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          <USAddress>
            <AddressLine1Txt>4727 BENNETT ROAD</AddressLine1Txt>
            <CityNm>JACKSON</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>49201</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HOME HEALTH SERVICES</ServicesDesc>
        <CompensationAmt>1280217</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>JLC SERVICES DBA COMFORCARE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1155 W BEECHER ST</AddressLine1Txt>
            <CityNm>ADRIAN</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>49221</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HOME HEALTH SERVICES</ServicesDesc>
        <CompensationAmt>637092</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>GUARDIAN TRAC FINANCIAL SERVICES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>215 BROADUS ST</AddressLine1Txt>
            <CityNm>STURGIS</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>49091</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>FISCAL AGENT-SELF DIRECTED CAREGIVERS</ServicesDesc>
        <CompensationAmt>583596</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ELARA</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>900 COOPER ST</AddressLine1Txt>
            <CityNm>JACKSON</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>49202</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HOME HEALTH SERVICES</ServicesDesc>
        <CompensationAmt>452556</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>30</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>4722706</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>63969</AllOtherContributionsAmt>
      <TotalContributionsAmt>4786675</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAID WAIVER</Desc>
        <BusinessCd>621610</BusinessCd>
        <TotalRevenueColumnAmt>19089787</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>19089787</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>FEES FOR SERVICES</Desc>
        <BusinessCd>621610</BusinessCd>
        <TotalRevenueColumnAmt>164119</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>164119</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>19253906</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>293414</TotalRevenueColumnAmt>
        <ExclusionAmt>293414</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <OtherAmt>625604</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>705067</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>-79463</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-79463</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>-79463</RelatedOrExemptFuncIncomeAmt>
      </NetGainOrLossInvestmentsGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>24254532</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>19174443</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>293414</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>2899415</TotalAmt>
        <ProgramServicesAmt>2899415</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>106554</TotalAmt>
        <ProgramServicesAmt>106554</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>175002</TotalAmt>
        <ProgramServicesAmt>16385</ProgramServicesAmt>
        <ManagementAndGeneralAmt>158617</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>3639659</TotalAmt>
        <ProgramServicesAmt>2936385</ProgramServicesAmt>
        <ManagementAndGeneralAmt>700335</ManagementAndGeneralAmt>
        <FundraisingAmt>2939</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1282694</TotalAmt>
        <ProgramServicesAmt>1048302</ProgramServicesAmt>
        <ManagementAndGeneralAmt>233343</ManagementAndGeneralAmt>
        <FundraisingAmt>1049</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>279633</TotalAmt>
        <ProgramServicesAmt>217744</ProgramServicesAmt>
        <ManagementAndGeneralAmt>61889</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>4015</TotalAmt>
        <ProgramServicesAmt>342</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3673</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>28000</TotalAmt>
        <ManagementAndGeneralAmt>28000</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>499779</TotalAmt>
        <ProgramServicesAmt>272496</ProgramServicesAmt>
        <ManagementAndGeneralAmt>218564</ManagementAndGeneralAmt>
        <FundraisingAmt>8719</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>81788</TotalAmt>
        <ProgramServicesAmt>24964</ProgramServicesAmt>
        <ManagementAndGeneralAmt>56804</ManagementAndGeneralAmt>
        <FundraisingAmt>20</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>157704</TotalAmt>
        <ProgramServicesAmt>120191</ProgramServicesAmt>
        <ManagementAndGeneralAmt>37484</ManagementAndGeneralAmt>
        <FundraisingAmt>29</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>254591</TotalAmt>
