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      <Form990PartVIISectionAGrp>
        <PersonNm>Steve wade</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Eric Kaplan</PersonNm>
        <TitleTxt>VP/Chief Information Officer</TitleTxt>
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        <ReportableCompFromOrgAmt>339211</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>20238</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Jamie Cockerel</PersonNm>
        <TitleTxt>VP, CFO</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>21815</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Krista Newman</PersonNm>
        <TitleTxt>VP/Chief Operating Officer</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>2.0</AverageHoursPerWeekRltdOrgRt>
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        <OtherCompensationAmt>27019</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Lee Ann Myers</PersonNm>
        <TitleTxt>Executive VP/Chief Administrative Officer</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Marcie Hillary</PersonNm>
        <TitleTxt>Executive VP/Chief Experience Officer</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>2.0</AverageHoursPerWeekRltdOrgRt>
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        <OtherCompensationAmt>29399</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Denise King</PersonNm>
        <TitleTxt>VP, Chief Branding and Marketing Officer</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>330525</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>7522</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Elizabeth Rocha</PersonNm>
        <TitleTxt>Chief Nursing Officer</TitleTxt>
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        <OtherCompensationAmt>18378</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Kelly Mccormick</PersonNm>
        <TitleTxt>VP, Chief Clinical Excellence Officer</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>543768</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>8418</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Patricia McDaniel</PersonNm>
        <TitleTxt>VP, Business Development</TitleTxt>
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        <OtherCompensationAmt>13274</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Paul gray</PersonNm>
        <TitleTxt>Vice President, Chief Strategy Officer</TitleTxt>
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        <OtherCompensationAmt>30255</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Thomas O'Neil</PersonNm>
        <TitleTxt>Medical Director</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>2.0</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>David Mcaree</PersonNm>
        <TitleTxt>Hospice Physician</TitleTxt>
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        <OtherCompensationAmt>28168</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Jeffrey Ratich</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Kai Denski</PersonNm>
        <TitleTxt>Medical Director</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Mark Zook</PersonNm>
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        <OtherCompensationAmt>18020</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Stuart Vander Heide</PersonNm>
        <TitleTxt>Medical Director</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
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        <OtherCompensationAmt>29936</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Robert Cahill</PersonNm>
        <TitleTxt>Former President &amp; CEO</TitleTxt>
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        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>527358</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>30060</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>5469287</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>874293</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>411816</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>79</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>true</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Treva Corporation</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>214 S Broadway</AddressLine1Txt>
            <CityNm>Lake Orion</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48362</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Staffing Services</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>GRAND TRAVERSE PAVILION</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1000 PAVILIONS CIRCLE</AddressLine1Txt>
            <CityNm>TRAVERSE CITY</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>49684</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SKILLED NURSING FACILITY</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>NETSMART TECHNOLOGIES INC</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 713519</AddressLine1Txt>
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            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19171</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>INFORMATION TECHNOLOGY</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MEDILODGE OF ALPENA</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>301 Long Rapids Road</AddressLine1Txt>
            <CityNm>Alpena</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>49707</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Skilled Nursing Facility</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>EVANGELICAL HOMES OF MICHIGAN</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>440 W RUSSELL ST</AddressLine1Txt>
