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        <SupportAmt>0</SupportAmt>
      </SupportedOrgInformationGrp>
      <SupportedOrganizationsTotalCnt>9</SupportedOrganizationsTotalCnt>
      <Form990ScheduleAPartIVGrp>
        <FormAndLineReferenceDesc>PART I, LINE 11H</FormAndLineReferenceDesc>
        <ExplanationTxt>MIDMICHIGAN GLADWIN PINES 38-2754875 9 X X 0 MIDMICHIGAN REGIONAL IMAGING 35-2182295 9 X X 0 MIDMICHIGAN VISITING NURSE ASSOCIATION 38-1459397 9 X X 0 MIDMICHIGAN URGENT CARE 20-5064848 9 X X 0</ExplanationTxt>
      </Form990ScheduleAPartIVGrp>
      <Form990ScheduleAPartIVGrp>
        <FormAndLineReferenceDesc>SUPPLEMENTAL INFORMATION</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AMOUNT OF SUPPORT PROVIDED TO THE SUPPORTED ORGANIZATIONS IS EQUAL TO THE PROGRAM SERVICE EXPENSE REPORTED ON FORM 990, PART IX. MIDMICHIGAN HEALTH IS LISTED IN THE GOVERNING DOCUMENTS OF EACH OF THE SUPPORTED ORGANIZATIONS AS THE SOLE MEMBER OF THE ORGANIZATION. THE PURPOSE OR PURPOSES FOR WHICH THE CORPORATION IS ORGANIZED ARE AS FOLLOWS: (1) TO OWN, OPERATE, ACQUIRE, ESTABLISH, SPONSOR, DEVELOP AND MAINTAIN HOSPITALS, HEALTH CARE RELATED FACILITIES, HEALTH PROMOTION AND EDUCATION PROGRAMS, AND OTHER ACTIVITES DESIGNED TO PROVIDE FOR THE CARE AND TREATMENT OF THE SICK, INFIRM, AGED, AND DISTRESSED, AND TO FURTHER THE GENERAL HEALTH AND WELL BEING OF THE PUBLIC WITHOUT REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ECONOMIC CONDITION. (2) TO DEVELOP AND IMPLEMENT MANAGEMENT SYSTEMS AND POLICIES WHICH WILL CARRY OUT AND CONDUCT THE HEREIN STATED PURPOSES. (3) TO CARRY OUT AND CONDUCT THE HEREIN STATED PURPOSES AND ACTIVITIES DIRECTLY OR THROUGH ONE OR MORE SUBSIDIARY ORGANIZATIONS OR JOINTLY IN CONJUNCTION WITH ONE OR MORE OTHER ORGANIZATIONS ENGAGED IN HEALTH CARE ACTIVITIES FOR MEMBERS OF THE PUBLIC.</ExplanationTxt>
      </Form990ScheduleAPartIVGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1">
      <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>
    <IRS990ScheduleD documentId="RetDoc5">
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>2856853</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1623070</DepreciationAmt>
        <BookValueAmt>1233783</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>74705312</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>41858363</DepreciationAmt>
        <BookValueAmt>32846949</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>1175651</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1175651</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>35256383</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>OTHER FINANCIAL INVESTMENTS</Desc>
        <BookValueAmt>95087418</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>95087418</TotalBookValueSecuritiesAmt>
      <InvstProgramRelatedOrgGrp>
        <Desc>MIDMICHIGAN MEDICAL CENTER-MIDLAND</Desc>
        <BookValueAmt>403139616</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </InvstProgramRelatedOrgGrp>
      <InvstProgramRelatedOrgGrp>
        <Desc>MIDMICHIGAN MEDICAL CENTER-GRATIOT</Desc>
        <BookValueAmt>65585333</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </InvstProgramRelatedOrgGrp>
      <InvstProgramRelatedOrgGrp>
        <Desc>MIDMICHIGAN MEDICAL CENTER-GLADWIN</Desc>
        <BookValueAmt>38948441</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </InvstProgramRelatedOrgGrp>
      <InvstProgramRelatedOrgGrp>
        <Desc>MIDMICHIGAN MEDICAL CENTER-CLARE</Desc>
        <BookValueAmt>27038001</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </InvstProgramRelatedOrgGrp>
      <InvstProgramRelatedOrgGrp>
        <Desc>MIDMICHIGAN HEALTH DEVELOPMENT ASSOC</Desc>
        <BookValueAmt>22078080</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </InvstProgramRelatedOrgGrp>
      <InvstProgramRelatedOrgGrp>
        <Desc>MIDMICHIGAN VISITING NURSE ASSOC</Desc>
