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        <ExplanationTxt>THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER 501(C)(3) OF THE INTERNAL REVENUE CODE. HOWEVER, INCOME FROM CERTAIN ACTIVITIES NOT DIRECTLY RELATED TO THE ORGANIZATION'S TAX-EXEMPT PURPOSE MAY BE SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME. SINCE THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES, NO PROVISION FOR INCOME TAXES IS INCLUDED IN THE ACCOMPANYING FINANCIAL STATEMENTS. GENERALLY, TAX YEARS FROM 2021 THROUGH THE CURRRENT YEAR REMAIN OPEN TO EXAMINATION. THE ORGANIZATION DOES NOT BELIEVE THAT THE RESULTS FROM THE EXAMINATION OF ANY OPEN YEARS WOULD HAVE A MATERIAL ADVERSE EFFECT ON THE ORGANIZATION.</ExplanationTxt>
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        <ExplanationTxt>THE ORGANIZATION MAINTAINS RECORDS OF RECEIPTS, INVOICES, AND REQUESTS FOR MOM ENROLLEES. UP MATERNAL OPIOID MISUSE MODEL - SOCIAL DETERMINANTS OF HEALTH SCREENINGS ARE COMPLETED AND DOCUMENTED FOR PEOPLE WHO ARE CURRENTLY EXPERIENCING SUBSTANCE USE DISORDER (SUD), BEING TREATED FOR SUD, AND ARE IN RECOVERY OR REMISSION AND PEOPLE WHO ARE PREGNANT, PEOPLE WHO ARE LESS THAN OR EQUAL TO 12 MONTHS POSTPARTUM, TO IDENTIFY NEEDS, REFER TO ASSISTANCE, AND FOLLOW THE ENROLLEE TO REMOVE BARRIERS TO HEALTH.</ExplanationTxt>
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        <ExplanationTxt>UPPER PENINSULA MATERNAL OPIOID MISUSE PROGRAM, MARQUETTE COMMUNITY RESOURCE FAIR, PROJECT ECHO TELEMENTORING PROGRAM, HEALTHY HEARTS FOR MICHIGAN, FEEDING AMERICA MOBILE FOOD PANTRY, HEALTHY AGING AT HOME PROJECT, UP BEHAVIORAL HEALTH NETWORK - HUB AND SPOKE PILOT, HEALTH INFORMATION EXCHANGE SERVER UPGRADE PROJECT, BUILDING COMMUNITY INFORMATION EXCHANGE CAPACITY PROJECT, COLLABORATIVE CARE PATIENT REGISTRY DEVELOPMENT PROJECT AND RURAL HEALTH NETWORK DEVELOPMENT PLANNING PROGRAM.</ExplanationTxt>
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        <ExplanationTxt>THE ORGANIZATION CONTRACTS WITH UPPER PENINSULA MANAGED CARE LLC (UPMC) FOR MANAGEMENT, ADMINISTRATIVE AND ACCOUNTING SUPPORT SERVICES, INCLUDING THE SERVICES OF AN EXECUTIVE DIRECTOR. BECAUSE UPMC IS A RELATED ORGANIZATION, THE COMPENSATION OF THE EXECUTIVE DIRECTOR IS REPORTED IN SECTION VII.</ExplanationTxt>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
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          <AddressLine1Txt>853 W WASHINGTON STREET</AddressLine1Txt>
          <CityNm>MARQUETTE</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>49855</ZIPCd>
        </USAddress>
        <EIN>383323620</EIN>
        <PrimaryActivitiesTxt>PHYSICIANS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>UPPER PENINSULA HEALTH PLAN LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>853 W WASHINGTON STREET</AddressLine1Txt>
          <CityNm>MARQUETTE</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>49855</ZIPCd>
        </USAddress>
        <EIN>460927995</EIN>
        <PrimaryActivitiesTxt>HEALTH MAI</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>