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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>238795</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>32583</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Kevin Denlinger</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>250685</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>39105</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Robert McMorrow</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>300543</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>17362</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Lyndsy McMorrow</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>244615</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>38867</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Cara Crawford-Bartle</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>254179</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>40434</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Lyndsy McMorrow</PersonNm>
        <TitleTxt>Medical Director</TitleTxt>
        <AverageHoursPerWeekRt>10.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>15000</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Melissa Dunkle</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>59840</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2196750</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>295786</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>0</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>18</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Hi-Tech Cleaning Service</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>6578 Roger Drive</AddressLine1Txt>
            <AddressLine2Txt>Suite A</AddressLine2Txt>
            <CityNm>Jenison</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>49428</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Cleaning Services</ServicesDesc>
        <CompensationAmt>213394</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>MyMichigan Clare</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>4000 Wellness Drive</AddressLine1Txt>
            <CityNm>Midland</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48640</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>EPIC/Pharmacy Staffing</ServicesDesc>
        <CompensationAmt>618486</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Midland Radiology</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>4000 Wellness Drive</AddressLine1Txt>
            <CityNm>Midland</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48640</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Imaging</ServicesDesc>
        <CompensationAmt>122689</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Three Rivers Corporation</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3069 E Vantage Point Drive</AddressLine1Txt>
            <CityNm>Midland</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48641</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Building/Construction</ServicesDesc>
        <CompensationAmt>621613</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Net Express</PersonNm>
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        <ContractorAddress>
          <USAddress>
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            <CityNm>Coldwater</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>49036</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Communication</ServicesDesc>
        <CompensationAmt>113344</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>2</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>5462391</GovernmentGrantsAmt>
      <TotalContributionsAmt>5462391</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Physician Offices</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>16116165</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>16116165</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp />
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      <InvestmentIncomeGrp>
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        <RelatedOrExemptFuncIncomeAmt>37460</RelatedOrExemptFuncIncomeAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp />
      <RoyaltiesRevenueGrp />
      <GrossRentsGrp>
        <RealAmt>196824</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp />
      <RentalIncomeOrLossGrp>
        <RealAmt>196824</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>196824</TotalRevenueColumnAmt>
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      <GrossAmountSalesAssetsGrp>
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      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp />
      <GainOrLossGrp>
        <SecuritiesAmt>534628</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>534628</TotalRevenueColumnAmt>
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      <OtherRevenueMiscGrp>
        <Desc>Other Revenue (Edward Jones)</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>14574</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>14574</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
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      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>22362042</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>16168199</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>1457168</ProgramServicesAmt>
        <ManagementAndGeneralAmt>975528</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>4877388</ProgramServicesAmt>
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        <ProgramServicesAmt>237123</ProgramServicesAmt>
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        <ProgramServicesAmt>1404394</ProgramServicesAmt>
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        <ProgramServicesAmt>454410</ProgramServicesAmt>
        <ManagementAndGeneralAmt>275235</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>25697</TotalAmt>
        <ManagementAndGeneralAmt>25697</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>15000</ProgramServicesAmt>
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        <ProgramServicesAmt>7322</ProgramServicesAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>3942952</ProgramServicesAmt>
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      <InformationTechnologyGrp>
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        <ProgramServicesAmt>346508</ProgramServicesAmt>
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        <ProgramServicesAmt>16564</ProgramServicesAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>46989</ProgramServicesAmt>
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        <ProgramServicesAmt>458971</ProgramServicesAmt>
        <ManagementAndGeneralAmt>23505</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>1460852</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
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        <EOYAmt>938392</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>2045222</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>581603</EOYAmt>
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      <AccountsReceivableGrp>
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      <ReceivablesFromOfficersEtcGrp>
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      <OthNotesLoansReceivableNetGrp>
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      <InventoriesForSaleOrUseGrp>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>100972</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>15847387</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>8414797</LandBldgEquipAccumDeprecAmt>
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        <EOYAmt>7432588</EOYAmt>
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        <EOYAmt>15340</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>9726051</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>9726051</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>14832612</EOYAmt>
