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      <Desc>MUSKEGON IN TANDEM/COMMUNITY INFORMATION EXCHANGE(CIE)(FORMERLY PROMOTION FOR HEALTH EQUITY AND MUSKEGON CIE) THE PROGRAM HASD THREE OBJECTIVES: (1)FOSTERING COMMUNITY ENGAGEMENT, BUILDING PARTNERSHIPS, AND COLLABORANG WITH STAKEHOLDERS TO UNDERSTAND THE NEEDS OF MEDICAID BENEFICIARIES AND HISTORICALLY DISADVANTAGED POPULATIONS, (2) PLANNING, DEVELOPING, AND GOVERNING COMMUNITY INFORMATION EXCHANGE, AS WELL AS DESIGNING PILOTS THAT INTEGRATE HEALTH AND SOCIAL CARE SECTORS TO BETTER SERVE THESE POPULATIONS, AND (3) INTEGRATION OF AN ANCILLARY PROVIDER WORKFORCE, SHARING MODELS AND BEST PRACTICES FOR DEVELOPING A COMMUNITY-BASED WORKFORCE TO PARTNER WITH CLINICAL AND SOCIAL CARE PROVIDERS, THEREBY IMPROVING CARE ACCESSIBILITY AND HEALTH OUTCOMES FOR MEDICAID BENEFICIARIES AND UNDERSERVED POPULATIONS. THIS PROGRAM ENDED IN SEPTEMBER OF 2025. SERVED APPROXIMATELY 1,750 MEMBERS IN THE MUSKEGON IN TANDEM/CIE PROGRAM.</Desc>
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        <Desc>C3 HEALTH IS A COMMUNITY PLAN DESIGNED TO PROVIDE HEALTH BENEFITS TO WORKING RESIDENTS OF MUSKEGON COUNTY. C3 HEALTH PLAN ELIGIBILITY IS BASED ON THE INDIVIDUAL'S LEVEL OF PERCENTAGE OF POVERTY. C3 HEALTH IS A MINIMAL ESSENTIAL COVERAGE CERTIFIED PLAN. MEMBERS OF C3 HEALTH ARE ABLE TO TAKE ADVANTAGE OF SPECIALIZED SERVICES SUCH AS HEALTH COACHING, BIOMETRICS TESTING, AND HEALTH COURSES TAILORED TO INDIVIDUAL NEED. SERVED APPROXIMATELY 428 MEMBERS IN THE C3 HEALTH PROGRAM.</Desc>
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        <Desc>MUSKEGON SHIP (FORMERLY NATIONAL INSTITUTE OF HEALTH (NIH) COMPASS) FUNDED BY THE NATIONAL INSTITUTE OF HEALTH, THE MUSKEGON SHIP (SUSTAINABLE HEALTH INVESTMENT PARTNERSHIP) WAS A MULTI-YEAR PROGRAM THAT SOUGHT TO IMPROVE COMMUNITY HEALTH, PROVIDE ECONOMIC MOBILITY FOR WORKERS AND THEIR FAMILIES, AND SUPPORT EMPLOYERS BY REDUCING ABSENTEEISM AND TURNOVER THROUGH A COUNTYWIDE WELLNESS PLAN AIMED AT ADDRESSING BARRIERS TO HEALTH AND ECONOMIC MOBILITY. THE PROGRAM ENDED IN APRIL 2025. SERVED APPROXIMATELY 1,850 MEMBERS IN THE SHIP PROGRAM.</Desc>
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        <Desc>REGIONAL HEALTH ADVISORY COUNCIL (FORMERLY HEALTH EQUITY) THE PROGRAM, COMPRISED OF RESIDENT AND COMMUNITY ORGANIZATIONS ACTIVELY ENGAGED WITH MICHIGAN'S FIVE MINORITY POPULATIONS, DEVELOPS AND IMPLEMENTS AN ACTION PLAN TO ADDRESS AND REDUCE COMMUNITY PRIORITY RISK FACTORS AND NEEDS RELATED TO COVID-19 AND OTHER ROOT CAUSES OF HEALTH INEQUITY IN THE REGION. CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) THE ORGANIZATION WAS THE SUBRECIPIENT OF A CDC FOUNDATION GRANT TO SUPPORT PARTNERING WITH NATIONAL ORGANIZATIONS AND COMMUNITY-BASED ORGANIZATIONS TO INCREASE VACCINATION COVERAGE ACROSS DIFFERENT RACIAL AND ETHNIC ADULT POPULATIONS CURRENTLY EXPERIENCING DISPARITIES. THE PROGRAM ACTIVITIES SUPPORTED EFFORTS TO INCREASE INFLUENZA AND COVID-19 VACCINE CONFIDENCE AND UPTAKE FOR ADULTS IN RACIAL AND/OR ETHNIC POPULATIONS EXPERIENCING DISPARITIES IN THE UNITED STATES. THIS PROGRAM ENDED IN APRIL 2024. UNDUE MEDICAL DEBT THIS PROGRAM WAS A 2-YEAR RESEARCH PARTNERSHIP AIMED AT ELIMINATING PERSONAL MEDICAL DEBT, PROMOTING/ADVOCATING FOR REFORMS TO ADDRESS UPSTREAM CAUSES OF MEDICAL DEBT, AND HIGHLIGHTING LOCAL PATIENT AND PARTNER STORIES TO ILLUSTRATE THE BURDEN AND IMPACT OF MEDICAL DEBT. THE PROGRAM EXPANDED LOCAL DATA COLLECTION USING PATIENT ASSESSMENT TOOLS TO INCORPORATE MEDICAL DEBT QUESTIONS, AND IT EXPLORED THE IMPACT OF MEDICAL DEBT ON LOCAL FAMILIES THROUGH COMMUNITY-ENGAGED APPROACHES. THIS PROGRAM ENDED IN SEPTEMBER OF 2024. BLUEPRINT PROJECT (FORMERLY BUILD HEALTH) THE ORGANIZATION IS PARTNERING WITH THE MUSKEGON HEIGHTS COMMUNITY, PUBLIC HEALTH MUSKEGON, TRINITY HEALTH MUSKEGON, AND PRIORITY HEALTH TO LAUNCH THE MUSKEGON HEIGHTS ECONOMIC OPPORTUNITY HUB. THE HUB FOCUSES ON ADVANCING RESIDENTS' ECONOMIC MOBILITY THROUGH SKILL-BUILDING, BUSINESS SUPPORT, AND COMMUNITY-DRIVEN RESOURCES. GUIDED BY A COMMUNITY ADVISORY TEAM, IT ALSO SUPPOTS BROADER ECONOMIC AND COMMUNITY DEVELOPMENT INITIATIVES AND ADDRESSES UPSTREAM BARRIERS TO HEALTH AND OPPORTUNITY THORUGH DEEP COMMUNITY ENGAGEMENT, BUILDING ON PRIOR INITIATIVES LIKE PHOTOVOICE, LIVABILITY