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      </NetIncmFromFundraisingEvtGrp>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeFromGamingGrp>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>ALL OTHER MISC REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
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        <ExclusionAmt>2245</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>2245</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>7930507</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>7829259</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>101248</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
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        <ProgramServicesAmt>200</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>3170</TotalAmt>
        <ProgramServicesAmt>3170</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
        <TotalAmt>0</TotalAmt>
      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
      </BenefitsToMembersGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>467445</TotalAmt>
        <ProgramServicesAmt>355258</ProgramServicesAmt>
        <ManagementAndGeneralAmt>112187</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <CompDisqualPersonsGrp>
        <TotalAmt>81475</TotalAmt>
        <ProgramServicesAmt>61921</ProgramServicesAmt>
        <ManagementAndGeneralAmt>19554</ManagementAndGeneralAmt>
      </CompDisqualPersonsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>4364564</TotalAmt>
        <ProgramServicesAmt>3317069</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1047495</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>437844</TotalAmt>
        <ProgramServicesAmt>332761</ProgramServicesAmt>
        <ManagementAndGeneralAmt>105083</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>675528</TotalAmt>
        <ProgramServicesAmt>513401</ProgramServicesAmt>
        <ManagementAndGeneralAmt>162127</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>375232</TotalAmt>
        <ProgramServicesAmt>285176</ProgramServicesAmt>
        <ManagementAndGeneralAmt>90056</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>10584</TotalAmt>
        <ProgramServicesAmt>8044</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2540</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>16070</TotalAmt>
        <ProgramServicesAmt>12213</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3857</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>26817</TotalAmt>
        <ProgramServicesAmt>20381</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6436</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>182031</TotalAmt>
        <ProgramServicesAmt>138344</ProgramServicesAmt>
        <ManagementAndGeneralAmt>43687</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>25458</TotalAmt>
        <ProgramServicesAmt>19348</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6110</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>427734</TotalAmt>
        <ProgramServicesAmt>325078</ProgramServicesAmt>
        <ManagementAndGeneralAmt>102656</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>135748</TotalAmt>
        <ProgramServicesAmt>103168</ProgramServicesAmt>
        <ManagementAndGeneralAmt>32580</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <RoyaltiesGrp>
        <TotalAmt>0</TotalAmt>
      </RoyaltiesGrp>
      <OccupancyGrp>
        <TotalAmt>49549</TotalAmt>
        <ProgramServicesAmt>37657</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11892</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>205900</TotalAmt>
        <ProgramServicesAmt>156484</ProgramServicesAmt>
        <ManagementAndGeneralAmt>49416</ManagementAndGeneralAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
        <TotalAmt>0</TotalAmt>
      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>2794</TotalAmt>
        <ProgramServicesAmt>2123</ProgramServicesAmt>
        <ManagementAndGeneralAmt>671</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>0</TotalAmt>
      </InterestGrp>
      <PaymentsToAffiliatesGrp>
        <TotalAmt>0</TotalAmt>
      </PaymentsToAffiliatesGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>71646</TotalAmt>
        <ProgramServicesAmt>54451</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17195</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>102551</TotalAmt>
        <ProgramServicesAmt>77939</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24612</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
        <TotalAmt>86437</TotalAmt>
        <ProgramServicesAmt>65692</ProgramServicesAmt>
        <ManagementAndGeneralAmt>20745</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Miscellaneous Expenses</Desc>
        <TotalAmt>276</TotalAmt>
        <ProgramServicesAmt>211</ProgramServicesAmt>
        <ManagementAndGeneralAmt>65</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Finance Charge</Desc>
        <TotalAmt>114</TotalAmt>
        <ProgramServicesAmt>87</ProgramServicesAmt>