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      <OtherChangesInNetAssetsAmt>180</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>true</AccountantCompileOrReviewInd>
      <AcctCompileOrReviewBasisGrp>
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      <FSAuditedInd>true</FSAuditedInd>
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      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
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    <IRS990ScheduleA documentId="ScheduleA" documentName="IRS990ScheduleA">
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      <SupportedOrganizationsCnt>0</SupportedOrganizationsCnt>
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        <CurrentTaxYearMinus3YearsAmt>7386037</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5805126</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>5825024</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>5462391</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus1YearAmt>5825024</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>5462391</CurrentTaxYearAmt>
        <TotalAmt>28355351</TotalAmt>
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      <PublicSupportTotal170Amt>28355351</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
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        <CurrentTaxYearMinus2YearsAmt>523444</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>-807731</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>572088</CurrentTaxYearAmt>
        <TotalAmt>1512115</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <TotalSupportAmt>29867466</TotalSupportAmt>
      <PublicSupportCY170Pct>0.94940</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.96430</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="ScheduleD" documentName="IRS990ScheduleD">
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        <BookValueAmt>228191</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
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        <DepreciationAmt>6630358</DepreciationAmt>
        <BookValueAmt>6574739</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp />
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        <DepreciationAmt>1639790</DepreciationAmt>
        <BookValueAmt>593092</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>181217</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>144648</DepreciationAmt>
        <BookValueAmt>36569</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>7432591</TotalBookValueLandBuildingsAmt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="ScheduleJ" documentName="IRS990ScheduleJ">
      <FirstClassOrCharterTravelInd>X</FirstClassOrCharterTravelInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>William Collin</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>188431</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>29521</OtherCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>217952</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>James Raschke</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>213370</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>27398</OtherCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>240768</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jennifer Shamel</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <BaseCompensationFilingOrgAmt>136111</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>33289</OtherCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>169400</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Candice Barnum</PersonNm>
        <TitleTxt>Clinical Operations Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>108698</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>5208</OtherCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>113906</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Allison Hubbard</PersonNm>
        <TitleTxt>HR Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>106483</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>32019</OtherCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>138502</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Cara Crawford-Bartle</PersonNm>
        <TitleTxt>Medical Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>40000</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>40000</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Robert McMorrow</PersonNm>
        <TitleTxt>Medical Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>40000</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>40000</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Kevin Denlinger</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>250685</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>39105</OtherCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>289790</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Stacey Gedeon</PersonNm>
        <TitleTxt>Psychologist</TitleTxt>
        <BaseCompensationFilingOrgAmt>238795</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>32583</OtherCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>271378</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Lyndsy McMorrow</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>244615</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>38867</OtherCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>283482</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Lyndsy McMorrow</PersonNm>
        <TitleTxt>Medical Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>15000</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>15000</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Robert McMorrow</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>300543</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>17362</OtherCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>317905</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Cara Crawford-Bartle</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>254179</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>40434</OtherCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>294613</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Melissa Dunkle</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>59840</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>59840</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="ScheduleO" documentName="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>Subsequent to completion, a copy of the 990 is reviewed by the Executive Director and the Executive Committee of the Board of Directors prior to submission to the IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>At the time of initial election, and annually thereafter, each board member shall be asked to complete and file a Disclosure of Certain Interests form. Before discussion of each issue at a Committee or Board Meeting, board members should voluntarily state any conflict of interest they may have. When a conflict of interest is established, members with a conflict may not participate in the discussion or vote on the matter before a body.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Directors provide regular annual performance evaluations of the Executive Director in which compensation is determined and approved for the following year. The Executive Director provides annual performance evaluations for other officers and top management officials, while reporting and justifying compensation changes to the Board Executive Committee.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The governing documents, conflict of interest policy, and financial statements are made available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Auditors made an entry of $180 to retained earnings in error, we don't have the ability to make an entry to retained earnings to offset this amount.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>