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        <BusinessNameLine1>INDEPENDENT CASE MANAGEMENT INC</BusinessNameLine1>
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      <Land>
        <OtherCostOrOtherBasis>72833</OtherCostOrOtherBasis>
        <BookValue>72833</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>523405</OtherCostOrOtherBasis>
        <Depreciation>134347</Depreciation>
        <BookValue>389058</BookValue>
      </Buildings>
      <Equipment>
        <OtherCostOrOtherBasis>317462</OtherCostOrOtherBasis>
        <Depreciation>269842</Depreciation>
        <BookValue>47620</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>509511</TotalOfBookValueLandBuildings>
      <OtherSecurities>
        <Description>Certificate of Deposits</Description>
        <BookValue>1269572</BookValue>
        <MethodOfValuation>C</MethodOfValuation>
      </OtherSecurities>
      <TotalOfBookValueSecurities>1269572</TotalOfBookValueSecurities>
      <TotalRevenue>14092845</TotalRevenue>
      <TotalExpenses>11976733</TotalExpenses>
      <ExcessOrDeficitForYear>2116112</ExcessOrDeficitForYear>
      <ExcessOrDeficitPerFS>2116112</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>14113911</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>21066</NetUnrealizedGainsInvestments>
      <RevenueNotRptdF990>21066</RevenueNotRptdF990>
      <RevenueSubtotal>14092845</RevenueSubtotal>
      <TotalRevenuePerForm990>14092845</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>11976733</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>11976733</ExpensesSubtotal>
      <TotalExpensesPerForm990>11976733</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>Other revenues non included on Form 990 Part XII line 2d</Identifier>
        <Explanation>Rounding 1</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleL documentId="990L">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Linda Carpenter-Midetowne Soft</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Wife of Director</Relationship>
        <AmountOfTransaction>12000</AmountOfTransaction>
        <DescriptionOfTransaction>Billing Software</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartV>
        <Identifier>01 990 Schedule L Placeholder 1</Identifier>
        <Explanation>Mrs Carpenter wife of Andy Carpenter Board of Director Secretary and Treasurer owns Midtowne Software that provides the Medicaid billing software for Independent Case Management Inc ICM ICM is billed by Midtowne monthly and charged on a per unit basis for each employee</Explanation>
      </Form990ScheduleLPartV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="990O">
      <GeneralExplanation>
        <Identifier>01. Form 990 governing body review (Part VI, line 11)</Identifier>
        <Explanation>The Executive Director and the Administration Operations Manager review the return before filing</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>02. Conflict of interest policy compliance (Part VI, line 12c)</Identifier>
        <Explanation>Servers and computers are all password protected training on confidentiality and HIPPA and records are subject to licensure review each year</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>03. CEO, executive director, top management comp (Part VI, line 15a)</Identifier>
        <Explanation>The independent members of the Board of Directors review and determine the compensation for the Executive Director</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>04. Other officer or key employee compensation (Part VI, line 15b</Identifier>
        <Explanation>The Executive Director with input from the Board of Directors determine the compensation for employees</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>05. Governing documents, etc, available to public (Part VI, line 19)</Identifier>
        <Explanation>The documents are available on request</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>06. Explanation of other changes in net assets or fund balances (Part XI, line 5)</Identifier>
        <Explanation>This is the change in the unrealized gain on mutual funds</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>