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        <ManagementAndGeneral>1176244</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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        <EOY>490390</EOY>
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      <ReceivablesFromOfficersEtc>
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        <EOY>0</EOY>
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        <EOY>511846</EOY>
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        <EOY>0</EOY>
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        <EOY>0</EOY>
      </PrepaidExpensesDeferredCharges>
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      <LandBldgEquipmentAccumDeprec>336494</LandBldgEquipmentAccumDeprec>
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        <EOY>0</EOY>
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      <InvestmentsProgramRelated>
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        <EOY>0</EOY>
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      <IntangibleAssets>
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        <EOY>0</EOY>
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        <EOY>1800</EOY>
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        <EOY>3509987</EOY>
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      <GrantsPayable>
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        <EOY>0</EOY>
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        <EOY>0</EOY>
      </UnsecuredNotesLoansPayable>
      <OtherLiabilities>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
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      <DoNotFollowSFAS117>X</DoNotFollowSFAS117>
      <CapStckTrstPrinCurrentFunds>
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      <PaidInCapSrplsLandBldgEqpFund>
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        <EOY>0</EOY>
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        <EOY>3020941</EOY>
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      <TotalLiabNetAssetsFundBalances>
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        <EOY>3509987</EOY>
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      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>39415</ReconcilationRevenueExpenses>
      <ReconciliationUnrealizedInvest>37194</ReconciliationUnrealizedInvest>
      <ReconcilationPriorAdjustment>-1710</ReconcilationPriorAdjustment>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>false</FSAudited>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
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        <CurrentTaxYearMinus3Years>720</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>0</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>0</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>0</CurrentTaxYear>
        <Total>720</Total>
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      <GrossReceiptsFromAdmissions>
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        <CurrentTaxYearMinus3Years>4527652</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>4892628</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>4410132</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>4930346</CurrentTaxYear>
        <Total>23244777</Total>
      </GrossReceiptsFromAdmissions>
      <GrossReceiptsFromNonUBI>
        <Total>0</Total>
      </GrossReceiptsFromNonUBI>
      <TaxRevLeviedForOrgBenefit509>
        <Total>0</Total>
      </TaxRevLeviedForOrgBenefit509>
      <ValueOfSvcsFcltsFurnishdByGovt>
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      </ValueOfSvcsFcltsFurnishdByGovt>
      <Total509>
        <CurrentTaxYearMinus4Years>4484019</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>4528372</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>4892628</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>4410132</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>4930346</CurrentTaxYear>
        <Total>23245497</Total>
      </Total509>
      <AmtsRecdFromDisqualPersons>
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        <CurrentTaxYearMinus3Years>0</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>0</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>0</CurrentTaxYearMinus1Year>
        <Total>0</Total>
      </AmtsRecdFromDisqualPersons>
      <AmtsFromSubstContributors>
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        <CurrentTaxYearMinus3Years>0</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>0</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>0</CurrentTaxYearMinus1Year>
        <Total>0</Total>
      </AmtsFromSubstContributors>
      <SupportFromDQPsEtc>
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        <CurrentTaxYearMinus3Years>0</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>0</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>0</CurrentTaxYearMinus1Year>
