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        <AddressUS>
          <AddressLine1>4201 ANTOINE</AddressLine1>
          <City>DETROIT</City>
          <State>MI</State>
          <ZIPCode>48201</ZIPCode>
        </AddressUS>
        <EINOfRecipient>381342546</EINOfRecipient>
        <IRCSection>115</IRCSection>
        <AmountOfCashGrant>210165</AmountOfCashGrant>
        <PurposeOfGrant>HEALTH AWARENESS PROJECTS</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>DETROIT INTERNATIONAL RESEARCH &amp; EDUCATION FOUNDATION</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>2301 W BIG BEAVER RD SUITE 921</AddressLine1>
          <City>TROY</City>
          <State>MI</State>
          <ZIPCode>48084</ZIPCode>
        </AddressUS>
        <EINOfRecipient>454153152</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>120000</AmountOfCashGrant>
        <PurposeOfGrant>ONCOLOGY SURGERY EDUCATIONAL &amp; RESEARCH PROGRAMS</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>WAYNE STATE UNIVERSITY</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>550 E CANFIELD</AddressLine1>
          <City>DETROIT</City>
          <State>MI</State>
          <ZIPCode>48201</ZIPCode>
        </AddressUS>
        <EINOfRecipient>381342546</EINOfRecipient>
        <IRCSection>115</IRCSection>
        <AmountOfCashGrant>538238</AmountOfCashGrant>
        <PurposeOfGrant>ENDOWED CHAIRS</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>DMC FOUNDATION</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>333 WEST FORT ST SUITE 2010</AddressLine1>
          <City>DETROIT</City>
          <State>MI</State>
          <ZIPCode>48226</ZIPCode>
        </AddressUS>
        <EINOfRecipient>273529154</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>59693170</AmountOfCashGrant>
        <PurposeOfGrant>DISTRIBUTION OF CHARITABLE ASSETS IN ACCORDANCE WITH VANGUARD SALE AGREEMENT</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>11</TotalNbrOf501C3AndGovtGrants>
      <TotalNbrOfOtherOrganizations>2</TotalNbrOfOtherOrganizations>
      <Form990ScheduleIPartIII>
        <TypeOfGrant>GRANT FOR HEAD &amp; NECK TUMOR DATABASE UPGRADE</TypeOfGrant>
        <NumberOfRecipients>1</NumberOfRecipients>
        <AmountOfCashGrant>18293</AmountOfCashGrant>
      </Form990ScheduleIPartIII>
      <Form990ScheduleIPartIV>
        <Identifier>PROCEDURE FOR MONITORING GRANTS IN THE U.S.:</Identifier>
        <ReturnReference>PART I, LINE 2:</ReturnReference>
        <Explanation>SCHEDULE I, PART I, LINE 2: HURON VALLEY SINAI HOSPITAL, HARPER UNIVERSITY HOSPITAL, SINAI-GRACE HOSPITAL AND REHABILITATION INSTITUTE OF MICHIGAN WERE ALL ACQUIRED BY VANGUARD HEALTH SYSTEM AS PART OF THE ASSET SALE ON JANUARY 1, 2011 AND ARE NOW FOR-PROFIT ENTITIES. AS PART OF THE SALE AGREEMENT, AS APPROVED BY THE ATTORNEY GENERAL, GRANTS PAID TO THESE ENTITIES ARE USED SOLEY FOR EDUCATIONAL, RESEARCH AND COMMUNITY BENEFIT PURPOSES ALONG WITH THE FUTHERANCE OF PROJECTS THAT WERE STARTED PRIOR TO THE SALE OF ASSETS. LEGACY DMC REVIEWS SUPPORTING DOCUMENTATION TO ENSURE FUNDS ARE USED FOR APPROPRIATE PURPOSES.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7A</ReturnReference>
        <Explanation>THREE MEMBERS OF THE BOARD ARE APPOINTED BY THE MAYOR OF DETROIT, THE WAYNE COUNTY EXECUTIVE AND THE MICHIGAN ATTORNEY GENERAL.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>THE ORGANIZATION'S FORM 990 IS REVIEWED BY THE PRESIDENT AND A COMPLETE COPY IS PROVIDED TO THE BOARD OF TRUSTEES SUBSEQUENT TO FILING WITH THE IRS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>LEGACY DMC CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY BY DISTRIBUTING AN ANNUAL QUESTIONNAIRE TO TRUSTEES, OFFICERS, AND KEY EMPLOYEES WHICH INCLUDES QUESTIONS RELATED TO EACH POLICY PROVISION. RESPONSES ARE THOROUGHLY REVIEWED BY THE PRESIDENT AND ANY APPARENT CONFLICTS ARE INVESTIGATED AND IF A POTENTIAL CONFLICT SITUATION ARISES, THE PRESIDENT REFERS THE MATTER TO OUTSIDE COUNSEL.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE FILING ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE ON THE STATE OF MICHIGAN WEBSITE HTTP://WWW.DLEG.STATE.MI.US/BCS_CORP/SR_CORP.ASP BY ENTERING THE ORGANIZATION NAME. THE BYLAWS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 9:</ReturnReference>
        <Explanation>PRIOR YEAR GRANT EXPENSE CANCELLED IN THE CURRENT YEAR 271,746.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>DMC ORTHOPEDIC BILLING ASSOC LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3990 JOHN R</AddressLine1>
          <City>DETROIT</City>
          <State>MI</State>
          <ZIPCode>48201</ZIPCode>
        </AddressUS>
        <EIN>753214661</EIN>
        <PrimaryActivities>BUILDING</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <TotalIncome>0</TotalIncome>
        <EOYAssets>0</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>LEGACY DMC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MICHIGAN MOBILE PET CT LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3990 JOHN R</AddressLine1>
          <City>DETROIT</City>
          <State>MI</State>
          <ZIPCode>48201</ZIPCode>
        </AddressUS>
        <EIN>870790146</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <TotalIncome>0</TotalIncome>
