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        <PersonNm>MIRKA BEBEKOSKI</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT FRANCO</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>186240</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BRENDA ROGERS</PersonNm>
        <TitleTxt>CLINICAL DIRECTOR</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>138504</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ZACHARY JESKO</PersonNm>
        <TitleTxt>NURSE PRACTITIONER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>13120</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHELLE EBERLE-PAYNE</PersonNm>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>109581</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>9018</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHELLE OLSON</PersonNm>
        <TitleTxt>HR DIRECTOR</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>7420</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAMIE LEBRUN</PersonNm>
        <TitleTxt>IT DIRECTOR</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>101491</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>5031</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>755830</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>57259</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>6</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <CntrctRcvdGreaterThan100KCnt>0</CntrctRcvdGreaterThan100KCnt>
      <FederatedCampaignsAmt>16151</FederatedCampaignsAmt>
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      <AllOtherContributionsAmt>151398</AllOtherContributionsAmt>
      <TotalContributionsAmt>2202123</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>HOSPICE SERVICES</Desc>
        <BusinessCd>621610</BusinessCd>
        <TotalRevenueColumnAmt>5704414</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>5704414</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>OTHER SERVICES</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>504948</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>504948</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>PALLIATIVE CARE SERVIC</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>16232</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>16232</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>6225594</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>202</TotalRevenueColumnAmt>
        <ExclusionAmt>202</ExclusionAmt>
      </InvestmentIncomeGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISC. INCOME</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>1850</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1850</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueTotalAmt>1850</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>8429769</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>6227444</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>202</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>186239</TotalAmt>
        <ProgramServicesAmt>137817</ProgramServicesAmt>
        <ManagementAndGeneralAmt>48422</ManagementAndGeneralAmt>
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      <CompDisqualPersonsGrp>
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        <ProgramServicesAmt>2983629</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1052219</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>102179</ProgramServicesAmt>
        <ManagementAndGeneralAmt>39490</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>382615</TotalAmt>
        <ProgramServicesAmt>275963</ProgramServicesAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>317233</TotalAmt>
        <ProgramServicesAmt>228806</ProgramServicesAmt>
        <ManagementAndGeneralAmt>88427</ManagementAndGeneralAmt>
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      <FeesForServicesLegalGrp>
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        <ProgramServicesAmt>391</ProgramServicesAmt>
        <ManagementAndGeneralAmt>239</ManagementAndGeneralAmt>
        <FundraisingAmt>19</FundraisingAmt>
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      <FeesForServicesAccountingGrp>
        <TotalAmt>37888</TotalAmt>
        <ProgramServicesAmt>22854</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13942</ManagementAndGeneralAmt>
        <FundraisingAmt>1092</FundraisingAmt>
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      <FeesForServicesOtherGrp>
        <TotalAmt>899574</TotalAmt>
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        <ManagementAndGeneralAmt>331024</ManagementAndGeneralAmt>
        <FundraisingAmt>25925</FundraisingAmt>
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      <AdvertisingGrp>
        <TotalAmt>147354</TotalAmt>
        <ProgramServicesAmt>121994</ProgramServicesAmt>
        <ManagementAndGeneralAmt>25360</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>137950</TotalAmt>
        <ProgramServicesAmt>76112</ProgramServicesAmt>
        <ManagementAndGeneralAmt>54167</ManagementAndGeneralAmt>
        <FundraisingAmt>7671</FundraisingAmt>
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      <OccupancyGrp>
        <TotalAmt>134805</TotalAmt>
        <ProgramServicesAmt>99807</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24234</ManagementAndGeneralAmt>
        <FundraisingAmt>10764</FundraisingAmt>
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      <TravelGrp>
        <TotalAmt>283100</TotalAmt>
        <ProgramServicesAmt>246905</ProgramServicesAmt>
        <ManagementAndGeneralAmt>35398</ManagementAndGeneralAmt>
        <FundraisingAmt>797</FundraisingAmt>
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      <InterestGrp>
        <TotalAmt>105239</TotalAmt>
        <ManagementAndGeneralAmt>105239</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>256601</TotalAmt>
        <ProgramServicesAmt>209716</ProgramServicesAmt>
        <ManagementAndGeneralAmt>46234</ManagementAndGeneralAmt>
        <FundraisingAmt>651</FundraisingAmt>
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      <InsuranceGrp>