LAB, AND NEIGHBORHOOD ASSOCIATIONS. SERVED APPROXIMATELY 1,225 MEMBERS FOR THE BLUEPRINT PROJECT PROGRAM. LIVABILITY LAB THIS PROGRAM IS A COMMUNITY-LED, 100-DAY ACTION MODEL THAT TRANSFORMS RESIDENT INPUT INTO MEASURABLE CHANGE. IT BEGINS WITH INTERVIEWS, SURVEYS, AND LOCAL DATA TO IDENTIFY KEY BARRIERS SUCH AS TRANSPORTATION, CHILDCARE, HOUSING, FOOD ACCESS, SAFETY, INCOME, AND SOCIAL CONNECTION. CROSS-SECTOR TEAMS, CO-DESIGNED WITH RESIDENTS, SET SHORT-TERM, ACHIEVABLE GOALS, TRACK PROGRESS, AND REPORT RESULTS PUBLICLY. SERVED APPROXIMATELY 1,450 MEMBERS FOR THE LIVABILITY LAB PROGRAM. COMMUNITY HEALTH PROGRAMS THE ORGANIZATION FACILITATES COMMUNICATION AND THE EXCHANGE OF IDEAS TOWARD IMPROVING BLOOD PRESSURE CONTROL AND CARDIOVASCULAR HEALTH OUTCOMES RELATED TO HYPERTENSION, HIGH CHOLESTEROL, AND STROKE, THROUGH OPTIMIZING CARE AND INFLUENCING POLICY, SYSTEM, AND ENVIRONMENTAL CHANGE. SERVED APPROXIMATELY 350 MEMBERS FOR COMMUNITY HEALTH PROGRAMS. MUSKEGON COUNTY FOOD CLUB A FOOD CLUB IS A NON-PROFIT, MEMBERSHIP-BASED GROCERY MODEL THAT OFFERS DIGNIFIED FOOD ACCESS, HEALTHY FOOD OPTIONS, AND MEMBER CHOICE TO SUPPORT ECONOMIC STABILITY FOR FOOD-INSECURE HOUSEHOLDS. THE ORGANIZATION IS PROVIDING BACKBONE SUPPORT BY COVENING A CROSS-SECTOR STAKEHOLDER GROUP TO PLAN AND DEVELOP A FOOD CLUB TAILORED TO MUSKEGON COUNTY. APPROXIMATELY 150 MEMBERS SERVED THROUGH THIS PROGRAM. ACCESS PAYEE SERVICES THIS IS AN ORGANIZATIONAL REPRESENTATIVE PAYEE PROGRAM THAT MANAGES SOCIAL SECURITY AND SUPPLEMENTAL SECURITY INCOME BENEFITS ON BEHALF OF INDIVIDUALS UNABLE TO DO SO INDEPENDENTLY. THE PROGRAM ENSURES BENEFICIARIES' FUNDS ARE USED FOR THEIR BASIC NEEDS, INCLUDING HOUSING, FOOD, MEDICAL CARE, AND PERSONAL EXPENSES. THE PROGRAM MAINTAINS ACCURATE FINANCIAL RECORDS, SAFEGUARDS CLIENT FUNDS, AND PROMOTES FINANCIAL STABILITY IN ACCORDANCE WITH SOCIAL SECURITY ADMINISTRATION GUIDELINES. CHILDCARE ASSOCIATION OF MUSKEGON PROVIDERS (CAMP) THIS PROGRAM STRENGTHENS AND SUSTAINS MUSKEGON COUNTY'S CHILDCARE ECOSYSTEM BY CONNECTING PROVIDERS, EMPLOYERS, AND COMMUNITY PARTNERS. IT SERVES AS A COLLABORATIVE NETWORK THAT SUPPORTS PROVIDERS WITH RESOURCES, TRAINING, AND BUSINESS DEVELOPMENT WHILE ADVOCATING POLICIES THAT MAKE CHILDCARE MORE ACCESSIBLE AND AFFORDABLE FOR WORKING FAMILIES. APPROXIMATELY 43 MEMBERS SERVED THROUGH THIS PROGRAM. HOW YOU BIRTH DOULA THIS IS A COMMUNITY-BASED DOULA PROGRAM THAT EXPANDS ACCESS TO CULTURALLY COMPETENT PERINATAL SUPPORT FOR MEDICAID-COVERED BIRTHS AND FAMILIES OF COLOR. IT RECRUITS AND TRAINS LOCAL DOULAS, CONNECTS THEM WITH MEDICAL AND SOCIAL-CARE PARTNERS, AND REMOVES COST BARRIERS THROUGH MEDICAID AND GRANTS. SERVICES INCLUDE LATE-PREGNANCY EDUCATION, CONTINUOUS LABOR SUPPORT, AND POSTPARTUM VISITS WITH LACTATION HELP, MENTAL-HEALTH SCREENING, AND REFERRALS FOR SOCIAL NEEDS. SERVED APPROXIMATELY 652 MEMBERS FOR THE HOW YOU BIRTH DOULA PROGRAM.</Desc>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KATHRYN NORTON</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KRISTEN BURLESON</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TOM REYNOLDS</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JEFF S FORTENBACHER</PersonNm>
        <TitleTxt>EXECUTIVE DI</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>221845</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SAMANTHA CORNELL</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>109194</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>9499</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>331039</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>9499</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>2</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ADVANCED MEDICAL &amp; BEHAVIORAL HEALTH</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2964 LAKESHORE DR</AddressLine1Txt>
            <CityNm>MUSKEGON</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>49441</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACT EX DIR</ServicesDesc>
        <CompensationAmt>221845</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>WE UPJOHN INSTITUTE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>300 S WESTNEDGE AVENUE</AddressLine1Txt>
            <CityNm>KALAMAZOO</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>49007</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>RESEARCH</ServicesDesc>
