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        <PersonNm>JEANETTE SHELTON</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>272824</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>51300</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JIM FOREMAN</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>142099</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>19000</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PATRICK STILWILL</PersonNm>
        <TitleTxt>CHIEF OPERAT</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>191320</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>38000</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MATTHEW STEEN</PersonNm>
        <TitleTxt>HR DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>144235</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>34000</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID DEMAREST</PersonNm>
        <TitleTxt>NEUROPSYCHOL</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>195700</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>46100</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID ANDERS</PersonNm>
        <TitleTxt>CHIEF CLINIC</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>148313</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>40600</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KARI HARVEY</PersonNm>
        <TitleTxt>NURSE PRCTIT</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>141957</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>13500</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ALISON HACKFORT</PersonNm>
        <TitleTxt>REGISTERED N</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>135366</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>19900</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NANCY JACKSON</PersonNm>
        <TitleTxt>DIRECTOR OF</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>131995</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>25200</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1503809</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>287600</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>18</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HUBBELL CONSTRUCTION SERVICES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>6900 WESTOWN PARKWAY</AddressLine1Txt>
            <CityNm>WEST DES MOINES</CityNm>
            <StateAbbreviationCd>IA</StateAbbreviationCd>
            <ZIPCd>50266</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>BUILDING CONTRA</ServicesDesc>
        <CompensationAmt>1530520</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MCKESSON MEDICAL</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>6555 STATE HWY 161</AddressLine1Txt>
            <CityNm>IRVING</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75039</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SUPPLIE</ServicesDesc>
        <CompensationAmt>187889</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>COMBINED SYSTEM TECHNOLOGY</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2165 NW 108TH ST STE D</AddressLine1Txt>
            <CityNm>CLIVE</CityNm>
            <StateAbbreviationCd>IA</StateAbbreviationCd>
            <ZIPCd>50325</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>INFO TECH SERVI</ServicesDesc>
        <CompensationAmt>153415</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>BLUE COMPASS INTERACTIVE LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1601 48TH ST STE 200</AddressLine1Txt>
            <CityNm>WEST DES MOINES</CityNm>
            <StateAbbreviationCd>IA</StateAbbreviationCd>
            <ZIPCd>50266</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>WEBSITE DEVELOP</ServicesDesc>
        <CompensationAmt>129642</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>GRAND RAIL DEVELOPMENT</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2810 STONER CT STE 5</AddressLine1Txt>
            <CityNm>NORTH LIBERTY</CityNm>
            <StateAbbreviationCd>IA</StateAbbreviationCd>
            <ZIPCd>52317</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LEASE LANDLORD</ServicesDesc>
        <CompensationAmt>124229</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>2123587</RelatedOrganizationsAmt>
      <AllOtherContributionsAmt>787084</AllOtherContributionsAmt>
      <NoncashContributionsAmt>372548</NoncashContributionsAmt>
      <TotalContributionsAmt>2910671</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICES</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>19534722</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>19534722</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MANAGEMENT REVENUE</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>1431642</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1431642</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>623000</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>448427</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>21414791</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
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      <TotalRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>21414791</RelatedOrExemptFuncIncomeAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ManagementAndGeneralAmt>750478</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
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      </OtherSalariesAndWagesGrp>
      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>799895</ProgramServicesAmt>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>721603</ProgramServicesAmt>
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      </PayrollTaxesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>413852</TotalAmt>
        <ProgramServicesAmt>413852</ProgramServicesAmt>
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      <AdvertisingGrp>
        <TotalAmt>146845</TotalAmt>
        <ManagementAndGeneralAmt>146845</ManagementAndGeneralAmt>
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      <OccupancyGrp>
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      <InterestGrp>