        <BookValueAmt>17532994</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </InvstProgramRelatedOrgGrp>
      <InvstProgramRelatedOrgGrp>
        <Desc>MIDMICHIGAN STRATFORD VILLAGE</Desc>
        <BookValueAmt>6154457</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </InvstProgramRelatedOrgGrp>
      <InvstProgramRelatedOrgGrp>
        <Desc>MIDMICHIGAN GLADWIN PINES</Desc>
        <BookValueAmt>1889257</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </InvstProgramRelatedOrgGrp>
      <InvstProgramRelatedOrgGrp>
        <Desc>MIDMICHIGAN HEALTH NETWORK</Desc>
        <BookValueAmt>1734430</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </InvstProgramRelatedOrgGrp>
      <InvstProgramRelatedOrgGrp>
        <Desc>MIDMICHIGAN COLLABORATIVE CARE ORG</Desc>
        <BookValueAmt>841906</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </InvstProgramRelatedOrgGrp>
      <InvstProgramRelatedOrgGrp>
        <Desc>MIDMICHIGAN PHYSICIANS GROUP</Desc>
        <BookValueAmt>188154</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </InvstProgramRelatedOrgGrp>
      <InvstProgramRelatedOrgGrp>
        <Desc>MIDMICHIGAN ASSURANCE GROUP</Desc>
        <BookValueAmt>120000</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </InvstProgramRelatedOrgGrp>
      <InvstProgramRelatedOrgGrp>
        <Desc>THUMB AREA DIALYSIS</Desc>
        <BookValueAmt>90134</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </InvstProgramRelatedOrgGrp>
      <InvstProgramRelatedOrgGrp>
        <Desc>REGIONAL DIALYSIS SERVICES</Desc>
        <BookValueAmt>80047</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </InvstProgramRelatedOrgGrp>
      <InvstProgramRelatedOrgGrp>
        <Desc>MIDMICHIGAN REGIONAL IMAGING</Desc>
        <MethodValuationCd>C</MethodValuationCd>
      </InvstProgramRelatedOrgGrp>
      <InvstProgramRelatedOrgGrp>
        <Desc>MIDMICHIGAN URGENT CARE</Desc>
        <MethodValuationCd>C</MethodValuationCd>
      </InvstProgramRelatedOrgGrp>
      <TotalBookValueProgramRltdAmt>585420850</TotalBookValueProgramRltdAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DEFERRED COMP, SELF INS, OTHER</Desc>
        <Amt>30808908</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED PENSION/RETIREMENT BENEFITS</Desc>
        <Amt>25021487</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER</Desc>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>55830395</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>70668877</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>7534095</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>1350</OtherRevenueAmt>
      <RevenueNotReportedAmt>7535445</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>63133432</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>201713</InvestmentExpensesNotIncldAmt>
      <OtherRevenuesNotIncludedAmt>15407618</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>15609331</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>78742763</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>62549632</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>-615841</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>-615841</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>63165473</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>201713</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>201713</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>63367186</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>NET ASSETS RELEASED FROM RESTRICTIONS 1,350</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>RECLASSED AFFILIATE EXPENSE 615,841 INCOME FROM CONSOLIDATED SUBSIDIARIES 14,707,997 512(B)(17) INCOME 83,780</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XII, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>RECLASSED AFFILIATE EXPENSE -615,841</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc6">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>AMERICAN CANCER SOCIETY - MIDMI</BusinessNameLine1>
