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      <OtherExpensesGrp>
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        <ProgramServicesAmt>874393</ProgramServicesAmt>
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        <EOYAmt>4400</EOYAmt>
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        <EOYAmt>8145210</EOYAmt>
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      <HospitalInd>X</HospitalInd>
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      <ContributorInformationGrp>
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        <FormAndLineReferenceDesc>Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS CONTRACTED WITH KHOURY JOHNSON LEAVITT (KJL) TO PROVIDE PROFESSIONAL GOVERNMENT RELATIONS SERVICES BEFORE THE STATE OF MICHIGAN'S GOVERNMENTAL BODIES, AGENCIES, DEPARTMENTS, AND OTHER VARIOUS STATE RUN OFFICES ON BEHALF OF AND AT THE DIRECTION OF MCDC. KJL USES A PORTION OF THE FEES FOR LOBBYING ACTIVITIES IN AN EFFORT TO ADVANCE MCDC INTERESTS.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>MCDC is exempt from federal income tax under Section 501(c)(3) of the Internal Revenue Code. However, income not directly related to MCDC's tax-exempt purpose is subject to taxation as unrelated business income. In addition, MCDC qualifies for the charitable contribution deduction under Section 170(b)(1)(A) and has been classified as an organization that is not a private foundation under Section 509(a)(2). A tax position is recognized as a benefit only if it is more likely than not that the tax position would be sustained in a tax examination, with a tax examination being presumed to occur. The amount recognized is the largest amount of tax benefit that is greater than 50% likely of being realized on examination. For tax positions not meeting the more likely than not test, no tax benefit is recorded. MCDC is no longer subject to examination by taxing authorities for years before 2018. MCDC does not expect the total amount of unrecognized tax benefits to significantly change in the next 12 months. MCDC recognizes interest and/or penalties related to income tax matters in income tax expense. MCDC did not have any amounts accrued for interest and penalties at December 31, 2023 or 2022.</ExplanationTxt>
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      <SupplementalInformationDetail>
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          <BusinessNameLine1Txt>Dr Deborah Brown</BusinessNameLine1Txt>
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        <TitleTxt>Chief Executive Officer</TitleTxt>
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        <BusinessName>
          <BusinessNameLine1Txt>Curtis Swogger</BusinessNameLine1Txt>
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        <TitleTxt>Chief Operations Officer</TitleTxt>
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        <BusinessName>
          <BusinessNameLine1Txt>Robert Kowalski</BusinessNameLine1Txt>
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        <TitleTxt>Chief Human Resources Officer</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Kimberly Singh</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Chief Community &amp; Governmental Affairs Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>145365</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>188321</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Kyle Smith</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Chief Financial Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>137479</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>5750</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>31</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7533</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>14562</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>165355</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Dr Benjamin Fishman</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Dentist</TitleTxt>
        <BaseCompensationFilingOrgAmt>226973</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>15000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>272</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>23342</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>265587</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Dr Michael O'Brien</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Dentist</TitleTxt>
        <BaseCompensationFilingOrgAmt>283539</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>10315</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>31</OtherCompensationFilingOrgAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>317363</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Dr John Zona</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Dentist</TitleTxt>
        <BaseCompensationFilingOrgAmt>247479</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>8000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>126</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>13437</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>26962</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>296004</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Dr Alison Ladd</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Dentist</TitleTxt>
        <BaseCompensationFilingOrgAmt>233379</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>10255</BonusFilingOrganizationAmount>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Dr Braden Galvin</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Dentist</TitleTxt>
        <BaseCompensationFilingOrgAmt>246236</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>7000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>122</OtherCompensationFilingOrgAmt>
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    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="23017437" softwareVersionNum="2023v5.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 1 Organization's Mission</FormAndLineReferenceDesc>
