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      <OtherRevenueMiscGrp>
        <Desc>MEMBER AFFINITY PROGRAMS</Desc>
        <BusinessCd>561499</BusinessCd>
        <TotalRevenueColumnAmt>1550</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1550</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>TRAINING DVDS</Desc>
        <BusinessCd>561499</BusinessCd>
        <TotalRevenueColumnAmt>1725</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1725</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueTotalAmt>3475</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>464188</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>431115</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>19898</ExclusionAmt>
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      <GrantsToDomesticOrgsGrp>
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      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>0</TotalAmt>
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      <ForeignGrantsGrp>
        <TotalAmt>0</TotalAmt>
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      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>133169</TotalAmt>
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      <CompDisqualPersonsGrp>
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      <OtherSalariesAndWagesGrp>
        <TotalAmt>94481</TotalAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>4520</TotalAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>0</TotalAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>16473</TotalAmt>
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      <FeesForServicesManagementGrp>
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      <FeesForServicesLegalGrp>
        <TotalAmt>450</TotalAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>8947</TotalAmt>
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      <FeesForServicesLobbyingGrp>
        <TotalAmt>40000</TotalAmt>
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      <FeesForServicesProfFundraising>
        <TotalAmt>0</TotalAmt>
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      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>3187</TotalAmt>
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      <FeesForServicesOtherGrp>
        <TotalAmt>13900</TotalAmt>
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      <AdvertisingGrp>
        <TotalAmt>0</TotalAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>19233</TotalAmt>
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      <InformationTechnologyGrp>
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      <TravelGrp>
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      <PymtTravelEntrtnmntPubOfclGrp>
        <TotalAmt>0</TotalAmt>
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      <ConferencesMeetingsGrp>
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      <InterestGrp>
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      <PaymentsToAffiliatesGrp>
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      <DepreciationDepletionGrp>
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      <InsuranceGrp>
        <TotalAmt>4206</TotalAmt>
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      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
        <TotalAmt>8425</TotalAmt>
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      <OtherExpensesGrp>
        <Desc>Printing and Publications</Desc>
        <TotalAmt>7919</TotalAmt>
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      <OtherExpensesGrp>
        <Desc>HONORARIUMS</Desc>
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      <OtherExpensesGrp>
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        <TotalAmt>3020</TotalAmt>
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      <PledgesAndGrantsReceivableGrp>
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      <ReceivablesFromOfficersEtcGrp>
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        <EOYAmt>1106607</EOYAmt>
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        <EOYAmt>28806</EOYAmt>
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      <DeferredRevenueGrp>
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        <EOYAmt>96949</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>125755</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>929695</BOYAmt>
        <EOYAmt>980852</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>929695</BOYAmt>
        <EOYAmt>980852</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>1071827</BOYAmt>