        <EOYAssets>0</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>LEGACY DMC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>LEGACY CHM</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3901 BEAUBIEN</AddressLine1>
          <City>DETROIT</City>
          <State>MI</State>
          <ZIPCode>48201</ZIPCode>
        </AddressUS>
        <EIN>381357994</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>LEGACY DMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>DETROIT MED CENTER COOPERATIVE SERVICES</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3663 WOODWARD AVE STE 200</AddressLine1>
          <City>DETROIT</City>
          <State>MI</State>
          <ZIPCode>48201</ZIPCode>
        </AddressUS>
        <EIN>237083832</EIN>
        <PrimaryActivities>BILLING</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>LEGACY DMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>THE DMC GUILD</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3663 WOODWARD AVE STE 200</AddressLine1>
          <City>DETROIT</City>
          <State>MI</State>
          <ZIPCode>48201</ZIPCode>
        </AddressUS>
        <EIN>382480730</EIN>
        <PrimaryActivities>AUXILIARY</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 11C, III-FI</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>DETROIT METRO CARE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3990 JOHN R</AddressLine1>
          <City>DETROIT</City>
          <State>MI</State>
          <ZIPCode>48201</ZIPCode>
        </AddressUS>
        <EIN>562402607</EIN>
        <PrimaryActivities>MCAID HMO</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 11C, III-FI</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>LEGACY DMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>LEGACY DRHUHC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>4201 ST ANTOINE BLVD</AddressLine1>
          <City>DETROIT</City>
          <State>MI</State>
          <ZIPCode>48201</ZIPCode>
        </AddressUS>
        <EIN>382320476</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>LEGACY DMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>DETROIT MEDICAL CENTER FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3663 WOODWARD AVE STE 200</AddressLine1>
          <City>DETROIT</City>
          <State>MI</State>
          <ZIPCode>48201</ZIPCode>
        </AddressUS>
        <EIN>383021666</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 11A, I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>LEGACY DMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>DWC PRIMARY CARE SERVICES II</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3663 WOODWARD AVE STE 200</AddressLine1>
          <City>DETROIT</City>
          <State>MI</State>
          <ZIPCode>48201</ZIPCode>
        </AddressUS>
        <EIN>382578447</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 11A, I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>LEGACY DMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>LEGACY HHH</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3990 JOHN R</AddressLine1>
          <City>DETROIT</City>
          <State>MI</State>
          <ZIPCode>48201</ZIPCode>
        </AddressUS>
        <EIN>382391907</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>LEGACY DMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>LEGACY HS</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3663 WOODWARD AVE STE 200</AddressLine1>
          <City>DETROIT</City>
          <State>MI</State>
          <ZIPCode>48201</ZIPCode>
        </AddressUS>
        <EIN>386095454</EIN>
        <PrimaryActivities>MANAGING CARE</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 11C, III-FI</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>LEGACY DMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>LEGACY HVH</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1 WILLIAM CARLS DR</AddressLine1>
          <City>COMMERCE TOWNSHIP</City>
          <State>MI</State>
          <ZIPCode>48382</ZIPCode>
        </AddressUS>
        <EIN>382155995</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>LEGACY DMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>LEGACY RIM</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>261 MACK BLVD</AddressLine1>
          <City>DETROIT</City>
          <State>MI</State>
          <ZIPCode>48201</ZIPCode>
        </AddressUS>
        <EIN>381417366</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>LEGACY DMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>RHHC INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3663 WOODWARD AVE STE 200</AddressLine1>
          <City>DETROIT</City>
          <State>MI</State>
          <ZIPCode>48201</ZIPCode>
        </AddressUS>
        <EIN>382086422</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 11C, III-FI</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>LEGACY DMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>LEGACY SHGD</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>6071 WEST OUTER DR</AddressLine1>
          <City>DETROIT</City>
          <State>MI</State>
          <ZIPCode>48235</ZIPCode>
        </AddressUS>