          <BusinessNameLine2>REGIONAL OFFICE</BusinessNameLine2>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>1111 S HENRY SUITE A</AddressLine1>
          <City>BAY CITY</City>
          <State>MI</State>
          <ZIPCode>48706</ZIPCode>
        </USAddress>
        <RecipientEIN>131788491</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>13000</CashGrantAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>MIDLAND COMMUNITY TENNIS CENTER</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>900 EAST WACKERLY ST</AddressLine1>
          <City>MIDLAND</City>
          <State>MI</State>
          <ZIPCode>48642</ZIPCode>
        </USAddress>
        <RecipientEIN>381534400</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>6500</CashGrantAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>MIDLAND TOMORROW</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>300 RODD ST SUITE 201</AddressLine1>
          <City>MIDLAND</City>
          <State>MI</State>
          <ZIPCode>48640</ZIPCode>
        </USAddress>
        <RecipientEIN>382600199</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>5500</CashGrantAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>MIDMICHIGAN COMMUNITY COLLEGE</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>1375 S CLARE AVENUE</AddressLine1>
          <City>HARRISON</City>
          <State>MI</State>
          <ZIPCode>48625</ZIPCode>
        </USAddress>
        <RecipientEIN>381812272</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>21929</CashGrantAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>FREELAND COMMUNITY SPORTS</BusinessNameLine1>
          <BusinessNameLine2>ASSOCIATION</BusinessNameLine2>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>5690 MIDLAND RD</AddressLine1>
          <City>FREELAND</City>
          <State>MI</State>
          <ZIPCode>48623</ZIPCode>
        </USAddress>
        <RecipientEIN>204803638</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>12000</CashGrantAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>MIDLAND AREA CHAMBER OF COMMERCE</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>300 RODD STREET SUITE 101</AddressLine1>
          <City>MIDLAND</City>
          <State>MI</State>
          <ZIPCode>48642</ZIPCode>
        </USAddress>
        <RecipientEIN>380832915</RecipientEIN>
        <IRCSectionDesc>501C6</IRCSectionDesc>
        <CashGrantAmt>8575</CashGrantAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>MIDLAND COMMUNITY CENTER</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>2205 S JEFFERSON AVENUE</AddressLine1>
          <City>MIDLAND</City>
          <State>MI</State>
          <ZIPCode>48640</ZIPCode>
        </USAddress>
        <RecipientEIN>381534400</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>27625</CashGrantAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>DELTA COLLEGE FOUNDATION</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>1961 DELTA ROAD</AddressLine1>
          <City>UNIVERSITY CENTER</City>
          <State>MI</State>
          <ZIPCode>48710</ZIPCode>
        </USAddress>
        <RecipientEIN>382274266</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>25433</CashGrantAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>ALMA COLLEGE</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>614 W SUPERIOR ST</AddressLine1>
          <City>ALMA</City>
          <State>MI</State>
          <ZIPCode>48801</ZIPCode>
        </USAddress>
        <RecipientEIN>382229215</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>13500</CashGrantAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>CANCER SERVICES</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>220 W MAIN ST 105</AddressLine1>
          <City>MIDLAND</City>
          <State>MI</State>
