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FISCAL YEAR October 1, 2016 to September 30, 2017 Tri-County Office on Aging Annual Report

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Page 1: FISCAL YEAR - Tri-County Office on Aging · sara aikman stacey ames debra arendsen rita athanasion fahad atta kaeshona austern ... jill jackson-moulton antoine johnson odessa jones

FIS

CA

L Y

EA

R

October 1, 2016 to September 30, 2017

Tri-County

Office on Aging

Annual Report

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10

14

16

TCOA PROGRAMS &

SERVICES TOTALS

TCOA FINANCIALS

2017 EVENT SPONSORS &

GRANT FUNDERS

3

4

6

8

DIRECTOR’S MESSAGE

AGENCY UPDATES &

ACCOMPLISHMENTS

TCOA 2017 STAFF

BOARDS, COUNCILS &

VOLUNTEER TOTALS

Table of Contents

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Message from the Director

Marion Owen

ADVISORY COUNCIL 2017

TCOA, the Area Agency on Aging for Clinton, Eaton and Ingham counties, has evolved

with the times and needs of older adults over its 43 years, and yet some challenges remain

constant. Transportation was one of the first needs expressed by older adults and it

remains a high need. Fortunately, there are more options available today for seniors and

their caregivers, including in-home supports. The greatest need is for supportive services

to help maintain independence.

Another positive change is that family members are honoring the wishes and desires

of their loved ones. The days of “putting mother in a nursing home” as the first or only

option are disappearing. More and more people are recognizing the capacity of their loved

one to make their own decisions and control their own lives, and this is monumental.

The core value of TCOA is respecting an individuals’ choices, preferences and abilities

and supporting them to live their lives in their homes, neighborhoods and community.

Unfortunately, with the growing population of persons age 60 and over as well as the

increasing population of persons with disabilities, we still fall short in keeping up with the

demand for services. In addition to woefully inadequate funding, one of the most critical

issues we face is the need for a strong direct care workforce. These individuals, providing

daily care to vulnerable persons in nursing homes, assisted living residences or in the

home, should be more adequately paid, trained and respected. It is estimated that

Michigan needs more than 30,000 more direct care workers over the next 10 years. They

are the backbone of most of the essential services we provide.

The staff, volunteers, Board of Directors, Advisory Council, Friends for Independence,

and Consumer Quality Group (CSI) are aligned in our desire to maintain and increase the

availability of these essential services in a changing landscape. We dedicate this report to

Carlton Nogle (retired as Waiver Director after 31 years), Deb Arendsen (retired as

Information & Assistance Specialist after 30 years), Mary Ablan (retired as Director of the

Area Agencies on Aging Association of Michigan after 32 years), and to the late Emly Horne,

dedicated advocate, Advisory Council member, and founder of TRIAD. TCOA appreciates the

hours of service, input and direction provided by these dedicated individuals and others.

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Accomplishments

Noteworthy Accomplishments At-A-Glance

Provided information and assistance, outreach and education (including

elder abuse topics) to 25,000+ seniors, caregivers and the general public

Over 1,100 frail persons received care management and essential in-home

services supporting them to remain independent in the community and

out of a nursing home

Over 1,500 volunteers delivered Meal on Wheels, some delivering several

times a month

Over 475,000 meals delivered to persons who are unable to prepare

nutritious meals, many connecting with the only person who check

on them regularly

1,382 received elder abuse education information or materials

Medicare and Medicaid counselors helped over 1,700 individuals to

understand Medicare & Medicaid, enroll in Medicare prescription drug

coverage, review supplemental insurance, apply for Medicaid

Medicare Savings programs, and provide information to help identify

and report fraud, abuse or scams

National Committee for Quality Assurance Accreditation

TCOA is exploring accreditation through the National Committee for

Quality Assurance (NCQA) for the MI Choice Program. NCQA has developed

a set of standards designed to measure the quality of programs

providing long-term supports and services in community based settings.

Accreditation ensures that TCOA is responding proactively to a changing

health care environment.

Provider Network

TCOA is proud to partner with 178 providers in the TCOA service area to

provide community supports to participants. Providers are invited to

attend a quarterly meeting at TCOA where they learn about agency and

contract updates, and any other applicable information. There is also an

opportunity to network with each other and other community partners

outside of the provider network.

Age-Friendly Initiatives

TCOA participated in 5 of 6 workgroups for the Age-Friendly Lansing

initiative and shared information on the Aging and Adult Services

Agency Communities For a Lifetime in four tri-county communities.

