOtherGamingAmt>43311</NonCashPrizesOtherGamingAmt>
        <OthDirectExpnssOtherGamingAmt>9168</OthDirectExpnssOtherGamingAmt>
        <VolunteerLaborOtherGamingInd>1</VolunteerLaborOtherGamingInd>
        <VolunteerLaborOtherGamingPct>1.00000</VolunteerLaborOtherGamingPct>
        <GrossRevenueTotalGamingAmt>60739</GrossRevenueTotalGamingAmt>
        <CashPrizesTotalGamingAmt>194</CashPrizesTotalGamingAmt>
        <NonCashPrizesTotalGamingAmt>43311</NonCashPrizesTotalGamingAmt>
        <OthDirectExpnssTotalGamingAmt>9168</OthDirectExpnssTotalGamingAmt>
        <DirectExpenseSummaryGamingAmt>52673</DirectExpenseSummaryGamingAmt>
        <NetGamingIncomeSummaryAmt>8066</NetGamingIncomeSummaryAmt>
      </GamingInformationGrp>
      <StatesWhereGamingConductedCd>MI</StatesWhereGamingConductedCd>
      <LicensedInd>1</LicensedInd>
      <LicenseSuspendedEtcInd>0</LicenseSuspendedEtcInd>
      <GamingWithNonmembersInd>0</GamingWithNonmembersInd>
      <MemberOfOtherEntityInd>0</MemberOfOtherEntityInd>
      <GamingOwnFacilityPct>0.85000</GamingOwnFacilityPct>
      <GamingOtherFacilityPct>0.15000</GamingOtherFacilityPct>
      <IndividualWithBooksNm>Laura Steffen</IndividualWithBooksNm>
      <PersonsWithBooksUSAddress>
        <AddressLine1Txt>7870W US Hwy 2</AddressLine1Txt>
        <CityNm>Manistique</CityNm>
        <StateAbbreviationCd>MI</StateAbbreviationCd>
        <ZIPCd>49854</ZIPCd>
      </PersonsWithBooksUSAddress>
      <CntrctWith3rdPrtyForGameRevInd>0</CntrctWith3rdPrtyForGameRevInd>
      <GamingManagerPersonNm>Peter Hood</GamingManagerPersonNm>
      <GamingManagerCompensationAmt>0</GamingManagerCompensationAmt>
      <GamingManagerServicesProvTxt>Event Chair</GamingManagerServicesProvTxt>
      <GamingManagerIsDirectorOfcrInd>X</GamingManagerIsDirectorOfcrInd>
      <CharitableDistributionRqrInd>0</CharitableDistributionRqrInd>
    </IRS990ScheduleG>
    <IRS990ScheduleH documentId="RetDoc1041500001">
      <FinancialAssistancePolicyInd>1</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>1</WrittenPolicyInd>
      <AllHospitalsPolicyInd>X</AllHospitalsPolicyInd>
      <FPGReferenceFreeCareInd>1</FPGReferenceFreeCareInd>
      <Percent100Ind>X</Percent100Ind>
      <FPGReferenceDiscountedCareInd>1</FPGReferenceDiscountedCareInd>
      <Percent200DInd>X</Percent200DInd>
      <FreeCareMedicallyIndigentInd>1</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>1</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>1</ExpensesExceedBudgetInd>
      <UnableToProvideCareInd>0</UnableToProvideCareInd>
      <AnnualCommunityBnftReportInd>1</AnnualCommunityBnftReportInd>
      <ReportPublicallyAvailableInd>0</ReportPublicallyAvailableInd>
      <FinancialAssistanceAtCostTyp>
        <TotalCommunityBenefitExpnsAmt>312000</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>312000</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00470</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
        <TotalCommunityBenefitExpnsAmt>8197154</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>7353113</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>844041</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.01280</TotalExpensePct>
      </UnreimbursedMedicaidGrp>
      <TotalFinancialAssistanceTyp>
        <TotalCommunityBenefitExpnsAmt>8509154</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>7353113</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>1156041</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.01750</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <SubsidizedHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>2379282</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>767750</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>1611532</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.02440</TotalExpensePct>
      </SubsidizedHealthServicesGrp>
      <TotalOtherBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>2379282</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>767750</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>1611532</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.02440</TotalExpensePct>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>10888436</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>8120863</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>2767573</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.04190</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <BadDebtExpenseReportedInd>1</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>867500</BadDebtExpenseAmt>
      <BadDebtExpenseAttributableAmt>520500</BadDebtExpenseAttributableAmt>
      <ReimbursedByMedicareAmt>12536560</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>12543350</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>-6790</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <OtherInd>X</OtherInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>1</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>1</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>Schoolcraft Memorial Hospital</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>7870 US Hwy 2</AddressLine1Txt>
          <CityNm>Manistique</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>49854</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>www.SCMH.org</WebsiteAddressTxt>
