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          <PersonNm>PAMELA S BRADFORD DDS PC</PersonNm>
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            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48304</ZIPCd>
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      <CntrctRcvdGreaterThan100KCnt>3</CntrctRcvdGreaterThan100KCnt>
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      <TravelGrp>
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        <ProgramServicesAmt>465588</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2326</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>3943</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>6602</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>763</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>39951</ProgramServicesAmt>
        <ManagementAndGeneralAmt>158775</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
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        <ProgramServicesAmt>718787</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <Desc>REPAIRS &amp; MAINTENANCE</Desc>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>8859</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>246</TotalAmt>
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        <ProgramServicesAmt>31623623</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2094648</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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        <EOYAmt>8269134</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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      <LandBldgEquipCostOrOtherBssAmt>237705</LandBldgEquipCostOrOtherBssAmt>
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      <LandBldgEquipBasisNetGrp>
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      <MortgNotesPyblScrdInvstPropGrp>
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        <BOYAmt>4004497</BOYAmt>
        <EOYAmt>3566772</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>6687301</BOYAmt>
        <EOYAmt>5429126</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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        <BOYAmt>3771790</BOYAmt>
        <EOYAmt>3708480</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>561664</BOYAmt>
        <EOYAmt>726228</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>4333454</BOYAmt>
        <EOYAmt>4434708</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>11020755</BOYAmt>
        <EOYAmt>9863834</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>81552</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>19702</NetUnrlzdGainsLossesInvstAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc5">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>38714076</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>45764250</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>44847277</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>36985554</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>31773614</CurrentTaxYearAmt>
        <TotalAmt>198084771</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>38714076</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>45764250</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>44847277</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>36985554</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>31773614</CurrentTaxYearAmt>
        <TotalAmt>198084771</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>198084771</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>18908</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>456</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>8641</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>76721</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>80181</CurrentTaxYearAmt>
        <TotalAmt>184907</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <TotalSupportAmt>198269678</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>1946028</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.99910</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.99910</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc2">
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        <OtherCostOrOtherBasisAmt>237705</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>235412</DepreciationAmt>
        <BookValueAmt>2293</BookValueAmt>
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        <Desc>RIGHT OF USE ASSETS</Desc>
        <BookValueAmt>260045</BookValueAmt>
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        <Desc>CASH HELD FOR OTHERS</Desc>
        <BookValueAmt>150474</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>LONGE TERM ASSETS</Desc>
        <BookValueAmt>148940</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>559459</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>CONTRACT ADVANCES</Desc>
        <Amt>3146899</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>LEASE LIABILITIES</Desc>
        <Amt>269399</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>CASH HELD FOR OTHERS</Desc>
        <Amt>150474</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>3566772</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>33799823</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>33799823</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>33799823</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>33718271</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>33718271</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>33718271</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc3">
      <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>CURTIS LONG</PersonNm>
        <TitleTxt>PSYCHIATRIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>249735</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>21497</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>271232</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DANIELLE HILLIKER</PersonNm>
        <TitleTxt>PRESIDENT/CEO-1/1/24</TitleTxt>
        <BaseCompensationFilingOrgAmt>192111</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>10010</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>21497</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>223618</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RAOUF SEIFELDIN</PersonNm>
        <TitleTxt>WCHC MED. DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>167469</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>2600</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>17208</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>187277</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBERT MILJAN</PersonNm>
        <TitleTxt>HEMS EXEC. DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>136823</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>18672</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>17208</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>172703</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JEREMY ANDREWS</PersonNm>
        <TitleTxt>COO/CFO</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>14400</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>21497</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>167819</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc4">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>TO PROMOTE AND ASSIST THE LOCAL HEALTH AGENCIES WITHIN SOUTHEAST MICHIGAN TO DEVELOP AND IMPLEMENT HEALTH PROGRAMS. TO OPERATE OR CONDUCT OTHER ACTIVITIES IN OTHER AREAS RELATED TO PUBLIC HEALTH WHICH ARE DETERMINED TO BE IN THE BEST INTERESTS OF THE LOCAL HEALTH.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>IMMUNIZATION PROGRAMS - TO PROVIDE EDUCATION AND IMMUNIZATION SERVICES TO INFANTS AND OTHER AT RISK POPULATIONS. STD/TB PROGRAMS - TO PROVIDE EDUCATION AND ASSIST IN DEVELOPING AND MAINTIANING COMPREHENSIVE PROGRAMS TO REDUCE THE INSTANCE AND PREVALENCE OF STDS AND TB. MENTAL HEALTH PROGRAMS - TO PROVIDE EDUCATION, REHABILITATION, AND OTHER TREATMENT PROGRAMS TO THE COMMUNITY. OTHER HEALTH PROGRAMS - TO PROVIDE EDUCATION AND OTHER ACTIVITIES TO ENRICH THE HEALTH OF THE COMMUNITY. CHRONIC DISEASE PROGRAMS - TO PROVIDE EDUCATION SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 IS COMPLETED BY FINANCIAL STAFF USING AUDITED FINANCIAL STATEMENTS. COMPLETED FORM 990 IS REVIEWED FOR ACCURACY BY THE CHIEF OPERATING OFFICER/CFO AND CEO, AND REVIEWED BY THE BOARD FINANCE COMMITTEE BEFORE SUBMISSION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>A CONFLICT FORM IS REQUIRED OF THE BOARD ANNUALLY, AS WELL AS AN ACKNOWLEDGEMENT OF ANY CONFLICT DURING EACH BOARD MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>EXECUTIVE DIRECTOR COMPENSATION IS DETERMINED BY BOARD OF DIRECTORS. EXECUTIVE DIRECTOR PREPARES THE ANNUAL BUDGET, WITH SUPPORTING DOCUMENTATION, FOR REVIEW AND APPROVAL BY THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>EXECUTIVE DIRECTOR COMPENSATION IS DETERMINED BY BOARD OF DIRECTORS. EXECUTIVE DIRECTOR PREPARES THE ANNUAL BUDGET, WITH SUPPORTING DOCUMENTATION, FOR REVIEW AND APPROVAL BY THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THESE ITEMS ARE AVAILABLE TO THE PUBLIC UPON RECEIPT OF A WRITTEN REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>5,074,000 216,738 0 121,432 0 0 3,145,748 0 0 TOTAL 8,341,180 216,738 0</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>