        <CompensationAmt>180000</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MICHIGAN PUBLIC HEALTH INSTITURES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2436 WOODLAKE DR 300</AddressLine1Txt>
            <CityNm>OKEMOS</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48864</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>RESEARCH</ServicesDesc>
        <CompensationAmt>160587</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CARE CONVENE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>120 NORTH WASHINGTON SQUARE</AddressLine1Txt>
            <AddressLine2Txt>SUITE 316</AddressLine2Txt>
            <CityNm>LANSING</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48933</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>TELEHEALTH</ServicesDesc>
        <CompensationAmt>120000</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>4</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>2439518</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>330127</AllOtherContributionsAmt>
      <TotalContributionsAmt>2769645</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PROGRAM MEMBER DUES</Desc>
        <TotalRevenueColumnAmt>254008</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>254008</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>254008</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>182394</TotalRevenueColumnAmt>
        <ExclusionAmt>182394</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>250000</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>202097</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>47903</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>47903</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>47903</RelatedOrExemptFuncIncomeAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER</Desc>
        <TotalRevenueColumnAmt>30900</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>30900</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>CONSULTING AND OTHER SERVICES</Desc>
        <TotalRevenueColumnAmt>4255</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4255</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>35155</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>3289105</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>337066</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>182394</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>112718</TotalAmt>
        <ProgramServicesAmt>112718</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>239212</TotalAmt>
        <ProgramServicesAmt>233958</ProgramServicesAmt>
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      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
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        <ProgramServicesAmt>1066766</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13089</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>101351</ProgramServicesAmt>
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      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
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        <ProgramServicesAmt>84549</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1037</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>27669</ProgramServicesAmt>
        <ManagementAndGeneralAmt>621</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>18879</TotalAmt>
        <ManagementAndGeneralAmt>18879</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>535052</TotalAmt>
        <ProgramServicesAmt>482194</ProgramServicesAmt>
        <ManagementAndGeneralAmt>52858</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>19185</TotalAmt>
        <ProgramServicesAmt>17396</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1789</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>65044</TotalAmt>
        <ProgramServicesAmt>28295</ProgramServicesAmt>
        <ManagementAndGeneralAmt>36749</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>97391</TotalAmt>
        <ProgramServicesAmt>86487</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10904</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>66157</TotalAmt>
