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        <BookValue>58051</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>58051</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>Funds Held for Others</Description>
        <Amount>29460</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>29460</TotalOfAmounts>
      <TotRevenueEtcAuditedFinclStmt>13737437</TotRevenueEtcAuditedFinclStmt>
      <RevenueSubtotal>13737437</RevenueSubtotal>
      <TotalRevenuePerForm990>13737437</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>12460283</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>12460283</ExpensesSubtotal>
      <TotalExpensesPerForm990>12460283</TotalExpensesPerForm990>
    </IRS990ScheduleD>
    <IRS990ScheduleL documentId="990L">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Linda Carpenter-Midtown Softwa</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Wife of Director</Relationship>
        <AmountOfTransaction>37344</AmountOfTransaction>
        <DescriptionOfTransaction>Billing Services</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="990O">
      <GeneralExplanation>
        <Identifier>O01</Identifier>
        <ReturnReference>Form 990 governing body review Part VI line 11</ReturnReference>
        <Explanation>The Executive Director and the Administration Operations Manager reviews the return before filing</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>O02</Identifier>
        <ReturnReference>Conflict of interest policy compliance Part VI line 12c</ReturnReference>
        <Explanation>Servers and computers are password protected, training on confidentiality and HIPPA ae subject to licensure review each year</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>O03</Identifier>
        <ReturnReference>CEO executive director top management comp Part VI line 15a</ReturnReference>
        <Explanation>The independent member of the Board of Directors review and determine the compensation for the Executive Director</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>O04</Identifier>
        <ReturnReference>Other officer or key employee compensation Part VI line 15b</ReturnReference>
        <Explanation>The Executive Director with input from the Board of Directors determine the compensation for employees.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>O05</Identifier>
        <ReturnReference>Governing documents etc available to public Part VI line 19</ReturnReference>
        <Explanation>The documents are available on request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>O06</Identifier>
        <ReturnReference>Explanation of other changes in net assets or fund balances Part XI line 9</ReturnReference>
        <Explanation>Rounding</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>O07</Identifier>
        <ReturnReference>List of other expenses Part IX line 24e</ReturnReference>
        <Explanation>Other Expenses Program M &amp; A Total Repairs &amp; maintenace 43,308 43,308 Supplies &amp; postage 34,232 34,232 Leased equipment 19,092 19,092 Dues &amp; licenses 17,569 17,569 Utilities 16,422 16,422 Gifts 13,175 13,175 Servise dog program 10,000 10,000 Money follows the person 7,084 7,084 Medicaid billing 3,224 3,224 Other 635 3,380 4,015 --------------------------- Total 20,943 147,148 168,121 ===========================</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>