        <ProgramServicesAmt>199306</ProgramServicesAmt>
        <ManagementAndGeneralAmt>52436</ManagementAndGeneralAmt>
        <FundraisingAmt>2849</FundraisingAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>140871</TotalAmt>
        <ProgramServicesAmt>106238</ProgramServicesAmt>
        <ManagementAndGeneralAmt>34633</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>63367</TotalAmt>
        <ProgramServicesAmt>40596</ProgramServicesAmt>
        <ManagementAndGeneralAmt>22395</ManagementAndGeneralAmt>
        <FundraisingAmt>376</FundraisingAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>47160</TotalAmt>
        <ProgramServicesAmt>7581</ProgramServicesAmt>
        <ManagementAndGeneralAmt>37159</ManagementAndGeneralAmt>
        <FundraisingAmt>2420</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>81675</TotalAmt>
        <ProgramServicesAmt>78653</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3022</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>38238</TotalAmt>
        <ProgramServicesAmt>29941</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8297</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>CONTRACTED PROGRAM SVCS</Desc>
        <TotalAmt>13905847</TotalAmt>
        <ProgramServicesAmt>13869071</ProgramServicesAmt>
        <ManagementAndGeneralAmt>36776</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>EMERGENCY HOUSING</Desc>
        <TotalAmt>77830</TotalAmt>
        <ProgramServicesAmt>77830</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DUES AND SUBSCRIPTIONS</Desc>
        <TotalAmt>48175</TotalAmt>
        <ProgramServicesAmt>24610</ProgramServicesAmt>
        <ManagementAndGeneralAmt>23565</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
        <TotalAmt>14624</TotalAmt>
        <ManagementAndGeneralAmt>13559</ManagementAndGeneralAmt>
        <FundraisingAmt>1065</FundraisingAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>23826621</TotalAmt>
        <ProgramServicesAmt>22076604</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1730551</ManagementAndGeneralAmt>
        <FundraisingAmt>19466</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>5189045</BOYAmt>
        <EOYAmt>-171317</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>7131582</BOYAmt>
        <EOYAmt>7670402</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>1298709</BOYAmt>
        <EOYAmt>910226</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>103168</BOYAmt>
        <EOYAmt>124132</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>56465</BOYAmt>
        <EOYAmt>88910</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>8593935</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>68350</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>3556151</BOYAmt>
        <EOYAmt>8525585</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>300000</BOYAmt>
        <EOYAmt>300000</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <TotalAssetsGrp>
        <BOYAmt>17635120</BOYAmt>
        <EOYAmt>17447938</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>2210314</BOYAmt>
        <EOYAmt>1973992</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <GrantsPayableGrp>
        <BOYAmt>639024</BOYAmt>
        <EOYAmt>260353</EOYAmt>
      </GrantsPayableGrp>
      <DeferredRevenueGrp>
        <BOYAmt>100</BOYAmt>
      </DeferredRevenueGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>2849438</BOYAmt>
        <EOYAmt>2234345</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>14559713</BOYAmt>
        <EOYAmt>15022889</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>225969</BOYAmt>
        <EOYAmt>190704</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>14785682</BOYAmt>
        <EOYAmt>15213593</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>17635120</BOYAmt>
        <EOYAmt>17447938</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>427911</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>3248125</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>3955243</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5124752</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4420978</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4786675</CurrentTaxYearAmt>
        <TotalAmt>21535773</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>3248125</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>3955243</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5124752</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4420978</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4786675</CurrentTaxYearAmt>
        <TotalAmt>21535773</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>21535773</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>170447</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>144051</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>24323</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>88557</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>293414</CurrentTaxYearAmt>