        <ProgramServicesAmt>48468</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17689</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>28898</TotalAmt>
        <ProgramServicesAmt>23425</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5473</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>64905</TotalAmt>
        <ProgramServicesAmt>37805</ProgramServicesAmt>
        <ManagementAndGeneralAmt>27100</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>32557</TotalAmt>
        <ProgramServicesAmt>27742</ProgramServicesAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>30201</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11621</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>HEALTH CARE CLAIMS</Desc>
        <TotalAmt>498171</TotalAmt>
        <ProgramServicesAmt>498171</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>COMMUNITY CAPACITY BUILD</Desc>
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        <ProgramServicesAmt>79172</ProgramServicesAmt>
        <ManagementAndGeneralAmt>50</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
        <TotalAmt>29211</TotalAmt>
        <ProgramServicesAmt>25356</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3855</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>3011723</ProgramServicesAmt>
        <ManagementAndGeneralAmt>213027</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
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        <EOYAmt>431837</EOYAmt>
      </CashNonInterestBearingGrp>
      <AccountsReceivableGrp>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>1678</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>17439</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>888734</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>742006</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>179286</BOYAmt>
        <EOYAmt>146728</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>5466997</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
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        <EOYAmt>2126337</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>8837248</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>293218</BOYAmt>
        <EOYAmt>228942</EOYAmt>
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      <DeferredRevenueGrp>
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      <OtherLiabilitiesGrp>
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        <EOYAmt>144161</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>373103</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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        <BOYAmt>7968290</BOYAmt>
        <EOYAmt>7963420</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>268766</BOYAmt>
        <EOYAmt>500725</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>8237056</BOYAmt>
        <EOYAmt>8464145</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>8656087</BOYAmt>
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      <ReconcilationRevenueExpnssAmt>64355</ReconcilationRevenueExpnssAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc11">
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      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>115793</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1636717</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2180521</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3516812</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2769645</CurrentTaxYearAmt>
        <TotalAmt>10219488</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
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        <CurrentTaxYearMinus3YearsAmt>550804</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>200514</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>197843</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>289163</CurrentTaxYearAmt>
        <TotalAmt>2215163</TotalAmt>
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      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>1092632</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2187521</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2381035</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3714655</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3058808</CurrentTaxYearAmt>
        <TotalAmt>12434651</TotalAmt>
