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        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KEON SIMS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL YOCUM</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHELE GALE</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2270952</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>142079</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>27</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PINNACLE JANITORIAL SERVICES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>53 CRAWFORD ST</AddressLine1Txt>
            <CityNm>PONTIAC</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48341</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>JANITORIAL</ServicesDesc>
        <CompensationAmt>109488</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>1</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>11982766</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>4426923</AllOtherContributionsAmt>
      <TotalContributionsAmt>16409689</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT FEES</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>7866243</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>7866243</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>CONTRACT REVENUE</Desc>
        <BusinessCd>621110</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>712059</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>PHARMACY</Desc>
        <BusinessCd>621110</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>287689</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>31843</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>31843</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
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      <InvestmentIncomeGrp>
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        <ExclusionAmt>197759</ExclusionAmt>
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      <TotalRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>8897834</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>197759</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>195351</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1105983</ManagementAndGeneralAmt>
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      <OtherSalariesAndWagesGrp>
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        <ProgramServicesAmt>9033442</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1974788</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>342157</ProgramServicesAmt>
        <ManagementAndGeneralAmt>85361</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>908122</TotalAmt>
        <ProgramServicesAmt>702233</ProgramServicesAmt>
        <ManagementAndGeneralAmt>205889</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>879869</TotalAmt>
        <ProgramServicesAmt>640622</ProgramServicesAmt>
        <ManagementAndGeneralAmt>239247</ManagementAndGeneralAmt>
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      <FeesForServicesLegalGrp>
        <TotalAmt>31846</TotalAmt>
        <ManagementAndGeneralAmt>31846</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>65500</TotalAmt>
        <ManagementAndGeneralAmt>65500</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>1608299</TotalAmt>
        <ProgramServicesAmt>1063415</ProgramServicesAmt>
        <ManagementAndGeneralAmt>544884</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>183928</TotalAmt>
        <ProgramServicesAmt>26171</ProgramServicesAmt>
        <ManagementAndGeneralAmt>157757</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>1074236</TotalAmt>
        <ProgramServicesAmt>537783</ProgramServicesAmt>
        <ManagementAndGeneralAmt>536453</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
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        <ProgramServicesAmt>794380</ProgramServicesAmt>
        <ManagementAndGeneralAmt>284637</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>1051411</TotalAmt>
        <ProgramServicesAmt>900753</ProgramServicesAmt>
        <ManagementAndGeneralAmt>150658</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>172874</TotalAmt>
        <ProgramServicesAmt>107478</ProgramServicesAmt>
        <ManagementAndGeneralAmt>65396</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>141664</TotalAmt>
        <ProgramServicesAmt>89459</ProgramServicesAmt>
        <ManagementAndGeneralAmt>52205</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>11861</TotalAmt>
        <ManagementAndGeneralAmt>11861</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>253333</TotalAmt>
        <ProgramServicesAmt>235710</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17623</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>198866</TotalAmt>
        <ProgramServicesAmt>171967</ProgramServicesAmt>
        <ManagementAndGeneralAmt>26899</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>SUPPLIES AND EQUIPMENT</Desc>
        <TotalAmt>641791</TotalAmt>
        <ProgramServicesAmt>610987</ProgramServicesAmt>
        <ManagementAndGeneralAmt>30804</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEDICATION SUPPLIES</Desc>
        <TotalAmt>470025</TotalAmt>
        <ProgramServicesAmt>469554</ProgramServicesAmt>
        <ManagementAndGeneralAmt>471</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PHARMACY</Desc>
        <TotalAmt>153734</TotalAmt>
        <ProgramServicesAmt>153734</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BANK FEES</Desc>
        <TotalAmt>17611</TotalAmt>
        <ProgramServicesAmt>8436</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9175</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>21681069</TotalAmt>
        <ProgramServicesAmt>16083632</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5597437</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>729027</BOYAmt>
        <EOYAmt>437707</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>10270810</EOYAmt>
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      <AccountsReceivableGrp>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>229695</EOYAmt>
