﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2010v3.4">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2011-11-10T13:25:05-06:00</Timestamp>
    <TaxPeriodEndDate>2011-06-30</TaxPeriodEndDate>
    <PreparerFirm>
      <PreparerFirmBusinessName>
        <BusinessNameLine1>HUGHES SNELL &amp; CO PA</BusinessNameLine1>
      </PreparerFirmBusinessName>
      <PreparerFirmUSAddress>
        <AddressLine1>1470 ROYAL PALM SQUARE BLVD</AddressLine1>
        <City>FORT MYERS</City>
        <State>FL</State>
        <ZIPCode>339191049</ZIPCode>
      </PreparerFirmUSAddress>
    </PreparerFirm>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2010-07-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>596175593</EIN>
      <Name>
        <BusinessNameLine1>VISITING NURSES ASSOC OF SW FLORIDA</BusinessNameLine1>
        <BusinessNameLine2>INC</BusinessNameLine2>
      </Name>
      <NameControl>VISI</NameControl>
      <Phone>2393374848</Phone>
      <USAddress>
        <AddressLine1>3653 CENTRAL AVENUE</AddressLine1>
        <City>FORT MYERS</City>
        <State>FL</State>
        <ZIPCode>33901</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>DANIEL R CUNDIFF</Name>
      <Title>PRESIDENT &amp; CEO</Title>
      <Phone>2393374848</Phone>
      <DateSigned>2011-11-15</DateSigned>
      <AuthorizeThirdParty>true</AuthorizeThirdParty>
    </Officer>
    <Preparer>
      <Name>SHARON M THOMPSON</Name>
      <Phone>2399392233</Phone>
      <DatePrepared>2011-10-28</DatePrepared>
    </Preparer>
    <TaxYear>2010</TaxYear>
    <BuildTS>2016-02-24 21:20:13Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="5">
    <IRS990 documentId="RetDoc4" referenceDocumentId="RetDoc6">
      <NameOfPrincipalOfficerPerson>MARJE LINCOLN</NameOfPrincipalOfficerPerson>
      <AddressPrincipalOfficerUS>
        <AddressLine1>3653 CENTRAL AVENUE</AddressLine1>
        <City>FORT MYERS</City>
        <State>FL</State>
        <ZIPCode>33901</ZIPCode>
      </AddressPrincipalOfficerUS>
      <GrossReceipts>917852</GrossReceipts>
      <GroupReturnForAffiliates>false</GroupReturnForAffiliates>
      <Organization501c3>X</Organization501c3>
      <WebSite>WWW.VISITINGNURSESWFL.COM</WebSite>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <YearFormation>1966</YearFormation>
      <StateLegalDomicile>FL</StateLegalDomicile>
      <ActivityOrMissionDescription>TO PROVIDE THE HIGHEST QUALITY HOME AND COMMUNITY BASED HEALTH CARE SERVICES TO ALL PEOPLE IN OUR COMMUNITY AS FAR AS THE RESOURCES OF THE VNA ALLOW.</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>12</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>11</NbrIndependentVotingMembers>
      <TotalNbrEmployees>81</TotalNbrEmployees>
      <TotalGrossUBI>0</TotalGrossUBI>
      <ContributionsGrantsPriorYear>2268</ContributionsGrantsPriorYear>
      <ContributionsGrantsCurrentYear>2175</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenuePriorYear>1727349</ProgramServiceRevenuePriorYear>
      <ProgramServiceRevenueCY>900345</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>7114</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>4265</InvestmentIncomeCurrentYear>
      <OtherRevenueCurrentYear>11067</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>1736731</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>917852</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsCY>0</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcPriorYear>1015591</SalariesEtcPriorYear>
      <SalariesEtcCurrentYear>760372</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpCY>0</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>0</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>1003391</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>793014</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>2018982</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>1553386</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>-282251</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>-635534</RevenuesLessExpensesCY>
      <TotalAssetsBOY>2150137</TotalAssetsBOY>