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& Agency Updates

Evidenced-Based Programs

TCOA served 650 participants in an evidence-based workshop or class

series in the tri-county area in FY 2017. In addition to the existing

evidence-based programs TCOA offers to help clients self-manage

health conditions, an additional workshop, Chronic Pain PATH, began

in 2017. Chronic Pain PATH was developed and rigorously tested by

Stanford University to help people learn the techniques and

strategies they need for the day-to-day management of pain. The

hope is that the techniques and strategies learned will encourage

community members to properly manage pain instead of abusing or

misusing pain medications.

Senior Proxy Project

Senior Proxy Project, a new program to TCOA in 2017, enlists volunteers

to deliver boxes of non-perishable food and fresh produce to seniors

who are unable to leave their home. Fifty-five (55) clients were served.

Emergency Preparedness Improvements

TCOA’s Safety Committee purchased an automated external

defibrillator (AED) machine, updated internal emergency plans, prepared a

flip book with instructions for various emergency scenarios, and explored

options to improve response times and staff safety in the event of a natural

disaster. TCOA attends several area emergency management meetings in the

area as well.

Quality = Choice, Satisfaction and Independence (CSI)

In FY 2017, TCOA’s consumer quality group, CSI, developed a resource titled “Go

Bag,” intended for participants and community members to make transitions

between care settings more seamless. This resource details what items may be

necessary/useful to have ready in the case of an unexpected hospitalization.

This resource was shared statewide at the Quality Management Collaborative

and other areas indicated they would like to use it. The group also drafted a

letter that was submitted to MDHHS via stakeholder meetings related to the MI

Choice Waiver renewal. The letter highlighted the aspects of the Waiver

program that promote participant independence and success, as well as

detailing the concerns the group had related to potential changes that a

managed care system might bring.