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      <LandBldgEquipBasisNetGrp>
        <BOYAmt>1610667</BOYAmt>
        <EOYAmt>4090747</EOYAmt>
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      <InvestmentsOtherSecuritiesGrp>
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        <EOYAmt>325263</EOYAmt>
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      <IntangibleAssetsGrp>
        <BOYAmt>72300</BOYAmt>
        <EOYAmt>72300</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>223052</EOYAmt>
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        <BOYAmt>1568961</BOYAmt>
        <EOYAmt>1321043</EOYAmt>
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        <EOYAmt>3020536</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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      <DonorRestrictionNetAssetsGrp>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>21417403</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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      <ReconcilationRevenueExpnssAmt>3824213</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>7758</NetUnrlzdGainsLossesInvstAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
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    <IRS990ScheduleA documentId="RetDoc6">
      <HospitalInd>X</HospitalInd>
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    <IRS990ScheduleB documentId="RetDoc1">
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        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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    <IRS990ScheduleD documentId="RetDoc3">
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      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>4090747</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE OBLIGATION</Desc>
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      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>FINANCE LEASE OBLIGATION</Desc>
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      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
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      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
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      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DEBRA BRINSON</PersonNm>
        <TitleTxt>CEO</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NIKHIL HEMADY</PersonNm>
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        <NontaxableBenefitsFilingOrgAmt>1971</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>321958</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JASON RAMOS</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>FAISAL SHAREEFUDDIN</PersonNm>
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        <TotalCompensationFilingOrgAmt>264482</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <TitleTxt>ASSOCIATE CMO</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>13289</DeferredCompensationFlngOrgAmt>
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        <TotalCompensationFilingOrgAmt>240731</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TERRENCE HAYNES</PersonNm>
        <TitleTxt>DENTAL DIRECTOR</TitleTxt>
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        <TotalCompensationFilingOrgAmt>214338</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LETRICIA CLARK</PersonNm>
        <TitleTxt>NURSE PRACTITIONER</TitleTxt>
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        <NontaxableBenefitsFilingOrgAmt>3356</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>202133</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROSA THOMAS</PersonNm>
        <TitleTxt>FORMER COO</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>5272</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>3500</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>187043</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TORREY CARROLL</PersonNm>
        <TitleTxt>CHIEF HR</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>8387</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>3304</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>151478</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc5">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>OAKLAND INTEGRATED HEALTHCARE NETWORK (OIHN), D.B.A HONOR COMMUNITY HEALTH (HONOR), IS A 501(C)(3) NONPROFIT ORGANIZATION DEDICATED TO PROVIDING COMPREHENSIVE AND INTEGRATED HEALTH SERVICES FOR ALL INDIVIDUALS IN OAKLAND COUNTY. HONOR COMMUNITY HEALTH IS THE LARGEST FEDERALLY QUALIFIED HEALTH CENTER (FQHC) IN OAKLAND COUNTY SERVING MORE THAN 35,000 PATIENTS IN 20 SITES THROUGHOUT PONTIAC, WATERFORD, AND SOUTHFIELD, INCLUDING EIGHT INTEGRATED PRIMARY AND BEHAVIORAL HEALTH SITES, ONE DENTAL CENTER, ONE MOBILE UNIT AND TEN SCHOOL-BASED HEALTH CENTERS. SINCE INCEPTION, HONOR HAS MORE THAN TRIPLED ITS LOCATIONS AND INCREASED ITS ANNUAL PATIENT POPULATION BY MORE THAN 675%. HONOR HAS SECURED A VARIETY OF FUNDING OPPORTUNITIES TO DIVERSIFY ITS REVENUE AND ENSURE SUSTAINABILITY OF ITS OPERATIONS AND TO GROW EXTENSIVELY OVER THE LAST FEW YEARS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD IS REVIEWING PRIOR TO FILING</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CORPORATE COMPLIANCE OFFICER REVIEWS CONFLICT OF INTEREST FORMS RECEIVED WHICH INDICATE POTENTIAL CONFLICTS, ADVISES EMPLOYEES WITH POTENTIAL CONFLICTS, AND MONITORS THOSE ACTIVITIES WITH POTENTIAL CONFLICTS AS NECESSARY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>POLICIES AND PROCEDURES THAT GOVERN ALL COMPENSATION, INCLUDING SALARY AND BENEFITS, ARE APPROVED BY THE BOARD OF DIRECTORS ACCORDING TO STANDARDS AND REASONABLENESS BENCHMARKED TO CURRENT PREVAILING MARKET COMPARABLES, CREDENTIALS, EXPERTISE AND PERFORMANCE. THE EXECUTIVE COMMITTEE ANNUALLY REVIEWS CEO COMPENSATION AND MAKES RECOMMENDATIONS TO THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>SAME AS FOR THE CEO</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>DOCUMENTS ARE AVAILABLE UPON REQUEST</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>