        <TotalAmt>62603</TotalAmt>
        <ProgramServicesAmt>13050</ProgramServicesAmt>
        <ManagementAndGeneralAmt>42197</ManagementAndGeneralAmt>
        <FundraisingAmt>7356</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES / EQUI</Desc>
        <TotalAmt>669476</TotalAmt>
        <ProgramServicesAmt>669476</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>EQUIPMENT COSTS</Desc>
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        <ManagementAndGeneralAmt>164812</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>TELEPHONE / COMMUNICATI</Desc>
        <TotalAmt>150326</TotalAmt>
        <ProgramServicesAmt>75475</ProgramServicesAmt>
        <ManagementAndGeneralAmt>70595</ManagementAndGeneralAmt>
        <FundraisingAmt>4256</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>BAD DEBT</Desc>
        <TotalAmt>117967</TotalAmt>
        <ManagementAndGeneralAmt>117967</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>108265</TotalAmt>
        <ProgramServicesAmt>89633</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18632</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>8340213</TotalAmt>
        <ProgramServicesAmt>5896432</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2385250</ManagementAndGeneralAmt>
        <FundraisingAmt>58531</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>167264</EOYAmt>
      </CashNonInterestBearingGrp>
      <AccountsReceivableGrp>
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        <EOYAmt>722244</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>95053</EOYAmt>
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      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>1864859</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>8701998</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>798020</EOYAmt>
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        <EOYAmt>1465721</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>2263741</EOYAmt>
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        <EOYAmt>1036170</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>5402087</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>7445629</BOYAmt>
        <EOYAmt>6438257</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>8701998</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>89556</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>-1096928</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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        <CurrentTaxYearMinus3YearsAmt>1182034</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>451461</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1606535</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2202123</CurrentTaxYearAmt>
        <TotalAmt>5546852</TotalAmt>
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      <GrossReceiptsAdmissionsGrp>
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        <CurrentTaxYearMinus3YearsAmt>7072042</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>7071271</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6706609</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>6225594</CurrentTaxYearAmt>
        <TotalAmt>33836129</TotalAmt>
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      <Total509Grp>
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        <CurrentTaxYearMinus3YearsAmt>8254076</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>7522732</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>8313144</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>8427717</CurrentTaxYearAmt>
        <TotalAmt>39382981</TotalAmt>
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      <AmountsRcvdDsqlfyPersonGrp>
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      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
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      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
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        <CurrentTaxYearMinus3YearsAmt>2238</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>186</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>66</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>202</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus2YearsAmt>186</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>66</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>202</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus2YearsAmt>3032</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1082</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1850</CurrentTaxYearAmt>
        <TotalAmt>16088</TotalAmt>
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        <CurrentTaxYearMinus2YearsAmt>7525950</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>8314292</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>8429769</CurrentTaxYearAmt>
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      <PublicSupportPY509Pct>0.99880</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00010</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00070</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>MISCELLANEOUS INCOME - 2018 AMOUNT: $ 4,051. 2019 AMOUNT: $ 6,073. 2020 AMOUNT: $ 3,032. 2021 AMOUNT: $ 1,082. 2022 AMOUNT: $ 1,850.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
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    <IRS990ScheduleB documentId="RetDoc1234500001">
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        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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    </IRS990ScheduleB>
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        <BookValueAmt>412656</BookValueAmt>
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      <BuildingsGrp>
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      <EquipmentGrp>
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        <DepreciationAmt>825307</DepreciationAmt>