      <TotalAssetsEOY>1494019</TotalAssetsEOY>
      <TotalLiabilitiesBOY>236380</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>215796</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>1913757</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>1278223</NetAssetsOrFundBalancesEOY>
      <MissionDescription>TO PROVIDE THE HIGHEST QUALITY HOME AND COMMUNITY BASED HEALTH CARE SERVICES TO ALL PEOPLE IN OUR COMMUNITY AS FAR AS THE RESOURCES OF THE VNA ALLOW.</MissionDescription>
      <SignificantNewProgramServices>false</SignificantNewProgramServices>
      <SignificantChange>false</SignificantChange>
      <Expense>844755</Expense>
      <Revenue>917852</Revenue>
      <Description>THE VISITING NURSES ASSOCIATION IS A FULL SERVICE HOME HEALTH CARE AGENCY. OUR SERVICES INCLUDE DISEASE MANAGEMENT, WOUND CARE, PATIENT TEACHING AND HOME HEALTH AIDE SERVICES. WE PROVIDE PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, AND RESPIRATORY SERVICES AS WELL AS EVALUATIONS BY OUR SOCIAL WORKER. WE ARE ALSO FIGHTING THE SPREAD OF INFLUENZA IN THE COMMUNITY THROUGH OUR INFLUENZA VACCINE PROGRAM.</Description>
      <TotalProgramServiceExpense>844755</TotalProgramServiceExpense>
      <DescribedIn501C3 referenceDocumentId="RetDoc2">true</DescribedIn501C3>
      <ScheduleBRequired>false</ScheduleBRequired>
      <PoliticalActivities>false</PoliticalActivities>
      <LobbyingActivities>false</LobbyingActivities>
      <SubjectToProxyTax>false</SubjectToProxyTax>
      <DonorAdvisedFunds referenceDocumentId="RetDoc3">false</DonorAdvisedFunds>
      <ConservationEasements referenceDocumentId="RetDoc3">false</ConservationEasements>
      <CollectionsOfArt referenceDocumentId="RetDoc3">false</CollectionsOfArt>
      <CreditCounseling referenceDocumentId="RetDoc3">false</CreditCounseling>
      <TermOrPermanentEndowments referenceDocumentId="RetDoc3">false</TermOrPermanentEndowments>
      <ReportLandBldgEquip referenceDocumentId="RetDoc3">true</ReportLandBldgEquip>
      <ReportInvestOthSecurities referenceDocumentId="RetDoc3">false</ReportInvestOthSecurities>
      <ReportProgRelInvest referenceDocumentId="RetDoc3">false</ReportProgRelInvest>
      <ReportOtherAssets referenceDocumentId="RetDoc3">false</ReportOtherAssets>
      <ReportOtherLiabilities referenceDocumentId="RetDoc3">true</ReportOtherLiabilities>
      <ReportFin48Footnote referenceDocumentId="RetDoc3">true</ReportFin48Footnote>
      <IndependentAuditFinancialStmt referenceDocumentId="RetDoc3">true</IndependentAuditFinancialStmt>
      <ConsolidatedAuditFinancialStmt referenceDocumentId="RetDoc3">false</ConsolidatedAuditFinancialStmt>
      <School>false</School>
      <ForeignOffice>false</ForeignOffice>
      <ForeignActivities>false</ForeignActivities>
      <MoreThan5000KToOrganizations>false</MoreThan5000KToOrganizations>
      <MoreThan5000KToIndividuals>false</MoreThan5000KToIndividuals>
      <ProfessionalFundraising>false</ProfessionalFundraising>
      <FundraisingActivities>false</FundraisingActivities>
      <Gaming>false</Gaming>
      <Hospital>false</Hospital>
      <GrantsToOrganizations>false</GrantsToOrganizations>
      <GrantsToIndividuals>false</GrantsToIndividuals>
      <ScheduleJRequired>false</ScheduleJRequired>
      <TaxExemptBonds>false</TaxExemptBonds>
      <ExcessBenefitTransaction referenceDocumentId="RetDoc5">false</ExcessBenefitTransaction>
      <PriorExcessBenefitTransaction referenceDocumentId="RetDoc5">false</PriorExcessBenefitTransaction>
      <LoanToOfficerOrDQP referenceDocumentId="RetDoc5">true</LoanToOfficerOrDQP>
      <GrantToRelatedPerson referenceDocumentId="RetDoc5">false</GrantToRelatedPerson>
      <BsnssRltnshpWithOrganization referenceDocumentId="RetDoc5">false</BsnssRltnshpWithOrganization>
      <BsnssRltnshpThruFamilyMember referenceDocumentId="RetDoc5">false</BsnssRltnshpThruFamilyMember>
      <OfficerEntityWithBsnssRltnshp referenceDocumentId="RetDoc5">false</OfficerEntityWithBsnssRltnshp>
      <DeductibleNonCashContributions>false</DeductibleNonCashContributions>
      <DeductibleContributionsOfArt>false</DeductibleContributionsOfArt>