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20

17

Ag

en

cy

Sta

ff

FALAH AHMED

HUDA AHMED

SALAH AHMED

SARA AIKMAN

STACEY AMES

DEBRA ARENDSEN

RITA ATHANASION

FAHAD ATTA

KAESHONA AUSTERN

CAROL BARRY

NICHOLE BEARD

SUSAN BEARD

MARCELLE BELL

TAMI BERGHORST

JAMES BRANDELL

KATHERINE BRANSON

MIRENDA BROWN

PATRICIA BROWN

CARL BUONODONO

BRUCE BYRNES

TONYA CAGER

MARTEIN CARTER

ALESHA CAVANAUGH

JUDITH CHRISTIE

GINA CLEVEN

SHARON CONSTAN

CASEY COOPER

HEATHER CRAIG

MONICA CREMINS

HEIDI DADOW

EMILY DAUBERT

ALICIA DAVIS

DORI DAVIS

LINDA DAVIS

REBECCA DECESS

PATTI EASTMAN-TALIK

CHRIS FLORIAN

HEIDI GLEW

STEPHANIE GOODRICH

LORNA GREATHOUSE

ELIZABETH HARTEL

CARRIE HARTENBURG

JOLENE HAZEN

CARNEICE HENRY-

WASHINGTON

CHRISTINE HISTED

BETH HJERTOS

EUNICE HOWE-TRITTEN

ELIZABETH HUMPHREY

CINDY HURTH

JANEL INGRAM

NAJI ISSA

KALIE JACKSON

JILL JACKSON-MOULTON

ANTOINE JOHNSON

ODESSA JONES

WILLIE BOB JONES

KRISTIN JUDGE

ERIN KARKAU

JACQUELINE KEMP

LISA KNAPP

FRANCES KOS

SHELAGH KOSINSKI

JENNIFER KREFT

KIRSTEN LAING

MELISA LAMB

TAMMY LEMMER

JANA LOCKE-PURVIS

KATHRYN LONG

LINDA LOVAAS

JASMINE MALCOLM

BARBARA MANNINO

VIOLA MANS

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LINDSAY TARRANT

KAREN TERPENING

ANTIGONI TZUMAKAS

SHIRLEY VALLIN

SHEILA WALKER

VICTORIA WATSON

COSETTE WEAVER

ROBIN WEBB

EDDIE WEBSTER

JUDITH WERNERT

ELIZABETH WETHERELL

RACHEL WHETSTONE

FLORINE WHITLEY

LISA WIEBER

BRENDA WIEGEL

JULIANNE WOOD

SUSAN WORTHY

CHERYL MARCH

CYNTHIA MCCORMICK

DELANE MCKINNEY

JESSICA MCMAHON

JOAN MCPHERSON

MARCY MENTINK

ANNETTE MERRILL

MINNIE MERRIWETHER

PATRICIA MICK

JADRANKA MILOSAVLJEVIC

JOSE MORADO JR

PATRICIA MUNSHAW

ADDIE MUTCH

TIFFANY NEAL

CARLTON NOGLE

MARION OWEN

RUTH PELL

LISA PHIPPS

ANDRIA PLATTE

JOYCE PRATT

ANDREA RADEL

VIRGINIA RAMIREZ

LINDSAY RANDALL

ADRIAN RAY

JACKIE REEDY

CLARENCE REEVES II

ASENATH REGAN

MARY RIEHL

SHELLY ROGERS

JEANETTE SAINT-ONGE

SHELBY SCHAEFER

JOAN SCHAUB

ERIN SCOTT

SANDRA SIMMONS

THOMAS SMITH

TASHA STETLER

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2017 Administrative Board The TCOA Consortium Board is a cooperative intergovernmental body composed of elected

officials (or their designees) including representation from the Mayor’s Offices, Lansing and

East Lansing City Councils, and the Clinton, Eaton and Ingham County Commissions.

2017 Friends For Independence Coordinating Council (FFI) The Friends For Independence Coordinating Council was formed to help raise local dollars

to supplement public funding by planning and organizing annual fundraisers, such as a

dinner and auction, golf outing and direct mail appeals. The Council is a key part of

increasing private sector awareness and support for TCOA.

Quality = Choice, Satisfaction and Independence (CSI) Q=CSI is a consumer based advisory group that defines quality as perceived by the con-

sumer for Project Choices and the Self-Determination Option in order to provide access and

increase quality care.

Lansing Representatives

Kathie Dunbar

Lansing City Council

Joan Jackson Johnson

(for Mayor Bernero),

Director of Human Relations &

Community Services

Chris Swope

Lansing City Clerk

East Lansing Representative

Kelly Arndt (for Mayor Meadows),

Director, East Lansing Prime

Time

Eaton County Representatives

Blake Mulder

County Commissioner-Vice Chair

Jeanne Pearl-Wright

County Commissioner

Howard Spence

County Commissioner

Clinton County Representatives

Ken Mitchell

County Commissioner

Dwight Washington

County Commissioner

Ingham County Representatives

Bryan Crenshaw

County Commissioner

Kara Hope

County Commissioner-Chair

Teri Banas

County Commissioner

Steve Dougan

Farmers Financial Solutions

Jack Enderle

Community Volunteer

John Greenslit

Community Volunteer

Michelle Lane

Chalgian and Tripp Law

Sara Levine

Community Volunteer

Derrick McDuffey

UAW

Norma McGarry

CASE Credit Union

Bob Parsons

Community Volunteer

Larry Pingel

Rathbun Insurance

Ellen Sullivan

Community Volunteer

Martha Yoder

Community Volunteer

Kyna Bailey

Leigh Campbell-Earl

Robert Distler

Bill Earl

Judith Fryer

Larry Klekotka

John (Jack) Koch

Kathie Koski

Neal Langford

Tim Murchison

Michelle Taylor

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2017 Advisory Council The Tri-County Office on Aging Advisory Council acts in an advisory capacity to the

Consortium Board. At least one-half of the council consists of senior citizens, appointed by

their respective units of government. Remaining members represent community agencies.

The Consortium Board approves agency appointments. This composition offers the

perspectives of both seniors and service providers on aging issues.

Clinton County

Eileen Heideman

Ruth Voisinet

Eaton County

Joseph E. Gutiérrez

Carol Halsey

Martha Yoder

Ingham County

Susann Baker

June Morse

Jane Wallin

City of Lansing

Mary Estes

Penny Gardner

Emly Horne

City of East Lansing

Bud (Felix) Fliss

CATA

JJ Jackson

Clinton/Eaton County, DHHS

Kelly Neve

Community Mental Health

Older Adult Services

Dawn Sargent

Disability Network Capital Area

Laurie Parker

JWR

Chad Johnson

McLaren Orthopedic Hospital

GEMS Unit

Jennifer Sexton

MSU, College of Nursing

Linda Keilman

RSVP Senior Companion

Program

Linda Gazella-Sanchez

Senior Alliance for

Education (SAFE)