            <CityNm>SALINE</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48176</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SKILLED NURSING FACILITY</ServicesDesc>
        <CompensationAmt>755422</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>61</CntrctRcvdGreaterThan100KCnt>
      <FederatedCampaignsAmt>1122671</FederatedCampaignsAmt>
      <FundraisingAmt>734611</FundraisingAmt>
      <AllOtherContributionsAmt>3219168</AllOtherContributionsAmt>
      <NoncashContributionsAmt>25346</NoncashContributionsAmt>
      <TotalContributionsAmt>5076450</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Net Patient Service Revenue</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>76289338</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>76289338</RelatedOrExemptFuncIncomeAmt>
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      <TotalOthProgramServiceRevGrp>
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        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>76289338</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>451813</TotalRevenueColumnAmt>
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      <RentalIncomeOrLossGrp>
        <RealAmt>0</RealAmt>
        <PersonalAmt>0</PersonalAmt>
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      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>8365463</SecuritiesAmt>
        <OtherAmt>0</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>8342264</SecuritiesAmt>
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        <SecuritiesAmt>23199</SecuritiesAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>23199</TotalRevenueColumnAmt>
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      <FundraisingDirectExpensesAmt>681246</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-557077</TotalRevenueColumnAmt>
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      <MiscellaneousRevenueGrp>
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        <ProgramServicesAmt>3392585</ProgramServicesAmt>
        <ManagementAndGeneralAmt>539102</ManagementAndGeneralAmt>
        <FundraisingAmt>53799</FundraisingAmt>
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        <FundraisingAmt>57411</FundraisingAmt>
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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>164982</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>180879</ManagementAndGeneralAmt>
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      <FeesForSrvcInvstMgmntFeesGrp>
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        <ManagementAndGeneralAmt>36034</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>2460289</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>4757</ProgramServicesAmt>
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        <FundraisingAmt>3700</FundraisingAmt>
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        <ProgramServicesAmt>122841</ProgramServicesAmt>
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        <FundraisingAmt>35149</FundraisingAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>717635</TotalAmt>
        <ProgramServicesAmt>371677</ProgramServicesAmt>
        <ManagementAndGeneralAmt>336393</ManagementAndGeneralAmt>
        <FundraisingAmt>9565</FundraisingAmt>
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        <ProgramServicesAmt>1050861</ProgramServicesAmt>
        <ManagementAndGeneralAmt>842167</ManagementAndGeneralAmt>
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        <TotalAmt>1687530</TotalAmt>
        <ProgramServicesAmt>1463832</ProgramServicesAmt>
        <ManagementAndGeneralAmt>200190</ManagementAndGeneralAmt>
        <FundraisingAmt>23508</FundraisingAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>133778</ProgramServicesAmt>
        <ManagementAndGeneralAmt>610925</ManagementAndGeneralAmt>
        <FundraisingAmt>48800</FundraisingAmt>
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        <ManagementAndGeneralAmt>12604</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>29134</ProgramServicesAmt>
        <ManagementAndGeneralAmt>199576</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>214124</ManagementAndGeneralAmt>
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        <Desc>Contracted Room &amp; Board</Desc>
        <TotalAmt>13156985</TotalAmt>
        <ProgramServicesAmt>13156985</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>Durable Medical Equipment</Desc>
        <TotalAmt>2559998</TotalAmt>
        <ProgramServicesAmt>2559998</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>Settlement</Desc>
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        <ManagementAndGeneralAmt>1102605</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>Medical Supplies</Desc>
        <TotalAmt>1301196</TotalAmt>
        <ProgramServicesAmt>1297749</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3447</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>841598</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1247688</ManagementAndGeneralAmt>
        <FundraisingAmt>19468</FundraisingAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>59517923</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18409660</ManagementAndGeneralAmt>
        <FundraisingAmt>1565297</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jeffrey Ratich</PersonNm>
