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        <PersonNm>Paul Nathanson</PersonNm>
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        <PersonNm>Satya Verma</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>John Whitman</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Jacqueline Zinn</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>NORMA THOMAS</PersonNm>
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        <PersonNm>Patricia Canela-Duckett</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Cheryl Croxton</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Sharlene Waller</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
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          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
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          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>A-Team Home Care Inc</PersonNm>
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        <ContractorAddress>
          <USAddress>
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      <ContractorCompensationGrp>
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          <PersonNm>Total Health Home Care Corporation</PersonNm>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 930</AddressLine1Txt>
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          <PersonNm>Service Access Management Inc</PersonNm>
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          <USAddress>
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      <TotalContributionsAmt>69819217</TotalContributionsAmt>
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        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>21646888</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>2196738</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>1916869</RelatedOrExemptFuncIncomeAmt>
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        <BusinessCd>900099</BusinessCd>
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        <ExclusionAmt>454688</ExclusionAmt>
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        <ProgramServicesAmt>186061</ProgramServicesAmt>
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      <BenefitsToMembersGrp>
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        <ProgramServicesAmt>174147</ProgramServicesAmt>
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        <ProgramServicesAmt>186428</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <EOYAmt>238885</EOYAmt>
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        <EOYAmt>4375413</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>19057060</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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        <EOYAmt>43892367</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>151514</EOYAmt>
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        <EOYAmt>44043881</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>63100941</EOYAmt>
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        <TotalCompensationFilingOrgAmt>212918</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jennifer Russell</PersonNm>
        <TitleTxt>Exe. Admin of Planning</TitleTxt>
        <BaseCompensationFilingOrgAmt>150938</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5971</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>20804</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>177713</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Avin Hiremath</PersonNm>
        <TitleTxt>Contract Web Developer</TitleTxt>
        <BaseCompensationFilingOrgAmt>220330</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>220330</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 4B:</FormAndLineReferenceDesc>
        <ExplanationTxt>PCA MAINTAINS A 457 DEFERRED COMPENSATION PLAN FOR C SUITE EXECUTIVES (CEO, COO, CFO).</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d:</FormAndLineReferenceDesc>
        <ExplanationTxt>Other Program Service Expenses: 2,968,759 Grants and allocations: 0, Revenue: 2,102,741 Environmental Modifications - This program allows the organization to make adjustments to the living quarters of senior citizens to ensure they can remain in their home.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11B:</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization utilizes the services of an independent, CPA firm to prepare the Federal Form 990. The firm prepares the information return and provides the draft to management and the board for review and discussion. After review, any comments are addressed by the firm in conjunction with management. After all comments are cleared, the return is presented for signature and final transmittal via electronic methods.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12C:</FormAndLineReferenceDesc>
        <ExplanationTxt>All employees are required to read and electronically affirm compliance with PCAs policies and procedures. The policies and procedures manual and the affirmation statements contain specific reference to the conflict of interest policy that has been developed and implemented by the organization. Employees are encouraged to notify the organization immediately if any potential conflicts arise subsequent to their initial affirmation. All Board members are required to complete and sign a Conflict of Interest disclosure form annually. Completed disclosures are reviewed by the Governance Committee and appropriate recusal or mitigation procedures are established as necessary.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15:</FormAndLineReferenceDesc>
        <ExplanationTxt>The salaries and salary increase of top management and officers are based on periodic, independent, third party reviews of the organization's compensation structures. Employees are also categorized by grade experience, etc. which determine salary range. Historically, the grades have been adjusted to reflect the economic situation as it relates to normal inflation and marketplace salary increases in order to remain competitive in the region. Annually, the Board Chair reviews the president's performance and discusses the evaluation with the entire board in order to determine compensation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19:</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization makes its governing documents, conflict of interest policy, financial statements, and Federal Form 990 available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER CHANGES IN NET ASSETS: RETIREMENT BENEFIT LOSSES $-305,882 CHANGE IN FAIR VALUE OF INTEREST RATE SWAP $-333,659 OTHER CHANGES IN RETIREMENT BENEFIT $408,501 TOTAL $-231,040</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:SUB CONTRACTOR COST TOTAL FEES:31506545</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:OTHER PROFESSIONAL FEES TOTAL FEES:2162284</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>