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      <Form990PartVIISectionAGrp>
        <PersonNm>REBECCA LUCILE SCHREINER</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>236031</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12194</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID LEE HALLEY</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>226228</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14620</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>QIANA HARRISON</PersonNm>
        <TitleTxt>CHIEF OPERATING OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>131506</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1397948</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>54766</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>16</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>TRHC TPA LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>228 STRAWBRIDGE DRIVE</AddressLine1Txt>
            <CityNm>MOORESTOWN</CityNm>
            <StateAbbreviationCd>NJ</StateAbbreviationCd>
            <ZIPCd>08057</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHARMACY SERVICES</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>RENAL CARE GROUP SOUTHWEST MICHIGAN LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2503 RELIABLE PARKWAY</AddressLine1Txt>
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            <ZIPCd>60686</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HEALTHCARE</ServicesDesc>
        <CompensationAmt>1719644</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>LIFE EMS AMBULANCE OF KALAMAZOO</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 74007552</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60674</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>EMS SERVICES</ServicesDesc>
        <CompensationAmt>1507847</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>LIFECARE AMBULANCE SERVICES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 2351 DEPT 300</AddressLine1Txt>
            <CityNm>INDIANAPOLIS</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46206</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>EMS SERVICES</ServicesDesc>
        <CompensationAmt>1233937</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CROSS COUNTRY STAFFING INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 404619</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30384</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HEALTHCARE</ServicesDesc>
        <CompensationAmt>1068707</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>42</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>536167</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>182557</AllOtherContributionsAmt>
      <TotalContributionsAmt>718724</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICARE / MEDICAID</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>58537439</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>58537439</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PRIVATE REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>99303</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>99303</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>FURNISHED SERVICES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>72327</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>72327</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>58709069</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>162</TotalRevenueColumnAmt>
        <ExclusionAmt>162</ExclusionAmt>
      </InvestmentIncomeGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>59427955</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>58709069</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>162</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1938586</TotalAmt>
        <ProgramServicesAmt>1799165</ProgramServicesAmt>
        <ManagementAndGeneralAmt>139421</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>14399820</TotalAmt>
        <ProgramServicesAmt>9982406</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4417414</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>3640742</TotalAmt>
        <ProgramServicesAmt>2616332</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1024410</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>1353425</TotalAmt>
        <ProgramServicesAmt>975950</ProgramServicesAmt>
        <ManagementAndGeneralAmt>377475</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>7716203</TotalAmt>
        <ProgramServicesAmt>5889236</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1826967</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <OfficeExpensesGrp>
        <TotalAmt>1680623</TotalAmt>
        <ProgramServicesAmt>1555089</ProgramServicesAmt>
        <ManagementAndGeneralAmt>125534</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>1818009</TotalAmt>
        <ProgramServicesAmt>1636089</ProgramServicesAmt>
        <ManagementAndGeneralAmt>181920</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>539030</TotalAmt>
        <ProgramServicesAmt>500055</ProgramServicesAmt>
        <ManagementAndGeneralAmt>38975</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>74949</TotalAmt>
        <ProgramServicesAmt>21288</ProgramServicesAmt>
        <ManagementAndGeneralAmt>53661</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>356143</TotalAmt>
        <ProgramServicesAmt>291118</ProgramServicesAmt>
        <ManagementAndGeneralAmt>65025</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <OtherExpensesGrp>
        <Desc>HEALTHCARE SERVICES</Desc>
        <TotalAmt>16984217</TotalAmt>