        <TitleTxt>AVP, Human Resources Director</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>10000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3723</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>21961</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>164728</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 1a Tax indemnification and gross-up payments</FormAndLineReferenceDesc>
        <ExplanationTxt>Hospice of Michigan provides a gross up for officers' long-term disability (LTD) benefits; these amounts are treated as taxable compensation and included in the individuals' Forms W-2.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 7 Non-fixed payments</FormAndLineReferenceDesc>
        <ExplanationTxt>Bonuses for Officers are determined at the discretion of the Board of Directors and CEO. Bonuses for the Executives are determined at the discretion of the CEO, and Bonuses for AVPs/Directors/Managers are determined at the discretion of the Executives. The achievement of performance goals are utilized in the determination of bonuses.</ExplanationTxt>
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          <BusinessName>
            <BusinessNameLine1Txt>Michael Damstra</BusinessNameLine1Txt>
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        <RelationshipDescriptionTxt>Board Member</RelationshipDescriptionTxt>
        <TransactionAmt>2566013</TransactionAmt>
        <TransactionDesc>Board Member is the owner of a durable medical equipment company contracted to provide equipment to the organization. Contracting and payments are managed by a third party DME benefits manager.</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
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    <IRS990ScheduleM documentId="IRS990ScheduleM" softwareId="24020961" softwareVersionNum="2024v5.1">
      <SecuritiesPubliclyTradedGrp>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>15584</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Market value</MethodOfDeterminingRevenuesTxt>
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      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>FOOD AND PRIZES</Desc>
        <ContributionCnt>7</ContributionCnt>
        <NoncashContributionsRptF990Amt>9762</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Market value</MethodOfDeterminingRevenuesTxt>
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      <Form8283ReceivedCnt>0</Form8283ReceivedCnt>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>true</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
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        <FormAndLineReferenceDesc>Schedule M, Part I Explanations of reporting method for number of contributions</FormAndLineReferenceDesc>
        <ExplanationTxt>Securities - Publicly traded - the organization is reporting the number of contributions. Other - FOOD AND PRIZES the organization is reporting the number of contributions.</ExplanationTxt>
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    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="24020961" softwareVersionNum="2024v5.1">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 1a Delegate broad authority to a committee</FormAndLineReferenceDesc>
        <ExplanationTxt>The Executive Committee shall consist of the Chairperson of the Board, the Vice Chairperson, the Secretary-Treasurer, the Immediate Past Chairperson of the Board, and the Chairperson of the Board Development and Evaluation and Nominating Committee. The Executive Committee shall possess and exercise the authority and powers of the Board of Trustees in the management and direction of the Corporation in the interim periods between meetings of the Board and shall discharge the duties of said Board during such interim periods, except that the Executive Committee shall not have power or authority to: (a) amend the Articles of Incorporation; (b) dissolve the Corporation or revoke a dissolution; (c) amend the Bylaws of the Corporation; or (d) fill vacancies in the Board.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 4 Significant changes to organizational documents</FormAndLineReferenceDesc>
        <ExplanationTxt>The bylaws were amended with the following significant changes related to the merger with Centrica: Section 2.14 is added to the bylaws. Centrica may appoint the following during a transition period beginning Feb 1, 2024 and lasting 18 months: (1) Three members to the Corporation Board of Trustees. (2) Two members of the Corporation Board of Trustees' quality subcommittee. (3) Up to nine members to the full board of Corporation's Foundation. (4) Two members to the Corporation's Board of Trustees' investment subcommittee. After the transition period, at least four members from Centrica's board or other qualified individuals who reside in Centrica's Region will be appointed to the Corporation's Board of Trustee's investment subcommittee.