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      <PublicSupportTotal509Amt>12434651</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>86851</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>186090</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>138508</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>163209</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>182394</CurrentTaxYearAmt>
        <TotalAmt>757052</TotalAmt>
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      <InvestmentIncomeAndUBTIGrp>
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        <CurrentTaxYearMinus1YearAmt>163209</CurrentTaxYearMinus1YearAmt>
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        <CurrentTaxYearMinus1YearAmt>6275</CurrentTaxYearMinus1YearAmt>
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        <TotalAmt>194711</TotalAmt>
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      <TotalSupportCalendarYearGrp>
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        <CurrentTaxYearMinus1YearAmt>3884139</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3276357</CurrentTaxYearAmt>
        <TotalAmt>13386414</TotalAmt>
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      <PublicSupportCY509Pct>0.92890</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.92350</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.06000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.06000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART III, LINE 12</FormAndLineReferenceDesc>
        <ExplanationTxt>PPP LOAN FORGIVENESS AND OTHER 194,711</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1">
      <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>
    <IRS990ScheduleC documentId="RetDoc4">
      <VolunteersInd>false</VolunteersInd>
      <PaidStaffOrManagementInd>true</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>false</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>true</DirectContactLegislatorsInd>
      <DirectContactLegislatorsAmt>49000</DirectContactLegislatorsAmt>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>false</OtherActivitiesInd>
      <TotalLobbyingExpendituresAmt>49000</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE C, PART II-B, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>ACCESS HEALTH CONTACTED CAPITOL STRATEGIES GROUP TO SUPPORT ACCESS HEALTH INITIATIVES, FORMULATE A COMPREHENSIVE PLAN AND TIMETABLE FOR THE INITIATIVES, ASSIST IN THE PREPARATION OF SUPPORTING DOCUMENTATION FOR THE INITIATIVES, DEVELOP RELATIONSHIPS WITH MEMBERS OF CONGRESS, CONGRESSIONAL STAFF, STATE AGENCY PERSONNEL AND KEY OUTSIDE ORGANIZATIONS, PREPARE TESTIMONY FOR PRESENTATION FOR ALL RELEVANT COMMITTEES OF THE CONGRESS, SERVE AS A LIASON TO GOVERNMENT AGENCIES AND OUTSIDE ORGANIZATIONS AS NECESSARY, AND MONITOR GOVERNMENT PROGRAMS AND OTHER DEVELOPMENTS RELEVANT TO THE INITIATIVES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc5">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>60000</OtherCostOrOtherBasisAmt>
        <BookValueAmt>60000</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>604829</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>604829</DepreciationAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>34976</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3989</DepreciationAmt>
        <BookValueAmt>30987</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>11201</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>5011</DepreciationAmt>
        <BookValueAmt>6190</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>177728</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>128177</DepreciationAmt>
        <BookValueAmt>49551</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>146728</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>INVESTMENT IN SUBSIDIARY</Desc>
        <BookValueAmt>1325000</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>RECEIVABLES FROM SUBSIDIARY</Desc>
        <BookValueAmt>801337</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>2126337</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>HEALTH CLAIMS PAYABLE</Desc>
        <Amt>96957</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>CHECKS DRAWN AGAINST FUTURE DEPOSITS</Desc>
