﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2023v6.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2025-02-26T17:32:25-05:00</ReturnTs>
    <TaxPeriodEndDt>2024-06-30</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>430661705</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>KRAFT MILES &amp; TATUM LLC</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>1650 W HARPER STREET</AddressLine1Txt>
        <CityNm>POPLAR BLUFF</CityNm>
        <StateAbbreviationCd>MO</StateAbbreviationCd>
        <ZIPCd>639014119</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2023-07-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>431762646</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>INDEPENDENT LIVING CENTER OF S E MO</BusinessNameLine1Txt>
        <BusinessNameLine2Txt>SOUTHEAST MISSOURI</BusinessNameLine2Txt>
      </BusinessName>
      <BusinessNameControlTxt>INDE</BusinessNameControlTxt>
      <PhoneNum>5736862333</PhoneNum>
      <USAddress>
        <AddressLine1Txt>511 CEDAR ST</AddressLine1Txt>
        <CityNm>POPLAR BLUFF</CityNm>
        <StateAbbreviationCd>MO</StateAbbreviationCd>
        <ZIPCd>63901</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>JENNIFER E BROWN</PersonNm>
      <PersonTitleTxt>EXECUTIVE DIRECTOR</PersonTitleTxt>
      <PhoneNum>5736862333</PhoneNum>
      <SignatureDt>2024-12-23</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>true</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>JOSHUA R LOVE CPA</PreparerPersonNm>
      <PTIN>P01295147</PTIN>
      <PhoneNum>5737856438</PhoneNum>
      <PreparationDt>2025-02-26</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2023</TaxYr>
    <BuildTS>2025-03-06 01:10:19Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="4">
    <IRS990 documentId="RetDoc2" referenceDocumentId="RetDoc4">
      <PrincipalOfficerNm>JENNIFER E BROWN</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>352 CHRISTINA LANE</AddressLine1Txt>
        <CityNm>POPLAR BLUFF</CityNm>
        <StateAbbreviationCd>MO</StateAbbreviationCd>
        <ZIPCd>63901</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>4495254</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.ILCSEMO.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1996</FormationYr>
      <LegalDomicileStateCd>MO</LegalDomicileStateCd>
      <ActivityOrMissionDesc>PROVIDE INFORMATION, SERVICE &amp; ADVOCACY FOR THE DISABLED TO LIVE INDEPENDENTLY, EXTENDING THEIR RIGHTS TO CONTROL &amp; DIRECT THEIR OWN LIVES, AND EMPOWERING THEM TO LIVE MORE PRODUCTIVE LIFESTYLES.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>5</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>5</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>107</TotalEmployeeCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <PYContributionsGrantsAmt>254453</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>285069</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>4075442</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>4155770</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>16153</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>53463</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>18684</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>952</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>4364732</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>4495254</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>1106</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>25</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>1740156</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>1731132</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>0</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>2529889</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>2635820</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>4271151</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>4366977</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>93581</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>128277</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>1592372</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>1701187</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>171325</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>151863</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>1421047</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>1549324</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>PROVIDE INFORMATION, SERVICE &amp; ADVOCACY FOR THE DISABLED TO LIVE INDEPENDENTLY, EXTENDING THEIR RIGHTS TO CONTROL &amp; DIRECT THEIR OWN LIVES, AND EMPOWERING THEM TO LIVE MORE PRODUCTIVE LIFESTYLES.</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>3766662</ExpenseAmt>
      <GrantAmt>25</GrantAmt>
      <RevenueAmt>4155495</RevenueAmt>
      <Desc>PROVIDE INFORMATION &amp; ASSISTIVE EQUIPMENT &amp; SERVICES TO ENABLE PHYSICALLY CHALLENGED PERSONS TO LIVE INDEPENDENTLY IN THEIR OWN HOMES. PROVIDE TRANSPORTATION SERVICES; TEACH CARE SKILLS SUCH AS COOKING AND HOUSEKEEPING; PROVIDE PEER SUPPORT THROUGH MEETINGS; PROVIDE SOCIAL ACTIVITIES SUCH AS BINGO; ADMINISTER PERSONAL CARE ATTENDANT PROGRAM. WORKING THROUGH TRANSITION, DRIVERS EDUCATION, AND OTHER PROJECTS TO ASSIST CLIENTS TO LIVE PRODUCTIVE AND INDENPENDENT LIVES. THE NUMBER OF CLIENTS SERVED THIS FISCAL YEAR IS 10.</Desc>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>64925</ExpenseAmt>
        <Desc>PROVIDE INFORMATION &amp; ASSISTIVE EQUIPMENT &amp; SERVICES TO ENABLE PHYSICALLY CHALLENGED PERSONS TO LIVE INDEPENDENTLY IN THEIR OWN HOMES. PROVIDE TRANSPORTATION SERVICES; TEACH CARE SKILLS SUCH AS COOKING AND HOUSEKEEPING; PROVIDE PEER SUPPORT THROUGH MEETINGS; PROVIDE SOCIAL ACTIVITIES SUCH AS BINGO; ADMINISTER PERSONAL CARE ATTENDANT PROGRAM. WORKING THROUGH TRANSITION, DRIVERS EDUCATION, AND OTHER PROJECTS TO ASSIST CLIENTS TO LIVE PRODUCTIVE INDEPENDENT LIVES. THE NUMBER OF CLIENTS SERVED IN THE FISCAL YEAR WAS 400.</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <TotalOtherProgSrvcExpenseAmt>64925</TotalOtherProgSrvcExpenseAmt>
      <TotalProgramServiceExpensesAmt>3831587</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc5">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd>false</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>false</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc3">false</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc3">false</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc3">false</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc3">false</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd referenceDocumentId="RetDoc3">false</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc3">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc3">false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc3">false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc3">false</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc3">false</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc3">false</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc3">true</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc3">false</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>false</FundraisingActivitiesInd>
