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      <Form990PartVIISectionAGrp>
        <PersonNm>Juanita Savage</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Matt VanHaaren</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>John Lieblang</PersonNm>
        <TitleTxt>board Member</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>John Keegan</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Michael Jacobson</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>John Zerbo</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Brent Wirth</PersonNm>
        <TitleTxt>President/CEO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>345242</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>63624</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Ronald S Hocking</PersonNm>
        <TitleTxt>Chief Finance Officer</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>208862</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>10094</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Meena Nannapaneni</PersonNm>
        <TitleTxt>Child Psychiatrist</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>288447</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>13788</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Fariha Qadir</PersonNm>
        <TitleTxt>Adult Psychiatrist</TitleTxt>
        <AverageHoursPerWeekRt>30.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>248146</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>59581</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Sung-Ran C Kim</PersonNm>
        <TitleTxt>Adult Psychiatrist</TitleTxt>
        <AverageHoursPerWeekRt>32.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>248027</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>8691</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jeffrey Guina</PersonNm>
        <TitleTxt>Chief Medical Officer</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>318536</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>56067</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jennifer Lee-Schroeder</PersonNm>
        <TitleTxt>Adult Psychiatrist</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>239078</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>52701</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1896338</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>264546</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>47</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Opdyke Walton Dev Co LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3910 Telegraph Road Suite 203</AddressLine1Txt>
            <CityNm>Bloomfield Hills</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48348</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Rent</ServicesDesc>
        <CompensationAmt>427349</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Clinical Consulting Associates</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5150 Springdale Court</AddressLine1Txt>
            <CityNm>Clarkston</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48348</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Medical Services</ServicesDesc>
        <CompensationAmt>276256</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Marvin Faust</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>619 Higbie Place N</AddressLine1Txt>
            <CityNm>Grosse Pointe Woods</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48236</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Psychiatric Services</ServicesDesc>
        <CompensationAmt>257810</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Imagine Medical Group PA</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3939 West Ridge Rd Suite A100</AddressLine1Txt>
            <CityNm>Erie</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>16506</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Professional Services</ServicesDesc>
        <CompensationAmt>243920</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Iyantta Howell</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2742 Oakshire Ave</AddressLine1Txt>
            <CityNm>Berkley</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48072</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Psychiatric Services</ServicesDesc>
        <CompensationAmt>164806</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>14</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>46250</FundraisingAmt>
      <AllOtherContributionsAmt>8851691</AllOtherContributionsAmt>
      <TotalContributionsAmt>8897941</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Fees from Government Agencies</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>60654316</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>60654316</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Program Fees and Other</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>1801575</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1801575</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Rent or other income</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>18230</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>18230</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>62474121</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>544012</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>544012</RelatedOrExemptFuncIncomeAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>85977</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>34132</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>51845</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>51845</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>-1535</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>53380</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>6470894</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>6818485</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>-347591</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-347591</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>-347591</RelatedOrExemptFuncIncomeAmt>
      </NetGainOrLossInvestmentsGrp>
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      <ContriRptFundraisingEventAmt>46250</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>205585</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>229587</TotalRevenueColumnAmt>
        <ExclusionAmt>229587</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <GamingGrossIncomeAmt>2229283</GamingGrossIncomeAmt>
      <GamingDirectExpensesAmt>1082073</GamingDirectExpensesAmt>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>1147210</TotalRevenueColumnAmt>
        <ExclusionAmt>1147210</ExclusionAmt>
      </NetIncomeFromGamingGrp>
      <OtherRevenueMiscGrp>
        <Desc>Miscellaneous Revenue</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>440412</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>440412</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>440412</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>63110954</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>-1535</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>1430177</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>1517169</ProgramServicesAmt>
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      </CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>35628510</ProgramServicesAmt>
        <ManagementAndGeneralAmt>44003</ManagementAndGeneralAmt>
        <FundraisingAmt>169440</FundraisingAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>1469514</ProgramServicesAmt>
        <FundraisingAmt>15551</FundraisingAmt>
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        <ProgramServicesAmt>6761915</ProgramServicesAmt>
        <FundraisingAmt>71557</FundraisingAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>2974818</TotalAmt>
        <ProgramServicesAmt>2943667</ProgramServicesAmt>
