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        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 2, PART V, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>TO PROVIDE SUPPORT TO ISABELLA CITIZENS FOR HEALTH, INC TO CARRY OUT ITS ROLE AND MISSION AS DESCRIBED BY ITS GOVERNING DOCUMENTS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CENTER WAS INCORPORATED AS A NOT-FOR-PROFIT CORPORATION UNDER THE LAWS OF THE STATE OF MICHIGAN. THE CENTER IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND THEREFORE HAS MADE NO PROVISION FOR FEDERAL INCOME TAXES IN THE ACCOMPANYING FINANCIAL STATEMENTS. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE CENTER AND RECOGNIZE A TAX LIABILITY IF THE CENTER HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS OR OTHER TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE CENTER AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2025, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. ADDITIONALLY, THE CENTER HAS BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE NOT TO BE A PRIVATE FOUNDATION WITHIN THE MEANING AS DESCRIBED IN SECTION 509(A) OF THE INTERNAL REVENUE CODE. THERE WAS NO UNRELATED BUSINESS INCOME FOR THE YEAR ENDED DECEMBER 31, 2025.</ExplanationTxt>
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        <PersonNm>RACHEL BLIZZARD</PersonNm>
        <TitleTxt>COO</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL L MCCONNON</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL SWIRTZ</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BITTANY VAN HOUTEN</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHELLE SANDERS</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DENELLE MOHAMMED</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KAITLYN SHIRELY</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>13851</DeferredCompensationFlngOrgAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>USING ANNUAL STATE AND NATIONAL DATA FOR HEALTH CENTERS, THE GOVERNANCE/PERSONNEL COMMITTEE OF THE BOARD REVIEWS EXECUTIVE COMPENSATION (INCLUDING ALL BENEFITS AND FRINGE BENEFITS) FOR REBUTTABLE PRESUMPTION OF REASONABLENESS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc5">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>TO PROMOTE ACCESS TO HEALTHCARE FOR ALL RESIDENTS OF THE CENTRAL MICHIGAN AREA, REGARDLESS OF ABILITY TO PAY, INSURANCE STATUS, OR INCOME LEVEL; TO IMPROVE THE HEALTH STATUS OF THE UNDERSERVED POPULATION OF THE CENTRAL MICHIGAN AREA; TO PROVIDE COMPREHENSIVE PRIMARY CARE, ORAL CARE, AND MENTAL HEALTH/SUBSTANCE ABUSE SERVICES, AS WELL AS SUPPORTIVE SERVICES THAT PROMOTE ACCESS TO HEALTHCARE, FOR ALL RESIDENTS OF THE CENTRAL MICHIGAN AREA; SUCH AS SPECIALTY PROVIDERS, HOSPITALS, AND ENABLING AND OTHER SOCIAL AGENCIES, AND TO STRIVE TO BECOME PART OF THE CENTRAL MICHIGAN AREA'S HEALTHCARE AND SOCIAL SERVICE INFRASTRUCTURE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 1, PART I, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD OF DIRECTORS</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>TAX RETURN IS PRESENTED TO AND REVIEWED BY THE FINANCE COMMITTEE AND EXECUTIVE DIRECTOR. THE RETURN IS THEN PRESENTED TO THE FULL BOARD FOR REVIEW AND APPROVAL FOR FILING.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>AT EACH BOARD MEETING DIRECTORS ARE ASKED TO DISCLOSE ANY CONFLICTS OF INTERESTS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION OF EXECUTIVE DIRECTOR HAS BEEN COMPARED TO OTHER EXECUTIVE DIRECTORS WORKING FOR FQHC'S.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>CEO USES ANNUAL MPCA COMPENSATION SURVEY TO DETERMINE ORGANIZATION WAGE SCALE.</ExplanationTxt>
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