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        <ProgramServicesAmt>159666</ProgramServicesAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>1276513</TotalAmt>
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      <InsuranceGrp>
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      <OtherExpensesGrp>
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      <OtherExpensesGrp>
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      <TotalFunctionalExpensesGrp>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
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      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
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      <PublicSupportPY509Pct>0.99850</PublicSupportPY509Pct>
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      <InvestmentIncomePYPct>0.00000</InvestmentIncomePYPct>
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        <FilingOrganizationsTotalAmt>3750</FilingOrganizationsTotalAmt>
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      <TotalExemptPurposeExpendGrp>
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        <FilingOrganizationsTotalAmt>750</FilingOrganizationsTotalAmt>
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        <CurrentYearAmt>750</CurrentYearAmt>
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      <LobbyingCeilingAmt>5145</LobbyingCeilingAmt>
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        <CurrentYearMinus1Amt>4722</CurrentYearMinus1Amt>
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        <TotalAmt>17155</TotalAmt>
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        <CurrentYearMinus1Amt>236</CurrentYearMinus1Amt>
        <CurrentYearAmt>188</CurrentYearAmt>
        <TotalAmt>858</TotalAmt>
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      <GrassrootsCeilingAmt>1287</GrassrootsCeilingAmt>
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    <IRS990ScheduleD documentId="RetDoc4">
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        <BookValueAmt>856073</BookValueAmt>
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      <OtherAssetsOrgGrp>
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      <OtherAssetsOrgGrp>
        <Desc>OTHER ASSETS</Desc>
        <BookValueAmt>171801</BookValueAmt>
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      <TotalBookValueOtherAssetsAmt>9328288</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>INTERCOMPANY LIABILITIES</Desc>
        <Amt>11157142</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER LIABILITIES</Desc>
        <Amt>171801</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>11328943</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS ADOPTED THE ACCOUNTING STANDARD REGARDING "ACCOUNTING FOR UNCERTAIN TAX POSITIONS." THIS STANDAND PROVIDES DETAILED GUIDANCE FOR FINANCIAL STATEMENT RECOGNITION, MEASUREMENT, AND DISCLOSURE OF UNCERTAIN TAX POSITIONS RECOGNIZED IN THE ENTITY'S FINANCIAL STATEMENTS. IT REQUIRES AN ENTITY TO RECOGNIZE THE FINANCIAL STATEMENT BENEFIT OF A TAX POSITION WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION. THE ADOPTION OF THIS STANDARD HAD NO MATERIAL EFFECT ON THE ORGANIZATION'S FINANCIAL POSITION, RESULTS OF OPERATIONS, OR CASH FLOW.</ExplanationTxt>
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    </IRS990ScheduleD>
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      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
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        <PersonNm>JEANETTE SHELTON</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>254424</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>18400</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>9500</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>41800</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>324124</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JIM FOREMAN</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>140949</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>1150</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>4900</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>14100</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>161099</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PATRICK STILWILL</PersonNm>
        <TitleTxt>CHIEF OPERATING OFFI</TitleTxt>
        <BaseCompensationFilingOrgAmt>184371</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>1400</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>5549</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>6700</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>31300</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>229320</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MATTHEW STEEN</PersonNm>
        <TitleTxt>HR DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>139863</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>1400</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>2972</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>5000</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>29000</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>178235</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID DEMAREST</PersonNm>
        <TitleTxt>NEUROPSYCHOLOGIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>184300</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>11400</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>6700</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>39400</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>241800</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID ANDERS</PersonNm>
        <TitleTxt>CHIEF CLINICAL OFFIC</TitleTxt>
        <BaseCompensationFilingOrgAmt>143609</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>1950</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>2754</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>5200</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>35400</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>188913</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KARI HARVEY</PersonNm>
