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        <Desc>TO PROMOTE ACCESS TO A PHARMACY FOR ALL RESIDENTS OF ISABELLA COUNTY,REGARDLESS OF ABILITY TO PAY, INSURANCE STATUS, OR INCOME LEVEL.</Desc>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JIM WOJCIK</PersonNm>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>1883447</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>47945</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>14</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
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      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>403 S STATE ST</AddressLine1Txt>
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            <StateAbbreviationCd>MI</StateAbbreviationCd>
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        <ServicesDesc>CONSULTING</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>PURE PLUMBING LLC</PersonNm>
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          <USAddress>
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            <StateAbbreviationCd>MI</StateAbbreviationCd>
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        <ExclusionAmt>98512</ExclusionAmt>
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        <ExclusionAmt>98512</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>540344</ProgramServicesAmt>
        <ManagementAndGeneralAmt>460697</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>4657021</ProgramServicesAmt>
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      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>816715</ProgramServicesAmt>
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        <TotalAmt>479716</TotalAmt>
        <ProgramServicesAmt>386085</ProgramServicesAmt>
        <ManagementAndGeneralAmt>93631</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>74497</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>185624</TotalAmt>
        <ProgramServicesAmt>33306</ProgramServicesAmt>
        <ManagementAndGeneralAmt>152318</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
        <TotalAmt>176929</TotalAmt>
        <ProgramServicesAmt>62972</ProgramServicesAmt>
        <ManagementAndGeneralAmt>113957</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>182826</ProgramServicesAmt>
        <ManagementAndGeneralAmt>138354</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>433909</TotalAmt>
        <ProgramServicesAmt>379346</ProgramServicesAmt>
        <ManagementAndGeneralAmt>54563</ManagementAndGeneralAmt>
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      <OccupancyGrp>
        <TotalAmt>112144</TotalAmt>
        <ManagementAndGeneralAmt>112144</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>30493</TotalAmt>
        <ManagementAndGeneralAmt>30493</ManagementAndGeneralAmt>
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      <InterestGrp>
        <TotalAmt>1762</TotalAmt>
        <ManagementAndGeneralAmt>1762</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>185782</ManagementAndGeneralAmt>
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        <TotalAmt>48256</TotalAmt>
        <ManagementAndGeneralAmt>48256</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
        <TotalAmt>3300144</TotalAmt>
        <ProgramServicesAmt>3052148</ProgramServicesAmt>
        <ManagementAndGeneralAmt>247996</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>SMALL EQUIPMENT</Desc>
        <TotalAmt>93055</TotalAmt>
        <ProgramServicesAmt>28343</ProgramServicesAmt>
        <ManagementAndGeneralAmt>64712</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>TRAINING &amp; DEVELOPMENT</Desc>
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        <ProgramServicesAmt>36484</ProgramServicesAmt>
        <ManagementAndGeneralAmt>27234</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>LEASE &amp; RENT</Desc>
        <TotalAmt>51103</TotalAmt>
        <ManagementAndGeneralAmt>51103</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>35369</TotalAmt>
        <ManagementAndGeneralAmt>35369</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>13110299</TotalAmt>
        <ProgramServicesAmt>10175590</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2934709</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>6855127</BOYAmt>
        <EOYAmt>7666038</EOYAmt>
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      <AccountsReceivableGrp>
        <BOYAmt>1397977</BOYAmt>
        <EOYAmt>2197490</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
        <BOYAmt>317103</BOYAmt>
        <EOYAmt>366002</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>33463</BOYAmt>
        <EOYAmt>48431</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>13053229</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>702887</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>7046574</BOYAmt>
        <EOYAmt>12350342</EOYAmt>
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      <InvestmentsOtherSecuritiesGrp>
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        <EOYAmt>17037</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>15665210</BOYAmt>
        <EOYAmt>22645340</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>683537</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
        <EOYAmt>1952677</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>255945</BOYAmt>
        <EOYAmt>1130146</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>1015563</BOYAmt>
        <EOYAmt>3766360</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>14634681</BOYAmt>
        <EOYAmt>18861943</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>14966</BOYAmt>
        <EOYAmt>17037</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>14649647</BOYAmt>
        <EOYAmt>18878980</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>15665210</BOYAmt>
        <EOYAmt>22645340</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>4227262</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>2071</NetUnrlzdGainsLossesInvstAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc6">