          <ZIPCode>48640</ZIPCode>
        </USAddress>
        <RecipientEIN>836073785</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>9457</CashGrantAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>MIDLAND AREA COMMUNITY FOUNDATION</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>76 ASHMAN CIRCLE</AddressLine1>
          <City>MIDLAND</City>
          <State>MI</State>
          <ZIPCode>48640</ZIPCode>
        </USAddress>
        <RecipientEIN>382023395</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>6375</CashGrantAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>10</Total501c3OrgCnt>
      <TotalOtherOrgCnt>1</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PAGE 1, PART I, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>MIDMICHIGAN HEALTH PROVIDES CHARITABLE CONTRIBUTIONS TO THOSE ORGANIZATIONS THAT APPLY AND MEET THE REQUIRED CRITERIA FOR CHARITABLE GIVING. THE MIDMICHIGAN HEALTH COMMUNITY BENEFIT COORDINATOR FOLLOWS UP WITH EACH REQUEST TO ASCERTAIN THAT EACH REQUEST MEETS THE COMMUNITY BENEFIT STANDARDS. NO FUNDS ARE PROVIDED DIRECTLY TO INDIVIDUALS, AND IT IS EXPECTED THAT WRITTEN ACKNOWLEDGEMENT FROM THE DONEE IS RECEIVED IN A TIMELY FASHION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc7">
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      <WrittenPolicyRefTAndEExpnssInd>true</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>true</SubstantiationRequiredInd>
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>true</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DIANE POSTLER-SLATTERY</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>527025</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>111784</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>45649</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>33067</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>18100</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>735625</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GREGORY ROGERS</PersonNm>
        <TitleTxt>EXEC VICE PRES</TitleTxt>
        <BaseCompensationFilingOrgAmt>399069</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>131402</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>55684</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>226372</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>19514</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>832041</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>FRANCINE PADGETT</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <BaseCompensationFilingOrgAmt>329724</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>90341</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>101127</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>117994</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>23595</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>662781</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DONNA RAPP</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <BaseCompensationFilingOrgAmt>285948</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>78293</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>25432</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>110797</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>14910</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>515380</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRIAN RODGERS</PersonNm>
        <TitleTxt>SENIOR VICE PRES</TitleTxt>
        <BaseCompensationFilingOrgAmt>283007</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>78293</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>14947</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>88286</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>19079</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>483612</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GREG GHILARDI</PersonNm>