Gary Pollitz/Suzanne Ferris

Sixty Plus Elderlaw Clinic

Gary Bauer

Sparrow Specialty

Hospital

Megan Clements/Toby Powell

Social Security

Administration

Robyn Ford

Tri-County Nutrition

Council

Phyllis Monroe

2017 Volunteers Thank you to all of the local businesses and agencies that support TCOA. Dart Bank, Home

Care Alternatives and Jackson National Life Insurance went above and beyond by providing

staff time AND financial contributions. Assistance from these groups and others have

helped raise funds to assist with the continuously growing demand for programs and

services. TCOA could not be successful without the hard work and support of community

volunteers. The 2017 volunteer numbers total about 25 full-time employees!

Program Volunteers Hours

Nutrition Program 1,507 47,400

MMAP 13 1,299

FFI Event & Office Volunteers 89 764

Advisory Council 25 2865

Evidence Based Programs 33 687

Total 1,667 53,015

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TCOA Programs & Services

Medicaid/Medicare Assistance Program (MMAP)

Program Clients/Units of Services

Information & Assistance (I&A) 3,467 clients

TCOA Website 26,918 visitors (93,837 views)

TCOA Facebook Page 91,773 post views (952 likes)

Outreach 17,965 people

Housing Services 181 clients

Crisis Services for the Elderly 615 clients

Kinship Care Respite 18 caregivers (1,718 hours)

Options Counseling 131 clients

Creating Confident Caregivers® 6 attendees

Community-Based Care Transitions Program* 414 clients

Matter of Balance 97 completers (11 workshops)

Diabetes Personal Action Toward Health 82 completers (12 workshops)

Chronic Pain Personal Action Toward Health 23 completers (3 workshops)

Medical Nutrition Therapy 8 new referrals (7 visits)

Service Area Clients

Clinton County 494

Eaton County 223

Ingham County 1,000

Rural Ingham County 68

Total Served 1,729

*The Sparrow contract ended in TCOA’s 1st quarter of FY 2017.

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Community Based Programs

Program Clients Units of Service

Information & Assistance (I&A) 2,959 4,774 Hours

Nutrition Transportation 35 5,777 One-Way Trips

Medical Transportation 19 1,897 One-Way Trips

Legal Services 410 1,432 Hours

Long-Term Care Ombudsman 373 1,672 Hours

Elder Abuse Education 1,382 270 Hours

Evidence Based Disease Prevention - Fitness 337 854 Class Sessions

Evidence Based Disease Prevention 28 257 Hours

Volunteer Respite 14 3,346 Hours

Adult Day Services 32 11,345 Hours

Nutrition Program

Program Clients Meals Served

Meals on Wheels 2,027 412,389

Dining Sites 1,076 64,836

Senior Dine Card 14 367

Meal Programs Total 3,117 477,592

Senior Project Fresh 200 200 coupon books

Clinton County Eaton County Ingham County

Nutrition by

County (MOWs

and Dining Sites)

Clients Meals Clients Meals Clients Meals

241 42,208 429 71,796 1,751 363,221

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Project Choices/MI Choice

Project Choices

Clients by County

Clinton County Eaton County Ingham County

113 190 712

Program Clients Units of Service

(unit=15 minutes)

Medicaid Home & Community Based

Waiver Services Total 848 3,547,912

Care Management & Case Coordination

Services Total 187 140,929

Project Choices Total (Unduplicated) 1,015 3,688,841

Program Units of Service

(unit=15 minutes) Expenditures

Homemaker Services 64,628 $226,198.00

Personal Care Services 31,730 $123,112.40

Respite Care Services 44,559 $167,096.25

Other 12 $300.00

Total 140,929 $516,706.65

Care Management & Case Coordination

0.05% • Other • $300

32.34% • Respite Care Services • $167,096.25

23.83% • Personal Care Services • $123,112.40

43.78% • Homemaker Services • $226,198.00

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Program Units of Service

(unit=15 minutes) Expenditures

Adult Day Care 85,266 $313,567.60

Chore Services 1,041 $46,880.86

Community Living Supports

(i.e. Personal Care & Homemaker) 3,099,277 $16,434,024.72

Counseling 1,819 $47,938.95

Durable Medical Equipment & Supplies 55,695 $227,228.17

Home Care Training

(e.g. Medical Nutrition Therapy) 289 $4,979.23

Home Delivered Meals 75,328 $409,748.50

Home Modification 27 $16,072.70

Nursing Services

(e.g. Private Duty Nursing, RN Services,

LPB Services)

