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        <Desc>SUCCESSFUL EXPANSION OF THE HSCC INITIATIVE (CALLED HUMANSERV), IN COLLABORATION WITH THE EATON COUNTY HUMAN SERVICES COLLABORATIVE COUNCIL (HSCC). DURING THIS FISCAL YEAR, EATON COMMUNITY HEALTH SERVED AS A CATALYST AND CONVENER FOR THE COLLABORATIVE, WHICH NOW HAS THREE ACTION TEAMS AND IS PLANNING FOR SURVEYS OF FRONT-LINE WORKERS AND A SECOND LARGE SCALE RESIDENT SURVEY RELATED TO ACCESS TO RESOURCES IN THE COUNTY. EATON COMMUNITY HEALTH CONTINUES TO PROVIDE GRANTS FOR A CONSULTANT AND COORDINATOR FOR THE PROCESS.</Desc>
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        <ProgramServicesAmt>2423</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4089</ManagementAndGeneralAmt>
        <FundraisingAmt>688</FundraisingAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>53</ProgramServicesAmt>
        <ManagementAndGeneralAmt>294</ManagementAndGeneralAmt>
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      <InterestGrp>
        <TotalAmt>13</TotalAmt>
        <ManagementAndGeneralAmt>13</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>787</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>3278</ManagementAndGeneralAmt>
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        <Desc>FUNDRAISING EXPENSE</Desc>
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        <FundraisingAmt>2050</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>DUES &amp; SUBSCRIPTIONS</Desc>
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        <ManagementAndGeneralAmt>1984</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS EXPENSES</Desc>
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        <ManagementAndGeneralAmt>253</ManagementAndGeneralAmt>
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        <TotalAmt>335485</TotalAmt>
        <ProgramServicesAmt>182809</ProgramServicesAmt>
        <ManagementAndGeneralAmt>108213</ManagementAndGeneralAmt>
        <FundraisingAmt>44463</FundraisingAmt>
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        <EOYAmt>196201</EOYAmt>
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      <LandBldgEquipAccumDeprecAmt>787</LandBldgEquipAccumDeprecAmt>
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        <EOYAmt>30705</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>3846878</EOYAmt>
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        <EOYAmt>83600</EOYAmt>
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        <EOYAmt>4157384</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>5954</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>12310</BOYAmt>
        <EOYAmt>5954</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>2759702</BOYAmt>
        <EOYAmt>3100622</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>1049238</BOYAmt>
        <EOYAmt>1050808</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>3808940</BOYAmt>
        <EOYAmt>4151430</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>3821250</BOYAmt>
        <EOYAmt>4157384</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-139113</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>481603</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>1081852</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>140170</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>96279</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>98905</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>112836</CurrentTaxYearAmt>
        <TotalAmt>1530042</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>1081852</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>140170</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>96279</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>98905</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>112836</CurrentTaxYearAmt>
        <TotalAmt>1530042</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
        <CurrentTaxYearMinus4YearsAmt>75000</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>125000</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>50000</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>50000</CurrentTaxYearMinus1YearAmt>
        <TotalAmt>300000</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <CurrentTaxYearMinus4YearsAmt>75000</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>125000</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>50000</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>50000</CurrentTaxYearMinus1YearAmt>
        <TotalAmt>300000</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>1230042</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>69779</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>12610</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>103028</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>82919</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>86918</CurrentTaxYearAmt>
        <TotalAmt>355254</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>69779</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>12610</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>103028</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>82919</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>86918</CurrentTaxYearAmt>
        <TotalAmt>355254</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>1151631</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>152780</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>199307</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>181824</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>199754</CurrentTaxYearAmt>