        <EOYAmt>1106607</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>20151</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>31006</NetUnrlzdGainsLossesInvstAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>true</AccountantCompileOrReviewInd>
      <AcctCompileOrReviewBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </AcctCompileOrReviewBasisGrp>
      <FSAuditedInd>false</FSAuditedInd>
      <AuditCommitteeInd>false</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleC documentId="IRS990ScheduleC" softwareId="23017517" softwareVersionNum="2023v5.1">
      <Form1120POLFiledInd>false</Form1120POLFiledInd>
      <SubstantiallyAllDuesNondedInd>false</SubstantiallyAllDuesNondedInd>
      <OnlyInHouseLobbyingInd>false</OnlyInHouseLobbyingInd>
      <AgreeCarryoverPriorYearInd>false</AgreeCarryoverPriorYearInd>
      <DuesAssessmentsAmt>285603</DuesAssessmentsAmt>
      <NonDeductibleLbbyngPltclCYAmt>9000</NonDeductibleLbbyngPltclCYAmt>
      <NonDedLbbyngPltclCyovAmt>-116872</NonDedLbbyngPltclCyovAmt>
      <NonDeductibleLbbyngPltclTotAmt>-107872</NonDeductibleLbbyngPltclTotAmt>
      <AggregateReportedDuesNtcAmt>28560</AggregateReportedDuesNtcAmt>
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    <IRS990ScheduleD documentId="IRS990ScheduleD" softwareId="23017517" softwareVersionNum="2023v5.1">
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>25230</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>14303</DepreciationAmt>
        <BookValueAmt>10927</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>4750</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>4750</DepreciationAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>10927</TotalBookValueLandBuildingsAmt>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="23017517" softwareVersionNum="2023v5.1">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ASSOCIATION'S MEMBERSHIP IS COMPRISED OF ORGANIZATIONS PROVIDING SERVICES IN THE HOME CARE INDUSTRY. MEMBERS MAY HAVE ONE OR MORE SERVICES IN THE HOME CARE INDUSTRY. MEMBERS MAY HAVE ONE OR MORE LOCATIONS AND MAY HAVE ONE OR MORE PROGRAMS, SUCH AS HEALTH, HOSPICE, OR IN-HOME SERVICES. ALL MEMBERS, REGARDLES OF SIZE, ARE ENTITLED TO ONE VOTE ON DECISIONS REGARDING BYLAW CHANGES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>A NOMINATING COMMITTEE CONSISTING OF 5 NON-BOARD MEMBERS AND 4 BOARD MEMBERS EVALUATES THE NOMINATIONS AND PREPARES A SLATE OF BOARD MEMBER NOMINATIONS TO BE SENT TO THE MEMBERSHIP. THE MEMBERSHIP MAY EITHER ACCEPT OR CHALLENGE THE BOARD MEMBER NOMINATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBERSHIP OF THE ASSOCIATION APPROVES ALL REVISIONS TO THE BYLAWS. ANY REVISIONS TO THE BYLAWS WOULD BE APPROVED AT THE ASSOCIATION'S ANNUAL MEETING WITH EACH MEMBER COMPANY BEING ALLOWED ONE VOTE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>COPIES OF THE FINAL FORM 990 AND ALL SCHEDULES ARE EMAILED TO EACH BOARD MEMBER PRIOR TO BEING FILED WITH THE IRS. BOARD MEMBERS ARE ASKED TO REVIEW THE RETURN INDIVIDUALLY AND TO CONTACT THE RETURN PREPARER OR ASSOCIATION STAFF WITH ANY QUESTIONS OR CONCERNS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH DIRECTOR, PRINCIPAL OFFICER AND CHAIR OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS ANNUALLY SIGNS A STATEMENT WHICH AFFIRMS SUCH PERSON HAS RECEIVED A COPY OF THE POLICY, HAS READ AND UNDERSTANDS THE POLICY, AND HAS AGREED TO COMPLY WITH THE POLICY. THE ASSOCIATION STANDS READY TO ENFORCE NONCOMPLIANCE WITH THE POLICY SHOULD THE SITUATION ARISE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>SALARY SURVEYS ARE USED TO ENSURE THAT COMPENSATION IS SET AT A LEVEL COMPARABLE TO OTHER ORGANIZATIONS. COMPENSATION IS DETERMINED BY PERSONS KNOWLEDGEABLE IN COMPENSATION MATTERS AND WHO HAVE NO FINANCIAL INTEREST IN THE DETERMINATION. THE EXECUTIVE COMMITTEE SETS THE SALARY AND INCREASES FOR THE EXECUTIVE DIRECTOR AND IS THEN APPROVED BY THE BOARD. THIS IS DONE ANNUALLY, IN JUNE, PRIOR TO THE APPROVAL OF THE BUDGET.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HOME CARE RESEARCH AND EDUCATIONAL FOUND</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2420 HYDE PARK ROAD SUITE A</AddressLine1Txt>
          <CityNm>JEFFERSON CITY</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>65109</ZIPCd>
        </USAddress>
        <EIN>202476539</EIN>
        <PrimaryActivitiesTxt>FOSTER IMPROVEMENT IN HOME CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>170 (B)(1)(a)(VI)</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MO ALLIANCE FOR HOME CARE</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
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</Return>