        <ManagementAndGeneralAmt>27</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>7749167</TotalAmt>
        <ProgramServicesAmt>5890176</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1858991</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>784598</BOYAmt>
        <EOYAmt>986978</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>310206</BOYAmt>
        <EOYAmt>300075</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>455603</BOYAmt>
        <EOYAmt>520297</EOYAmt>
      </AccountsReceivableGrp>
      <ReceivablesFromOfficersEtcGrp>
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        <EOYAmt>0</EOYAmt>
      </ReceivablesFromOfficersEtcGrp>
      <RcvblFromDisqualifiedPrsnGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </RcvblFromDisqualifiedPrsnGrp>
      <OthNotesLoansReceivableNetGrp>
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        <EOYAmt>390335</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>0</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>670681</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>260349</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>341806</BOYAmt>
        <EOYAmt>410332</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>1892441</EOYAmt>
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      <InvestmentsOtherSecuritiesGrp>
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        <EOYAmt>0</EOYAmt>
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      <InvestmentsProgramRelatedGrp>
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        <EOYAmt>0</EOYAmt>
      </InvestmentsProgramRelatedGrp>
      <IntangibleAssetsGrp>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>795</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>4501253</EOYAmt>
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        <EOYAmt>1212638</EOYAmt>
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        <EOYAmt>0</EOYAmt>
      </GrantsPayableGrp>
      <DeferredRevenueGrp>
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        <EOYAmt>0</EOYAmt>
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      <TaxExemptBondLiabilitiesGrp>
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        <EOYAmt>0</EOYAmt>
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      <EscrowAccountLiabilityGrp>
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        <EOYAmt>0</EOYAmt>
      </EscrowAccountLiabilityGrp>
      <LoansFromOfficersDirectorsGrp>
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        <EOYAmt>0</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
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      <UnsecuredNotesLoansPayableGrp>
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      <OtherLiabilitiesGrp>
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        <EOYAmt>0</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>1212638</EOYAmt>
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      <OrgDoesNotFollowSFAS117Ind>X</OrgDoesNotFollowSFAS117Ind>
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        <EOYAmt>0</EOYAmt>
      </CapStkTrPrinCurrentFundsGrp>
      <PdInCapSrplsLandBldgEqpFundGrp>
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        <EOYAmt>0</EOYAmt>
      </PdInCapSrplsLandBldgEqpFundGrp>
      <RtnEarnEndowmentIncmOthFndsGrp>
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        <EOYAmt>3288615</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>3288615</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>4501253</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>181340</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-137826</NetUnrlzdGainsLossesInvstAmt>
      <PriorPeriodAdjustmentsAmt>-3584</PriorPeriodAdjustmentsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>false</FSAuditedInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
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        <CurrentTaxYearMinus3YearsAmt>0</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>0</CurrentTaxYearMinus2YearsAmt>
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        <CurrentTaxYearAmt>0</CurrentTaxYearAmt>
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      <GrossReceiptsNonUnrltBusGrp>
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        <CurrentTaxYearAmt>0</CurrentTaxYearAmt>
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        <CurrentTaxYearAmt>102205</CurrentTaxYearAmt>
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      <Post1975UBTIGrp>
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      <InvestmentIncomeAndUBTIGrp>
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        <CurrentTaxYearMinus1YearAmt>80149</CurrentTaxYearMinus1YearAmt>
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        <CurrentTaxYearAmt>2245</CurrentTaxYearAmt>
        <TotalAmt>7722</TotalAmt>
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      <PublicSupportPY509Pct>0.98094</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.01907</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.01882</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