        <BookValueAmt>179857</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>1864859</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>DUE FROM VNAF</Desc>
        <BookValueAmt>3653</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>INTEREST IN NET ASSETS OF VNA FOUNDATION</Desc>
        <BookValueAmt>5649606</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>CONTRIBUTION RECEIVABLE - CRT</Desc>
        <BookValueAmt>117598</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>ROU ASSETS</Desc>
        <BookValueAmt>81721</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>5852578</TotalBookValueOtherAssetsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS ADOPTED THE PROVISIONS OF THE ACCOUNTING PRONOUNCEMENT RELATED TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. THE ORGANZATION RECOGNIZED NO INTEREST OR PENALTIES IN THE CONSOLIDATED STATEMENT OF ACTIVITIES FOR THE YEAR ENDED SEPTEMBER 30, 2023 OR 2022. IF THE SITUATION AROSE IN WHICH THE ORGANIZATION WOULD HAVE INTEREST TO RECOGNIZE, IT WOULD RECOGNIZE THIS AS INTEREST EXPENSE AND PENALTIES WOULD BE RECOGNIZED IN OTHER EXPENSES. CURRENTLY, THE PRIOR THREE YEARS ARE OPEN UNDER FEDERAL AND STATE STATUTES OF LIMITATIONS AND REMAIN SUBJECT TO REVIEW AND CHANGE. THE ORGANIZATION IS NOT CURRENTLY UNDER AUDIT, NOR HAS THE ORGANIZATION BEEN CONTACTED BY THESE JURISDICTIONS. BASED ON THE EVALUATION OF THE ORGANIZATION'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 YEAR ENDED SEPTEMBER 30, 2023 OR 2022.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
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        <PersonNm>ROBERT FRANCO</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO</TitleTxt>
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        <BonusFilingOrganizationAmount>7838</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>9277</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>4636</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>200153</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>VOLUNTEERS PROVIDE ASSISTANCE IN ORGANIZATIONAL MATTERS, PERSONAL CARE SERVICES TO HOSPICE PATIENTS AND THEIR FAMILIES, AND DELIVERY SERVICES FOR THE MEALS ON WHEELS PROGRAM. VOLUNTEERS PROVIDED 3,862 HOURS OF SERVICE IN THE YEAR ENDED SEPTEMBER 30, 2023.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S ARTICLES OF INCORPORATION IDENTIFY VOTING AND NON-VOTING MEMBERS. ELIGIBLE VOTING MEMBERS CONSIST OF CURRENT AND FORMER MEMBERS OF THE BOARD OF DIRECTORS OF THE ORGANIZATION AS WELL AS VISITING NURSE ASSOCIATION FOUNDATION, INC. AND HHS OF PORTER COUNTY, INDIANA, INC. BOTH OF WHICH ARE NOT-FOR-PROFIT CHARITABLE ORGANIZATIONS. THE VOTING MEMBERS ARE THOSE ELIGIBLE PERSONS WHO INDICATE IN WRITING THEIR WILLINGNESS TO SERVE AS MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE VOTING MEMBERS OF THE ORGANIZATION ARE EMPOWERED TO ELECT THE MEMBERS OF THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS IS AUTHORIZED TO EXERCISE ALL POWERS OF THE ORGANIZTION WITHOUT AUTHORIZATION OR APPROVAL OF THE MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH MEMBER OF THE BOARD OF DIRECTORS IS PROVIDED A COPY OF THE FORM 990 PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>AT ALL BOARD MEETINGS, CONFLICTS ARE DOCUMENTED AND THE INTERESTED PARTIES ARE REQUESTED TO RECUSE THEMSELVES FROM VOTING ON THE MATTER AT HAND.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>LINE 15 A THE BOARD OF DIRETORS USES INDEPENDENT AND EXTERNAL RESOURCES FOR THE ESTABLISHMENT OF COMPENSATION FOR OFFICERS. RESOURCES USED IN THE COMPENSATION CALCULATION INCLUDE COMPARABILITY DATA, MARKET COMPARISON, AND COMPENSATION SURVEYS. THE COMPENSATION APPROACH, PROCESS, AND DATA ARE DISCUSSED IN BOARD MEETINGS AND THE REVIEW AND APPROVALS ARE DOCUMENTED. LINE 15B ANNUALLY, THE DIRECTOR OF HUMAN RESOURCES REVIEWS ALL SALARY LEVELS AND COMPARES THEM TO SURVEYS CONDUCTED BY HOSPITAL &amp; HEALTHCARE COMPENSATION SURVEYS AND MARKET COMPARISONS. SALARIES ARE INCLUDED IN THE ANNUAL OPERATING BUDGET, WHICH IS REVIEWED BY THE FINANCE COMMITTEE, AND SUBSEQUENTLY APPROVED BY THE BOARD OF DIRECTORS AS PART OF THE OVERALL BUDGET APPROVAL PROCESS. KEY EMPLOYEE SALARIES REQUESTED OUTSIDE THE RANGE DEVELOPED FROM THE SURVEYS AND MARKET COMPARISONS ARE REVIEWED, DISCUSSED, AND APPROVED BY THE BOARD OF DIRECTORS.</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 THE WRITTEN REQUEST OR IN PERSON AT THE ORGANIZATION'S OFFICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 542,625. MANAGEMENT AND GENERAL EXPENSES 331,024. FUNDRAISING EXPENSES 25,925. TOTAL EXPENSES 899,574.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN NET INTEREST IN VNA FOUNDATION -1,096,928.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS HAS NOT CHANGED FROM PRIOR YEARS.</ExplanationTxt>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>VISITING NURSE ASSOCIATION FOUNDATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>501 MARQUETTE STREET</AddressLine1Txt>
          <CityNm>VALPARAISO</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>46383</ZIPCd>
        </USAddress>
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        <PrimaryActivitiesTxt>FUNDRAISING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12B, II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VISITING NURSE ASSOCIATION OF PORTER COUNTY</BusinessNameLine1Txt>
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      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
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      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
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      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
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      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
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          <BusinessNameLine1Txt>VISITING NURSE ASSOCIATION FOUNDATION INC</BusinessNameLine1Txt>
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        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
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