      <Terminated>false</Terminated>
      <PartialLiquidation>false</PartialLiquidation>
      <DisregardedEntity>false</DisregardedEntity>
      <RelatedEntity>false</RelatedEntity>
      <RelatedOrgControlledEntity>false</RelatedOrgControlledEntity>
      <TransactionRelatedEntity>false</TransactionRelatedEntity>
      <TransfersToExemptNonChrtblOrg>false</TransfersToExemptNonChrtblOrg>
      <ActivitiesConductedPartnership>false</ActivitiesConductedPartnership>
      <ScheduleORequired>true</ScheduleORequired>
      <NumberFormsTransmittedWith1096>14</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <ComplianceWithBackupWitholding>true</ComplianceWithBackupWitholding>
      <NumberOfEmployees>81</NumberOfEmployees>
      <EmploymentTaxReturnsFiled>true</EmploymentTaxReturnsFiled>
      <UnrelatedBusinessIncome>false</UnrelatedBusinessIncome>
      <ForeignFinancialAccount>false</ForeignFinancialAccount>
      <ProhibitedTaxShelterTrans>false</ProhibitedTaxShelterTrans>
      <TaxablePartyNotification>false</TaxablePartyNotification>
      <NonDeductibleContributions>false</NonDeductibleContributions>
      <QuidProQuoContributions>false</QuidProQuoContributions>
      <Form8282PropertyDisposedOf>false</Form8282PropertyDisposedOf>
      <FundsToPayPremiums>false</FundsToPayPremiums>
      <PremiumsPaid>false</PremiumsPaid>
      <IndoorTanningServices>false</IndoorTanningServices>
      <InfoInScheduleOPartVI>X</InfoInScheduleOPartVI>
      <NbrVotingGoverningBodyMembers>12</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>11</NumberIndependentVotingMembers>
      <FamilyOrBusinessRelationship>false</FamilyOrBusinessRelationship>
      <DelegationOfManagementDuties>false</DelegationOfManagementDuties>
      <ChangesToOrganizingDocs>false</ChangesToOrganizingDocs>
      <MaterialDiversionOrMisuse>false</MaterialDiversionOrMisuse>
      <MembersOrStockholders>false</MembersOrStockholders>
      <ElectionOfBoardMembers>false</ElectionOfBoardMembers>
      <DecisionsSubjectToApproval>false</DecisionsSubjectToApproval>
      <MinutesOfGoverningBody>true</MinutesOfGoverningBody>
      <MinutesOfCommittees>true</MinutesOfCommittees>
      <OfficerMailingAddress>true</OfficerMailingAddress>
      <LocalChapters>false</LocalChapters>
      <Form990ProvidedToGoverningBody>true</Form990ProvidedToGoverningBody>
      <ConflictOfInterestPolicy>true</ConflictOfInterestPolicy>
      <AnnualDisclosureCoveredPersons>true</AnnualDisclosureCoveredPersons>
      <RegularMonitoringEnforcement>true</RegularMonitoringEnforcement>
      <WhistleblowerPolicy>true</WhistleblowerPolicy>
      <DocumentRetentionPolicy>true</DocumentRetentionPolicy>
      <CompensationProcessCEO>true</CompensationProcessCEO>
      <CompensationProcessOther>true</CompensationProcessOther>
      <InvestmentInJointVenture>false</InvestmentInJointVenture>
      <StatesWhereCopyOfReturnIsFiled>FL</StatesWhereCopyOfReturnIsFiled>
      <OtherWebsite>X</OtherWebsite>
      <UponRequest>X</UponRequest>
      <TheBooksAreInCareOf>
        <NamePerson>ANNA VANN PRESIDENT</NamePerson>
        <TelephoneNumber>2393374848</TelephoneNumber>
        <AddressUS>
          <AddressLine1>3653 CENTRAL AVENUE</AddressLine1>
          <City>FORT MYERS</City>
          <State>FL</State>
          <ZIPCode>33901</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <Form990PartVIISectionA>
        <NamePerson>ANNA VANN RN</NamePerson>
        <Title>PRES/CEO</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>80828</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MARJORIE LINCOLN</NamePerson>
        <Title>DIR/CHAIR</Title>
        <AverageHoursPerWeek>0.50</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>GEORGE J WICHTERMAN</NamePerson>
        <Title>DIR/VCHAIR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>HELEN FALLERT MSW</NamePerson>
        <Title>DIR/SEC</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ROBERT RICHARDSON CPA</NamePerson>
        <Title>DIR/TREAS</Title>
        <AverageHoursPerWeek>0.50</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JOHN KOEHLER</NamePerson>