        <EIN>381416522</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>LEGACY DMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>DEL HARDER REHABILITATION FUND</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>261 MACK BLVD</AddressLine1>
          <City>DETROIT</City>
          <State>MI</State>
          <ZIPCode>48201</ZIPCode>
        </AddressUS>
        <EIN>237390927</EIN>
        <PrimaryActivities>SUPPORT</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 11A, I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>LEGACY RIM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>CHILDREN'S CHOICE OF MICHIGAN</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>3990 JOHN R</AddressLine1>
          <City>DETROIT</City>
          <State>MI</State>
          <ZIPCode>48201</ZIPCode>
        </AddressUS>
        <EIN>383318267</EIN>
        <PrimaryActivity>MANAGING CARE</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>LEGACY DMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
        <PercentageOwnership>1.00000</PercentageOwnership>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>DMC HEALTH CARE CENTERS INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>3663 WOODWARD AVE STE 200</AddressLine1>
          <City>DETROIT</City>
          <State>MI</State>
          <ZIPCode>48201</ZIPCode>
        </AddressUS>
        <EIN>382648666</EIN>
        <PrimaryActivity>MED SERVICES</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>LEGACY DMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
        <PercentageOwnership>1.00000</PercentageOwnership>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>METRO TPA SERVICES INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>3663 WOODWARD AVE STE 200</AddressLine1>
          <City>DETROIT</City>
          <State>MI</State>
          <ZIPCode>48201</ZIPCode>
        </AddressUS>
        <EIN>562402607</EIN>
        <PrimaryActivity>TPA SERVICES</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MULTI-CARE MED SERVICES &amp; SUPPLIES INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>3663 WOODWARD AVE STE 200</AddressLine1>
          <City>DETROIT</City>
          <State>MI</State>
          <ZIPCode>48201</ZIPCode>
        </AddressUS>
        <EIN>382179342</EIN>
        <PrimaryActivity>HEALTHCARE</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>PHYX INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>3663 WOODWARD AVE STE 200</AddressLine1>
          <City>DETROIT</City>
          <State>MI</State>
          <ZIPCode>48201</ZIPCode>
        </AddressUS>
        <EIN>383559445</EIN>
        <PrimaryActivity>HEALTHCARE</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>LEGACY DMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
        <PercentageOwnership>1.00000</PercentageOwnership>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>RADIUS HEALTH CARE SYSTEMS INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>3663 WOODWARD AVE STE 200</AddressLine1>
          <City>DETROIT</City>
          <State>MI</State>
          <ZIPCode>48201</ZIPCode>
        </AddressUS>
        <EIN>382282743</EIN>
        <PrimaryActivity>HEALTHCARE</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>LEGACY DMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
        <PercentageOwnership>1.00000</PercentageOwnership>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>RADIUS REAL ESTATE INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>3663 WOODWARD AVE STE 200</AddressLine1>
          <City>DETROIT</City>
          <State>MI</State>
          <ZIPCode>48201</ZIPCode>
        </AddressUS>
        <EIN>382646917</EIN>
        <PrimaryActivity>HEALTHCARE</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>THE MEDICAL PROVIDER ORGANIZATION</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>3990 JOHN R</AddressLine1>
          <City>DETROIT</City>
          <State>MI</State>
          <ZIPCode>48201</ZIPCode>
        </AddressUS>
        <EIN>382833100</EIN>
        <PrimaryActivity>ADMIN SERVICES</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>LEGACY DMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
        <PercentageOwnership>1.00000</PercentageOwnership>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>1</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>0</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <DividendsRelatedOrganization>0</DividendsRelatedOrganization>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>0</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>0</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>0</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>LEGACY HVH</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>B</TransactionType>
        <AmountInvolved>74114</AmountInvolved>
        <MethodOfAmtDetermination>CASH TRANSFERRED</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>LEGACY SHGD</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>B</TransactionType>
        <AmountInvolved>235140</AmountInvolved>
        <MethodOfAmtDetermination>CASH TRANSFERRED</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>LEGACY HHH</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>B</TransactionType>
        <AmountInvolved>440491</AmountInvolved>
        <MethodOfAmtDetermination>CASH TRANSFERRED</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>