        <TitleTxt>VP HUMAN RESOURCES</TitleTxt>
        <BaseCompensationFilingOrgAmt>208692</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>59912</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>18152</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>30679</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>20144</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>337579</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARK SANTAMARIA</PersonNm>
        <TitleTxt>PRESIDENT-ADMIN CORP</TitleTxt>
        <BaseCompensationFilingOrgAmt>260267</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>71181</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>10242</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>16807</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16168</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>374665</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHANDRA MORSE</PersonNm>
        <TitleTxt>RISK MGT OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>194096</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>53108</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>17824</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>49212</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>5031</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>319271</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SCOTT CURRIE</PersonNm>
        <TitleTxt>VP REVENUE CYCLE</TitleTxt>
        <BaseCompensationFilingOrgAmt>190691</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>41243</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>9569</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>14507</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>5415</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>261425</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL LARSON</PersonNm>
        <TitleTxt>CIO - ADMIN CORP</TitleTxt>
        <BaseCompensationFilingOrgAmt>165762</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>57805</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>2873</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>4538</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>5679</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>236657</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RICHARD REYNOLDS</PersonNm>
        <TitleTxt>FORMER PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>214383</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>15427</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>180174</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>27128</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>1648</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>438760</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RAYMOND STOVER</PersonNm>
        <TitleTxt>PRESIDENT-ADMIN CORP</TitleTxt>
        <BaseCompensationFilingOrgAmt>191063</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>52015</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>19716</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>58383</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>17733</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>338910</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING PERSONS LISTED IN PART VII, SECTION A, RECEIVED PAYMENT FOR COUNTRY CLUB DUES. THIS PAYMENT WAS INCLUDED IN TAXABLE WAGES. GHILARDI, GREG VP HUMAN RESOURCES LARSON, MICHAEL CIO - ADMIN CORP MORSE, CHANDRA RISK MANAGEMENT OFFICER PADGETT, FRANCINE TREASURER POSTLER-SLATTERY, DIANE PRESIDENT RAPP, DONNA SECRETARY REYNOLDS, RICHARD FORMER PRESIDENT RODGERS, BRIAN SENIOR VICE PRES ROGERS, GREGORY EXEC VICE PRES SANTAMARIA, MARK PRESIDENT - ADMIN CORP STOVER, RAYMOND PRESIDENT - ADMIN CORP</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>MIDMICHIGAN HEALTH'S COMPENSATION INCLUDES BOTH BASE AND VARIABLE