        <Total>0</Total>
      </SupportFromDQPsEtc>
      <PublicSupportTotal509>23245497</PublicSupportTotal509>
      <GrossInvestmentIncome509>
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        <CurrentTaxYearMinus3Years>64960</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>38306</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>149330</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>104426</CurrentTaxYear>
        <Total>404228</Total>
      </GrossInvestmentIncome509>
      <Post1975UBTI>
        <Total>0</Total>
      </Post1975UBTI>
      <InvestmentIncomeAndUBTI>
        <CurrentTaxYearMinus4Years>47206</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>64960</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>38306</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>149330</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>104426</CurrentTaxYear>
        <Total>404228</Total>
      </InvestmentIncomeAndUBTI>
      <NetIncomeFromOtherUBI>
        <Total>0</Total>
      </NetIncomeFromOtherUBI>
      <OtherIncome509>
        <CurrentTaxYearMinus4Years>493</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>685</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>716</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>883</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>477</CurrentTaxYear>
        <Total>3254</Total>
      </OtherIncome509>
      <TotalSupportTotal>
        <CurrentTaxYearMinus4Years>4531718</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>4594017</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>4931650</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>4560345</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>5035249</CurrentTaxYear>
        <Total>23652979</Total>
      </TotalSupportTotal>
      <PublicSupportPercentage509>0.98277</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.98335</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.01709</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.01648</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
    </IRS990ScheduleA>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
      <TotalGrassrootsLobbying />
      <TotalDirectLobbying />
      <TotalLobbyingExpenditures />
      <OtherExemptPurposeExpenditures />
      <TotalExemptPurposeExpenditures />
      <LobbyingNontaxableAmount />
      <GrassrootsNontaxableAmount />
      <TotLobbyingGrassrootMinusNonTx />
      <TotLobbyExpendMnsLobbyingNontx />
      <Volunteers>false</Volunteers>
      <PaidStaffOrManagement>false</PaidStaffOrManagement>
      <MediaAdvertisements>false</MediaAdvertisements>
      <MailingsMembers>false</MailingsMembers>
      <PublicationsOrBroadcast>false</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>true</GrantsOtherOrganizations>
      <GrantsOtherOrganizationsAmount>348</GrantsOtherOrganizationsAmount>
      <DirectContactLegislators>false</DirectContactLegislators>
      <RalliesDemonstrations>false</RalliesDemonstrations>
      <OtherActivities>false</OtherActivities>
      <TotalLobbyingExpendituresIIB>348</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>false</NotDescribedIn501c3>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmts />
      <HeldWorksOfArtAmts />
      <CurrentYearMinus3Years />
      <CurrentYearMinus4Years />
      <Land />
      <Buildings>
        <OtherCostOrOtherBasis>177828</OtherCostOrOtherBasis>
        <Depreciation>56313</Depreciation>
        <BookValue>121515</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>89781</OtherCostOrOtherBasis>
        <Depreciation>50625</Depreciation>
        <BookValue>39156</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>389594</OtherCostOrOtherBasis>
        <Depreciation>229556</Depreciation>
        <BookValue>160038</BookValue>
      </Equipment>
      <OtherLandBuildings />
      <TotalOfBookValueLandBuildings>320709</TotalOfBookValueLandBuildings>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <RecordsMaintained>true</RecordsMaintained>
      <Form990ScheduleIPartIII>
        <TypeOfGrant>HOME HEALTH SERVICES</TypeOfGrant>
        <NumberOfRecipients>6</NumberOfRecipients>
        <AmountOfNonCashAssistance>8885</AmountOfNonCashAssistance>
        <MethodOfValuation>STD CHARGE FOR SERV</MethodOfValuation>
        <DescriptionOfNonCashAssistance>HOME HEALTH CARE</DescriptionOfNonCashAssistance>
      </Form990ScheduleIPartIII>
      <Form990ScheduleIPartIII>
        <TypeOfGrant>HOLIDAY TURKEYS</TypeOfGrant>
        <NumberOfRecipients>15</NumberOfRecipients>
        <AmountOfNonCashAssistance>262</AmountOfNonCashAssistance>
        <MethodOfValuation>COST</MethodOfValuation>
        <DescriptionOfNonCashAssistance>GIFT CERTIFICATES</DescriptionOfNonCashAssistance>