        <Amt>47204</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>144161</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION AND ITS SUBSIDIARY ADOPTED ACCOUNTING STANDARDS CODIFICATION ("ASC") 740-10 AS IT RELATES TO UNCERTAIN TAX POSITIONS. ANY INTEREST AND PENALTIES RECOGNIZED ASSOCIATED WITH A TAX PROVISION ARE CLASSSIFIED AS CURRENT IN THE ORGANIZATION AND ITS SUBSIDIARY'S FINANCIAL STATEMENTS. THE ORGANIZATION AND ITS SUBSIDIARY HAVE EVALUATED THEIR TAX POSITIONS TAKEN FOR ALL OPEN TAX YEARS. FEDERAL, STATE AND LOCAL TAX RETURNS GENERALLY REMAIN OPEN FOR EXAMINATION BY THE VARIOUS TAXING AUTHORITIES FOR A PERIOD OF THREE TO FOUR YEARS. THE ORGANIZATION AND ITS SUBSIDIARY ARE NOT CURRENTLY UNDER AUDIT NOR HAVE THEY BEEN CONTACTED BY ANY OF THESE JURISDICTIONS. BASED ON THE EVALUATION OF THE ORGANIZATION AND ITS SUBSIDIARY'S TAX POSITIONS, MANAGEMENT BELIEVES ALL POSITIONS TAKEN WOULD BE UPHELD UNDER EXAMINATION. THEREFORE, NO PROVISION FOR THE EFFECTS OF UNCERTAIN TAX POSITIONS HAS BEEN RECORDED FOR THE YEARS ENDED SEPTEMBER 30, 2025 AND 2024.</ExplanationTxt>
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    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc6">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MICHIGAN PUBLIC HEALTH INSTITUTE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2436 WOODLAKE CIRCLE</AddressLine1Txt>
          <CityNm>OKEMOS</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48864</ZIPCd>
        </USAddress>
        <RecipientEIN>382963835</RecipientEIN>
        <CashGrantAmt>83233</CashGrantAmt>
        <PurposeOfGrantTxt>EMPLOYEE WELLNESS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HOW YOU BIRTH DOULA INITIATIVE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3324 PECK ST</AddressLine1Txt>
          <CityNm>MUSKEGON</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>49444</ZIPCd>
        </USAddress>
        <RecipientEIN>334459158</RecipientEIN>
        <CashGrantAmt>29485</CashGrantAmt>
        <PurposeOfGrantTxt>BIRTH SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc7">
      <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>JEFF S FORTENBACHER</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>221845</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>221845</TotalCompensationFilingOrgAmt>
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        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>FOR THE CALENDAR YEAR ENDED DECEMBER 31, 2024, ADVANCED MEDICAL &amp; BEHAVIORAL HEALTH SERVICES, INC. PAID 221,845 IN SALARY AND FRINGES FOR THE EXECUTIVE DIRECTOR AS AN EMPLOYEE.</ExplanationTxt>
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    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc8">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>STRATEGICMICHIGAN INSURANCE GROUP</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>PRESIDENT</RelationshipDescriptionTxt>
        <TransactionDesc>INSURANCE</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>PUBLIC HEALTH MUSKEGON COUNTY</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>TREASURER</RelationshipDescriptionTxt>
        <TransactionDesc>ADMINISTERED FUND</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE L, PART V</FormAndLineReferenceDesc>
        <ExplanationTxt>SCH. L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: DONALD SHAMPINE - DESCRIPTION OF TRANSACTION: PURCHASE OF D&amp;O AND E&amp;O INSURANCE KATHY MOORE - DESCRIPTION OF TRANSACTION: PUBLIC HEALTH MUSKEGON COUNTY ADMINISTERED COMMUNITY HEALTH IMPROVEMENT FUND WHICH COLLECTED VOLUNTARY DONATIONS FROM COMMUNITY TO SUPPORT THE C3 HEALTH PROGRAM</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc9">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MISSION OF ACCESS HEALTH IS TO OFFER AN INTEGRATED COMMUNITY-BASED HEALTH IMPROVEMENT PROGRAM FOR THOSE RESIDENTS WHO OTHERWISE WOULD NOT RECEIVE SERVICES. THE VISION FOR ACCESS HEALTH IS TO PROVIDE ACCESS TO APPROPRIATE HEALTH CARE THROUGH THE EFFECTIVE USE OF COMMUNITY RESOURCES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>MUSKEGON IN TANDEM/COMMUNITY INFORMATION EXCHANGE(CIE)(FORMERLY PROMOTION FOR HEALTH EQUITY AND MUSKEGON CIE) THE PROGRAM HASD THREE OBJECTIVES: (1)FOSTERING COMMUNITY ENGAGEMENT, BUILDING PARTNERSHIPS, AND COLLABORANG