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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Julia Swanson</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Ken Gabriel</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Latoya Stroker</PersonNm>
        <TitleTxt>Director - Part Year</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Lindsey Kilbride</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Matt Vanhaaren</PersonNm>
        <TitleTxt>Director - Part Year</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Scott Barnett</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Brent Wirth</PersonNm>
        <TitleTxt>President/CEO</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>395808</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>52898</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Cynthia A Szcur</PersonNm>
        <TitleTxt>CFO/Chief Finance Officer</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>218425</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>15003</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jeffrey Guina</PersonNm>
        <TitleTxt>Chief Medical Officer</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>346522</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>46390</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Juliana E Harper</PersonNm>
        <TitleTxt>VP of Programs - BH</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>185821</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>30685</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Patricia Tate</PersonNm>
        <TitleTxt>VP of Programs - IDD</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>169375</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>35213</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jennifer Lee-Schroeder</PersonNm>
        <TitleTxt>Psychiatrist - Adults</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>272829</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>39834</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Meena Nannapaneni</PersonNm>
        <TitleTxt>Psychiatrist - Child</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>307526</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>19626</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Qasim Alkhafaf</PersonNm>
        <TitleTxt>Psychiatrist - Adults</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>259849</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>47503</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Richard Linsk</PersonNm>
        <TitleTxt>Lead Psychiatrist</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>307333</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>30822</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Sumi Cyriac</PersonNm>
        <TitleTxt>Child Psychiatrist</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>20126</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RONALD HOCKING</PersonNm>
        <TitleTxt>Senior Director of Financial Planning and Analysis (Former CFO)</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>1.0</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>167448</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>11723</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2918119</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>349823</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>65</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>true</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ARC of Oakland County</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1641 W Big Beaver Road</AddressLine1Txt>
            <CityNm>Troy</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>480843501</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>FISCAL INTERMEDIARY</ServicesDesc>
        <CompensationAmt>50626360</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>GT INDEPENDENCE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>215 BROADUS ST</AddressLine1Txt>
            <CityNm>STURGIS</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>49091</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>FISCAL INTERMEDIARY</ServicesDesc>
        <CompensationAmt>4162078</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>OPEN ARMS COORDINATION SEVCS INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>127 E NEWBERRY ST</AddressLine1Txt>
            <CityNm>ROMEO</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48065</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACT PROVIDER</ServicesDesc>
        <CompensationAmt>1457620</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MCTUMPS LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 7761</AddressLine1Txt>
            <CityNm>BLOOMFIELD</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48302</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACT PROVIDER</ServicesDesc>
        <CompensationAmt>1184646</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ON TIME TRANSPORTATION LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>21922 S HEATHERBRAE WAY</AddressLine1Txt>
            <CityNm>NOVI</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>483754922</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACT PROVIDER</ServicesDesc>
        <CompensationAmt>1152880</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>54</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>12575</FundraisingAmt>
      <GovernmentGrantsAmt>2533701</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>1981184</AllOtherContributionsAmt>
      <TotalContributionsAmt>4527460</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Program Fees and Other</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>101628342</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>101628342</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER INCOME</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>4100287</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4100287</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>105728629</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>1213979</TotalRevenueColumnAmt>
        <ExclusionAmt>1213979</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>71910</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>136017</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>-64107</RealAmt>
        <PersonalAmt>0</PersonalAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>-64107</TotalRevenueColumnAmt>