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>A final draft of the full Form 990 is reviewed with our tax advisors and approved by an Executive Committee of the board. Then a final copy of the full Form 990 draft is sent out to each voting member of the governing body. These reviews take place prior to filing the Form 990 with the IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>Procedure: Employees, both paid and unpaid (from here forward referred to as "employee"), and Board members, have a fundamental obligation to act in the best interest of patient care and Hospice of Michigan (HOM). Every Board member and employee is responsible for acting consistent with this obligation when engaging in activities, and should not let other personal and financial interests interfere with this obligation. General Practice Guidelines: (1) HOM requires that all members of its Boards of Trustees and employees disclose interests that could result in a conflict. Annually, all board members sign off on a Conflict of Interest policy and disclose any situation which may represent a conflict. The Corporate Compliance Officer (CCO) also has access to the Board at least annually. The organization also utilizes 990 Tracker, a tool provided by our tax advisors, to send conflict of interest surveys to all voting board members, executives, and key employees. (2) All Board members and employees are required to submit a disclosure statement, if there is a conflict of interest that meets the stated definition, at the beginning of employment or term. (3) If a matter arises in which a member of the Board or employee has a conflict of interest, the individual shall promptly disclose it to the CEO, or in the case of the CEO, the Board Chairperson. (4) An individual with a potential conflict of interest shall not proceed to make any decision or take any action on behalf of the organization with the approval of the Board of Trustees. (5) HOM employees are precluded from engaging in activities with any "Vendor or Supplier Business" (as that term is defined in the policy) that does or seeks business with HOM which may result in a personal benefit to the employee at the expense of HOM or may influence the employee's decisions on matters involving HOM and a Vendor or Supplier Business.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PRESIDENT/CEO AND OTHER OFFICERS ARE COMPENSATED BY HOSPICE OF MICHIGAN. THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES MEETS ANNUALLY IN APRIL SUBSEQUENT TO THE ACCEPTANCE OF THE AUDITED FINANCIAL STATEMENTS TO REVIEW AND APPROVE AS APPROPRIATE, FUNDS TO BE ALLOCATED FOR TOTAL COMPENSATION FOR THE ORGANIZATION'S PRESIDENT/CEO, INCLUDING BASE SALARY, BONUS, CAR ALLOWANCE, AND OTHER BENEFITS. THE EXECUTIVE COMMITTEE ALSO DETERMINES IF THE PRESIDENT/CEO'S CONTRACT NEEDS TO BE UPDATED OR RENEWED AT THIS TIME. MINUTES ARE TAKEN UP UNTIL THE POINT WHERE DISCUSSION OF COMPENSATION TAKES PLACE AND A VOTE/DECISION IS MADE IN REGARD TO COMPENSATION. IN ADDITION, AN EXTERNAL COMPENSATION STUDY WAS PERFORMED TO ASSESS EXECUTIVE COMPENSATION. THE COMPENSATION STUDY AIMS TO PRICE POSITIONS AT MARKET BY USING LOCAL, NATIONAL, AND INDUSTRY SPECIFIC SURVEY DATA. AN OUTSIDE CONSULTANT IS ENGAGED THROUGH AMERICAN SOCIETY OF EMPLOYERS (ASE). MARKET DATA WAS GATHERED THROUGH AT LEAST THREE EXTERNAL SURVEYS AND NATIONALLY COMPARED 990'S OF THE LARGEST HOSPICES NATIONALLY AS WELL AS THE TOP MICHIGAN HOSPITALS WITH REVENUES OF similar size.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>The Executive Committee of the Board of Trustees meets annually in April subsequent to the acceptance of the audited financial statements to review and approve as appropriate, funds to be allocated for total compensation for the organization's Chief Financial Officer, Chief Operating Officer, Chief Medical Officer, and Chief Fundraising Officer, including base salary, bonus, car allowance, and other benefits. Minutes are taken up until the point where discussion of compensation takes place, and a vote/decision is made in regard to compensation. In addition, an annual external compensation study was performed to assess executive compensation. The compensation study aims to price positions at market by using local, national, and industry specific survey data. An outside consultant is engaged through American Society of Employers (ASE). Market data was gathered through at least three external surveys and nationally compared 990's of the largest hospices nationally as well as the top Michigan hospitals with revenues of similar size.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization's governing documents, conflict of interest policy, and audited financial statements can be available upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>Beneficial interest in net assets of affiliates - 3007233; Centrica Merger - 54712780; Total - 57720013;</ExplanationTxt>
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          <BusinessNameLine1Txt>SUPPORTIVE CARE SERVICES OF MICHIGAN</BusinessNameLine1Txt>
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          <AddressLine1Txt>2366 OAK VALLEY DRIVE</AddressLine1Txt>
          <CityNm>Ann Arbor</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48103</ZIPCd>
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        <PrimaryActivitiesTxt>MANAGEMENT SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>HOSPICE OF MICHIGAN</BusinessNameLine1Txt>
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        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>Hospice Care of Southwest Michigan dba Centrica Care Navigators</BusinessNameLine1Txt>
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          <AddressLine2Txt>7100 Stadium Dr</AddressLine2Txt>
          <CityNm>Kalamazoo</CityNm>
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      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
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      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
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