        <ProgramServicesAmt>16984217</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PHARMACY SUPPLIES</Desc>
        <TotalAmt>6272437</TotalAmt>
        <ProgramServicesAmt>6272437</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>EQUIPMENT</Desc>
        <TotalAmt>1119994</TotalAmt>
        <ProgramServicesAmt>919822</ProgramServicesAmt>
        <ManagementAndGeneralAmt>200172</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>1215170</TotalAmt>
        <ProgramServicesAmt>555269</ProgramServicesAmt>
        <ManagementAndGeneralAmt>639694</ManagementAndGeneralAmt>
        <FundraisingAmt>20207</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>59109348</TotalAmt>
        <ProgramServicesAmt>49998473</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9090668</ManagementAndGeneralAmt>
        <FundraisingAmt>20207</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>4901912</BOYAmt>
        <EOYAmt>5874301</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>282188</BOYAmt>
        <EOYAmt>262689</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>292576</BOYAmt>
        <EOYAmt>2943016</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>540809</BOYAmt>
        <EOYAmt>690995</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>5259198</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>3147567</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>2352583</BOYAmt>
        <EOYAmt>2111631</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>2284763</BOYAmt>
        <EOYAmt>2104263</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>10654831</BOYAmt>
        <EOYAmt>13986895</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>5839050</BOYAmt>
        <EOYAmt>6347643</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>1050</BOYAmt>
        <EOYAmt>2505914</EOYAmt>
      </DeferredRevenueGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>5840100</BOYAmt>
        <EOYAmt>8853557</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>4497867</BOYAmt>
        <EOYAmt>4781258</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>316864</BOYAmt>
        <EOYAmt>352080</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>4814731</BOYAmt>
        <EOYAmt>5133338</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>10654831</BOYAmt>
        <EOYAmt>13986895</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>318607</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>0</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>770452</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1168052</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>902688</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3144339</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>718724</CurrentTaxYearAmt>
        <TotalAmt>6704255</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>770452</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1168052</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>902688</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3144339</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>718724</CurrentTaxYearAmt>
        <TotalAmt>6704255</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>181816</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>6522439</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus1YearAmt>189</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>162</CurrentTaxYearAmt>
        <TotalAmt>351</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <TotalSupportAmt>6704606</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>115901601</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.97280</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.97440</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">
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        <DepreciationAmt>2369287</DepreciationAmt>
        <BookValueAmt>1589501</BookValueAmt>
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      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>740016</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>442891</DepreciationAmt>
        <BookValueAmt>297125</BookValueAmt>
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      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>560394</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>335389</DepreciationAmt>
        <BookValueAmt>225005</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>2111631</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
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        <BookValueAmt>2104263</BookValueAmt>
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      <TotalBookValueOtherAssetsAmt>2104263</TotalBookValueOtherAssetsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>59392739</TotalRevEtcAuditedFinclStmtAmt>
      <OtherRevenueAmt>34784</OtherRevenueAmt>
      <RevenueNotReportedAmt>34784</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>59357955</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>70000</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>70000</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>59427955</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>59109348</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>59109348</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>59109348</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>NET ASSETS RELEASED FROM RESTRICTIONS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RESTRICTED CONTRIBUTION DIFFERENCE</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