        <ExclusionAmt>-64107</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>5901477</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>5519280</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>382197</SecuritiesAmt>
        <OtherAmt>0</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>382197</TotalRevenueColumnAmt>
        <ExclusionAmt>382197</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>371057</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>12575</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>225105</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>145952</TotalRevenueColumnAmt>
        <ExclusionAmt>145952</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <GamingGrossIncomeAmt>1684650</GamingGrossIncomeAmt>
      <GamingDirectExpensesAmt>973813</GamingDirectExpensesAmt>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>710837</TotalRevenueColumnAmt>
        <ExclusionAmt>710837</ExclusionAmt>
      </NetIncomeFromGamingGrp>
      <OtherRevenueMiscGrp>
        <Desc>CONCESSION SALES</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>37041</TotalRevenueColumnAmt>
        <ExclusionAmt>37041</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </MiscellaneousRevenueGrp>
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        <ExclusionAmt>2425899</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>743103</TotalAmt>
        <ProgramServicesAmt>668766</ProgramServicesAmt>
        <ManagementAndGeneralAmt>70715</ManagementAndGeneralAmt>
        <FundraisingAmt>3622</FundraisingAmt>
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        <ManagementAndGeneralAmt>6155352</ManagementAndGeneralAmt>
        <FundraisingAmt>315289</FundraisingAmt>
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        <ProgramServicesAmt>3538323</ProgramServicesAmt>
        <ManagementAndGeneralAmt>374142</ManagementAndGeneralAmt>
        <FundraisingAmt>19164</FundraisingAmt>
      </PensionPlanContributionsGrp>
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        <ProgramServicesAmt>11918362</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1260247</ManagementAndGeneralAmt>
        <FundraisingAmt>64552</FundraisingAmt>
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        <TotalAmt>5032093</TotalAmt>
        <ProgramServicesAmt>4528699</ProgramServicesAmt>
        <ManagementAndGeneralAmt>478865</ManagementAndGeneralAmt>
        <FundraisingAmt>24529</FundraisingAmt>
      </PayrollTaxesGrp>
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        <ProgramServicesAmt>199356</ProgramServicesAmt>
        <ManagementAndGeneralAmt>49697</ManagementAndGeneralAmt>
        <FundraisingAmt>2367</FundraisingAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>187731</TotalAmt>
        <ProgramServicesAmt>148855</ProgramServicesAmt>
        <ManagementAndGeneralAmt>37108</ManagementAndGeneralAmt>
        <FundraisingAmt>1768</FundraisingAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>19525</TotalAmt>
        <ProgramServicesAmt>15482</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3859</ManagementAndGeneralAmt>
        <FundraisingAmt>184</FundraisingAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>43095</TotalAmt>
        <ProgramServicesAmt>34171</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8518</ManagementAndGeneralAmt>
        <FundraisingAmt>406</FundraisingAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>1985043</TotalAmt>
        <ProgramServicesAmt>1573980</ProgramServicesAmt>
        <ManagementAndGeneralAmt>392373</ManagementAndGeneralAmt>
        <FundraisingAmt>18690</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>273172</TotalAmt>
        <ProgramServicesAmt>187302</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8435</ManagementAndGeneralAmt>
        <FundraisingAmt>77435</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>767146</TotalAmt>
        <ProgramServicesAmt>763456</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3690</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>3619349</TotalAmt>
        <ProgramServicesAmt>3453553</ProgramServicesAmt>
        <ManagementAndGeneralAmt>154590</ManagementAndGeneralAmt>
        <FundraisingAmt>11206</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>830217</TotalAmt>
        <ProgramServicesAmt>813269</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13793</ManagementAndGeneralAmt>
        <FundraisingAmt>3155</FundraisingAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>455601</TotalAmt>
        <ProgramServicesAmt>412416</ProgramServicesAmt>
        <ManagementAndGeneralAmt>36088</ManagementAndGeneralAmt>
        <FundraisingAmt>7097</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>5811</TotalAmt>
        <ManagementAndGeneralAmt>5811</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>960313</TotalAmt>
        <ProgramServicesAmt>862892</ProgramServicesAmt>
        <ManagementAndGeneralAmt>97403</ManagementAndGeneralAmt>
        <FundraisingAmt>18</FundraisingAmt>
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      <InsuranceGrp>
        <TotalAmt>1269980</TotalAmt>
        <ProgramServicesAmt>1154128</ProgramServicesAmt>
        <ManagementAndGeneralAmt>108044</ManagementAndGeneralAmt>
        <FundraisingAmt>7808</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Client Services</Desc>
        <TotalAmt>4995691</TotalAmt>
        <ProgramServicesAmt>4995691</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Equipment, Rental and Maintenance</Desc>
        <TotalAmt>3300858</TotalAmt>
        <ProgramServicesAmt>3017471</ProgramServicesAmt>
        <ManagementAndGeneralAmt>246770</ManagementAndGeneralAmt>
        <FundraisingAmt>36617</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Bad Debt</Desc>
        <TotalAmt>1946268</TotalAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jeffrey Guina</PersonNm>
        <TitleTxt>Chief Medical Officer</TitleTxt>
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        <TotalCompensationFilingOrgAmt>392912</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Cynthia A Szcur</PersonNm>
        <TitleTxt>CFO/Chief Finance Officer</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Juliana E Harper</PersonNm>
        <TitleTxt>VP of Programs - BH</TitleTxt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Patricia Tate</PersonNm>