        <StateLicenseNum>M899262</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <CriticalAccessHospitalInd>X</CriticalAccessHospitalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
        <OtherDesc>2 Provider Based Rural Health Clinics</OtherDesc>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>Schoolcraft Memorial Hospital</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>0</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>0</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>1</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>24</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>1</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>1</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>1</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>1</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>See Part V, Page 8</OwnWebsiteURLTxt>
        <OtherWebsiteInd>X</OtherWebsiteInd>
        <OtherWebsiteURLTxt>See Part V, Page 8</OtherWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <RptAvailableThruOtherMethodInd>X</RptAvailableThruOtherMethodInd>
        <ImplementationStrategyAdoptInd>1</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>24</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>1</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>See Part V, Page 8</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>0</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>1</EligCriteriaExplainedInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <OtherCriteriaInd>X</OtherCriteriaInd>
        <ExplainedBasisInd>1</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>1</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>1</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>https://scmh.org/financial-assistance-policy/</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>https://scmh.org/financial-assistance-policy/</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>See Part V, Page 8</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPActionsOnNonpaymentInd>1</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>0</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>1</NondisEmergencyCarePolicyInd>
        <LookBackMedicareInd>X</LookBackMedicareInd>
        <AmountsGenerallyBilledInd>0</AmountsGenerallyBilledInd>
        <GrossChargesInd>0</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schoolcraft Memorial Hospital</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Section B, Line 5: The following list highlights the organizations that collaborated with Michigan Center for Rural Health (MCRH) staff during the primary data collection process for Schoolcraft Memorial Hospital's Community Health Needs Assessment. In some cases, MCRH engaged with more than one individual from these organizations. To encourage open and honest feedback, the identities of all participants have been kept private. The valuable contributions of these organizations were integral to understanding the community's health needs and shaping the findings and recommendations in this report.* Delta Schoolcraft Intermediate School District/Manistique Area Schools* Delta-Schoolcraft County Great Start* Feeding America West Michigan* Local Businesses in Schoolcraft County* LMAS District Health Department* Manistique Senior Center* Sault Tribe Health Center* Schoolcraft County Sheriff's Office* Schoolcraft Memorial Hospital Auxiliary* Schoolcraft Tourism &amp; Commerce* St. Francis de Sales Catholic School* UP Michigan Works!* Upper Peninsula Commission for Area ProgressIn-Person Focus Groups:* Business Owners Focus Group (10/21/24)* Older Adults Focus Group (10/21/24)* All Community Focus Group (10/22/24)* Senior Center (10/22/24)* Families with Children Focus Group (10/23/24) Key Informant Interviews: 10/22/24- 11/15/24 Community Survey Sent Out: October 15th, 2024Community Survey Closed: November 10th, 2024 CHNA Draft: Completed December 9th, 2024CHNA Approved by SMH Board: February 2025 Board Meeting</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schoolcraft Memorial Hospital</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Section B, Line 6a: Aspirus Iron River Hospital Munising Memorial Hospital/Baycare Medical CenterAspirus Ironwood Hospital MyMichigan Medical Center - SaultAspirus Keweenaw HospitalAspirus Ontonagon Hospital Baraga County Memorial Hospital OSF St. Francis HospitalBellin Health Hospital and Clinics Schoolcraft Memorial HospitalHelen Newberry Joy Hospital Mackinac Straits Health System U P Health Systems - BellMarshfield Clinic Health System - Dickinson U P Health Systems MarquetteU P Health Systems - PortageWar Memorial Hospital</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schoolcraft Memorial Hospital</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Section B, Line 6b: Upper Peninsula Health Care SolutionsKeweenaw Bay Indian Community Upper Peninsula Health GroupLuce-Mackinac-Alger-Schoolcraft District Health DepartmentGogebic County Community Mental Health Superior Health FoundationGreat Lakes Recovery Center Upper Great Lakes Family Health CenterPathways Community Mental HealthChippewa County Health Department Portage Health FoundationCopper Country Community Mental Health Public Health of Delta &amp; Menominee CountiesDickinson-Iron District Health Department Northern Michigan Center for Rural HealthBCBS Foundation of Michigan Northpointe Behavioral Health SystemsNorthCare NetworkUpper Peninsula Health PlanMarquette County Health Department Michigan Department of Health and Human ServicesMichigan Health Endowment Fund Western U P Health DepartmentMichigan Technological University Western U P Planning &amp; Development Region</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schoolcraft Memorial Hospital</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Section B, Line 7d: The implementation strategy has been shared on our website and was used to bolster behavioral health access and increased community education opportunities.