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        <ContractorName>
          <PersonNm>Homecare Software</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>P O Box 780772</AddressLine1Txt>
            <CityNm>Philadelphia</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19178</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Info Technology</ServicesDesc>
        <CompensationAmt>366503</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Philadelphia Insurance</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 70251</AddressLine1Txt>
            <CityNm>Philadelphia</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19176</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Liability Ins</ServicesDesc>
        <CompensationAmt>188264</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Perera Aleman Attorneys at Law</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2030 S Douglas Rd Suite 203</AddressLine1Txt>
            <CityNm>Coral Gables</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>33134</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Legal Service</ServicesDesc>
        <CompensationAmt>151252</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>12679212</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>709417</AllOtherContributionsAmt>
      <TotalContributionsAmt>13388629</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>237530</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Long term care Mgmt</Desc>
        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>19538885</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>2064340</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>Litigation Settlement</Desc>
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      </ProgramServiceRevenueGrp>
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      <InvestmentIncomeGrp>
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        <Desc>Other</Desc>
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        <ProgramServicesAmt>11534</ProgramServicesAmt>
        <ManagementAndGeneralAmt>290048</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>41631</ProgramServicesAmt>
        <ManagementAndGeneralAmt>19247</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>32666</ProgramServicesAmt>
        <ManagementAndGeneralAmt>46033</ManagementAndGeneralAmt>
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      <OccupancyGrp>
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        <ProgramServicesAmt>48854</ProgramServicesAmt>
        <ManagementAndGeneralAmt>627378</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>73165</ProgramServicesAmt>
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        <ProgramServicesAmt>196748</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7352</ManagementAndGeneralAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>7201</ProgramServicesAmt>
        <ManagementAndGeneralAmt>270738</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Contractual Services</Desc>
        <TotalAmt>463341</TotalAmt>
        <ProgramServicesAmt>208003</ProgramServicesAmt>
        <ManagementAndGeneralAmt>255338</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Equipment Rental</Desc>
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        <ProgramServicesAmt>37695</ProgramServicesAmt>
        <ManagementAndGeneralAmt>39667</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>Provider Services</Desc>
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        <ProgramServicesAmt>5292482</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Uncollectible AR</Desc>
        <TotalAmt>116509</TotalAmt>
        <ProgramServicesAmt>116509</ProgramServicesAmt>
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        <ProgramServicesAmt>30185231</ProgramServicesAmt>
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        <FundraisingAmt>123980</FundraisingAmt>
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      <JointCostsInd>X</JointCostsInd>
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        <EOYAmt>242122</EOYAmt>
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        <EOYAmt>12382</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>615147</EOYAmt>
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        <EOYAmt>700000</EOYAmt>
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        <EOYAmt>393333</EOYAmt>
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        <EOYAmt>2830901</EOYAmt>
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        <EOYAmt>17469706</EOYAmt>
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        <EOYAmt>2974972</EOYAmt>
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        <EOYAmt>5179522</EOYAmt>
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      <NoDonorRestrictionNetAssetsGrp>
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        <EOYAmt>12290184</EOYAmt>
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        <EOYAmt>12290184</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>17469706</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>2987476</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleA documentId="990A">
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        <CurrentTaxYearMinus3YearsAmt>8038980</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>9090044</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>10646001</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>12760126</CurrentTaxYearAmt>
        <TotalAmt>48732150</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>8196999</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>8038980</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>9090044</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>10646001</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>12760126</CurrentTaxYearAmt>
        <TotalAmt>48732150</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>48732150</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>99069</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2022</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>796211</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>436323</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>607011</CurrentTaxYearAmt>
        <TotalAmt>1940636</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>41556</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>85518</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>746490</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4419471</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>5590489</CurrentTaxYearAmt>
        <TotalAmt>10883524</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>61556310</TotalSupportAmt>
      <PublicSupportCY170Pct>0.79170</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.86180</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
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    <IRS990ScheduleB documentId="990B">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="990D">
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        <DepreciationAmt>16211341</DepreciationAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <InvestmentCostOrOtherBasisAmt>134021</InvestmentCostOrOtherBasisAmt>
        <DepreciationAmt>134021</DepreciationAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <InvestmentCostOrOtherBasisAmt>2235157</InvestmentCostOrOtherBasisAmt>
        <DepreciationAmt>2222775</DepreciationAmt>
        <BookValueAmt>12382</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <InvestmentCostOrOtherBasisAmt>338755</InvestmentCostOrOtherBasisAmt>
        <DepreciationAmt>338755</DepreciationAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>12382</TotalBookValueLandBuildingsAmt>
      <InvstProgramRelatedOrgGrp>
        <Desc>Equity Investment in Private entity</Desc>
        <BookValueAmt>700000</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </InvstProgramRelatedOrgGrp>
      <TotalBookValueProgramRltdAmt>700000</TotalBookValueProgramRltdAmt>
      <OtherAssetsOrgGrp>
        <Desc>Security Deposits</Desc>
        <BookValueAmt>66858</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Operating Lease Rights of Use Asset</Desc>
        <BookValueAmt>2764043</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>2830901</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Right of Use OperLease Liability</Desc>
        <Amt>406558</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Refundable Advances</Desc>
        <Amt>146892</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Right of Use oLease Liability Net</Desc>
        <Amt>2421522</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>2974972</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>39362544</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>39362544</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>39362544</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>36375068</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>36375068</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>36375068</TotalExpensesPerForm990Amt>
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    <IRS990ScheduleJ documentId="990J">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <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>Carlos Martinez</PersonNm>
        <TitleTxt>President and CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>402853</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>402853</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Ileana Ferrera</PersonNm>
        <TitleTxt>VP of Compliance</TitleTxt>
        <BaseCompensationFilingOrgAmt>158322</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>158322</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Rogelio Lopez</PersonNm>
        <TitleTxt>Chief Operating Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>211922</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>211922</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="990O">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Committee meeting documentation Part VI line 8b</FormAndLineReferenceDesc>
        <ExplanationTxt>There are no committee with authority to act on behalf of the governing body.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>A draft of the tax return is reviewed by the Board of Directors and approved prior to its issuance.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of interest policy compliance Part VI line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Formal conflict of interest policies are maintained by the Organization and undergo compliance review annually or with the addition of a new Board member</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CEO executive director top management comp Part VI line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>The Executive Committee of the BOD performs an annual review of the CEO and his/her related compensation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other officer or key employee compensation Part VI line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>Compensation for other officers or key employees is reviewed by the CEO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Governing documents of the Organization are available to the Public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Explanation of other changes in net assets or fund balances Part XI line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Write-Off of Uncollectible Accounts Receivable.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="990R">
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>United Living LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>8400 NW 33rd Street</AddressLine1Txt>
          <CityNm>Miami</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>33122</ZIPCd>
        </USAddress>
        <EIN>472250006</EIN>
        <PrimaryActivitiesTxt>Operations Support</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>United Home Care Services</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>