      <GamingActivitiesInd>false</GamingActivitiesInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <GrantsToOrganizationsInd>false</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd>false</ScheduleJRequiredInd>
      <TaxExemptBondsInd>false</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>false</PYExcessBenefitTransInd>
      <LoanOutstandingInd>false</LoanOutstandingInd>
      <GrantToRelatedPersonInd>false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>false</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>false</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd>false</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd>false</DisregardedEntityInd>
      <RelatedEntityInd>false</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd>false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>false</ScheduleORequiredInd>
      <IRPDocumentCnt>9</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>false</BackupWthldComplianceInd>
      <EmployeeCnt>107</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>true</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>false</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>false</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>false</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>false</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>false</PayPremiumsPrsnlBnftCntrctInd>
      <Form8899Filedind>false</Form8899Filedind>
      <Form1098CFiledInd>false</Form1098CFiledInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>false</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>false</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>5</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>5</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>false</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>false</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>false</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>true</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>true</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>true</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>true</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>true</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>true</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>true</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>true</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>false</InvestmentInJointVentureInd>
      <BooksInCareOfDetail>
        <PersonNm>JENNIFER BROWN</PersonNm>
        <PhoneNum>5736862333</PhoneNum>
        <USAddress>
          <AddressLine1Txt>511 CEDAR STREET</AddressLine1Txt>
          <CityNm>POPLAR BLUFF</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63901</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>JENNIFER E BROWN</PersonNm>
        <TitleTxt>EXECUTIVE DI</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>86984</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TAMMY DEKEN</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHELLE HALE</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>VALERIE IVY</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>REVIA WADE</PersonNm>
        <TitleTxt>VICE PRESIDE</TitleTxt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DEANNA WHITAKER</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>86984</TotalReportableCompFromOrgAmt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>false</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <GovernmentGrantsAmt>285069</GovernmentGrantsAmt>
      <TotalContributionsAmt>285069</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAID</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>4112755</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4112755</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>IN HOME VA PRI PAY</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>39537</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>39537</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>IN HOME PRI PAY</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>3203</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3203</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MONEY FOLLOWS PERSON</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>275</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>275</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>4155770</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>7513</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>7513</RelatedOrExemptFuncIncomeAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <OtherAmt>45950</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <GainOrLossGrp>
        <OtherAmt>45950</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>45950</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>45950</RelatedOrExemptFuncIncomeAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>ARTHRITIS SCHOLARSHIP FUNDS</Desc>
        <TotalRevenueColumnAmt>469</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>469</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>P/R WH TAX DISCOUNT</Desc>
        <TotalRevenueColumnAmt>281</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>281</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISC</Desc>
        <TotalRevenueColumnAmt>202</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>202</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>952</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>4495254</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4210185</RelatedOrExemptFuncIncomeAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>25</TotalAmt>
        <ProgramServicesAmt>25</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>1410671</TotalAmt>
        <ProgramServicesAmt>1080574</ProgramServicesAmt>
        <ManagementAndGeneralAmt>330097</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>216473</TotalAmt>
        <ProgramServicesAmt>165818</ProgramServicesAmt>
        <ManagementAndGeneralAmt>50655</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>103988</TotalAmt>
        <ProgramServicesAmt>79655</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24333</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>31</TotalAmt>
        <ManagementAndGeneralAmt>31</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>71313</TotalAmt>
        <ProgramServicesAmt>3400</ProgramServicesAmt>
        <ManagementAndGeneralAmt>67913</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <AdvertisingGrp>
        <TotalAmt>1272</TotalAmt>
        <ProgramServicesAmt>1272</ProgramServicesAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>62256</TotalAmt>
        <ProgramServicesAmt>62256</ProgramServicesAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>35605</TotalAmt>
        <ProgramServicesAmt>27273</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8332</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>72905</TotalAmt>
        <ProgramServicesAmt>72905</ProgramServicesAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>14071</TotalAmt>
        <ProgramServicesAmt>10778</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3293</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>5402</TotalAmt>