        <ExplanationTxt>(continued from Part III) Our mission is to increase access to oral healthcare and provide health education to Medicaid recipients and low-income uninsured persons. Our care is delivered in a fashion that upholds and respects the dignity of those served, with the ultimate goal of improving their quality of life with improved health and wellbeing. Our vision is a healthy population, who assume responsibility for their own wellness, with our staff's guidance and proper intervention.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a Program Service Accomplishments</FormAndLineReferenceDesc>
        <ExplanationTxt>(continued from Part III) The target populations served by the centers are adults and children on Medicaid, as well as low income, uninsured individuals. Non-Medicaid clients are offered a reduced fee schedule equivalent to the Delta Dental PPO rates. Michigan has over 1.5 million residents with annual incomes below 300% of federal poverty level. The majority of this group does not have dental insurance or are on Medicaid and have poor access to dental care. Currently, MCDC administers a network of centers throughout Michigan that serves over 85,000 individuals statewide. As centers generate monies in excess of costs, monies are accumulated in a dental access fund to help contribute to the cost of care in our centers on a sliding scale, based on the patient's income.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 1a Delegate broad authority to a committee</FormAndLineReferenceDesc>
        <ExplanationTxt>Executive Committee: The Executive Committee of the Board of Directors shall consist of all the Officers of the Corporation and any Directors that the Board designates, except that the Directors may not constitute a majority of the members of the Executive Committee. The Chairperson of the Board of Directors shall chair the Executive Committee. Subject to the limitation of powers described in Section 8.2, the Executive Committee is charged with all duties and responsibilities of the Board and is authorized and empowered to act on behalf of the Board in emergency situations between the regular or special meetings. Any action of the Executive Committee authorized by these Bylaws shall be binding on the Board of Directors subject to ratification by the Board at its next meeting, which shall not be unreasonably withheld. Any action taken in good faith reliance on an action of the Executive Committee authorized by these Bylaws shall be binding on the Corporation. The Executive Committee shall meet upon call of its Chairperson or a majority of its members.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>A final draft of the full Form 990, including all applicable schedules, is presented to each Finance and Compensation committee member by our tax advisors. Each remaining board member is provided with a copy of the full Form 990. Once all board members have reviewed the return, it is then filed with the IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>Annual disclosure is provided to each officer, board member, and MCDC administrative staff. Each person completes an annual conflict of interest questionnaire. Once the questionnaires are completed, the Senior Executive Assistant reports the responses to the Director of Corporate Compliance to determine whether or not there are any potential conflicts of interest. If there is a potential conflict of interest, it is reviewed by the Board Development Committee and then passed on to the Executive Committee for further review if needed. If an actual conflict of interest is determined to exist, that person is excluded from any discussions concerning the conflicting issue and is not permitted to vote on any decisions regarding the conflicting issue. Any purchases and/or bidding proposals are also reviewed for any potential conflicts of interest prior to submitting bids or making purchases. The Director of Corporate Compliance attends the board meetings to ensure compliance with these guidelines is followed.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>The compensation and benefits package of the top management position is reviewed and approved annually by the Compensation Committee. To assist in this process, the organization's Director of Human Resources gathers comparison compensation information from multiple sources such as the Michigan Dental Association (MDA) through their publication of the dental care industry compensation and benefit survey report as well as compensation and benefit information from the Society of Human Resources Management (SHRM) and Guidestar. In addition, approximately every five years the organization engages the services of an independent compensation consultant to assist in an unbiased review, analysis and any recommended changes to the Compensation Committee which leads to the eventual approval of the compensation package of the Chief Executive Officer (CEO). The most recent consultant engagement and analysis was during 2023.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>The process and timing of the undertaking used to establish compensation and benefits of the Chief Financial Officer (CFO), Chief Operating Officer (COO), Chief Human Resources Officer (CHRO), Chief Community and Governmental Affairs Officer (CGO), and Chief Dental Officer (CDO) is the same as previously described in the prior question as it relates to the compensation and benefits of the top management position (CEO) with the exception that they are approved directly by the CEO. This entire process of information gathering and CEO review and approval was last undertaken and documented during 2023.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>Governing documents, conflict of interest policies, and financial statements are not required disclosures pursuant to Internal Revenue Code (IRC) Section 6104. These documents are not available to the public at this time.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