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schoolcraft Memorial Hospital</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Section B, Line 11: In the most recent 2024 Community Health Needs Assessment, community members identified the following top 10 community health issues as most important:1. Shortage of dentists or lack of affordable dental care2. Lack of reliable childcare3. Health insurance is expensive or has high costs for co-pays and deductibles4. Substance use (drug abuse)5. Lack of health insurance6. Lack of programs and services to help seniors maintain their health and independence7. Lack of affordable healthy foods8. Lack of housing and programs for people with Alzheimer's disease/dementia9. Shortage of mental health programs and services10. Access to pediatric servicesThese priorities were determined through mailed community surveys, focus groups, and key informant interviews, combined with secondary data sources highlighting health disparities and service gaps in Schoolcraft County, and the surrounding service area.During the 2024 CHNA implementation planning process, Schoolcraft Memorial Hospital selected Food Access, Pediatric Services, and Substance Use as the top priorities to address.The following needs were identified in the CHNA but were not selected as primary priorities due to existing community efforts, resource limitations, or because other organizations are better equipped to lead:* Health insurance is expensive or has high co-pays and deductibles Why not selected: The health insurance landscape is complex, and SMH recognizes its limited ability to make a broad impact as an independent critical access hospital. With this understanding, SMH focuses on helping patients with price transparency, access, and available resources.* Lack of reliable childcare Why not selected: SMH recognizes that childcare is a community-wide issue influenced by many factors but recognizes limited capacity to lead these efforts. SMH supports and promotes the efforts of local partners already addressing this need and will continue to connect families to available resources.* Lack of health insurance Why not selected: Access to health insurance is complex and influenced by broader policies and systems beyond the hospital's direct role and capacity. SMH remains committed to helping community members understand and connect with available coverage options and resources.* Shortage of dentists or affordable dental care Why not selected: Affordable dental care is a recognized need but comes with challenges that extend beyond SMH's current capacity. The hospital will continue exploring ways to support and partner with organizations that can help improve access.* Lack of programs/services for seniors to maintain health and independence Why not selected: SMH recognizes that meeting the needs of older adults often requires significant community collaboration and resources. SMH will continue to work alongside partners and share education to support healthy aging where possible.* Housing and programs for Alzheimer's/Dementia care Why not selected: Specialized dementia care and housing require long-term planning and broader community investment, which extends beyond the capacity of an independent critical access hospital. SMH will continue to support partnershipswith organizations already providing these services, but is not positioned to lead this effort.* Shortage of mental health programs and services Why not selected: SMH recognizes that expanding mental health care is an ongoing challenge in their rural communities but has limitations in staffing and funding to lead these efforts. SMH has enhanced behavioral health services in the past and will continue to collaborate with regional providers to maintain access.In 2024, Schoolcraft Memorial Hospital completed a new Community Health Needs Assessment. The implementation plan for the newly identified priorities and strategies will be developed in 2025.In-Person Focus Groups:* Business Owners Focus Group (10/21/24)* Older Adults Focus Group (10/21/24)* All Community Focus Group (10/22/24)* Senior Center (10/22/24)* Families with Children Focus Group (10/23/24) Key Informant Interviews: 10/22/24- 11/15/24 Community Survey Sent Out: October 15th, 2024Community Survey Closed: November 10th, 2024 CHNA Draft: Completed December 9th, 2024(Continued on Part V, Page 8)</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schoolcraft Memorial Hospital</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Section B, Line 13h: Schoolcraft Memorial Hospital offers a self-pay discount of 41% of gross charges for uninsured patients regardless of income.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 7a:</FormAndLineReferenceDesc>