      </Form990ScheduleIPartIII>
      <Form990ScheduleIPartIII>
        <TypeOfGrant>BATH AIDE EQUIPMENT</TypeOfGrant>
        <NumberOfRecipients>30</NumberOfRecipients>
        <AmountOfNonCashAssistance>2362</AmountOfNonCashAssistance>
        <MethodOfValuation>2 X COST</MethodOfValuation>
        <DescriptionOfNonCashAssistance>BATH AIDE EQUIPMENT</DescriptionOfNonCashAssistance>
      </Form990ScheduleIPartIII>
      <Form990ScheduleIPartIV>
        <Identifier>PROCESS FOR MONITORING THE USE OF GRANTS IN THE U.S.</Identifier>
        <ReturnReference>SCHEDULE I, PART IV</ReturnReference>
        <Explanation>The fund is used to provide Home Health services to patients that have no insurance and are unable to pay for services. At the time of referral we verify insurance. If we determine the potential referral has no insurance coverage, then we determine whether or not to accept the referral. If we decide to accept the referral with the condition of no insurance and the patient has indicated that they do not have the means to pay for services, then we open the patient under the "Indigent Account". This fund is also used to provide certain Durable Medical Equipment to people of the community that demonstrate a financial hardship. The equipment provided (usually bath aide equipment) is typically not covered by insurance. Our social worker makes the determination if the person demonstrates a financial hardship and then arranges for the delivery of the equipment.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>CORY APPL</NamePerson>
        <Title>ADMINISTRATOR/DIRECTOR</Title>
        <BaseCompensationFilingOrg>117743</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>11601</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>8017</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>12736</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>150097</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>RETIREMENT AND OTHER DEFERRED COMPENSATION EXPLANATION</Identifier>
        <ReturnReference>SCHEDULE J, PART II, COLUMN C</ReturnReference>
        <Explanation>COMPENSATION IS REPORTED ON THE FORM 990 IN THE YEAR THE COMPENSATION IS EARNED BY OR AWARDED TO AN INDIVIDUAL, EVEN IF THE COMPENSATION IS NOT PAID TO THE INDIVIDUAL, IS NOT FULLY VESTED, OR IS SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. IF COMPENSATION IS EARNED OR AWARDED IN ONE YEAR BUT PAID IN A LATER YEAR, THEN THE COMPENSATION IS GENERALLY REPORTED A SECOND TIME ON THE FORM 990 IN THE YEAR THE COMPENSATION IS PAID TO THE INDIVIDUAL. AS A RESULT OF THE REPORTING REQUIREMENT, AN ORGANIZATION COULD BE REQUIRED TO REPORT THE SAME COMPENSATION ON FORM 990 IN TWO DIFFERENT YEARS.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>SEE SCHEDULE L PART V</NamePerson>
        </NameOfInterestedPerson>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartV>
        <Identifier>BUSINESS TRANSACTIONS WITH INTERESTED PERSONS</Identifier>
        <ReturnReference>SCHEDULE L, PART IV</ReturnReference>
        <Explanation>A) GUNNAR APPL B) GUNNAR APPL IS THE BROTHER OF CORY APPL, THE ADMINISTRATOR/DIRECTOR OF SPECTRUM HEALTH FOUNDATION, INC. AND THE SON OF MARILYN APPL, THE SECRETARY/TREASURER/DIRECTOR OF SPECTRUM HEALTH FOUNDATION, INC. C) $29,980 D) GUNNAR APPL IS AN EMPLOYEE OF SPECTRUM HEALTH FOUNDATION, INC. E) NO A) STEFANIE APPL B) STEFANIE APPL IS THE WIFE OF CORY APPL, THE ADMINISTRATOR/DIRECTOR OF SPECTRUM HEALTH FOUNDATION, INC. AND THE DAUGHTER-IN-LAW OF MARILYN APPL, THE SECRETARY/TREASURER/DIRECTOR OF SPECTRUM HEALTH FOUNDATION, INC. C) $71,443 D) STEFANIE APPL IS AN EMPLOYEE OF SPECTRUM HEALTH FOUNDATION, INC. E) NO</Explanation>
      </Form990ScheduleLPartV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>FAMILY/BUSINESS RELATIONSHIP</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 2</ReturnReference>
        <Explanation>MARILYN APPL AND CORY APPL HAVE A FAMILY RELATIONSHIP WITH EACH OTHER.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990 REVIEW PROCESS</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11B</ReturnReference>
        <Explanation>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 THE 990 IS CONSIDERED FINAL.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CONFLICT OF INTEREST POLICY</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 12c</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION REVIEW</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINES 15A &amp; B</ReturnReference>
        <Explanation>THE OFFICERS' COMPENSATION WAS REVIEWED BY THE INDEPENDENT MEMBERS OF THE BOARD DURING 2011. ALSO, A COMPENSATION STUDY WAS REVIEWED DURING 2011. THE ORGANIZATION DOCUMENTED THE DECISIONS OF THE BOARD MEMBERS REGARDING THE OFFICERS' COMPENSATION ARRANGEMENTS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>AVAILABILITY OF DOCUMENTS</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>