142,344 $1,201,821.36

Transportation 28,525 $163,747.93

Respite Care Services 57,416 $232,457.77

Other 885 $104,815.26

Total 3,547,912 $19,203,283.05

Medicaid Waiver

0.55% • Other • $104,815.26

0.03% • Home Care Training • $4,979.23

0.25% • Chore Services • $46,880.86

0.08% • Home Modification • $16,072.70

0.25% • Counseling • $47,938.95

1.63% • Adult Day Care • $313,567.60

2.13% • Home Delivered Meals • $409,748.50

1.18% • Durable Medical Equipment & Supplies • $227,228.17

0.85% • Transportation • $163,747.93

6.26% • Nursing Services • $1,201,821.36

1.21% • Respite Care Services • $232,457.77

85.58% • Community Living Supports • $16,434,024.72

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TCOA Financials

Revenues Total $27,894,928

Expenditures

Total $27,872,453

$1,070,880 • Interest & Other Income • 3.8%

$295,005 • Friends for Independence • 1.1%

$387,140 • Local Governments • 1.4%

$573,965 • Client Contributions & Program Income • 2.1%

$1,701,054 • Federal • 6.1%

$23,866,884 • State • 85.6%

$66,134 • Evidence Based Programs • 0.2%

$187,612 • Care Transitions Program • 0.7%

$296,588 • Friends for Independence - In Home Services • 1.1%

$551,862 • TCOA Direct Purchase of Services (DPOS) • 2.0%

$337,299 • Annual Grants • 1.2%

$371,380• Access Services & Program Development • 1.3%

$505,163 • Administration • 1.8%

$69,834 • Crisis Services for the Elderly • 0.3%

$2,868,161 • Nutrition • 10.3%

$22,618,420 • Project Choices (Waiver, Case Coord. & Care Mgt) • 81.1%

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Event Revenue

Agency Fundraising Expenses

Program Expenditures

2017 Fundraising Report

2016 FFI Fund Balance $263,104

2017 Net Revenue S $270,178

2017 Expenditures $206,471

Ending Fund Balance for 2017 $326,811

23%

Increase in

funds raised

compared to

2016

Funds spent in FY 2017, raised in FY 2016.

Direct Mail Campaigns $105,030

Dinner & Auction $62,720

Meals on Wheels Designations $44,093

Golf Outing $36,547

General Donations $22,133

Raffle $10,984

Run for the Ages 5K $7,739

Lansing State Journal Mailing $4,099

Memorial Contributions $985

Interest $675

Total $295,005

Event & Direct Mail Expenses $35,031

Staff Support $13,332

Fundraising Expenses

(i.e. postage, supplies, printing, etc.) $11,495

Total Expenses $59,858

Meals on Wheels Specific

(donation specifically instructed to

be applied to MOW)

$120,288

Meals on Wheels General

(general donation allocated to MOW) $48,023

Crisis Services for the Elderly $21,716

Information and Assistance $10,000

Waiting List for In-Home Services $3,340

Meals for Under Age 60 $3,104

Total $206,471

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Dinner & Auction Sponsors (Nov. 2016)

Run for the Ages—TCOA 5K Sponsors

Event Sponsor

Jackson National Life

Insurance Company

Raffle Sponsor

Delta Retirement Center

Entertainment Sponsor

Sparrow Specialty Hospital

Auction Sponsor

Dart Bank

Menu Sponsor

Dean Transportation

Home Care Alternatives

McLaren Greater Lansing

Benefactors

Eyde Company

Sun Valley Foods

TCOA Friends For

Independence

Table Sponsors

CATA

Cypress Home Care

Chalgian & Tripp Law

JWR Health Services

Mareck Family & Geriatric

Services

Mid-Michigan MRI, Inc.

