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      <Desc>Through a comprehensive and integrated fund development plan focused on donor-centered strategies, philanthropic resources in support of the VNA mission to provide compassionate and innovative care of the highest quality for patients and caregivers regardless of their financial status. This includes start-up capital for program initiatives and sustainability of the VNA Hospice House.</Desc>
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        <Desc>The majority of the expenses incurred by the foundation relate to the support given to the VNA of the Treasure Coast &amp; its affiliates for home health, hospice &amp; community wellness. These grants fund direct patient home health &amp; hospice care, community wellness clinics, operational support of the VNA hospice house, program initiatives &amp; upgraded technology to enhance efficiencies &amp; patient care outcomes. During the tax year, unpaid volunteers contributed approximately 300 hours of their time in direct support of the Foundation. Volunteers assisted in various program areas. Based upon the hourly volunteer rate of approximately $25/hr. In 2019 for the state of Florida per the Bureau of Labor Statistics, the dollar value of those volunteer hours was approx. $7,600. A total of 41,660 hours of volunteer services valued at $1,042,000 were provided in total to the foundation and its related parties. No amounts have been reflected in this return for those donated services.</Desc>
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        <Desc>The Foundation has a dedicated and robust gift planning strategy to cultivate, solicit and steward donors to include the Foundation in their estate plans which can include wills, trusts, retirement accounts, life insurance, and charitable gift annuities. Partnering with the donor's trusted financial or legal advisor is a critical component of the program and requires similar cultivation, solicitation and stewardship plans. In the most recent fiscal year, the total donor dollars received through planned gifts was $371,683. Upon notification of the passing of a donor who has included the VNA in their estate plans, the administration process can be lengthy with a 12-18 month timeline for receipt of gift in most cases.</Desc>
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        <BookValueAmt>280571</BookValueAmt>
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      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>24415</OtherCostOrOtherBasisAmt>
        <BookValueAmt>24415</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>2068315</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Annuity Payment Liability</Desc>
        <Amt>670616</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>670616</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>4937838</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-520263</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>246848</OtherRevenueAmt>
      <RevenueNotReportedAmt>-273415</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>5211253</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>111635</InvestmentExpensesNotIncldAmt>
      <OtherRevenuesNotIncludedAmt>325849</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>437484</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>5648737</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>3997006</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>31993</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>31993</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>3965013</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>111635</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>111635</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>4076648</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part V, Line 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>On July 1, 2012, the Uniform Prudent Management of Institutional Funds Act (UPMIFA) became effective in the state of Florida. The FASB released FASB Codification 958-205 which provided guidance on the classification of endowment fund net assets for the states that have enacted versions of UPMIFA, and enhances disclosures for endownment funds. Under UPMIFA all unappropriated endowment fund assets are considered restricted. The endowment funds are established for the purpose of providing income to support VNA Hospice House only.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Association consists of public charities under Section 501(c)(3) of the Internal Revenue Code. As public charities, 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>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 2d - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>Fundraising Expenses 30,524. Change in Split Interest 216,324.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 4b - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>Change in Charitable Gift Annuities 325,849.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XII, Line 2d - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>Recovery for Uncollectable Pledge 1,469. Fundraising Expenses 30,524.</ExplanationTxt>
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        <Event1Nm>Golf-A-Thon</Event1Nm>
        <GrossReceiptsEvent1Amt>380985</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>380985</CharitableContriEvent1Amt>
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        <DirectExpenseSummaryEventsAmt>30524</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-30524</NetIncomeSummaryAmt>
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      <GrantRecordsMaintainedInd>0</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>VNA Hospice of Indian River County Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1110 35th Lane</AddressLine1Txt>
          <CityNm>Vero Beach</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32960</ZIPCd>
        </USAddress>
        <RecipientEIN>592402136</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>1970337</CashGrantAmt>
        <PurposeOfGrantTxt>To provide financial assistance for the organization to meet its needs.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Visiting Nurse Assciation of Indian River County Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1110 35th Lane</AddressLine1Txt>
          <CityNm>Vero Beach</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32960</ZIPCd>
        </USAddress>
        <RecipientEIN>591645497</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>601245</CashGrantAmt>
        <PurposeOfGrantTxt>To provide financial assistance for the organization to meet its needs.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Visiting Nurse Assciation of the Treasure Coast Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1110 35th Lane</AddressLine1Txt>
          <CityNm>Vero Beach</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32960</ZIPCd>
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        <RecipientEIN>592664912</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>279751</CashGrantAmt>
