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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part V, Line 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>All income earned used to support hospice services.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Association is a public charity under Section 501(c)(3) of the Internal Revenue Code. As a public charity, the Association is exempt from state and federal income taxes on income earned in accordance with its tax exempt purpose. Unrelated business income is subject to state and federal income tax. Management has evaluated the Association's tax positions and concluded that the Association has no unrelated business income or uncertain tax positions that require adjustment to the financial statements.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Part XI, Line 2d - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>Net assets acquired from VNA of Southern Worcester County, Inc. 8,474,836.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>Loss on Disposal of Property 85,217.</ExplanationTxt>
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        <PersonNm>Elaine Fluet</PersonNm>
        <TitleTxt>President and CEO</TitleTxt>
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        <PersonNm>Kristin Mattson</PersonNm>
        <TitleTxt>Homecare Director - South</TitleTxt>
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        <PersonNm>Crystal Marsh</PersonNm>
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        <PersonNm>Kelly Loescher</PersonNm>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <FormAndLineReferenceDesc>Part I, Line 7</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>Merger between GVNA Healthcare Inc and Visiting Nurse Association of Southern Worcester County Inc effective 4-1-20. Fitchburg and North Quabbin/Athol Adult Day Cares closed 9-30-20 Gardner and Greenfield Adult Day Cares put on hold 11-30-20 and will be re-evaluated in June or July 2021 if reopening or closing.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>Policy is reviewed annually with the board of directors. Each member is asked to sign an affidavit acknowledging they have read the policy, understand the policy, and are in compliance with the policy.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>The CEO is reviewed annually by the Board of Directors. The CFO is reviewed annually by the CEO.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Upon Request</ExplanationTxt>
      </SupplementalInformationDetail>
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        <FormAndLineReferenceDesc>Form 990, Part X, Line 10: Land, Buildings, and Equipment:</FormAndLineReferenceDesc>
        <ExplanationTxt>Section 1.263(a)-3(n) Election: Care Central VNA &amp; Hospice, Inc. 34 Pearly Lane Gardner, MA 01440 EIN: 04-2104246 Section 1.263(a)-3(n) Election: Care Central VNA &amp; Hospice, Inc. is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n).</ExplanationTxt>
      </SupplementalInformationDetail>
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        <ExplanationTxt>Net assets acquired from VNA of Southern Worcester County, Inc. 8,474,836.</ExplanationTxt>
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</Return>