        <ExplanationTxt>https://scmh.org/community/community-health-needs-assessment/</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 10a:</FormAndLineReferenceDesc>
        <ExplanationTxt>https://scmh.org/community/community-health-needs-assessment/</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 7b:</FormAndLineReferenceDesc>
        <ExplanationTxt>https://www.wupdhd.org/2022/07/25/upchna/</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16c:</FormAndLineReferenceDesc>
        <ExplanationTxt>https://scmh.org/wp-content/uploads/2025/03/FAP-Plain-Language-Summary-03.2025.pdf</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11:</FormAndLineReferenceDesc>
        <ExplanationTxt>During the current tax year, the hospital continued to address the priorities from the prior CHNA cycle by continuing efforts to address the needs identified in previous years. Need #1: Address shortage of mental health programs and affordable mental health care Objective 1.a Progress: Increase the number of mental health providers on the Schoolcraft Memorial Hospital Behavioral Health Team * Two therapists successfully became fully licensed.Objective 1.b Progress: Explore additional opportunities to increase access to care; ie group therapy, community outreach, prevention initiatives and school involvement * Open ended Relapse Prevention Group Therapy for SUD* Continued offering Cognitive Behavioral Therapy (CBT) * Behavioral Health Team members participated in various community events including Zoo Day &amp; the Schoolcraft County Health Fair.* Education about stress, anxiety, and seasonal depression is shared with employees in the Pulse.* Collaboration with HomeCare &amp; Hospice to promote the monthly Grief Support Group.* The social services office continued to offer assistance and support to community members and patients with Medicare Part D comparisons during open enrollment.* The social services office Continued to offer support to patients with education about wills, trusts, advanced directives, and Durable Power of Attorney (DPOA) for healthcare.* Participation in Mental Health and Sobriety Courts* Collaboration with school social workers, DHHS/CPS, probation/parole officers, community mental health, LMAS DHD* Provide access to free NARCAN* Coordinating with and referring patients to Patient Financial Services to help with access to care/affordability* Checking eligibility of benefits for BH therapy to help with access to care/affordabilityObjective 1.c: Recruit and hire behavioral health professionals to grow the program and meet the needs of the community. * Two full-time therapists and one per diem therapist joined the team. We now have a total of 4 full-time therapists &amp; 2 part time therapists. Need #2: Offer ongoing community education on various health topics and increase outreach efforts Objective 2.a Progress: Develop a calendar that offers opportunities for staff to engage in community events and education opportunities * Digital Calendar created called SMHCARES EventsObjective 2.b Progress: Identify topics for community education for marketing materials, health fairs, community events and virtual offerings. SMH organized or participated in the Following Events * Breast Cancer Awareness and Fundraising* High School Info Booth Sharing information about Behavioral Health Services* Tour Da Yoop* Harvest Gathering* Hospice / VA Stocking Fundraiser* Toys for Schoolcraft County* Love Lite Tree Fundraiser &amp; Tree Lighting Ceremony with SMH Auxiliary * Christmas Parade* 4th of July Events &amp; Parades* Schoolcraft County Fair* Music in the Park* Bells for Hospice* Golfing for a Cause* Employee Blood Drives* Labor Day Events in Manistique and Nahma* Spring Fling Family Event for Veterans* UP Ice Fishing &amp; Hunting Expo* Feeding America Food Truck* Open Houses for Manistique Area Schools &amp; Big Bay De Noc* Impact Concussion Testing* Folkfest * Adopt a Highway Road Clean Ups * Skill Builder's Summer Camp Rehabilitation Services Partnering with Manistique Area Schools* Fayette Community Picnic* Day at the Zoo in Naubinway * Schoolcraft County Health Fair* CEO Meet &amp; Greet Events in Naubinway, Curtis, Manistique &amp; Garden MI* Safe Sitter Classes* Code Blue Training* HOSA program* NARCAN Dispenser Awareness on Site* High school and college career fairs* Held ongoing Patient &amp; Family Engagement Meetings* Athletic Trainers attended all home game events &amp; provided information about available services at Manistique Area Schools Gear Up Gala* Added new Vet-Coor Program, led by Patient Navigator* Full time school nurse at Manistique Area Schools* Offered Sports Physicals during two different sporting seasonsNeed #3: Expand access to dental services in Schoolcraft CountyNeed #3 Progress - No work completed since this is no longer an option at SMH.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>1</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>1 - SMH Homecare &amp; Hospice Agency</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>7870 US Hwy 2</AddressLine1Txt>
            <CityNm>Manistique</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>49854</ZIPCd>
          </USAddress>
          <FacilityTxt>Homecare and Hospice</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 3c:</FormAndLineReferenceDesc>