        <TitleTxt>VP of Programs - IDD</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>7856</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>4786</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>12312</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>22901</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Richard Linsk</PersonNm>
        <TitleTxt>Lead Psychiatrist</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>4129</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>3448</OtherCompensationFilingOrgAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Meena Nannapaneni</PersonNm>
        <TitleTxt>Psychiatrist - Child</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>3566</BonusFilingOrganizationAmount>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jennifer Lee-Schroeder</PersonNm>
        <TitleTxt>Psychiatrist - Adults</TitleTxt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Qasim Alkhafaf</PersonNm>
        <TitleTxt>Psychiatrist - Adults</TitleTxt>
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        <BonusFilingOrganizationAmount>3405</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>7642</OtherCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Sumi Cyriac</PersonNm>
        <TitleTxt>Child Psychiatrist</TitleTxt>
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        <BonusFilingOrganizationAmount>2630</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>4080</OtherCompensationFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>307309</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 7 Non-fixed payments</FormAndLineReferenceDesc>
        <ExplanationTxt>Bonus percentages are set based on the individual's position within the organization. Key performance indicators are set annually, and bonuses are paid based on meeting those key performance indicators.</ExplanationTxt>
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    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="24020961" softwareVersionNum="2024v5.1">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a-4c Description of program services</FormAndLineReferenceDesc>
        <ExplanationTxt>(Expenses $ 161,079 including grants of $)(Revenue $ 0) ESM I, LLC is a subsidiary that holds the real estate properties for our programs to provide support and services to those that we serve.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 4 Significant changes to organizational documents</FormAndLineReferenceDesc>
        <ExplanationTxt>Easterseals Michigan and Macomb Oakland Regional Center merged, and governing documents were updated to reflect this merger.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>The Finance Committee receives, reviews, and approves a draft of the 990 prior to filing.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>The policy is reviewed at least annually and updated as necessary. All 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, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO COMPENSATION IS DETERMINED BY THE COMPENSATION COMMITTEE AND BOARD OF DIRECTORS BASED ON KEY PERFORMANCE INDICATORS, 360 FEEDBACK AND OUTSIDE COMPENSATIONS REVIEW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>OFFICERS AND KEY EMPLOYEE COMPENSATION IS DETERMINED BY KEY PERFORMANCE INDICATORS AND THIRD PARTY COMPENSATION DATA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>Upon request the 990 will be made available to interested persons.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>TRANSFER OF NET ASSETS - 11507802; Total - 11507802;</ExplanationTxt>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>ESM I LLC</BusinessNameLine1Txt>
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        <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>15242</TotalIncomeAmt>
        <EndOfYearAssetsAmt>0</EndOfYearAssetsAmt>
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          <BusinessNameLine1Txt>Easter Seals Michigan Inc</BusinessNameLine1Txt>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>MORC HOME CARE INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2399 E Walton Blvd</AddressLine1Txt>
          <CityNm>Auburn Hills</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48326</ZIPCd>
        </USAddress>
        <EIN>202978273</EIN>
        <PrimaryActivitiesTxt>Alternative Solutions to Nursing Home Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>EASTERSEALS MORC HOLDING INC</BusinessNameLine1Txt>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>EASTERSEALS MORC REHC</BusinessNameLine1Txt>
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          <AddressLine1Txt>2399 E WALTON BLVD</AddressLine1Txt>
          <CityNm>AUBURN HILLS</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48326</ZIPCd>
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        <PrimaryActivitiesTxt>SUPPORTING ORGANIZATION</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>EASTERSEALS MORC HOLDING INC</BusinessNameLine1Txt>
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        <PrimaryActivitiesTxt>HOLDING COMPANY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>MORC HOLDING COMPANY</BusinessNameLine1Txt>
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          <AddressLine1Txt>15600 19 MILE RD</AddressLine1Txt>
          <CityNm>CLINTON TOWNSHIP</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48038</ZIPCd>
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        <EIN>201422834</EIN>
        <PrimaryActivitiesTxt>SUPPORTING THE DISABLED</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type I</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MACOMB-OAKLAND REGIONAL CENTER INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>15600 19 MILE RD</AddressLine1Txt>
          <CityNm>CLINTON TOWNSHIP</CityNm>
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        <EIN>383273888</EIN>
        <PrimaryActivitiesTxt>ASSISTING THE DISABLED</PrimaryActivitiesTxt>
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      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>true</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>true</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
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      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
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      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
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</Return>