WITH STAKEHOLDERS TO UNDERSTAND THE NEEDS OF MEDICAID BENEFICIARIES AND HISTORICALLY DISADVANTAGED POPULATIONS, (2) PLANNING, DEVELOPING, AND GOVERNING COMMUNITY INFORMATION EXCHANGE, AS WELL AS DESIGNING PILOTS THAT INTEGRATE HEALTH AND SOCIAL CARE SECTORS TO BETTER SERVE THESE POPULATIONS, AND (3) INTEGRATION OF AN ANCILLARY PROVIDER WORKFORCE, SHARING MODELS AND BEST PRACTICES FOR DEVELOPING A COMMUNITY-BASED WORKFORCE TO PARTNER WITH CLINICAL AND SOCIAL CARE PROVIDERS, THEREBY IMPROVING CARE ACCESSIBILITY AND HEALTH OUTCOMES FOR MEDICAID BENEFICIARIES AND UNDERSERVED POPULATIONS. THIS PROGRAM ENDED IN SEPTEMBER OF 2025. SERVED APPROXIMATELY 1,750 MEMBERS IN THE MUSKEGON IN TANDEM/CIE PROGRAM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>REGIONAL HEALTH ADVISORY COUNCIL (FORMERLY HEALTH EQUITY) THE PROGRAM, COMPRISED OF RESIDENT AND COMMUNITY ORGANIZATIONS ACTIVELY ENGAGED WITH MICHIGAN'S FIVE MINORITY POPULATIONS, DEVELOPS AND IMPLEMENTS AN ACTION PLAN TO ADDRESS AND REDUCE COMMUNITY PRIORITY RISK FACTORS AND NEEDS RELATED TO COVID-19 AND OTHER ROOT CAUSES OF HEALTH INEQUITY IN THE REGION. CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) THE ORGANIZATION WAS THE SUBRECIPIENT OF A CDC FOUNDATION GRANT TO SUPPORT PARTNERING WITH NATIONAL ORGANIZATIONS AND COMMUNITY-BASED ORGANIZATIONS TO INCREASE VACCINATION COVERAGE ACROSS DIFFERENT RACIAL AND ETHNIC ADULT POPULATIONS CURRENTLY EXPERIENCING DISPARITIES. THE PROGRAM ACTIVITIES SUPPORTED EFFORTS TO INCREASE INFLUENZA AND COVID-19 VACCINE CONFIDENCE AND UPTAKE FOR ADULTS IN RACIAL AND/OR ETHNIC POPULATIONS EXPERIENCING DISPARITIES IN THE UNITED STATES. THIS PROGRAM ENDED IN APRIL 2024. UNDUE MEDICAL DEBT THIS PROGRAM WAS A 2-YEAR RESEARCH PARTNERSHIP AIMED AT ELIMINATING PERSONAL MEDICAL DEBT, PROMOTING/ADVOCATING FOR REFORMS TO ADDRESS UPSTREAM CAUSES OF MEDICAL DEBT, AND HIGHLIGHTING LOCAL PATIENT AND PARTNER STORIES TO ILLUSTRATE THE BURDEN AND IMPACT OF MEDICAL DEBT. THE PROGRAM EXPANDED LOCAL DATA COLLECTION USING PATIENT ASSESSMENT TOOLS TO INCORPORATE MEDICAL DEBT QUESTIONS, AND IT EXPLORED THE IMPACT OF MEDICAL DEBT ON LOCAL FAMILIES THROUGH COMMUNITY-ENGAGED APPROACHES. THIS PROGRAM ENDED IN SEPTEMBER OF 2024. BLUEPRINT PROJECT (FORMERLY BUILD HEALTH) THE ORGANIZATION IS PARTNERING WITH THE MUSKEGON HEIGHTS COMMUNITY, PUBLIC HEALTH MUSKEGON, TRINITY HEALTH MUSKEGON, AND PRIORITY HEALTH TO LAUNCH THE MUSKEGON HEIGHTS ECONOMIC OPPORTUNITY HUB. THE HUB FOCUSES ON ADVANCING RESIDENTS' ECONOMIC MOBILITY THROUGH SKILL-BUILDING, BUSINESS SUPPORT, AND COMMUNITY-DRIVEN RESOURCES. GUIDED BY A COMMUNITY ADVISORY TEAM, IT ALSO SUPPOTS BROADER ECONOMIC AND COMMUNITY DEVELOPMENT INITIATIVES AND ADDRESSES UPSTREAM BARRIERS TO HEALTH AND OPPORTUNITY THORUGH DEEP COMMUNITY ENGAGEMENT, BUILDING ON PRIOR INITIATIVES LIKE PHOTOVOICE, LIVABILITY LAB, AND NEIGHBORHOOD ASSOCIATIONS. SERVED APPROXIMATELY 1,225 MEMBERS FOR THE BLUEPRINT PROJECT PROGRAM. LIVABILITY LAB THIS PROGRAM IS A COMMUNITY-LED, 100-DAY ACTION MODEL THAT TRANSFORMS RESIDENT INPUT INTO MEASURABLE CHANGE. IT BEGINS WITH INTERVIEWS, SURVEYS, AND LOCAL DATA TO IDENTIFY KEY BARRIERS SUCH AS TRANSPORTATION, CHILDCARE, HOUSING, FOOD ACCESS, SAFETY, INCOME, AND SOCIAL CONNECTION. CROSS-SECTOR TEAMS, CO-DESIGNED WITH RESIDENTS, SET SHORT-TERM, ACHIEVABLE GOALS, TRACK PROGRESS, AND REPORT RESULTS PUBLICLY. SERVED APPROXIMATELY 1,450 MEMBERS FOR THE LIVABILITY LAB PROGRAM. COMMUNITY HEALTH PROGRAMS THE ORGANIZATION FACILITATES COMMUNICATION AND THE EXCHANGE OF IDEAS TOWARD IMPROVING BLOOD PRESSURE CONTROL AND CARDIOVASCULAR HEALTH OUTCOMES RELATED TO HYPERTENSION, HIGH CHOLESTEROL, AND STROKE, THROUGH OPTIMIZING CARE AND INFLUENCING POLICY, SYSTEM, AND ENVIRONMENTAL CHANGE. SERVED APPROXIMATELY 350 MEMBERS FOR COMMUNITY HEALTH PROGRAMS. MUSKEGON COUNTY FOOD CLUB A FOOD CLUB IS A NON-PROFIT, MEMBERSHIP-BASED GROCERY MODEL THAT OFFERS DIGNIFIED FOOD ACCESS, HEALTHY FOOD OPTIONS, AND MEMBER CHOICE TO SUPPORT ECONOMIC STABILITY FOR FOOD-INSECURE HOUSEHOLDS. THE ORGANIZATION IS PROVIDING BACKBONE SUPPORT BY COVENING A CROSS-SECTOR STAKEHOLDER GROUP TO PLAN AND DEVELOP A FOOD CLUB TAILORED TO MUSKEGON COUNTY. APPROXIMATELY 150 MEMBERS SERVED THROUGH THIS PROGRAM. ACCESS PAYEE SERVICES THIS IS AN ORGANIZATIONAL REPRESENTATIVE PAYEE PROGRAM THAT