Co-Table Sponsors

By Dawn’s Early Light

Case Credit Union

Dimondale Nursing Care

Facility

Forster Woods Adult Day

Center

Holt Senior Care

Ingham County Medical Care

Facility

Ingham Regional Assisted

Living

Lansing Board of Water and

Light (BWL)

MediLodge

MSU Federal Credit Union

National Home Care Service

LLC

Prestige Pines

Prestige Way

Senior CommUnity Care of MI

(PACE)

Shinberg Insurance

Thatch Computer Consulting

The Willows at East Lansing

The Willows at Okemos

In-Kind Sponsors

Bradford Printing

Eagle Eye Banquet Center

Meijer

Presenting Sponsor

Aria Nursing and Rehab

Platinum Sponsors

Blue Cross Blue Shield of

Michigan

DRM Genesis Home

Healthcare

Extend Your Reach

Ingham County Medical Care

Facility

Thatch Computer Consulting

Gold Sponsors

Aiding Hearts Home Care

By Dawn’s Early Light

Compass Self Storage

Cypress Home Care

Dimondale Nursing Care

Center

EagleMonk Pub & Brewery

Green Acres of Mason

His Hand Home Health Care

Holt Senior Care

Rehmann

Wellsbrooke Premium Home

Health Care

Silver Sponsors

44North

Apothecary Shop of Grand

Ledge

Gunnisonville Meadows

Philips Lifeline

Sparrow Community Care

Giving Tree Farm

Bronze Sponsors

Airway Oxygen

Clerical-Technical Union of

MSU

Sensations Memory Care

Shinberg Insurance

In-Kind Sponsors

Bradford Printing

Meijer #324

Lansing DJs

Starbucks Coffee, MSU

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Golf Outing Sponsors

Grant Funders

Event Sponsor

Jackson National Life

Insurance Company

Gold Sponsor

MI Financial Group

Awards Dinner Sponsors

McLaren Greater Lansing

MediLodge

Double Silver Sponsor

First Housing

Corporation

Hospitality Cart Sponsor

Farm Bureau Insurance

Lunch Sponsor

Dart Bank

Silver Plus Sponsors

Cypress Home Care

GT Independence

Klug Law

Neogen

Physician’s Health Plan

Silver Sponsors

Apartment Specialists, Inc.

Aria Nursing and Rehab

Chalgian & Tripp Law

DBI Business Interiors

Lansing Board of Water and

Light

Oliver Packaging &

Equipment

Snack Sponsor

Mareck Family & Geriatric

Services

Skins Mulligans Sponsor

Home Care Alternatives

Bronze Sponsors

Auto-Owners Insurance

Dean Transportation

Gordon Food Service

PIMCO

Hole Sponsors

44North

Centennial Group

Graff Chevrolet of Okemos

Hedlund Plumbing

Ingham County Medical Care

Facility

Jane Wallin, TCOA Advisory

Council President 2017

TCOA Friends for

Independence

Schaefer Dental Group

Benefactors

Abbott’s MEAT, Inc.

Airway Oxygen

Guardian Medical Monitoring

John Day, DDS

In-Kind Sponsors

Bradford Printing

Breadsmith of Okemos

Meijer

Jackson National Life

Insurance Company

Organization Purpose Amount

Capital Region Community Foundation Crisis Services for the Elderly $10,000

Lansing Rotary Foundation Shelf Stable Meals $10,000

Dart Foundation AED Machine $1,600

BWL Nonprofit Energy Efficiency Grant

Program Combination Oven $5,000

Mason Area Community Foundation Matter of Balance workshop $1,000

Ingham County Community Agency

Grant Crisis Services for the Elderly $4,000

R.E. Olds Foundation Matter of Balance workshop $2,300

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“TCOA, is a big part of what is allowing

me to use my life to change the world and I

thank you. I am thankful for you every day. I am

honored to have the office part of my team that goes

above and beyond; please know that I am aware and

appreciative. My care manager has remarkable level of heart,

compassion, understanding and dedication. TCOA, you touch

my heart and the core of my existence with YOUR DEDICATED

EFFORTS!”

-Waiver Client

“I was very pleased with [Matter of Balance] and my leaders,

Mickie and Melissa. I am so glad I decided to participate. I hope

this program continues to grow throughout the tri-county

area.”

-Matter of Balance Participant

“I would like pass along our appreciation and gratitude for

working with TCOA in servicing the needs of seniors in our

communities. I worked in the corporate environment for 25

years prior to owning AFC homes, and TCOA, and its staff, is

hands down the best organization I have partnered with to

reach common goals. Your executive team, social workers, and

administrative staff have shown nothing but professionalism,

teamwork, and a willingness to go the extra mile.”

-AFC Owner and TCOA Provider

Te

sti

mo

nia

ls

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517-887-1440

1-800-405-9141

www.tcoa.org

A Consortium of Clinton, Eaton and Ingham Counties, and the Cities of Lansing and East Lansing since 1974.

5303 South Cedar Street, Building 1, Lansing, MI 48911