        <Title>DIR</Title>
        <AverageHoursPerWeek>0.50</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JOSEPH K ISLEY JR MD</NamePerson>
        <Title>DIR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>FRANK A PAVESE SR ESQ</NamePerson>
        <Title>DIR</Title>
        <AverageHoursPerWeek>0.50</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>VICKIE ZELLNER SLP</NamePerson>
        <Title>DIR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>BETTY SMITH RN</NamePerson>
        <Title>DIR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>NOREEN DIPLACIDO RN</NamePerson>
        <Title>DIR</Title>
        <AverageHoursPerWeek>0.50</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JON BURDZY DO</NamePerson>
        <Title>DIR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>80828</TotalReportableCompFromOrg>
      <FormersListed>false</FormersListed>
      <TotalCompGT150K>false</TotalCompGT150K>
      <CompensationFromOtherSources>false</CompensationFromOtherSources>
      <AllOtherContributions>2175</AllOtherContributions>
      <TotalContributions>2175</TotalContributions>
      <ProgramServiceRevenue>
        <Description>MEDICARE</Description>
        <TotalRevenueColumn>463146</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>463146</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>FLU SHOT</Description>
        <TotalRevenueColumn>418941</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>418941</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>VI INSURANCE</Description>
        <TotalRevenueColumn>50915</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>50915</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>PRIVATE DUTY REVENUE</Description>
        <TotalRevenueColumn>6111</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>6111</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>UNITED WAY</Description>
        <TotalRevenueColumn>1712</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>1712</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalOthProgramServiceRevenue>
        <TotalRevenueColumn>-40480</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>-40480</RelatedOrExemptFunctionIncome>
      </TotalOthProgramServiceRevenue>
      <TotalProgramServiceRevenue>900345</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>4265</TotalRevenueColumn>
        <ExclusionAmount>4265</ExclusionAmount>
      </InvestmentIncome>
      <OtherRevenueMisc>
        <Description>MISC INCOME</Description>
        <TotalRevenueColumn>11067</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>11067</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <TotalOtherRevenue>11067</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>917852</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>911412</RelatedOrExemptFunctionIncome>
        <ExclusionAmount>4265</ExclusionAmount>
      </TotalRevenue>
      <CompCurrentOfficersDirectors>
        <Total>81432</Total>
        <ManagementAndGeneral>81432</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <OtherSalariesAndWages>
        <Total>579182</Total>
        <ProgramServices>136557</ProgramServices>
        <ManagementAndGeneral>442625</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <OtherEmployeeBenefits>
        <Total>46526</Total>
        <ProgramServices>7035</ProgramServices>
        <ManagementAndGeneral>39491</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>53232</Total>
        <ProgramServices>11004</ProgramServices>
        <ManagementAndGeneral>42228</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesAccounting>
        <Total>17309</Total>
        <ManagementAndGeneral>17309</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesOther>
        <Total>73448</Total>
        <ProgramServices>69895</ProgramServices>
        <ManagementAndGeneral>3553</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>1895</Total>
        <ProgramServices>1895</ProgramServices>
      </Advertising>
      <OfficeExpenses>
        <Total>28431</Total>