        <ExplanationTxt>Schoolcraft Memorial Hospital offers a self-pay discount of 41% of gross charges for uninsured patients regardless of income. Medical indigency and underinsurance status are also used to determine eligibility.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>Financial assistance was calculated using the cost-to-charge ratio. Unreimbursed Medicaid and subsidized health services were calculated using the cost report and analyzing the Medicare ratio of cost to charge for the respective cost centers.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Ln 7 Col(f):</FormAndLineReferenceDesc>
        <ExplanationTxt>The amount of bad debt expense backed out of total expenses to determine the percentage was $1,052,327.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization determines its bad debt expense based on actual charges. Self-pay discounts are applied to patient accounts before balances are deemed to be bad debt.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>The amount listed on line 3 is an estimate of community care applications not returned. Approximately 60% of applications were not returned that may have qualified for community care.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>The footnote to the organization's financial statements addressing implicit price concessions may be found on page 18 of the attached audited financial statements.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>The shortfall should be considered as community benefit as this amount is not included in bad debt and no effort is made to collect this shortfall. In addition, providing services to the Medicare population is a community benefit as the elderly are a charitable class and providing them with healthcare helps the community.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 9b:</FormAndLineReferenceDesc>
        <ExplanationTxt>Schoolcraft Memorial Hospital works with patients to help them qualify for financial assistance. If a patient does not complete the financial assistance application or provide the required documentation, SMH follows the same collection efforts as it does with other delinquent accounts. SMH will attempt to work with the patient to set up a payment plan or make payment on the amount. If the patient does not respond the SMH efforts, the account is referred to an external collection agency.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>The CHNA is the only formal assessment of broad scope that the hospital has utilized in recent years to assess the health care needs of the community. The Upper Peninsula also conducts a Community Health Needs assessment for the entire UP but that data was not available in 2024.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>Schoolcraft Memorial Hospital posts a summary of its charity care policy, and financial assistance contact information in admissions areas, emergency rooms, and other areas of the organization's facilities in which eligible patients are likely to be present; (2) provides a summary of the policy, and financial assistance contact information to patients as part of the intake process; (3) includes a statement regarding the policy, along with financial assistance contact information, on patient bills; and assists the patient with qualification for charity care where applicable.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>Schoolcraft Memorial Hospital primarily provides services to the residents of Schoolcraft County. The county is 1,171 square miles of land and is the 4th largest county in Michigan by total area. As of July 1, 2024 the population is estimated to be 8,178. The median Age in Schoolcraft County is 52.1. 28.2% of residents are 65 years or older. As of 2023 the median household income in the county was $57,708. The percentage of individuals whose income was below the poverty level was 14.8% as of 2023. Schoolcraft Memorial Hospital is the only hospital in the county. The nearest hospital is approximately 50 miles from Schoolcraft Memorial Hospital. Schoolcraft County is not designated as a Medically Underserved Area. It has been designated as a low-income health care professional shortage area.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>The hospital has one staff person who provides critical incident response interventions to first responders, schools, hospital staff, businesses, etc., throughout the region following an emotionally traumatic critical/crisis incident. One of the hospital's social workers is a trained Medicare/Medicaid assistance program counselor saw approximately 110 people in 2024 for Medicare Part D enrollment. A hospital social worker is a certified child passenger safety seat technician and assists low-income families that are unable to afford safety seats by providing a new seat and instructing in their safe installment. The social workers educate and assist community members in completing advance directives. Schoolcraft Memorial Hosptial Rural Health Clinic employees a "patient navigator" who assists patients with identified needs based on social determinants of health screening and provider referrals. Schoolcraft Memorial Hospital offers transportation for patients with transportation barriers to appointments at SMH and other facilities through the Rides to Wellness program (Schoolcraft County Transit). The hospital hosts the annual Community Health Fair which. Several leaders hold board seats with local and regional organizations such as Kiwanis, Rotary, Region 8 Healthcare Association, Schoolcraft Tourism and Commerce, Superior Health Foundation, Schoolcraft County Commission on Aging, Manistique City Council, Schoolcraft County Board of Commissioners, Lions Club, UP Health Plan, Invest UP, UP Health Care Solutions (UPHCS), Michigan Health IT Commission, Central broadband taskforce, and the local recreation board.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 7, Reports Filed With States</FormAndLineReferenceDesc>