        <PurposeOfGrantTxt>To provide financial assistance for the organization to meet its needs.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>VNA Space Coast Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1110 35th Lane</AddressLine1Txt>
          <CityNm>Vero Beach</CityNm>
          <StateAbbreviationCd>FM</StateAbbreviationCd>
          <ZIPCd>32960</ZIPCd>
        </USAddress>
        <RecipientEIN>651002301</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>15789</CashGrantAmt>
        <PurposeOfGrantTxt>To provide financial assistance for the organization to meet its needs.</PurposeOfGrantTxt>
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        <PersonNm>Lundy Fields</PersonNm>
        <TitleTxt>President/CEO</TitleTxt>
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        <OtherCompensationRltdOrgsAmt>5848</OtherCompensationRltdOrgsAmt>
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        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>23848</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>175508</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Mary Linn Hamilton</PersonNm>
        <TitleTxt>Past President/CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>5000</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>192130</OtherCompensationRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 4a</FormAndLineReferenceDesc>
        <ExplanationTxt>Mary Linn Hamilton, Past President/CEO, received $130,000 in severance pay.</ExplanationTxt>
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        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>4</ContributionCnt>
        <NoncashContributionsRptF990Amt>1783005</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </SecuritiesPubliclyTradedGrp>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>1</ReviewProcessUnusualNCGiftsInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 32b:</FormAndLineReferenceDesc>
        <ExplanationTxt>Gift Acceptance Committee (GAC) is charged with reviewing all gifts of non-cash and non-publicly-traded securities made to the Foundation, properly screening and accepting or declining these gifts, and making recommendations to the Board on gift acceptance issues where appropriate. GAC consists of Treasurer of Foundation Board, 2 other members of the Foundation Board appointed by the Board Chairman, one of whom shall be the Committee Chairman, 1 member of the VNA Treasure Coast Board appointed by its Board Chairman, such other members as appointed by the Foundation Board Chair, Ex-Officio members shall include the VNA Treasure Coast CEO and Vice President of Foundation. A quorum of 51% shall be required.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, LINE 1 Continued:</FormAndLineReferenceDesc>
        <ExplanationTxt>Thanks to the generous donors who believe in building a healthier community for all through their gifts to the VNA and Hospice Foundation, the VNA of the Treasure Coast and VNA Hospice of Indian River County are able to care for everyone in need regardless of their financial resources. The Foundation partners with VNA to support programs and services that otherwise would not be funded through insurance, Medicare or Medicaid. Examples include charitable home health and hospice VNA, Hospice House support, bereavement, support and therapy services, technology professional development, training and certification for clinicians, community wellness programs, special patient needs. On average each year, more than $2 million is required to care for local residents who are sick, recovering from surgery, facing a life limiting illness or having a chronic health condition such as heart disease or diabetes. The VNA and Hospice Foundation works with charitably-inclined individuals, families, foundations and businesses to understand and align their passions with the organization's most pressing needs. Funds are raised through mailings, strategic conversations with donors, an annual special event, memorial contributions, grants, bequests and estates.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>The sole member of the organization is the Visiting Nurse Association of the Treasure Coast, Inc.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>The board of the corporation shall consist of directors who shall be elected by the sole member at its annual meeting.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The 990 is presented to the Finance Committee of the Board of Directors for review, input and approval. A complete copy of the final return with all schedules and attachments is provided to all members of the board of directors for approval prior to filing.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Senior leadership and board members re-sign the conflict of interest statement each year and are required to disclose any potential conflicts. All associates are provided access to the conflict of interest policy.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>The Executive Committee of the Board of Directors makes recommendations to the Board of Directors for approval of the salary of the CEO and provides input into the compensation of other top management officials using sources including independent compensation consultants, salary surveys, the 990s of other organizations, and periodic compensation studies. Salaries are set based on job requirements, education, area and the agency budget. The use of written employment contracts is used for the President/CEO and other positions where deemed appropriate.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization's audited financial statements are available upon request to the public.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part X, Line 10: Land, Buildings, and Equipment:</FormAndLineReferenceDesc>
        <ExplanationTxt>Section 1.263(a)-3(n) Election: Vising Nurse Association and Hospice Foundation, Inc. 1110 35th Lane Vero Beach, FL 32960-6549 EIN: 59-2804739 Section 1.263(a)-3(n) Election: VNA and Hospice Foundation is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part X, Line 10: Net Assets:</FormAndLineReferenceDesc>
        <ExplanationTxt>Included in the $24,845,918 of net assets are $15,222,224 of restricted net assets. Restricted net assets consist primarily of Endowment and specific purpose funds for the Hospice House in the amount of $12,231,568. Remaining restricted net assets are held for specific purposes for Home Health, Hospice community programs, Community Wellness and wound care certification.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, line 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>Change in Charitable Gift Annuity -325,849. Change in Split Interest 216,324. Recovery for Uncollectible Pledges -1,469.</ExplanationTxt>
      </SupplementalInformationDetail>
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          <CityNm>Melbourne</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32935</ZIPCd>
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