        <FundraisingAmt>31151</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
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        <ProgramServicesAmt>59974</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6177</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>69000</TotalAmt>
        <ProgramServicesAmt>61410</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7590</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
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        <ProgramServicesAmt>16766</ProgramServicesAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>3480383</TotalAmt>
        <ProgramServicesAmt>3460579</ProgramServicesAmt>
        <ManagementAndGeneralAmt>277</ManagementAndGeneralAmt>
        <FundraisingAmt>19527</FundraisingAmt>
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      <AdvertisingGrp>
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        <ProgramServicesAmt>121502</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18641</ManagementAndGeneralAmt>
        <FundraisingAmt>209163</FundraisingAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>307066</ProgramServicesAmt>
        <ManagementAndGeneralAmt>19873</ManagementAndGeneralAmt>
        <FundraisingAmt>99408</FundraisingAmt>
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      <OccupancyGrp>
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        <ProgramServicesAmt>1502650</ProgramServicesAmt>
        <ManagementAndGeneralAmt>102251</ManagementAndGeneralAmt>
        <FundraisingAmt>7068</FundraisingAmt>
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        <TotalAmt>991738</TotalAmt>
        <ProgramServicesAmt>980363</ProgramServicesAmt>
        <ManagementAndGeneralAmt>721</ManagementAndGeneralAmt>
        <FundraisingAmt>10654</FundraisingAmt>
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      <InterestGrp>
        <TotalAmt>107897</TotalAmt>
        <ProgramServicesAmt>88286</ProgramServicesAmt>
        <ManagementAndGeneralAmt>19611</ManagementAndGeneralAmt>
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      <PaymentsToAffiliatesGrp>
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        <ManagementAndGeneralAmt>136992</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>386576</ProgramServicesAmt>
        <ManagementAndGeneralAmt>107</ManagementAndGeneralAmt>
        <FundraisingAmt>34356</FundraisingAmt>
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        <ProgramServicesAmt>767950</ProgramServicesAmt>
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        <FundraisingAmt>2875</FundraisingAmt>
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        <Desc>Equipment Rental and Ma</Desc>
        <TotalAmt>1878360</TotalAmt>
        <ProgramServicesAmt>1851165</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2927</ManagementAndGeneralAmt>
        <FundraisingAmt>24268</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>Development</Desc>
        <TotalAmt>834259</TotalAmt>
        <FundraisingAmt>834259</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>Contracted Behavioral S</Desc>
        <TotalAmt>711950</TotalAmt>
        <ProgramServicesAmt>711950</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>Telephone</Desc>
        <TotalAmt>649411</TotalAmt>
        <ProgramServicesAmt>644586</ProgramServicesAmt>
        <ManagementAndGeneralAmt>177</ManagementAndGeneralAmt>
        <FundraisingAmt>4648</FundraisingAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>534209</ProgramServicesAmt>
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        <FundraisingAmt>98908</FundraisingAmt>
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        <ProgramServicesAmt>59815807</ProgramServicesAmt>
        <ManagementAndGeneralAmt>359666</ManagementAndGeneralAmt>
        <FundraisingAmt>1812477</FundraisingAmt>
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        <EOYAmt>17019080</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>2546136</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>1352640</EOYAmt>
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        <EOYAmt>600799</EOYAmt>
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      <LandBldgEquipAccumDeprecAmt>5718368</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>6935450</BOYAmt>
        <EOYAmt>10157652</EOYAmt>
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        <EOYAmt>13405122</EOYAmt>
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        <BOYAmt>2638497</BOYAmt>
        <EOYAmt>5259571</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>35605524</BOYAmt>
        <EOYAmt>50341000</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>3530468</EOYAmt>
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      <DeferredRevenueGrp>
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        <EOYAmt>265900</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>5379113</EOYAmt>
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      <OtherLiabilitiesGrp>
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        <EOYAmt>0</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>9175481</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>27224230</BOYAmt>
        <EOYAmt>40416053</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>928161</BOYAmt>
        <EOYAmt>749466</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>28152391</BOYAmt>
        <EOYAmt>41165519</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>50341000</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>11449587</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>1588448</NetUnrlzdGainsLossesInvstAmt>
      <InvestmentExpenseAmt>-25249</InvestmentExpenseAmt>
      <OtherChangesInNetAssetsAmt>341</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The policy is reviewed at least annually and updated as necessary. All ESM Board Members and staff are required to complete and submit a Staff Code of Conduct and Statement of Interest Form annually to disclose any potential conflicts of interest. The Human Resources Department monitors this process and reviews any potential conflicts noted with the agency Corporate Compliance Officer and team to ensure that no conflict exists in accordance with policy</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>The Executive Evaluation and Compensation Committee examines the performance of the President/CEO based on performance goals adopted by the Board annually. The committee also reviews the compensation package for the CEO annually and compares that to a compensation study of outside agencies of like size, complexity and geographic location.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Upon request the 990 will be made available to interested persons.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>ESM I LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>22150 W Nine Mile Road</AddressLine1Txt>
          <CityNm>Southfield</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48033</ZIPCd>
        </USAddress>
        <EIN>383715416</EIN>
        <PrimaryActivitiesTxt>To hold certain fixed assets of Easter Seals Michigan, Inc.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <TotalIncomeAmt>368975</TotalIncomeAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Easter Seals Michigan Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
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      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>1</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ESM I LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>E</TransactionTypeTxt>
        <InvolvedAmt>733545</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ESM I LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>K</TransactionTypeTxt>
        <InvolvedAmt>301953</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
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