        <ProgramServices>24892</ProgramServices>
        <ManagementAndGeneral>3539</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>24101</Total>
        <ManagementAndGeneral>24101</ManagementAndGeneral>
      </InformationTechnology>
      <Occupancy>
        <Total>32050</Total>
        <ProgramServices>32050</ProgramServices>
      </Occupancy>
      <Travel>
        <Total>16849</Total>
        <ProgramServices>16849</ProgramServices>
      </Travel>
      <ConferencesMeetings>
        <Total>807</Total>
        <ManagementAndGeneral>807</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>6283</Total>
        <ManagementAndGeneral>6283</ManagementAndGeneral>
      </Interest>
      <DepreciationDepletion>
        <Total>18410</Total>
        <ManagementAndGeneral>18410</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>53645</Total>
        <ProgramServices>53645</ProgramServices>
      </Insurance>
      <OtherExpenses>
        <Description>IMMUNIZATIONS</Description>
        <Total>395196</Total>
        <ProgramServices>395196</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MEDICARE DENIALS</Description>
        <Total>28544</Total>
        <ProgramServices>28544</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>BAD DEBTS &amp; DENIALS</Description>
        <Total>28451</Total>
        <ProgramServices>28451</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MEDICAL SUPPLIES</Description>
        <Total>11830</Total>
        <ProgramServices>11830</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>BAD DEBTS - FLU SHOT</Description>
        <Total>7771</Total>
        <ProgramServices>7771</ProgramServices>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>47994</Total>
        <ProgramServices>19141</ProgramServices>
        <ManagementAndGeneral>28853</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>1553386</Total>
        <ProgramServices>844755</ProgramServices>
        <ManagementAndGeneral>708631</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>115614</BOY>
        <EOY>13639</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>1177147</BOY>
        <EOY>840941</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
        <BOY>163041</BOY>
        <EOY>32406</EOY>
      </AccountsReceivable>
      <InventoriesForSaleOrUse>
        <BOY>23961</BOY>
        <EOY>41372</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>17850</BOY>
        <EOY>18249</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>468849</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>239810</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>234110</BOY>
        <EOY>229039</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>413845</BOY>
        <EOY>313804</EOY>
      </InvestmentsPubTradedSecurities>
      <OtherAssetsTotal>
        <BOY>4569</BOY>
        <EOY>4569</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>2150137</BOY>
        <EOY>1494019</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>125324</BOY>
        <EOY>118709</EOY>
      </AccountsPayableAccruedExpenses>
      <LoansFromOfficersDirectors>
        <BOY>111056</BOY>
        <EOY>97087</EOY>
      </LoansFromOfficersDirectors>
      <TotalLiabilities>
        <BOY>236380</BOY>
        <EOY>215796</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>1913757</BOY>
        <EOY>1278223</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>1913757</BOY>
        <EOY>1278223</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>2150137</BOY>
        <EOY>1494019</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>-635534</ReconcilationRevenueExpenses>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc2">
      <PubliclySupportedOrg509a2>X</PubliclySupportedOrg509a2>
      <GiftsGrantsContribReceived509>
        <CurrentTaxYearMinus4Years>177</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>1605</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus1Year>2268</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>2175</CurrentTaxYear>
        <Total>6225</Total>
      </GiftsGrantsContribReceived509>