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      <SeverancePaymentInd>1</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ELIZABETH JEAN WARNER</PersonNm>
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        <BaseCompensationFilingOrgAmt>322122</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>8574</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>304</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>331000</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LAURA FERRARA</PersonNm>
        <TitleTxt>CEO (PART YEAR)</TitleTxt>
        <BaseCompensationFilingOrgAmt>237395</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>7166</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>12788</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>257349</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>REBECCA LUCILE SCHREINER</PersonNm>
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        <BaseCompensationFilingOrgAmt>236031</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>12194</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>248225</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID LEE HALLEY</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>219133</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>7095</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>14620</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>240848</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ALEXANDRIA E LUETH</PersonNm>
        <TitleTxt>DIRECTOR OF RISK MANAGEMEN</TitleTxt>
        <BaseCompensationFilingOrgAmt>162980</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>5187</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>14860</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>183027</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>LAURA FERRARA RECEIVED $54,783 IN SEVERANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I MISSION STATEMENT:</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPREHENSIVE SENIOR CARE CORPORATION (THE ORGANIZATION"), ("CSCC") IS A NONPROFIT CORPORATION, WHICH WAS FORMED JULY 1, 2006, TO PROVIDE SERVICES UNDER A PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) MODEL IN CALHOUN COUNTY, MICHIGAN THE ORGANIZATION EXPANDED ITS OPERATIONS TO KALAMAZOO COUNTY, MICHIGAN IN 2013 THE PACE MODEL IS AN INNOVATIVE MODEL THAT PROVIDES A RANGE OF INTEGRATED PREVENTATIVE, ACUTE CARE, AND LONG-TERM CARE SERVICES TO MANAGE THE OFTEN COMPLEX MEDICAL, FUNCTIONAL, AND SOCIAL NEEDS OF THE FRAIL ELDERLY PACE WAS CREATED AS A WAY TO PROVIDE PARTICIPANTS, FAMILY, CAREGIVERS AND PROFESSIONAL HEALTH CARE PROVIDERS THE FLEXIBILITY TO MEET A PERSON'S HEALTH CARE NEEDS WHILE CONTINUING TO LIVE SAFELY IN THE COMMUNITY THE PURPOSE OF A PACE PROGRAM IS TO PROVIDE PRE-PAID, CAPITATED, COMPREHENSIVE HEALTH CARE SERVICES THAT ARE DESIGNED TO ENHANCE THE QUALITY OF LIFE AND AUTONOMY FOR FRAIL, ELDERLY ADULTS MAXIMIZE THE DIGNITY OF, AND RESPECT FOR, OLDER ADULTS ENABLE FRAIL OLDER ADULTS TO LIVE IN THE COMMUNITY AS LONG AS MEDICALLY AND SOCIALLY FEASIBLE, AND PRESERVE AND SUPPORT THE OLDER ADULT'S FAMILY UNIT NATIONALLY, PACE IS A CAPITATED BENEFIT FOR FRAIL ELDERS AUTHORIZED BY THE BALANCED BUDGET ACT OF 1997 (BBA) THAT FEATURES A COMPREHENSIVE DELIVERY SYSTEM AND INTEGRATED MEDICARE AND MEDICAID FINANCING THE BBA ESTABLISHED PACE AS A PERMANENT ENTITY WITHIN THE MEDICARE PROGRAM AND ENABLES STAT ES TO PROVIDE PACE SERVICES TO MEDICAID BENEFICIARIES AS A STATE PLAN OPTION OPERATIONALLY, THE PACE PROGRAM IS UNIQUE AS A THREE-WAY PARTNERSHIP BETWEEN THE FEDERAL GOVERNMENT, THE STATE, AND THE PACE ORGANIZATION THE ORGANIZATION IS PART OF THE NATIONAL PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) ONCE AN INDIVIDUAL HAS BEEN ENROLLED IN THE PACE PROGRAM, ALL OF THEIR MEDICAL NEEDS MUST BE PROVIDED, ACCORDING TO THEIR PATIENT PLAN, THROUGH A NETWORK OF PROVIDERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPLETED 990 IS DISTRIBUTED BY THE CFO TO EACH BOARD MEMBER BEFORE FILING WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH YEAR, PROMPTLY FOLLOWING THE CORPORATION'S ANNUAL MEETING, EACH INTERESTED PERSON SHALL COMPLETE AND SUBMIT TO THE CORPORATION THE CONFLICT OF INTEREST DISCLOSURE STATEMENT. UPON DETERMINATION BY THE BOARD, ANY CONFLICTS OF INTEREST BETWEEN ANY DIRECTOR, OFFICER, OR KEY EMPLOYEE WILL BE PROHIBITED FROM PARTICIPATING IN DELIBERATIONS OR DECISIONS RELATED TO THE CONFLICTING TRANSACTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD PERFORMS AN ANNUAL PERFORMANCE REVIEW AND MARKET EVALUATION REGARDING THE EXECUTIVE DIRECTOR POSITION USING NPA SALARY SURVEYS OF SIMILAR ORGANIZATIONS WITH DOCUMENTATION OF DISCUSSION AND DECISIONS MADE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>PROFESSIONAL SERVICES- TRANSPORTATION: PROGRAM SERVICE EXPENSES 2,853,364. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,853,364. PROFESSIONAL SERVICES- HOME CARE: PROGRAM SERVICE EXPENSES 1,774,811. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,774,811. PROFESSIONAL SERVICES- CONSULTING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 655,766. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 655,766. IT LICENSE FEES &amp; SOFTWARE: PROGRAM SERVICE EXPENSES 231,593. MANAGEMENT AND GENERAL EXPENSES 404,677. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 636,270. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,029,468. MANAGEMENT AND GENERAL EXPENSES 766,524. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,795,992.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPREHENSIVE SENIOR CARE CORPORATION HAS NOT CHANGED ITS OVERSITE OR SELECTION PROCESS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