        <ExplanationTxt>MI</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>Educational Assistance Program</GrantTypeTxt>
        <RecipientCnt>14</RecipientCnt>
        <CashGrantAmt>43807</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>Schoolcraft Memorial Hospital's Educational Assistance Program encourages and supports employees who enroll in a college or university to obtain a certificate or degree. Full-time and part-time employees who work an average of 20 hours per week per year are eligibile to apply for educational assistance on or after the first anniversary of their employment date. To be eligible the following criteria must be met: - Coursework must be offered by an accredited college or university. - Courses must earn degree credits towards a certificate, associate's, bachelor's, or master's degree. - Coursework must be related to the business of SMH. The education must qualify the employee for a position within the hospital. - Employee must earn a grade of "C or better. If the course is on a "pass/fail" grading system, the associate must earn a "pass" grade. If the program requires higher than a "C" to stay in the program, the employee must meet the grade required by the program. - The Educational Assistance Expense Reimbursement Form must be received by the employee's supervisor no later than 75 days after the completion of the course. - The employee's employment status must be "active" on the date the educational assistance reimbursement is paid.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <ClubDuesOrFeesInd>X</ClubDuesOrFeesInd>
      <WrittenPolicyRefTAndEExpnssInd>1</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>0</SubstantiationRequiredInd>
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>1</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Kyle Randall</PersonNm>
        <TitleTxt>Orthopedic Surgeon</TitleTxt>
        <BaseCompensationFilingOrgAmt>725367</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>13938</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>7581</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>746886</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Christon Dums</PersonNm>
        <TitleTxt>Family Medicine</TitleTxt>
        <BaseCompensationFilingOrgAmt>568915</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>26400</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>7581</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>602896</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jon Foltz</PersonNm>
        <TitleTxt>ER Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>533734</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>26400</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>23351</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>583485</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Gregory Bamabach</PersonNm>
        <TitleTxt>General Surgeon</TitleTxt>
        <BaseCompensationFilingOrgAmt>532820</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>26400</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>22267</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>581487</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Mark Rayner</PersonNm>
        <TitleTxt>Trustee/Otolaryngologist</TitleTxt>
        <BaseCompensationFilingOrgAmt>514119</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>26400</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>23351</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>563870</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Shahar Madjar</PersonNm>
        <TitleTxt>Urologist</TitleTxt>
        <BaseCompensationFilingOrgAmt>533682</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9722</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>3718</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>547122</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Kristi Kusnier</PersonNm>
        <TitleTxt>Trustee/Family Medicine</TitleTxt>
        <BaseCompensationFilingOrgAmt>373565</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>26400</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>790</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>400755</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Andrew Bertapelle</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>227899</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>6347</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>21917</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>17540</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>273703</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Eric Price</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>195546</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>12238</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>5057</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>212841</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Scott Blixt</PersonNm>