COMPENSATION (NONFIXED PAYMENTS). IN ACCORDANCE WITH ITS POLICIES, ALL ELEMENTS (BASE, VARIABLE, BENEFITS, AND PERQUISITES) ARE COMPARED TO MARKET AND ARE DETERMINED BY THE INDEPENDENT COMPENSATION COMMITTEE AFTER A REVIEW BY AN INDEPENDENT CONSULTANT, SULLIVAN COTTER, TO ENSURE THAT TOTAL COMPENSATION REMAINS WITHIN ACCEPTABLE GUIDELINES (60% OF MEDIAN). THE COMPENSATION COMMITTEE, WHO IS AUTHORIZED TO ACT ON BEHALF OF THE MIDMICHIGAN HEALTH BOARD OF DIRECTORS, APPROVED COMPENSATION FOR THE MIDMICHIGAN HEALTH CEO, SENIOR EXECUTIVES AND PHYSICIANS. SULLIVAN COTTER ISSUED A COMPREHENSIVE ASSESSMENT IN 2009 AND AGAIN IN 2013. IN ADDITION, AS A PART OF THE PHYSICIAN ENTERPRISE ENGAGEMENT, KAUFMAN HALL ISSUED A SAFE HARBOR LETTER THAT WAS REVIEWED AT THE JUNE 2013 COMPENSATION COMMITTEE MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART III</FormAndLineReferenceDesc>
        <ExplanationTxt>ON MAY 8, 2009 MIDMICHIGAN HEALTH'S COMPENSATION COMMITTEE APPROVED ITS FIRST COMPENSATION COMMITTEE CHARTER AND EXECUTIVE COMPENSATION PHILOSOPHY AND STRATEGY. THE BOARD OF DIRECTORS OF MIDMICHIGAN HEALTH APPROVED BOTH THE CHARTER AND THE STRATEGY ON JUNE 8, 2009. MIDMICHIGAN HEALTH ALSO CONTINUES TO UTILIZE AN INDEPENDENT COMPENSATION CONSULTANT TO ASSIST WITH THE GOVERNANCE PROCESS AND TO REVIEW AND REPORT ON ALL SYSTEM LEVEL EXECUTIVES, HOSPITAL LEVEL EXECUTIVES AND SELECTED OTHER EXECUTIVES. MIDMICHIGAN HEALTH HAS TAKEN A CONSERVATIVE POSTURE WITH RESPECT TO ALL PERQUISITES AND ALL PERQUISITES MUST BE JUSTIFIED BY BUSINESS NEED. MIDMICHIGAN HEALTH TARGETS THE BASE SALARY OF ITS EXECUTIVES WITHIN A MARKET COMPETITIVE SALARY RANGE WITH A MIDPOINT APPROXIMATELY EQUAL TO THE 50TH PERCENTILE OF THE BASE SALARY MARKET DATA. MARKET DATA IS OBTAINED NATIONALLY FROM HEALTH SYSTEMS, HOSPITALS AND ORGANIZATIONS OF COMPARABLE SIZE BY SULLIVAN COTTER, AN INDEPENDENT CONSULTANT. NET OPERATING REVENUE IS THE CRITICAL FACTOR UTILIZED TO DETERMINE COMPARABILITY. RICHARD REYNOLDS LEFT MIDMICHIGAN HEALTH IN FEBRUARY, 2013. HIS COMPENSATION DISCLOSED ABOVE INCLUDES BOTH COMPENSATION FOR HIS SERVICES AS AN EMPLOYEE AND COMPENSATION FOR CONSULTING SERVICES HE PERFORMED AFTER HE LEFT THE COMPANY. PART I, LINE 4B REYNOLDS, POSTLER-SLATTERY, ROGERS, PADGETT, RAPP, RODGERS, GHILARDI, MORSE, STOVER, AND SANTAMARIA ARE PARTICIPANTS IN A 457(F) PLAN. THE ONLY PAYMENT MADE IN 2013 WAS TO REYNOLDS WHO HAD VESTED AS OF 1/1/2012. THE SERP IS UNFUNDED AND BEGAN ON JANUARY 1, 2009. THE CURRENT PARTICIPANTS OF THE PLAN ARE THOSE WHO HOLD A CORPORATE OFFICE OF VICE PRESIDENT OR ABOVE. EACH PARTICIPANTS ANNUAL AWARD IS A BENEFIT RESTORATION AMOUNT THAT PROVIDES THE ADDITIONAL BENEFITS THAT THE PARTICIPANT DID NOT EARN UNDER THE PENSION PLAN AND 403 (B) PLAN DURING A PLAN YEAR BECAUSE OF THE STATUTORY LIMITS. A PARTICIPANT'S ACCOUNT SHALL BE 100% VESTED IF THE PARTICIPANT IS EMPLOYED BY MIDMICHIGAN HEALTH ON THE DATE THE FIRST OF THE FOLLOWING VESTING EVENTS OCCUR: ATTAINMENT OF NORMAL RETIREMENT AGE; DEATH; TERMINATION OF EMPLOYMENT BECAUSE OF TOTAL DISABILITY; OR PROVIDED THEY HAVE BEEN EMPLOYED AT LEAST FIVE YEARS AND THE PARTICIPANT EARNS 75 POINTS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc8">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>JERAMIE SODERBERG</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>72176</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc9">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990</FormAndLineReferenceDesc>
        <ExplanationTxt>PART I, LINES 3 &amp; 4 AND PART VI, SECTION A, LINE 1 - ANY BOARD MEMBERS WHO HAVE A FAMILY OR BUSINESS RELATIONSHIP AS LISTED IN SCHEDULE L ARE NOT CONSIDERED TO BE INDEPENDENT. ALL OTHERS WHO ARE NOT INDEPENDENT ARE EMPLOYEES OF THE ORGANIZATION OR A RELATED ORGANIZATION LISTED IN SCHEDULE R AND ARE COMPENSATED AT MARKET VALUE FOR THE SERVICES PROVIDED TO THAT ORGANIZATION. THIS FORM 990 TAX RETURN INCLUDES DATA FROM MIDMICHIGAN COLLABORATIVE CARE ORGANIZATION. ALL LINES LEFT BLANK ARE NOT APPLICABLE TO THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART V, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>CAYMAN ISLANDS, OTHER COUNTRY</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI</FormAndLineReferenceDesc>