      <HospitalInd>X</HospitalInd>
    </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>
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    <IRS990ScheduleD documentId="RetDoc3">
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        <BeginningYearBalanceAmt>14538</BeginningYearBalanceAmt>
        <ContributionsAmt>1100</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>2407</InvestmentEarningsOrLossesAmt>
        <AdministrativeExpensesAmt>206</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>17839</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>12902</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>1806</InvestmentEarningsOrLossesAmt>
        <AdministrativeExpensesAmt>170</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>14538</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>10820</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>2199</InvestmentEarningsOrLossesAmt>
        <AdministrativeExpensesAmt>118</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>12902</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <EndowmentsHeldUnrelatedOrgInd>false</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>false</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>95185</OtherCostOrOtherBasisAmt>
        <BookValueAmt>95185</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>11909100</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>585417</DepreciationAmt>
        <BookValueAmt>11323683</BookValueAmt>
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      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>1023927</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>92453</DepreciationAmt>
        <BookValueAmt>931474</BookValueAmt>
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      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>25017</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>25017</DepreciationAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>12350342</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>LEASE PAYABLE</Desc>
        <Amt>680983</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>COMPENSATED ABSENCES</Desc>
        <Amt>283257</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>CURRENT PORTION OF LEASE PAYABLE</Desc>
        <Amt>165906</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>1130146</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>17339632</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>2071</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>2071</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>17337561</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>17337561</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>13110299</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>13110299</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>13110299</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <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>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc4">
      <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>MICHAEL L MCCONNON</PersonNm>
        <TitleTxt>CMO/PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>296794</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>5773</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>302567</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KELLY KETCHUM</PersonNm>
        <TitleTxt>PSYCHIATRIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>258590</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>5773</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>264363</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BROCK HORSLEY</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>251837</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>5773</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>257610</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SHAMEL AMIN</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>251273</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>5773</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>257046</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JENNIFER WHITE</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>235301</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>5773</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>241074</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RODERICK S VOGEL</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>214316</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>4669</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>218985</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ONYEKACHI C HAMMACK</PersonNm>
        <TitleTxt>PEDIATRICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>165806</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>4319</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>170125</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc5">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>TO PROMOTE ACCESS TO HEALTHCARE FOR ALL RESIDENTS OF ISABELLA COUNTY, REGARDLESS OF ABILITY TO PAY, INSURANCE STATUS, OR INCOME LEVEL; TO IMPROVE THE HEALTH STATUS OF THE UNDERSERVED POPULATION OF ISABELLA COUNTY; TO PROVIDE COMPREHENSIVE PRIMARY CARE, ORAL CARE, AND MENTAL HEALTH/SUBSTANCE ABUSE SERVICES, AS WELL AS SUPPORTIVE SERVICES THAT PROMOTE ACCESSS TO HEALTHCARE, FOR ALL RESIDENTS OF ISABELLA COUNTY; SUCH AS SPECIALTY PROVIDERS, HOSPITALS, AND ENABLING AND OTHER SOCIAL AGENCIES, AND TO STRIVE TO BECOME PART OF ISABELLA COUNTY'S HEALTHCARE AND SOCIAL SERVICE INFRASTRUCTURE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <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>
      </SupplementalInformationDetail>
      <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>
      </SupplementalInformationDetail>
      <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>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>CEO USES ANNUAL MPCA COMPENSATION SURVEY TO DETERMINE ORGANIZATION WAGE SCALE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
