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      <GeneralExplanation>
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        <Explanation>GOVERNMENT DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS MAY BE OBTAINED UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
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        <Explanation>A COMPENSATION COMMITTEE CONSISTING OF AT LEAST TWO DIRECTORS FAMILIAR WITH COMPENSATION MATTERS, NAMED BY THE BOARD, WILL RECOMMEND EXECUTIVE COMPENSATION AND REPORT ITS RESULTS TO THE BOARD FOR FURTHER APPROVAL. ANY PERSON WITH A MATERIAL FINANCIAL INTEREST SHALL ABSTAIN FROM RECOMMENDING AND/OR VOTING ON A COMPENSATION MATTER.</Explanation>
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        <Explanation>A COMPENSATION COMMITTEE CONSISTING OF AT LEAST TWO DIRECTORS FAMILIAR WITH COMPENSATION MATTERS, NAMED BY THE BOARD, WILL RECOMMEND EXECUTIVE COMPENSATION AND REPORT ITS RESULTS TO THE BOARD FOR FURTHER APPROVAL. ANY PERSON WITH A MATERIAL FINANCIAL INTEREST SHALL ABSTAIN FROM RECOMMENDING AND/OR VOTING ON A COMPENSATION MATTER.</Explanation>
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        <Explanation>DIRECTORS AND OFFICERS HAVE A DUTY TO DISCLOSE ANY POTENTIAL CONFLICT ON INTEREST TO THE CONFLICTS COMMITTEE PRIOR TO ANY CONSIDERATION BY THE BOARD OR ANY COMMITTEE OF THE BOARD. AFTER CONSIDERATION, THE DISINTERESTED MEMBERS OF THE CONFLICTS COMMITTEE SHALL DETERMINE WHETHER A CONFLICT EXISTS. IF THE CONFLICTS COMMITTEE HAS REASONABLE CAUSE TO BELIEVE A DIRECTOR OR OFFICER IS IN VIOLATION OF THE POLICY, THE DIRECTOR OR OFFICER WILL BE INFORMED AND AFFORDED AN OPPORTUNITY TO RESPOND TO THE ALLEGED FAILURE TO DISCLOSE. UPON HEARING THE RESPONSE, THE CONFLICTS COMMITTEE WILL DETERMINE IF A FAILURE TO DISCLOSE DID INDEED OCCUR AND IF SO, WILL RECOMMEND THE BOARD TAKES DISCIPLINARY AND CORRECTIVE ACTION.</Explanation>
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        <ReturnReference>Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et</ReturnReference>
        <Explanation>FORMER EXECUTIVE DIRECTOR AND CURRENT BOARD MEMBER, KATHY HENDRICKSON, AND FORMER COO AND CURRENT BOARD MEMBER, JACK HENDRICKSON, ARE MARRIED.</Explanation>
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          <BusinessNameLine1>ACCRA HOME CARE INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>l</TransactionType>
        <AmountInvolved>53669</AmountInvolved>
        <MethodOfAmtDetermination>ACTUAL BILLINGS</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ACCRA HOME CARE INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>d</TransactionType>
        <AmountInvolved>229365</AmountInvolved>
        <MethodOfAmtDetermination>ACTUAL RECEIVAB</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ACCRA HOME HEALTH INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>s</TransactionType>
        <AmountInvolved>65051</AmountInvolved>
        <MethodOfAmtDetermination>ACTUAL REIMB</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ACCRA HOME HEALTH INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>l</TransactionType>
        <AmountInvolved>104756</AmountInvolved>
        <MethodOfAmtDetermination>ACTUAL BILLINGS</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ACCRA HOME HEALTH INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>d</TransactionType>
        <AmountInvolved>571369</AmountInvolved>
        <MethodOfAmtDetermination>ACTUAL RECEIVAB</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CONSUMER CHOICE SERVICES INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>s</TransactionType>
        <AmountInvolved>576748</AmountInvolved>
        <MethodOfAmtDetermination>ACTUAL REIMB</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CONSUMER CHOICE SERVICES INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>l</TransactionType>
        <AmountInvolved>743990</AmountInvolved>
        <MethodOfAmtDetermination>ACTUAL BILLINGS</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CONSUMER CHOICE SERVICES INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>e</TransactionType>
        <AmountInvolved>1652740</AmountInvolved>
        <MethodOfAmtDetermination>ACTUAL PAYABLE</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CHOICES FOR CHILDREN INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>s</TransactionType>
        <AmountInvolved>740968</AmountInvolved>
        <MethodOfAmtDetermination>ACTUAL REIMB</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CHOICES FOR CHILDREN INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>l</TransactionType>
        <AmountInvolved>661822</AmountInvolved>
        <MethodOfAmtDetermination>ACTUAL BILLINGS</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CHOICES FOR CHILDREN INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>e</TransactionType>
        <AmountInvolved>789797</AmountInvolved>
        <MethodOfAmtDetermination>ACTUAL PAYABLE</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ACCRA CARE INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>s</TransactionType>
        <AmountInvolved>179926</AmountInvolved>
        <MethodOfAmtDetermination>ACTUAL REIMB</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ACCRA CARE INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>l</TransactionType>
        <AmountInvolved>2397147</AmountInvolved>
        <MethodOfAmtDetermination>ACTUAL BILLINGS</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ACCRA CARE INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>e</TransactionType>
        <AmountInvolved>4299224</AmountInvolved>
        <MethodOfAmtDetermination>ACTUAL PAYABLE</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>