      <GrossReceiptsFromAdmissions>
        <CurrentTaxYearMinus4Years>2685810</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>2589091</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>2178862</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>1727349</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>911412</CurrentTaxYear>
        <Total>10092524</Total>
      </GrossReceiptsFromAdmissions>
      <Total509>
        <CurrentTaxYearMinus4Years>2685987</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>2590696</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>2178862</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>1729617</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>913587</CurrentTaxYear>
        <Total>10098749</Total>
      </Total509>
      <PublicSupportTotal509>10098749</PublicSupportTotal509>
      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus4Years>75243</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>79490</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>20706</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>7114</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>4265</CurrentTaxYear>
        <Total>186818</Total>
      </GrossInvestmentIncome509>
      <InvestmentIncomeAndUBTI>
        <CurrentTaxYearMinus4Years>75243</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>79490</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>20706</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>7114</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>4265</CurrentTaxYear>
        <Total>186818</Total>
      </InvestmentIncomeAndUBTI>
      <TotalSupportTotal>
        <CurrentTaxYearMinus4Years>2761230</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>2670186</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>2199568</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>1736731</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>917852</CurrentTaxYear>
        <Total>10285567</Total>
      </TotalSupportTotal>
      <PublicSupportPercentage509>0.98180</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.98320</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.02000</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.02000</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc3">
      <DisclosedOrgsLegalControl>false</DisclosedOrgsLegalControl>
      <DisclosedForCharitablePurposes>false</DisclosedForCharitablePurposes>
      <WrittenPolicyMonitoring>false</WrittenPolicyMonitoring>
      <Sect170hRequirementsSatisfied>false</Sect170hRequirementsSatisfied>
      <SolicitedAssetsForSale>false</SolicitedAssetsForSale>
      <AgentTrusteeEtc>false</AgentTrusteeEtc>
      <IncludedOnFS>false</IncludedOnFS>
      <EndowmentsHeldByUnrelatedOrgs>false</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>false</EndowmentsHeldByRelatedOrgs>
      <AreRelatedOrgsListedScheduleR>false</AreRelatedOrgsListedScheduleR>
      <Land>
        <OtherCostOrOtherBasis>71300</OtherCostOrOtherBasis>
        <BookValue>71300</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>260925</OtherCostOrOtherBasis>
        <Depreciation>106397</Depreciation>
        <BookValue>154528</BookValue>
      </Buildings>
      <Equipment>
        <OtherCostOrOtherBasis>108873</OtherCostOrOtherBasis>
        <Depreciation>105662</Depreciation>
        <BookValue>3211</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>27751</OtherCostOrOtherBasis>
        <Depreciation>27751</Depreciation>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>229039</TotalOfBookValueLandBuildings>
      <TotalRevenue>917852</TotalRevenue>
      <TotalExpenses>1553386</TotalExpenses>
      <ExcessOrDeficitForYear>-635534</ExcessOrDeficitForYear>
      <ExcessOrDeficitPerFS>-635534</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>917852</TotRevenueEtcAuditedFinclStmt>
      <RevenueSubtotal>917852</RevenueSubtotal>
      <TotalRevenuePerForm990>917852</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>1553386</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>1553386</ExpensesSubtotal>