        <ExplanationTxt>LINE 2 - THE FOLLOWING OFFICERS AND DIRECTORS HAVE BUSINESS RELATIONSHIPS THROUGH A FOR-PROFIT ENTITY DUE TO THE SMALL SIZE AND LIMITED RESOURCES OF OUR COMMUNITY: BOBBIE ARNOLD, ERIC BLACKHURST, BILL WEIDEMAN AND DON SHEETS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBERS OF THE CORPORATION SHALL BE AT LEAST 115 NATURAL PERSONS, THE MAJORITY OF WHOM SHALL RESIDE IN MIDLAND COUNTY, MICHIGAN. MEMBERS OF THE CORPORATION SHALL BE DRAWN FROM THE BROAD CROSS SECTION OF THE CITIZENS OF THE COMMUNITIES SERVED BY THE CORPORATION AND ITS AUXILIARY SERVICES AND SUBSIDIARY INSTITUTIONS WITH PARTICULAR EMPHASIS BEING GIVEN TO THOSE INDIVIDUALS WHO HAVE DEMONSTRATED POSITIVE AND CONSTRUCTIVE INTEREST IN THE PURPOSES OF THE CORPORATION AS EXPRESSED IN THE ARTICLES OF INCORPORATION AND BYLAWS AND IN THE PROMOTION OF HEALTH CARE IN THE COMMUNITIES SERVED BY THE CORPORATION. FINAL CORPORATE AUTHORITY NECESSARY OR INCIDENTAL TO THE ADMINISTRATION OF ANY OF THE PURPOSES OF THE CORPORATION SHALL BE VESTED IN THE MEMBERS OF THE CORPORATION, EXCEPT WHERE DELEGATED TO THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>AT LEAST 60 DAYS PRIOR TO THE ANNUAL MEETING, THE CHAIRMAN OF THE BOARD OF DIRECTORS WILL APPOINT A NOMINATING COMMITTEE COMPRISED OF AT LEAST TWO MEMBERS OF THE BOARD OF DIRECTORS AND THREE MEMBERS OF THE CORPORATION AT LARGE. THE NOMINATING COMMITTEE SHALL PREPARE A LIST OF NOMINEES FOR ELECTION TO THE BOARD OF DIRECTORS AND SUBMIT THE LIST TO THE MEMBERS AT THE ANNUAL MEETING. THE NOMINATING COMMITTEE SHALL ALSO, AT THE DIRECTION OF THE BOARD, RECOMMEND TO THE MEMBERS OF THE CORPORATION AT THE ANNUAL MEETING, ANY INCREASE OR DECREASE IN THE NUMBER OF DIRECTORS, EX OFFICIO OR NON-EX OFFICIO, TOGETHER WITH A LIST OF NOMINEES FOR THE ADDITIONAL DIRECTORS, IF AN INCREASE IS RECOMMENDED. THE MEMBERS OF THE CORPORATION, AT THE SAME ANNUAL MEETING, SHALL VOTE ON THE RECOMMENDED INCREASE OR DECREASE IN DIRECTORS AND ON THE LIST OF NOMINEES FOR SUCH NEW DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>ONE OF THE PURPOSES OF THE ANNUAL MEETING OF THE CORPORATION SHALL BE THE ELECTION OF A BOARD OF DIRECTORS. THE AMENDMENT OF ARTICLES OF INCORPORATION AND BYLAWS SHALL BE BY A MAJORITY VOTE OF ALL MEMBERS PRESENT AT ANY REGULAR OR SPECIAL MEETING. ALL OTHER BASIC CORPORATE CHANGE MATTERS, INCLUDING BUT NOT LIMITED TO ESTABLISHMENT, MERGER, CONSOLIDATION, ACQUISITION, AFFILIATION, DISSOLUTION, OR TERMINATION OF ANY OF THE CORPORATION'S HEALTH CARE FACILITIES, SHALL ALSO REQUIRE A MAJORITY VOTE OF ALL MEMBERS OF THE CORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 INFORMATION IS PREPARED BY THE FINANCE STAFF AT THIS ORGANIZATION. THE INFORMATION IS SUBMITTED FOR REVIEW BY A SENIOR FINANCE STAFF MEMBER AT MIDMICHIGAN HEALTH. THE STAFF MEMBER IN CONSULTATION WITH OUR TAX ACCOUNTANT (A CERTIFIED PUBLIC ACCOUNTING FIRM) REQUESTS ADDITIONAL INFORMATION AND OBTAINS CLARIFICATION. ONCE THE INITIAL REVIEW IS COMPLETE, THE INFORMATION IS SUBMITTED TO OUR TAX PROFESSIONALS AT ANDREWS HOOPER PAVLIK PLC. UPON REVIEW BY THEIR PROFESSIONALS, INCLUDING A PARTNER, INFORMATION IS RETURNED TO MIDMICHIGAN HEALTH FOR ITS FINAL REVIEW. THIS REVIEW INCLUDES A REVIEW BY THE SVP AND TREASURER. ALL COMPENSATION DISCLOSURES ARE REVIEWED WITH THE MIDMICHIGAN HEALTH CEO PRIOR TO FILING. PRIOR TO FILING: INFORMATION IS REVIEWED BY THE COMPENSATION COMMITTEE PRIOR TO FILING. FORM 990, INCLUDING ALL SCHEDULES, IS MADE AVAILABLE TO THIS ORGANIZATION'S BOARD OF DIRECTORS IN A SECURE ELECTRONIC FORMAT WITH A SUMMARY OF ALL