        <TotalAmt>720792</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <TotalSupportAmt>22256565</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>96103106</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.96760</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.97370</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <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="RetDoc1040000001">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>154018</OtherCostOrOtherBasisAmt>
        <BookValueAmt>154018</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>7837473</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>49396</DepreciationAmt>
        <BookValueAmt>7788077</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>170589</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3531</DepreciationAmt>
        <BookValueAmt>167058</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>431855</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>15423</DepreciationAmt>
        <BookValueAmt>416432</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>8525585</TotalBookValueLandBuildingsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>24388725</TotalRevEtcAuditedFinclStmtAmt>
      <DonatedServicesAndUseFcltsAmt>8759</DonatedServicesAndUseFcltsAmt>
      <OtherRevenueAmt>125434</OtherRevenueAmt>
      <RevenueNotReportedAmt>134193</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>24254532</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>24254532</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>23960814</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>8759</DonatedServicesUseFcltsAmt>
      <OtherExpensesIncludedAmt>125434</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>134193</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>23826621</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>23826621</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AGENCY IS A NOTFORPROFIT ORGANIZATION EXEMPT FROM INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM SIMILAR STATE AND LOCAL TAXES. ALTHOUGH THE AGENCY WAS GRANTED AN INCOME TAX EXEMPTION BY THE INTERNAL REVENUE SERVICE, SUCH EXEMPTION DOES NOT APPLY TO "UNRELATED BUSINESS TAXABLE INCOME". THE AGENCY ANALYZES ITS INCOME TAX FILING POSITIONS IN THE FEDERAL AND STATE JURISDICTIONS WHERE IT IS REQUIRED TO FILE INCOME TAX RETURNS, FOR ALL OPEN TAX YEARS IN THESE JURISDICTIONS, TO IDENTIFY POTENTIAL UNCERTAIN TAX POSITIONS. THE AGENCY TREATS INTEREST AND PENALTIES ATTRIBUTABLE TO INCOME TAXES, AND REFLECTS ANY CHARGES FOR SUCH, TO THE EXTENT THEY ARISE, AS A COMPONENT OF ITS SUPPORTING SERVICES EXPENSES. THE AGENCY HAS EVALUATED ITS INCOME TAX FILING POSITIONS FOR FISCAL YEARS 2020 THROUGH 2023, THE YEARS WHICH REMAIN SUBJECT TO EXAMINATION AS OF SEPTEMBER 30, 2023. THE AGENCY CONCLUDED THAT THERE ARE NO SIGNIFICANT UNCERTAIN TAX POSITIONS REQUIRING RECOGNITION IN THE AGENCY'S FINANCIAL STATEMENTS. THE AGENCY DOES NOT EXPECT THE TOTAL AMOUNT OF UNRECOGNIZED TAX BENEFITS ("UTB") (E.G. TAX DEDUCTIONS, EXCLUSIONS, OR CREDITS CLAIMED OR EXPECTED TO BE CLAIMED) TO SIGNIFICANTLY CHANGE IN THE NEXT TWELVE MONTHS. THE AGENCY DOES NOT HAVE ANY AMOUNTS ACCRUED FOR INTEREST AND PENALTIES RELATED TO UTBS AT SEPTEMBER 30, 2023, AND IS NOT AWARE OF ANY CLAIMS FOR SUCH AMOUNTS BY FEDERAL OR STATE INCOME TAX AUTHORITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>INDIRECT EXPENSES INCLUDED AS INVESTMENT RETURN IN FINANCIAL STATEMENTS 125,434.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>INDIRECT EXPENSES INCLUDED AS INVESTMENT RETURN IN FINANCIAL STATEMENTS 125,434.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CATHOLIC CHARITIES OF JACKSON</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3425 FRANCIS ST</AddressLine1Txt>
          <CityNm>JACKSON</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>49203</ZIPCd>
        </USAddress>
        <RecipientEIN>381818593</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>35816</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>TRANSPORTATION SERVICES</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COUNTY OF JACKSON MICHIGAN DEPT ON AGING</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1715 LANSING AVE STE 672</AddressLine1Txt>
          <CityNm>JACKSON</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>49202</ZIPCd>
        </USAddress>
        <RecipientEIN>386004845</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>1294025</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>CARE SERVICES FOR OLDER ADULTS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HILLSDALE COUNTY SENIOR SERVICES CENTER INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>320 BACON ST</AddressLine1Txt>
          <CityNm>HILLSDALE</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>49242</ZIPCd>