        <ProgramServicesAmt>4138</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1264</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>5336</TotalAmt>
        <ProgramServicesAmt>4087</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1249</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>61525</TotalAmt>
        <ProgramServicesAmt>61525</ProgramServicesAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>48223</TotalAmt>
        <ManagementAndGeneralAmt>48223</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>CDS ATTENDANT CONTRACTED</Desc>
        <TotalAmt>2257881</TotalAmt>
        <ProgramServicesAmt>2257881</ProgramServicesAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>4366977</TotalAmt>
        <ProgramServicesAmt>3831587</ProgramServicesAmt>
        <ManagementAndGeneralAmt>535390</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>1074975</BOYAmt>
        <EOYAmt>1256236</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>12850</BOYAmt>
        <EOYAmt>1925</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>1313328</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>870302</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>504547</BOYAmt>
        <EOYAmt>443026</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <TotalAssetsGrp>
        <BOYAmt>1592372</BOYAmt>
        <EOYAmt>1701187</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>115475</BOYAmt>
        <EOYAmt>116524</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>55850</BOYAmt>
        <EOYAmt>35339</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>171325</BOYAmt>
        <EOYAmt>151863</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>1421047</BOYAmt>
        <EOYAmt>1549324</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>1421047</BOYAmt>
        <EOYAmt>1549324</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>1592372</BOYAmt>
        <EOYAmt>1701187</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>128277</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingCashInd>X</MethodOfAccountingCashInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc5">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>234506</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>245370</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>248769</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>254453</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>285344</CurrentTaxYearAmt>
        <TotalAmt>1268442</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>4677067</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>4192219</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3382050</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4096322</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4164235</CurrentTaxYearAmt>
        <TotalAmt>20511893</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>4911573</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>4437589</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3630819</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4350775</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4449579</CurrentTaxYearAmt>
        <TotalAmt>21780335</TotalAmt>
      </Total509Grp>
      <PublicSupportTotal509Amt>21780335</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus3YearsAmt>110</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>97</CurrentTaxYearMinus2YearsAmt>
        <TotalAmt>207</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus3YearsAmt>110</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>97</CurrentTaxYearMinus2YearsAmt>
        <TotalAmt>207</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>4911573</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>4437699</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3630916</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4350775</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4449579</CurrentTaxYearAmt>
        <TotalAmt>21780542</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>1.00000</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>1.00000</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc3">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>45290</OtherCostOrOtherBasisAmt>
        <BookValueAmt>45290</BookValueAmt>
      </LandGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>1268038</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>870302</DepreciationAmt>
        <BookValueAmt>397736</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>443026</TotalBookValueLandBuildingsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>4503278</TotalRevEtcAuditedFinclStmtAmt>
      <OtherRevenueAmt>8024</OtherRevenueAmt>
      <RevenueNotReportedAmt>8024</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>4495254</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>4495254</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>4350497</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>-16480</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>-16480</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>4366977</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>4366977</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>ACCOUNTS RECEIVABLE 8,024</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XII, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>ACCOUNTS PAYABLE -16,480</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc4">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>PROVIDE INFORMATION &amp; ASSISTIVE EQUIPMENT &amp; SERVICES TO ENABLE PHYSICALLY CHALLENGED PERSONS TO LIVE INDEPENDENTLY IN THEIR OWN HOMES. PROVIDE TRANSPORTATION SERVICES; TEACH CARE SKILLS SUCH AS COOKING AND HOUSEKEEPING; PROVIDE PEER SUPPORT THROUGH MEETINGS; PROVIDE SOCIAL ACTIVITIES SUCH AS BINGO; ADMINISTER PERSONAL CARE ATTENDANT PROGRAM. WORKING THROUGH TRANSITION, DRIVERS EDUCATION, AND OTHER PROJECTS TO ASSIST CLIENTS TO LIVE PRODUCTIVE INDEPENDENT LIVES. THE NUMBER OF CLIENTS SERVED IN THE FISCAL YEAR WAS 400.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>REVIA WADE 1929 SANDERS AVE POPLAR BLUFF, MO 63901 VALERIE IVY 172 MAJESTIC LANE POPLAR BLUFF, MO 63901 DEANNA WHITAKER 311 ARNOLD DRIVE WAPPAPELLO, MO 63966 MICHELLE HALE 1003 MARYLAND POPLAR BLUFF, MO 63901 TAMMY DEKEN 411 CR 5352 POPLAR BLUFF, MO 63901</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>NO REVIEW WAS OR WILL BE CONDUCTED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE INTERESTS THAT COULD GIVE RISE TO CONFLICTS ANNUALLY AND AT ANY BOARDMEETING WHERE SUCH CONFLICTS COULD ARISE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>EXECUTIVE DIRECTOR RECEIVES AN ANNUAL REVIEW BY THE BOARD OF TRUSTEES. THE BOARD OF TRUSTEES DETERMINES THE COMPENSATION BASED ON THE REVIEW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>KEY EMPLOYEES RECEIVE AN ANNUAL REVIEW. ANNUAL COMPENSATION IS DETERMINED BY THE EXECUTIVE DIRECTOR AND IS BASED ON THE EMPLOYEE'S ANNUAL REVIEW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS ARE MAINTAINED AT THE MAIN OFFICE AND ARE AVALIABLE TO THE PUBLIC UPON COMPLIANT REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>