        <TitleTxt>CNO</TitleTxt>
        <BaseCompensationFilingOrgAmt>171697</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>13108</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>18969</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>203774</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 1a</FormAndLineReferenceDesc>
        <ExplanationTxt>All employees (full-time and part-time) can receive a gym membership paid by the hospital. It is included as one of the many benefits provided by the hospital and is not taxed.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>The CEO received a bonus in 2024. The Board of Trustees approved this lump-sum payment.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Raffle Donations</Desc>
        <ContributionCnt>66</ContributionCnt>
        <NoncashContributionsRptF990Amt>29282</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Cost</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Festival of Trees Donations</Desc>
        <ContributionCnt>50</ContributionCnt>
        <NoncashContributionsRptF990Amt>15272</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Cost</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Gala Donations</Desc>
        <ContributionCnt>38</ContributionCnt>
        <NoncashContributionsRptF990Amt>4839</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Cost</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <Form8283ReceivedCnt>0</Form8283ReceivedCnt>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>0</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>0</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Column (b):</FormAndLineReferenceDesc>
        <ExplanationTxt>The number of contributions is reported in column (b).</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 1a</FormAndLineReferenceDesc>
        <ExplanationTxt>The Executive Committee shall consist of the officers of the Board of Trustees and shall have power to transact business of the hospital during the interim between meetings of the Board of Trustees.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>Board members may elect new board members as vacancies occur. Appointments to the Board must be ratified by the county commissioners.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Articles of Incorporation may be amended by resolution approved by affirmative vote of the majority of the members serving on the Schoolcraft County Board of Commissioners. The Corporation, if it has completed the purposes for which it was organized, shall be dissolved by the adoption of a resolution by the affirmative vote of two-thirds of the members serving on the Board of Trustees, and approved by a majority of the members serving on the Schoolcraft County Board of Commissioners.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>SMH sends Form 990 and all accompanying schedules to the full board for review and ratification. The CEO/CFO will present the 990 to the full board. The full board has opportunity to ask questions prior to ratification of the 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>All board members and officers are required to complete the conflict of interest statement annually. This is reviewed by the board annually to identify any potential issues. Any board member or officer having a conflict of interest or possible conflict of interest should not vote or use their personal influence on the matter and they should not be counted as a part of the quorum for the meeting.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>Salary guidelines are set by independent committees using comparability data. These guidelines are then used to negotiate a contract with the CEO. The CEO determines the CFO's compensation by using comparabilty data. Both processes are completed on an annual basis.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization makes its governing documents, conflict of interest policy, and financial statements are available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Purchased Services: Program service expenses 1,839,306. Management and general expenses 1,502,939. Fundraising expenses 0. Total expenses 3,342,245. Contracted Services: Program service expenses 1,941,177. Management and general expenses 30,295. Fundraising expenses 0. Total expenses 1,971,472. Maintenance Contracts: Program service expenses 438,190. Management and general expenses 41,741. Fundraising expenses 0. Total expenses 479,931. Other Fees: Program service expenses 856,162. Management and general expenses 0. Fundraising expenses 0. Total expenses 856,162.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Schoolcraft County Board of Commissioners</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>300 Walnut Street 155</AddressLine1Txt>
          <CityNm>Manistique</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>49854</ZIPCd>
        </USAddress>
        <EIN>386004891</EIN>
        <PrimaryActivitiesTxt>Enact and administer local ordinances</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>