        </USAddress>
        <RecipientEIN>382476724</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>358308</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>CARE SERVICES FOR OLDER ADULTS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LENAWEE COUNTY DEPARTMENT ON AGING</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1040 S WINTER ST</AddressLine1Txt>
          <CityNm>ADRIAN</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>49221</ZIPCd>
        </USAddress>
        <RecipientEIN>386005798</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>1105143</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>CARE SERVICES FOR OLDER ADULTS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MICHIGAN ADVOCACY PROGRAM</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>15 S WASHINGTON ST</AddressLine1Txt>
          <CityNm>YPSILANTI</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48197</ZIPCd>
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        <RecipientEIN>381845444</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>105123</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>LEGAL SERVICES</PurposeOfGrantTxt>
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      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>ASSISTANCE TO VICTIMS OF ELDER ABUSE</GrantTypeTxt>
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        <ValuationMethodUsedDesc>MARKET VALUE</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>TEMPORARY HOUSING, FOOD, AND RELOCATION EXPENSES PAID FOR VICTIMS OF ELDER ABUSE</NonCashAssistanceDesc>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>DETAILED RECORDS ARE MAINTAINED BY INDIVIDUAL TO TRACK ANY GRANT FUNDED ASSISTANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
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      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JULIE WETHERBY</PersonNm>
        <TitleTxt>CHIEF EXECUTIVE OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>119789</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>5900</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>CFO POSITION IS CONTRACTED TO FINANCIAL ONE, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO AND THE CFO REVIEW THE DRAFT 990 AND RECOMMEND ANY NECESSARY CHANGES. A DRAFT COPY IS THEN FURNISHED AND PRESENTED TO MEMBERS OF THE BOARD FINANCE COMMITTEE AND THE FULL BOARD FOR REVIEW. ANY RECOMMENDED CHANGES ARE MADE BEFORE FILING.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL EMPLOYEES AND BOARD MEMBERS SIGN A CONFLICT OF INTEREST FORM ANNUALLY WHEREBY RELATIONSHIPS, IF ANY, ARE DISCLOSED.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PERSONNEL COMMITTEE RECOMMENDS CEO COMPENSATION AFTER COMPARING WITH CEO COMPENSATION OF COMPARABLE ORGANIZATIONS. THEIR RECOMMENDATION IS THEN PRESENTED TO THE FULL BOARD FOR APPROVAL. ALL EMPLOYEE SALARIES ARE RECOMMENDED BY THE CEO AND THEN PRESENTED TO THE FULL BOARD FOR APPROVAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS FOR SELECTING AND OVERSEEING THE INDEPENDENT AUDITOR HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
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          <BusinessNameLine1Txt>CASCADE PACE INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>2282 SPRINGPORT RD</AddressLine1Txt>
          <CityNm>JACKSON</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>49202</ZIPCd>
        </USAddress>
        <EIN>465362872</EIN>
        <PrimaryActivitiesTxt>ALL-INCLUSIVE MEDICAL CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>509(A)(3)</PublicCharityStatusTxt>
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      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
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      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
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      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
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        <FormAndLineReferenceDesc>SCHEDULE R, PART II</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AGENCY IS ONE OF TWO MEMBERS IN CASCADE PACE, INC. ("PACE"), A MICHIGAN NOTFORPROFIT CORPORATION. PACE FULFILLS A WIDE RANGE OF HEALTHCARE NEEDS OF THE ELDERLY RESIDING IN JACKSON, LENAWEE, AND HILLSDALE COUNTIES WITHIN THEIR OWN HOMES AND COMMUNITY. DURING FISCAL YEAR 2015, THE AGENCY CONTRIBUTED $100,000 FOR A 20% MEMBERSHIP INTEREST IN PACE. ADDITIONAL CONTRIBUTIONS OF $100,000 WERE MADE IN FISCAL YEARS 2016 AND 2017 AND NO CONTRIBUTIONS WERE MADE IN FISCAL YEARS 2021, 2022, AND 2023 RESULTING IN A TOTAL INVESTMENT IN PACE OF $300,000 AS OF SEPTEMBER 30, 2023. THE AGENCY ACCOUNTS FOR ITS INVESTMENT IN PACE AT THE AMOUNT CONTRIBUTED DUE TO THE NATURE OF PACE'S ORGANIZATION (NOTFORPROFIT) AND THE PURPOSE FOR WHICH IT WAS FORMED.</ExplanationTxt>
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