THE MAJOR CHANGES FROM THE PRIOR YEAR RETURN. QUESTIONS OR CONCERNS ARE ADDRESSED BY THE SVP AND TREASURER. THE QUESTIONS OR CONCERNS OF THESE REVIEWS ARE PRESENTED TO THE MIDMICHIGAN HEALTH BOARD OF DIRECTORS AND THIS ORGANIZATION'S BOARD OF DIRECTORS, IF ANY ARE IDENTIFIED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION REQUIRES EACH DIRECTOR, OFFICER, KEY EMPLOYEE AND MEMBER OF A COMMITTEE OF THE BOARD ANNUALLY: 1) TO REVIEW THE ORGANIZATION'S CONFLICT OF INTEREST POLICY ("THE POLICY"); 2) TO DISCLOSE ANY POSSIBLE PERSONAL, FAMILIAL, OR BUSINESS RELATIONSHIP THAT REASONABLY COULD GIVE RISE TO A CONFLICT OF INTEREST OR THE APPEARANCE OF A CONFLICT OF INTEREST; AND 3) TO ACKNOWLEDGE BY HIS OR HER SIGNATURE THAT HE OR SHE IS ACTING IN ACCORDANCE WITH THE LETTER AND SPIRIT OF THE POLICY. THE COMPLETED FORMS ARE REVIEWED BY THE MIDMICHIGAN HEALTH SECRETARY AND FILED FOR REFERENCE AS NEEDED. VOTING BOARD MEMBERS WITH CONFLICTS ON SPECIFIC ISSUES ARE ASKED TO LEAVE THE MEETING DURING DISCUSSIONS AND ABSTAIN FROM VOTING ON ANY ISSUE IN WHICH THEY ARE NOT INDEPENDENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL CEOS AND OPERATING OFFICERS COMPENSATION IS ANNUALLY APPROVED BY AN INDEPENDENT COMPENSATION COMMITTEE OF MIDMICHIGAN HEALTH. THE COMPENSATION IS THEN REVIEWED BY THE BOARD OF DIRECTORS (OR SUBCOMMITTEE THEREOF). FOR DETAILED INFORMATION ON COMPENSATION, PLEASE SEE SCHEDULE J.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL OFFICERS AND KEY EMPLOYEE COMPENSATION IS REVIEWED ANNUALLY BY THE COMPENSATION COMMITTEE FOR ADHERENCE TO CORPORATE POLICIES. FOR DETAILED INFORMATION ON COMPENSATION, PLEASE SEE SCHEDULE J.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL DOCUMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 7, PART VII</FormAndLineReferenceDesc>
        <ExplanationTxt>NO DIRECTORS RECEIVE PAY FOR THE PURPOSE OF SERVING ON THE BOARD. THEY ARE CONSIDERED TO WORK AN AVERAGE OF 2 HOURS A WEEK ON BOARD-RELATED MATTERS. ALL INDIVIDUALS WITH REPORTABLE COMPENSATION ARE PAID BY EITHER THE REPORTING ORGANIZATION OR A RELATED ORGANIZATION FOR SERVICES RELATED TO A PART-TIME OR FULL-TIME POSITION. AVERAGE HOURS PER WEEK FOR THOSE WITH REPORTABLE COMPENSATION ARE RELATED TO THE AFOREMENTIONED POSITIONS. THOSE PERSONS WITH FULL-TIME POSITIONS ARE ESTIMATED TO WORK AN AVERAGE OF 50 HOURS A WEEK.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>ASSOCIATION DUES &amp; OTHER FEES 4,267,238 4,267,237 0 PURCHASED/CONTRACT SERVICES 15,990,597 855,089 0</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1>MIDMICHIGAN COLLABORATIVE CARE ORG</BusinessNameLine1>
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        <EndOfYearAssetsAmt>871230</EndOfYearAssetsAmt>
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          <BusinessNameLine1>MIDMI HLTH</BusinessNameLine1>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>MIDMICHIGAN STRATFORD VILLAGE</BusinessNameLine1>
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          <AddressLine1>2121 ROCKWELL DR</AddressLine1>
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          <BusinessNameLine1>MIDMICHIGAN GLADWIN PINES</BusinessNameLine1>
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          <BusinessNameLine1>MIDMI VNA DBA MIDMICHIGAN HOME CARE</BusinessNameLine1>
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          <AddressLine1>3007 N SAGINAW RD</AddressLine1>
          <City>MIDLAND</City>
          <State>MI</State>
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        <DisregardedEntityName>
          <BusinessNameLine1>MIDMICHIGAN PHYSICIANS GROUP</BusinessNameLine1>
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          <State>MI</State>
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          <BusinessNameLine1>MIDMI HLTH</BusinessNameLine1>
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</Return>