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        <Description>CONTRACT REVENUE</Description>
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      <ProgramServiceRevenue>
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      <InfoInScheduleOPartIX>X</InfoInScheduleOPartIX>
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        <ProgramServices>3030287</ProgramServices>
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        <ProgramServices>3097841</ProgramServices>
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        <ManagementAndGeneral>8861</ManagementAndGeneral>
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        <ManagementAndGeneral>29943</ManagementAndGeneral>
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        <ManagementAndGeneral>18498</ManagementAndGeneral>
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        <ManagementAndGeneral>9480</ManagementAndGeneral>
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        <Description>SOFTWARE FEES</Description>
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        <ProgramServices>670031</ProgramServices>
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        <ProgramServices>190995</ProgramServices>
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        <EOY>426800</EOY>
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        <EOY>2740027</EOY>
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      <FootnoteInPartXIII>X</FootnoteInPartXIII>
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        <Identifier>DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:</Identifier>
        <ReturnReference>PART X, LINE 2:</ReturnReference>
        <Explanation>THE FINANCIAL ACCOUNTING STANDARDS BOARD HAS ISSUED GUIDANCE WHICH CLARIFIES GENERALLY ACCEPTED ACCOUNTING PRINCIPLES FOR RECOGNITION, MEASUREMENT, PRESENTATION AND DISCLOSURE RELATING TO UNCERTAIN TAX POSITIONS. THIS GUIDANCE CLARIFIES THE ACCOUNTING AND RECOGNITION FOR INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN THE ORGANIZATION'S INCOME TAX RETURNS. THE ORGANIZATION'S INCOME TAX FILINGS ARE SUBJECT TO AUDIT BY VARIOUS TAXING AUTHORITIES. THE YEARS OF FILINGS OPEN TO THESE AUTHORITIES AND AVAILABLE FOR AUDIT ARE 2009, 2010 AND 2011. THE ORGANIZATION'S POLICY WITH REGARDS TO INTEREST AND PENALTIES IS TO RECOGNIZE INTEREST THROUGH INTEREST EXPENSE AND PENALTIES THROUGH OTHER EXPENSE. IN EVALUATING THE ORGANIZATION'S TAX PROVISION AND TAX EXEMPT STATUS, INTERPRETATIONS AND TAX PLANNING STRATEGIES WERE CONSIDERED. MANAGEMENT BELIEVES THEIR ESTIMATES ARE APPROPRIATE BASED ON THE CURRENT FACTS AND CIRCUMSTANCES.</Explanation>
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      <RecipientTable>
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      <RecipientTable>
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          <BusinessNameLine1>UNIVERSITY OF KENTUCKY (KENTUCKY VOCATIONAL ASSOCIATION)</BusinessNameLine1>
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        <NamePerson>COLLEEN O'TOOLE</NamePerson>
        <Title>TRUSTEE</Title>
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        <NamePerson>DAVID GROVES</NamePerson>
        <Title>EXECUTIVE DIRECTOR, CEO</Title>
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        <NamePerson>MICHAEL MOTE</NamePerson>
        <Title>VICE PRESIDENT OF PRODUCT</Title>
        <BaseCompensationFilingOrg>192500</BaseCompensationFilingOrg>
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        <BonusFilingOrg>26200</BonusFilingOrg>
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      <Form990ScheduleJPartII>
        <NamePerson>PATTIE BONDURANT</NamePerson>
        <Title>EMPLOYEE</Title>
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        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
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        <NamePerson>CLAUDIA ALLEN</NamePerson>
        <Title>EMPLOYEE</Title>
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        <BonusFilingOrg>12960</BonusFilingOrg>
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        <ReturnReference>PART I, LINE 6</ReturnReference>
        <Explanation>THE ORGANIZATION MAKES A MONTHLY ACCRUAL FOR AN ANNUAL BONUS AVAILABLE TO ALL EMPLOYEES. THE ACCRUAL EACH MONTH IS BASED ON THE ORGANIZATION'S NET EARNINGS AND AT THE END OF THE YEAR THE BOARD DIVIDES THE BONUS AMONG ALL EMPLOYEES.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 6</ReturnReference>
        <Explanation>HEALTH COLLABORATIVE OF CINCINNATI IS THE SOLE MEMBER OF THIS ORGANIZATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7A</ReturnReference>
        <Explanation>HEALTH IMPROVEMENT COLLABORATIVE OF CINCINNATI, THE SOLE MEMBER OF THIS ORGANIZATION, HAS THE RIGHT TO APPOINT OTHER BOARD MEMBERS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>THE 990 IS REVIEWED BY THE CONTROLLER, THE DIRECTOR OF GRANT ACCOUNTING, AND THE CFO FOR ACCURATE FACTS AND FIGURES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>ANNUAL LETTERS ARE SENT FROM BOARD MEMBERS AND OFFICERS OF THE ORGANIZATION EITHER ACKNOWLEDGING A POTENTIAL CONFLICT OF INTEREST OR CONFIRMING THAT NONE EXIST. IF A CONFLICT ARISES, THE INTERESTED PERSON MAY BE PRESENT AT THE GOVERNING BOARD OR COMMITTEE MEETING, BUT MUST LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION ARRANGEMENT INVOLVING THE POSSIBLE CONFLICT.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>SALARIES FOR ALL EXECUTIVES ARE DETERMINED USING A COMPENSATION SURVEY AND ARE REVIEWED BY AN OUTSIDE COMPENSATION CONSULTANT. TOTAL COMPENSATION IS APPROVED BY THE BOARD.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER FEES</Identifier>
        <ReturnReference>FORM 990, PART IX, LINE 11G</ReturnReference>
        <Explanation>CONSULTING: PROGRAM SERVICE EXPENSES 3,704,438. MANAGEMENT AND GENERAL EXPENSES 194,970. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,899,408. PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 51,157. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 51,157.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART XII, LINE 2C</ReturnReference>
        <Explanation>THE ORGANIZATION'S FINANCE COMMITTEE IS NOW THE FINANCE AND AUDIT COMMITTEE, WHICH ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT.</Explanation>
      </GeneralExplanation>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>HEALTH IMPROVEMENT COLLABORATIVE OF GREATER CINCINNATI INC</BusinessNameLine1>
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          <AddressLine1>2100 SHERMAN AVENUE SUITE 150</AddressLine1>
          <City>CINCINNATI</City>
          <State>OH</State>
          <ZIPCode>45212</ZIPCode>
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        <PrimaryActivities>HEALTH STUDIES AND INITIATIVES</PrimaryActivities>
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        <NameOfDisregardedEntity>
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          <AddressLine1>2100 SHERMAN AVENUE</AddressLine1>
          <City>CINCINNATI</City>
          <State>OH</State>
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          <City>CINCINNATI</City>
          <State>OH</State>
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        <PrimaryActivities>IMPROVE THE HEALTHCARE IN THE REGION VIA SHARED RESOURCES AND COLLABORATION</PrimaryActivities>
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