        <TotalAmt>1885296</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.65240</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.83520</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.18840</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.08500</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>31492</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>787</DepreciationAmt>
        <BookValueAmt>30705</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>30705</TotalBookValueLandBuildingsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>652097</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>481603</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>481603</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>170494</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>25878</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>25878</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>196372</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>309607</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>309607</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>25878</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>25878</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>335485</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>IN PREPARATION OF TAX RETURNS, TAX POSITIONS ARE TAKEN BASED ON INTERPRETATION OF FEDERAL, STATE AND LOCAL INCOME TAX LAWS. MANAGEMENT PERIODICALLY REVIEWS AND EVALUATES THE STATUS OF UNCERTAIN TAX POSITIONS AND MAKES ESTIMATES OF AMOUNTS, INCLUDING INTEREST AND PENALTIES, ULTIMATELY DUE OR OWED. NO AMOUNTS HAVE BEEN IDENTIFIED, OR RECORDED, AS UNCERTAIN TAX POSITIONS. FEDERAL, STATE, AND LOCAL TAX RETURNS GENERALLY REMAIN OPEN FOR EXAMINATION BY THE VARIOUS TAXING AUTHORITIES FOR A PERIOD OF THREE TO FOUR YEARS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SPARROW EATON HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>321 E HARRIS STREET</AddressLine1Txt>
          <CityNm>CHARLOTTE</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48813</ZIPCd>
        </USAddress>
        <RecipientEIN>382007629</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>50000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>TO SUPPORT COLLABORATIVE POPULATION HEALTH INITIATIVES IN EATON COUNTY</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TRANSFORM CHANGE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1046 CRESENWOOD ROAD</AddressLine1Txt>
          <CityNm>EAST LANSING</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48823</ZIPCd>
        </USAddress>
        <CashGrantAmt>21000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>TO SUPPORT CONTINUING SYSTEM CHANGE WORK WITH COUNTY COLLABORATIVE COUNCIL, RESIDENT ADVISORY TEAM DEVELOPMENT, AND HEALTH CARE ENGAGEMENT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SYMBIOTIC SOLUTIONS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1046 CRESENWOOD ROAD</AddressLine1Txt>
          <CityNm>EAST LANSING</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48823</ZIPCd>
        </USAddress>
        <CashGrantAmt>12992</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>GRANTS TO SUPPORT CONTINUING COORDINATION OF HUMAN SERVICES COLLABORATIVE, TO COORDINATE ACTION TEAMS AND TO IMPLEMENT SYSTEMS CHANGE</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>1</Total501c3OrgCnt>
      <TotalOtherOrgCnt>2</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>EATON COMMUNITY HEALTH (ECH) HAS A PROACTIVE PROCESS FOR GRANTS. THE GRANTS PROCESS ARISES FROM THE PRINCIPLE THAT THE SOCIAL DETERMINANTS OF HEALTH INVOLVE THE INTERPLAY OF FACTORS RELATED TO: A) RESIDENTS; B) HUMAN SERVICE ORGANIZATIONS; C) HEALTH CARE ORGANIZATIONS; AND D) COMMUNITY/ECONOMIC CONDITIONS. FURTHER, IT IS BASED ON THE FACT THAT SOLUTIONS TO THE ROOT CAUSES OF SOCIAL DETERMINANTS ARE LONG RANGE, REQUIRING SUSTAINED COMMITMENT TO AN ADAPTIVE SERIES OF RELATED PROJECTS. ECH GRANTS ARE BASED ON SOLUTIONS THAT ARISE FROM A SHARED VISION AND INPUT FROM RESIDENTS, ORGANIZATIONS, AND HEALTH CARE. ECH HAS STRATEGICALLY PLANNED FOR THREE LONG RANGE INITIATIVES, FOR WHICH IT WILL PROVIDE GRANT FUNDS BASED ON MEASURABLE ANNUAL GOALS AND ACTION PLANS. THE GRANTS ARE PROVIDED BASED ON COLLABORATIVE AGREEMENTS AND ANNUAL EXPECTATIONS. GRANTS ARE GENERALLY PROVIDED TO ORGANIZATIONS, BOTH GOVERNMENT AND NONPROFIT, AND TO NEIGHBORHOOD RESIDENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS REVIEWED BY MANAGEMENT AND THEN PROVIDED TO THE BOARD OF DIRECTORS TO REVIEW AND COMMENT ON PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION REVIEWS AND MONITORS THE CONFLICT OF INTEREST POLICY ANNUALLY. THE POLICY IS NOTED AT THE START OF EVERY BOARD MEETING. EACH DIRECTOR IS REQUIRED TO BE AWARE OF POTENTIAL CONFLICTS OF INTEREST AND TO DISCLOSE ANY CONFLICTS THAT MAY ARISE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD FINANCE COMMITTEE ACTED AS THE COMPENSATION COMMITTEE AND REVIEWED COMPARABLE POSITIONS AND COMPENSATION. INDEPENDENT REVIEW WAS SOUGHT THROUGH AN HR COMPENSATION SPECIALIST WHO PROVIDED CURRENT DATA AND COMPARISONS (INCLUDING A COMPENSATION STUDY). THE FINANCE COMMITTEE MADE A RECOMMENDATION, WHICH WAS REVIEWED AND APPROVED BY THE FULL BOARD IN SEPTEMBER 2019 FOR YEARS ENDING IN 2020, 2021, 2022, 2023, AND 2024. ONLY THE EXECUTIVE DIRECTOR IS COMPENSATED. NO OTHER OFFICERS RECEIVE COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>DOCUMENTS ARE AVAILABLE UPON REQUEST. THE 990 IS PUBLISHED ON GUIDESTAR AND WILL ALSO BE AVAILABLE ON EATON COMMUNITY HEALTH'S NEW WEBSITE. THE 990 CAN ALSO BE REQUESTED VIA EMAIL OR CONTACT FORM ON THE WEBSITE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>