MANAGES SOCIAL SECURITY AND SUPPLEMENTAL SECURITY INCOME BENEFITS ON BEHALF OF INDIVIDUALS UNABLE TO DO SO INDEPENDENTLY. THE PROGRAM ENSURES BENEFICIARIES' FUNDS ARE USED FOR THEIR BASIC NEEDS, INCLUDING HOUSING, FOOD, MEDICAL CARE, AND PERSONAL EXPENSES. THE PROGRAM MAINTAINS ACCURATE FINANCIAL RECORDS, SAFEGUARDS CLIENT FUNDS, AND PROMOTES FINANCIAL STABILITY IN ACCORDANCE WITH SOCIAL SECURITY ADMINISTRATION GUIDELINES. CHILDCARE ASSOCIATION OF MUSKEGON PROVIDERS (CAMP) THIS PROGRAM STRENGTHENS AND SUSTAINS MUSKEGON COUNTY'S CHILDCARE ECOSYSTEM BY CONNECTING PROVIDERS, EMPLOYERS, AND COMMUNITY PARTNERS. IT SERVES AS A COLLABORATIVE NETWORK THAT SUPPORTS PROVIDERS WITH RESOURCES, TRAINING, AND BUSINESS DEVELOPMENT WHILE ADVOCATING POLICIES THAT MAKE CHILDCARE MORE ACCESSIBLE AND AFFORDABLE FOR WORKING FAMILIES. APPROXIMATELY 43 MEMBERS SERVED THROUGH THIS PROGRAM. HOW YOU BIRTH DOULA THIS IS A COMMUNITY-BASED DOULA PROGRAM THAT EXPANDS ACCESS TO CULTURALLY COMPETENT PERINATAL SUPPORT FOR MEDICAID-COVERED BIRTHS AND FAMILIES OF COLOR. IT RECRUITS AND TRAINS LOCAL DOULAS, CONNECTS THEM WITH MEDICAL AND SOCIAL-CARE PARTNERS, AND REMOVES COST BARRIERS THROUGH MEDICAID AND GRANTS. SERVICES INCLUDE LATE-PREGNANCY EDUCATION, CONTINUOUS LABOR SUPPORT, AND POSTPARTUM VISITS WITH LACTATION HELP, MENTAL-HEALTH SCREENING, AND REFERRALS FOR SOCIAL NEEDS. SERVED APPROXIMATELY 652 MEMBERS FOR THE HOW YOU BIRTH DOULA PROGRAM.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION PAYS ADVANCED MEDICAL &amp; BEHAVIORAL HEALTH SERVICES, INC. FOR CONTRACT SERVICES IN WHICH THE CORPORATION PROVIDES THE SERVICES OF JEFF FORTENBACHER AS EXECUTIVE DIRECTOR TO ACCESS HEALTH INC. AS SUCH, THE ORGANIZATION DELEGATES CONTROL OVER MANAGEMENT DUTIES TO ADVANCED MEDICAL &amp; BEHAVIOR HEALTH SERVICES, INC. THE AMOUNT PAID FOR THOSE SERVICES IS DISCLOSED ON SCHEDULE J AND IN PART VII.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS REVIEWED BY THE FINANCE COMMITTEE AND IS MADE AVAILABLE TO ALL BOARD MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>CONFLICT OF INTEREST IS MONITORED BY A REVIEW OF ALL FINANCIAL TRANSACTIONS BY TOP MANAGEMENT; BOARD MEMBERS ARE REQUIRED TO RECLUSE THEMSELVES FROM VOTING ON MATTERS THAT RELATE TO CONTRACTS BETWEEN ACCESS HEALTH AND THEIR EMPLOYER. ANNUAL CONFLICT OF INTEREST DISCLOSURES ARE REQUIRED BY ALL BOARD MEMBERS AND SENIOR MANAGEMENT AND EACH EMPLOYEE AND CONTRACTOR IS REQUIRED TO DISCLOSE ANY POSSIBLE CONFLICTS OF INTEREST OR TO NOT ENGAGE IN ANY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS DETERMINED THE COMPENSATION TO PAY FOR THE SERVICES OF THE EXECUTIVE DIRECTOR AS A LEASED EMPLOYEE. THE EXECUTIVE DIRECTOR PROPOSES COMPENSATION FOR ALL OTHER LEASED EMPLOYEES, AND THE BOARD OF DIRECTORS APPROVES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS DETERMINED THE COMPENSATION TO PAY FOR THE SERVICES OF THE EXECUTIVE DIRECTOR AS A LEASED EMPLOYEE. THE EXECUTIVE DIRECTOR PROPOSES COMPENSATION FOR ALL OTHER LEASED EMPLOYEES, AND THE BOARD OF DIRECTORS APPROVES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VII</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION PAYS ADVANCED MEDICAL &amp; BEHAVIORAL HEALTH SERVICES, INC. FOR CONTRACT PERSONNEL SERVICES FOR JEFF FORTENBACHER AS EXECUTIVE DIRECTOR. THE AMOUNT PAID FOR THOSE SERVICES IS DISCLOSED IN PART VII AND PART IX, LINE 5.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTRACTED SERVICES 474,126 52,677 0 OTHER PROFESSIONAL FEES 8,068 181 0 TOTAL 482,194 52,858 0</ExplanationTxt>
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          <BusinessNameLine1Txt>AH SERVICES INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>1200 RANSOM</AddressLine1Txt>
          <CityNm>MUSKEGON</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>49442</ZIPCd>
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        <PrimaryActivitiesTxt>CONSULTING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>ACCESS HEA</BusinessNameLine1Txt>
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        <EntityTypeTxt>C CORP</EntityTypeTxt>
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      <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>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
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