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      <TotalDirectLobbyingGrp />
      <TotalLobbyingExpendGrp />
      <OtherExemptPurposeExpendGrp />
      <TotalExemptPurposeExpendGrp />
      <LobbyingNontaxableAmountGrp />
      <GrassrootsNontaxableGrp />
      <TotLbbyngGrassrootMnsNonTxGrp />
      <TotLbbyExpendMnsLbbyngNonTxGrp />
      <VolunteersInd>false</VolunteersInd>
      <PaidStaffOrManagementInd>false</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
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      <GrantsOtherOrganizationsInd>true</GrantsOtherOrganizationsInd>
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      <DirectContactLegislatorsInd>false</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>false</OtherActivitiesInd>
      <TotalLobbyingExpendituresAmt>2723</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II-B, Line 1f</FormAndLineReferenceDesc>
        <ExplanationTxt>A portion of the association dues are attributed to lobbying expenses.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
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      <HeldWorksArtGrp />
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      <CYMinus4YrEndwmtFundGrp />
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        <BookValueAmt>103733</BookValueAmt>
      </BuildingsGrp>
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        <BookValueAmt>71920</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
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        <DepreciationAmt>124949</DepreciationAmt>
        <BookValueAmt>234679</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp />
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    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
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      <CompensationSurveyInd>X</CompensationSurveyInd>
      <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>
      <RltdOrgOfficerTrstKeyEmplGrp>
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        <TitleTxt>ADMINISTRATOR/DIRECTOR</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>19866</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>22140</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>222148</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>STACEY BAKER</PersonNm>
        <TitleTxt>FINANCIAL DIRECTOR/VP/DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>135736</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>15000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>17020</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>22140</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>189896</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>SEE SCHEDULE L PART V</PersonNm>
        </NameOfInterested>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>BUSINESS TRANSACTIONS WITH INTERESTED PERSONS</FormAndLineReferenceDesc>
        <ExplanationTxt>A) Stefanie Appl B) Stefanie Appl is the wife of Cory Appl, the administrator/director of Spectrum Health Foundation, Inc. C) $77,332 D) Stefanie Appl is an employee of Spectrum Health Foundation, Inc. E) No</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>AN INDEPENDENT ACCOUNTING FIRM PREPARES AND REVIEWS THE 990. THE 990 IS THEN REVIEWED BY THE ACCOUNTING PERSONNEL. ANY QUESTIONS OR CONCERNS THAT THE ACCOUNTING PERSONNEL HAVE ARE ADDRESSED AND CLARIFICATIONS OR CORRECTIONS THAT NEED TO BE MADE ARE MADE. A COPY OF THE 990 IS THEN PROVIDED TO ALL VOTING MEMBERS OF THE BOARD. ANY QUESTIONS OR CONCERNS THAT THE VOTING BOARD MEMBERS HAVE ARE ADDRESSED AND CLARIFICATIONS OR CORRECTIONS THAT NEED TO BE MADE ARE MADE. AT THIS POINT TH 990 IS CONSIDERED FINAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>TO AVOID POSSIBLE CONFLICTS OF INTEREST, THE FOLLOWING WILL BE ADHERED TO BY THE ADMINISTRATION, BOARD OF DIRECTORS, GOVERNING BOARD MEMBERS AND FULL-TIME STAFF: 1) CAN NOT BE EMPLOYED BY OR CONSULT WITH ANOTHER HOME CARE AGENCY; 2) MUST KEEP STRATEGIC DOCUMENTS CONFIDENTIAL; 3) MUST REVIEW AND SIGN THE AGENCY CONFLICT OF INTEREST POLICY ANNUALLY. IF A CONFLICT OF INTEREST DOES ARISE, THE INDIVIDUAL(S) WITH THE CONFLICT OF INTEREST WILL LEAVE THE ROOM AND ABSTAIN FROM VOTING ON THAT PARTICULAR ISSUE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOMECARE SALARY AND BENEFITS REPORT 2014-2015 WAS THE PRIMARY TOOL USED TO DETERMINE THE COMPENSATION OF TOP EMPLOYEES. THE FINANCIAL DIRECTOR COMPILED THE INFORMATION AND PRESENTED TO THE BOARD FOR APPROVAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOMECARE SALARY AND BENEFITS REPORT 2014-2015 WAS THE PRIMARY TOOL USED TO DETERMINE THE COMPENSATION OF TOP EMPLOYEES. THE FINANCIAL DIRECTOR COMPILED THE INFORMATION AND PRESENTED TO THE BOARD FOR APPROVAL. THE ORGANIZATION DOCUMENTED THE DECISIONS OF THE BOARD MEMBERS REGARDING THE OFFICERS' COMPENSATION ARRANGEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>