      <TotalExpensesPerForm990>1553386</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>LIABILITY UNDER FIN 48 FOOTNOTE</Identifier>
        <ReturnReference>SCHEDULE D, PAGE 3, PART X</ReturnReference>
        <Explanation>THE ASSOCIATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, EXCEPT ON NET INCOME DERIVED FROM UNRELATED BUSINESS ACTIVITIES. THE ASSOCIATION HAS IMPLEMENTED ACCOUNTING STANDARDS CODIFICATION (ASC) 740-10, INCOME TAXES AS IT RELATES TO UNCERTAIN TAX POSITIONS AND HAS EVALUATED ITS TAX POSITIONS TAKEN FOR ALL OPEN TAX YEARS. CURRENTLY, THE 2008, 2009 AND 2010 TAX YEARS ARE OPEN AND SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. HOWEVER, THE ASSOCIATION IS NOT CURRENTLY UNDER AUDIT NOR HAS THE ASSOCIATION BEEN CONTACTED BY ANY TAX JURISDICTION. THE ASSOCIATION'S SIGNIFICANT TAX POSITIONS RELATE TO ITS NOT-FOR-PROFIT STATUS. BASED ON AN EVALUATION OF THE ASSOCIATION'S TAX POSITIONS, MANAGEMENT BELIEVES ALL POSITIONS TAKEN WOULD BE UPHELD UNDER AN EXAMINATION. THEREFORE, NO PROVISION FOR THE EFFECTS OF UNCERTAIN TAX POSITIONS HAS BEEN RECORDED FOR THE YEARS ENDED JUNE 30, 2011 AND 2010.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleL documentId="RetDoc5">
      <LoanTable>
        <NamePerson>MARJORIE LINCOLN-MARJORIE LINCOLN T</NamePerson>
        <PurposeOfLoan>MORTGAGE</PurposeOfLoan>
        <LoanToOrganization>X</LoanToOrganization>
        <OriginalPrincipalAmount>200000</OriginalPrincipalAmount>
        <BalanceDue>97087</BalanceDue>
        <Default>false</Default>
        <ApprovedByBoard>true</ApprovedByBoard>
        <WrittenAgreement>true</WrittenAgreement>
      </LoanTable>
      <TotalBalanceDue>97087</TotalBalanceDue>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc6">
      <GeneralExplanation>
        <Identifier>OFFICERS WHO CANNOT BE REACHED</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 9</ReturnReference>
        <Explanation>ANNA VANN, RN 2160 CHANNEL WAY NORTH FORT MYERS, FL 33917</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ORGANIZATION'S PROCESS USED TO REVIEW FORM 990</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 11B</ReturnReference>
        <Explanation>A COPY OF THE FORM 990 AND RELATED SCHEDULES ARE PRESENTED TO THE BOARD OF DIRECTORS FOR DISCUSSION AND REVIEW PRIOR TO FILING THE RETURN</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ENFORCEMENT OF CONFLICTS POLICY</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 12C</ReturnReference>
        <Explanation>ALL BOARD MEMBERS AND EMPLOYEES ARE PROVIDED A COPY OF THE CONFLICT OF INTEREST POLICY. EMPLOYEES ARE REQUIRED TO SIGN A "CONFLICT OF INTEREST DISCLOSURE STATEMENT" AT THE TIME OF HIRE AND TO UPDATE THE INFORMATION IF CHANGES OCCUR. BOARD MEMBERS SIGN A "CONFLICT OF INTEREST DISCLOSURE STATEMENT" ANNUALLY AND WHEN CHANGES OCCUR. RECORDS OF DISCLOSURE STATEMENTS ARE MAINTAINED BY THE CEO.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION PROCESS FOR TOP OFFICIAL</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 15A</ReturnReference>
        <Explanation>ANNUAL REVIEWS ARE CONDUCTED BY THE CHAIRPERSON OF THE BOARD OF DIRECTORS AND DISCUSSED WITH THE BOARD. IF AN INCREASE IS CONTEMPLATED, THE TREASURER WILL MAKE A RECOMMENDATION TO THE BOARD FOR APPROVAL.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION PROCESS FOR OFFICERS</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 15B</ReturnReference>
        <Explanation>THERE ARE CURRENTLY NO OTHER OFFICERS OR KEY EMPLOYEES RECEIVING COMPENSATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>GOVERNING DOCUMENTS DISCLOSURE EXPLANATION</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 19</ReturnReference>
        <Explanation>ALL REQUESTS FOR DOCUMENTS MUST BE APPROVED BY THE PRESIDENT/CEO OR TREASURER PRIOR TO RELEASE. THE INFORMATION WILL BE PREPARED AND CLEARLY MARKED AUDITED OR UN-AUDITED, AS APPROPRIATE. THE PURPOSE AND THE INTENDED USE OF THE REQUESTED MATERIAL AND THE SOURCE OF THE REQUEST SHOULD BE MADE CLEAR.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>