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        <ManagementAndGeneral>75551</ManagementAndGeneral>
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        <ManagementAndGeneral>163137</ManagementAndGeneral>
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      <OtherExpenses>
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      <OtherExpenses>
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      <TotalLiabNetAssetsFundBalances>
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        <CurrentTaxYear>98608</CurrentTaxYear>
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        <Explanation>Spectrum Health Systems, Inc. is a member of the association of behavioral healthcare, a group which may engage in lobbying activities. Therefore, a portion of the dues may be attributable to lobbying activities and as such, no determinative amount is listed in the schedule.</Explanation>
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      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>Bowditch &amp; Dewey</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>see schedule o</Relationship>
        <AmountOfTransaction>143475</AmountOfTransaction>
        <DescriptionOfTransaction>see sch. o</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>andrew felper</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>see schedule o</Relationship>
        <AmountOfTransaction>14250</AmountOfTransaction>
        <DescriptionOfTransaction>see sch. o</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <FoodInventory>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>55</NumberOfContributions>
        <NoncashContribsRptdF990>25029</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FAIR MARKET VALUE</MethodOfDeterminingRevenues>
      </FoodInventory>
      <AnyPropertyThatMustBeHeld>0</AnyPropertyThatMustBeHeld>
      <ReviewProcessUnusualNCGifts>0</ReviewProcessUnusualNCGifts>
      <ThirdPartiesUsed>0</ThirdPartiesUsed>
      <Form990ScheduleMPartII>
        <Identifier>Method for Determining Number of Contributors:</Identifier>
        <ReturnReference>Part I, Column (b):</ReturnReference>
        <Explanation>for noncash contributions, the organization is reporting the number of contributions received.</Explanation>
      </Form990ScheduleMPartII>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 11</Identifier>
        <Explanation>the form 990 is reviewed by management. once all comments have been addressed, a copy of the form 990 is distributed to the finance committee for review. once approved by the finance committee, the final form 990 is distributed to the full board and then filed with the IRS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 12c</Identifier>
        <Explanation>on an annual basis, board members and staff with the organization are required to file with the Board a statement disclosing his or her personal, business or organizational interests and affiliations. when any such affiliation becomes relevant in the making of any board decision, the board member having the conflict of interest shall call it to the attention of the board and that person shall not vote on the matter.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 15</Identifier>
        <Explanation>the compensation committee reviews comparability data including a salary comparison which includes compensation information for various organizations with similar services and/or multi-state operations. The compensation committee recommends any salary increases to the full board which then approves/denies the committee's recommendation. In addition, both the Compensation committee and Board document the basis for the decision in the minutes to the respective meetings.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section C, line 19</Identifier>
        <Explanation>The organization makes its governing documents, conflict of interst policy, form 990, and financial statements available to the public upon request. in addition, the form 990 is available via guidestar and the massachusetts attorney general's website.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Schedule L, Part IV</Identifier>
        <ReturnReference>Business Transactions Involving Interested Persons:</ReturnReference>
        <Explanation>(a) Name of Person: Bowditch &amp; dewey (b) Relationship Between interested person and organization: David Felper is a partner at the law firm which provided legal services during the year ended June 30, 2010. (c) Amount of transaction:$143,475 (d) description of transaction: Legal Fees (e) sharing of organization revenues? = NO (a) Name of Person: Andrew felper (b) Relationship Between interested person and organization: Family member of an officer (c) Amount of transaction:$14,250 (d) description of transaction: andrew felper is employed by the organization. (e) sharing of organization revenues? = NO</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043500001">
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>585 LINCOLN STREET CONDOMINIUM TRUST</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>10 mechanic street suite 302</AddressLine1>
          <City>worcester</City>
          <State>MA</State>
          <ZIPCode>01608</ZIPCode>
        </AddressUS>
        <EIN>046608853</EIN>
        <PrimaryActivity>inactive - condominium management</PrimaryActivity>
        <LegalDomicileState>MA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
        <ShareOfTotalIncome>100</ShareOfTotalIncome>
        <ShareOfEOYAssets>17115</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>0</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>0</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>0</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>0</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>