        <TitleTxt>NURSE PRCTITIONER</TitleTxt>
        <BaseCompensationFilingOrgAmt>140557</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>1400</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>5000</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>8500</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>155457</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ALISON HACKFORT</PersonNm>
        <TitleTxt>REGISTERED NURSE</TitleTxt>
        <BaseCompensationFilingOrgAmt>135366</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>3500</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16400</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>155266</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NANCY JACKSON</PersonNm>
        <TitleTxt>DIRECTOR OF REFERRAL</TitleTxt>
        <BaseCompensationFilingOrgAmt>130845</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>1150</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>4600</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>20600</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>157195</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART III</FormAndLineReferenceDesc>
        <ExplanationTxt>PART I LINE 3: WAGES ARE COMPARED TO SALARIES PUBLISHED IN BUSINESS RECORD FOR SIMILAR POSITIONS. THE BOARD ALSO USES WAGE SURVEYS FROM IOWA WORKFORCE, IOWA HEALTH CARE ASSOCIATION AND SIMILAR ASSOCIATIONS. THE EXECUTIVE COMMITTEE COMPLETES PERFORMANCE REVIEWS AND THE FULL BOARD VOTES ON THE CHIEF EXECUTIVE OFFICER'S SALARY.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="RetDoc6">
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        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>NEW HORIZONS AS</Desc>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>372548</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>BOOK VALUE OF ASSETS AND</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>false</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
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    <IRS990ScheduleO documentId="RetDoc7">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SUPPORTED COMMUNITY LIVING PROGRAM AND ADULT DAY SERVICES ALLOWS INDIVIDUALS WHO HAVE EXPERIENCED A BRAIN INJURY OR OTHER NEUROLOGICAL CONDITION TO MAINTAIN AND IMPROVE THEIR INDEPENDENCE WHILE STILL RESIDING AT HOME. OUR GOAL IS TO ASSIST INDIVIDUALS IN DEVELOPING SKILLS REQUIRED FOR INDEPENDENCE AND MEANINGFUL COMMUNITY RELATIONSHIPS. OTHER PROFESSIONAL MEDICAL SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>DRAFT FORM 990 IS EMAILED TO RESPECTIVE BOARD MEMBERS PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>EVERY BOARD MEETING BEGINS WITH A REVIEW OF THE AGENDA ITEMS, AND DIRECTORS ARE PROMPTED TO DISCLOSE ANY CONFLICTS OF INTEREST RELATED TO THOSE ITEMS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>POLICY "CHIEF EXECUTIVE OFFICER COMPENSATION" REQUIRES ANNUAL REVIEW, COMPENSATION DETERMINATION, AND APPROVAL BY THE BOARD EXECUTIVE COMMITTEE. BOARD CHAIR PROVIDES INFORMATION TO ENTIRE BOARD DURING MEETING EXECUTIVE SESSION (NO STAFF PERSONS PRESENT).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>ARTICLES OF INCORPORATION ARE PUBLISHED ON THE SECRETARY OF STATE WEBSITE. THE BYLAWS AND CONFLICT OF INTEREST POLICIES ARE AVAILABLE UPON REQUEST. THE CONSOLIDATED FINANCIAL STATEMENT SUMMARY INCLUDED IN THE ANNUAL REPORT IS ON THE ORGANIZATION'S WEBSITE, AND FORM 990 IS AVAILABLE ON GUIDESTAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>ON WITH LIFE EXTENDED SERVICES LTD</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>715 SW ANKENY RD</AddressLine1Txt>
          <CityNm>ANKENY</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>50023</ZIPCd>
        </USAddress>
        <EIN>421521198</EIN>
        <PrimaryActivitiesTxt>PART VII</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IA</LegalDomicileStateCd>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ON WITH LIFE FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>715 SW ANKENY RD</AddressLine1Txt>
          <CityNm>ANKENY</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>50023</ZIPCd>
        </USAddress>
        <EIN>421399777</EIN>
        <PrimaryActivitiesTxt>PART VII</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IA</LegalDomicileStateCd>
        <PublicCharityStatusTxt>12B</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ON WITH LIFE SUPPORTIVE HOUSING COR</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>715 SW ANKENY RD</AddressLine1Txt>
          <CityNm>ANKENY</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>50023</ZIPCd>
        </USAddress>
        <EIN>460516882</EIN>
        <PrimaryActivitiesTxt>PART VII</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IA</LegalDomicileStateCd>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>true</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
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      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
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      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ON WITH LIFE FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>2123587</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ON WITH LIFE SUPPORTIVE HOUSING</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>27485</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ON WITH LIFE SUPPORTVIE HOUSING</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>11896</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ON WITH LIFE EXTENDED SERVICES</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>A</TransactionTypeTxt>
        <InvolvedAmt>206844</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE R</FormAndLineReferenceDesc>
        <ExplanationTxt>PART II LINE 1(B) PROVIDE SKILLED CARE AND REHAB SERIVCES FOR INDIVIDUALS WITH BRAIN INJURIES PART II LINE 2(B) SUPPORT ON WITH LIFE, INC. AND AFFILIATES IN PROVIDING SERVICES TO INDIVIDUALS LIVING WITH BRAIN INJURY PART II LINE 3(B) SUBSIDIZED APARTMENT HOUSING FOR INDIVIDUALS WHO HAVE EXPERIENCED BRAIN INJURY</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>