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      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT HOLLOWAY JR</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROSEANN ROBILLARD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOSEPH BERARDINO</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BARRY SINEWITZ</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANNMARY CONNOR</PersonNm>
        <TitleTxt>CLERK</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL RURAK</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DEAN CLEGHORN</PersonNm>
        <TitleTxt>VICE PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MAURICE E BALBONI</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOAN F HATEM-ROY</PersonNm>
        <TitleTxt>CHIEF EXECUTIVE OFFICER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.50</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>25939</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TAMMY A O'DONNELL</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <AverageHoursPerWeekRt>37.50</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>146326</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>21823</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANNA M BELLOWS</PersonNm>
        <TitleTxt>OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>37.50</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>118980</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>16096</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>456939</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>63858</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>5</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MULTICULTURAL HOMECARE INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>330 LYNN WAY SUITE 303</AddressLine1Txt>
            <CityNm>LYNN</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>01902</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SUB-CONTRACT SERVICES TO ELDERS</ServicesDesc>
        <CompensationAmt>9017425</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ASSOCIATED HOME CARE LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>991 OSGOOD ST</AddressLine1Txt>
            <CityNm>NORTH ANDOVER</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>01845</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SUB-CONTRACT SERVICES TO ELDERS</ServicesDesc>
        <CompensationAmt>7129959</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HOME CARE INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>360 MERRIMACK STREET BLDG9</AddressLine1Txt>
            <CityNm>LAWRENCE</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>01843</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SUB-CONTRACT SERVICES TO ELDERS</ServicesDesc>
        <CompensationAmt>4919921</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>NORTHEAST ARC INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>01923</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SUB-CONTRACT SERVICES TO ELDERS</ServicesDesc>
        <CompensationAmt>2568050</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>INTERNATIONAL HEALTH</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 2006</AddressLine1Txt>
            <CityNm>ANDOVER</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>01810</ZIPCd>
          </USAddress>
        </ContractorAddress>
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        <CompensationAmt>2483021</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>30</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>60721</FundraisingAmt>
      <AllOtherContributionsAmt>256770</AllOtherContributionsAmt>
      <TotalContributionsAmt>317491</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>CONTRACT REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>45619268</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>45619268</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>GRANTS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>29248420</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>29248420</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>74867688</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>30208</TotalRevenueColumnAmt>
        <ExclusionAmt>30208</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>54497</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
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      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>48233</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>48233</TotalRevenueColumnAmt>
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      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
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        <BusinessCd>900099</BusinessCd>
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      <TotalRevenueGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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      <GrantsToDomesticOrgsGrp>
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      <CompCurrentOfcrDirectorsGrp>
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      <PensionPlanContributionsGrp>
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      <PayrollTaxesGrp>
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        <ManagementAndGeneralAmt>164095</ManagementAndGeneralAmt>
        <FundraisingAmt>6129</FundraisingAmt>
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        <ProgramServicesAmt>77494</ProgramServicesAmt>
        <ManagementAndGeneralAmt>34951</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>60000</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>84161</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
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        <ProgramServicesAmt>9741</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3497</ManagementAndGeneralAmt>
        <FundraisingAmt>1562</FundraisingAmt>
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        <ProgramServicesAmt>381980</ProgramServicesAmt>
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        <FundraisingAmt>36686</FundraisingAmt>
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        <ProgramServicesAmt>409580</ProgramServicesAmt>
        <ManagementAndGeneralAmt>229150</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>795840</ProgramServicesAmt>
        <ManagementAndGeneralAmt>95817</ManagementAndGeneralAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>270007</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4492</ManagementAndGeneralAmt>
        <FundraisingAmt>995</FundraisingAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>302127</ProgramServicesAmt>
        <ManagementAndGeneralAmt>27169</ManagementAndGeneralAmt>
        <FundraisingAmt>389</FundraisingAmt>
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        <ManagementAndGeneralAmt>267344</ManagementAndGeneralAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>83321</ProgramServicesAmt>
        <ManagementAndGeneralAmt>20913</ManagementAndGeneralAmt>
        <FundraisingAmt>249</FundraisingAmt>
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        <TotalAmt>47735104</TotalAmt>
        <ProgramServicesAmt>47735104</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>PROGRAM ACTIVITIES &amp; SU</Desc>
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        <ProgramServicesAmt>286329</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>BAD DEBTS</Desc>
        <TotalAmt>236067</TotalAmt>
        <ProgramServicesAmt>236067</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>MISC</Desc>
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        <ProgramServicesAmt>48794</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17484</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>34461</ProgramServicesAmt>
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      <TotalFunctionalExpensesGrp>
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        <FundraisingAmt>150097</FundraisingAmt>
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        <EOYAmt>60673</EOYAmt>
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        <EOYAmt>109750</EOYAmt>
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        <EOYAmt>27985717</EOYAmt>
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        <EOYAmt>125511</EOYAmt>
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        <EOYAmt>12190338</EOYAmt>
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        <EOYAmt>15795379</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>27985717</EOYAmt>
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      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
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      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
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      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
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        <CurrentTaxYearMinus2YearsAmt>310125</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>265371</CurrentTaxYearMinus1YearAmt>
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