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        <PersonNm>Sachin Varma</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Ian Wilson</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>John Zerbo</PersonNm>
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        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Talal Kakish</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Brent Wirth</PersonNm>
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        <OfficerInd>X</OfficerInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Annette Marcath</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Peter McElroy</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Jason Slocum</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Meena Nannapaneni</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Fariha Qadir</PersonNm>
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        <OtherCompensationAmt>10877</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Sung-Ran C Kim</PersonNm>
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        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>7686</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>David Gendernalik</PersonNm>
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        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>191855</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>9804</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Lalitha Vemuri</PersonNm>
        <TitleTxt>Staff Psychiatrist</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>235682</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12923</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>1326116</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>81862</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>15</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Marvin Faust</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>22811 Greater Mack L-7</AddressLine1Txt>
            <CityNm>St Clair Shores</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48080</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Psychiatric Services</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Aruna Chandra</PersonNm>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>35133 Glengary Circle</AddressLine1Txt>
            <CityNm>Farmington Hills</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48331</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Psychiatric Services</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Rownak Hasan</PersonNm>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1208 Hidden Lake Dr</AddressLine1Txt>
            <CityNm>Bloomfield Hills</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48302</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <CntrctRcvdGreaterThan100KCnt>3</CntrctRcvdGreaterThan100KCnt>
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      <TotalContributionsAmt>2953961</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>624100</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>38034312</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>624100</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>1092570</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>624100</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>8980</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
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      <GrossRentsGrp>
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      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
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      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
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        <UnrelatedBusinessRevenueAmt>14781</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>53380</ExclusionAmt>
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      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-128050</TotalRevenueColumnAmt>
        <ExclusionAmt>-128050</ExclusionAmt>
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      <GamingDirectExpensesAmt>1029571</GamingDirectExpensesAmt>
      <NetIncomeFromGamingGrp>
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        <RelatedOrExemptFuncIncomeAmt>903979</RelatedOrExemptFuncIncomeAmt>
      </NetIncomeFromGamingGrp>
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        <Desc>Miscellaneous Revenue</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>413276</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>413276</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>413276</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
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        <UnrelatedBusinessRevenueAmt>14781</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>-74670</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>266231</ProgramServicesAmt>
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        <ProgramServicesAmt>964767</ProgramServicesAmt>
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        <ProgramServicesAmt>19430</ProgramServicesAmt>
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        <FundraisingAmt>198</FundraisingAmt>
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        <ProgramServicesAmt>41710</ProgramServicesAmt>
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      <FeesForServicesLobbyingGrp>
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        <ProgramServicesAmt>36000</ProgramServicesAmt>
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        <ProgramServicesAmt>2187057</ProgramServicesAmt>
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        <FundraisingAmt>9412</FundraisingAmt>
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        <ProgramServicesAmt>142740</ProgramServicesAmt>
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        <ProgramServicesAmt>295152</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17182</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1124039</ProgramServicesAmt>
        <ManagementAndGeneralAmt>86150</ManagementAndGeneralAmt>
        <FundraisingAmt>9934</FundraisingAmt>
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        <ProgramServicesAmt>660572</ProgramServicesAmt>
        <ManagementAndGeneralAmt>429</ManagementAndGeneralAmt>
        <FundraisingAmt>5610</FundraisingAmt>
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        <ProgramServicesAmt>209877</ProgramServicesAmt>
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      <PaymentsToAffiliatesGrp>
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        <ManagementAndGeneralAmt>67001</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>330953</ProgramServicesAmt>
        <ManagementAndGeneralAmt>53</ManagementAndGeneralAmt>
        <FundraisingAmt>596</FundraisingAmt>
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        <ProgramServicesAmt>470407</ProgramServicesAmt>
        <ManagementAndGeneralAmt>193</ManagementAndGeneralAmt>
        <FundraisingAmt>4859</FundraisingAmt>
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        <TotalAmt>9673862</TotalAmt>
        <ProgramServicesAmt>9673827</ProgramServicesAmt>
        <ManagementAndGeneralAmt>35</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>585226</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1965</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>515861</ProgramServicesAmt>
        <ManagementAndGeneralAmt>426</ManagementAndGeneralAmt>
        <FundraisingAmt>3765</FundraisingAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>49001</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>230855</ProgramServicesAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>42167769</ProgramServicesAmt>
        <ManagementAndGeneralAmt>216628</ManagementAndGeneralAmt>
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        <EOYAmt>1564311</EOYAmt>
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        <EOYAmt>919054</EOYAmt>
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        <EOYAmt>1809785</EOYAmt>
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        <EOYAmt>724981</EOYAmt>
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        <EOYAmt>6238626</EOYAmt>
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        <EOYAmt>9175</EOYAmt>
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        <EOYAmt>25237</EOYAmt>
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        <EOYAmt>11291169</EOYAmt>
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        <EOYAmt>3310817</EOYAmt>
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        <EOYAmt>860987</EOYAmt>
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        <EOYAmt>7846629</EOYAmt>
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        <EOYAmt>3444540</EOYAmt>
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        <EOYAmt>11291169</EOYAmt>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
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        <CurrentTaxYearMinus2YearsAmt>5293025</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>5534820</CurrentTaxYearMinus1YearAmt>
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        <CurrentTaxYearMinus1YearAmt>5534820</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4887325</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus3YearsAmt>154408</CurrentTaxYearMinus3YearsAmt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>Upon request the 990 will be made available to interested persons.</ExplanationTxt>
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        <ExplanationTxt>The organization has no changed its oversight or selection process of an independent accountant during the tax year.</ExplanationTxt>
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      <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>K</TransactionTypeTxt>
        <InvolvedAmt>581936</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ESM I LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>E</TransactionTypeTxt>
        <InvolvedAmt>340383</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>