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        <ProgramServicesAmt>264713</ProgramServicesAmt>
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        <ProgramServicesAmt>1771661</ProgramServicesAmt>
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        <Desc>Other Expenses</Desc>
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        <ProgramServicesAmt>30843</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>Fundraising Expenses</Desc>
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        <FundraisingAmt>6380</FundraisingAmt>
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        <FundraisingAmt>6380</FundraisingAmt>
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      <TotalBookValueLandBuildingsAmt>4448585</TotalBookValueLandBuildingsAmt>
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        <Desc>Due From Affiliates</Desc>
        <BookValueAmt>74135254</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>Other Assets</Desc>
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        <Desc>Due to Affiliates</Desc>
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        <Desc>Long Term Lease Liability</Desc>
        <Amt>785961</Amt>
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      <TotalLiabilityAmt>64602214</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>22453078</TotalRevEtcAuditedFinclStmtAmt>
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      <RevenueSubtotalAmt>20475091</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 2d - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>Transfer of Net Assets from VNA Care Network Foundation 1,977,987.</ExplanationTxt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Holly Chaffee</PersonNm>
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        <NontaxableBenefitsRltdOrgsAmt>26050</NontaxableBenefitsRltdOrgsAmt>
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        <PersonNm>Deborah Turiano</PersonNm>
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        <PersonNm>Kathleen Faulkner</PersonNm>
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        <PersonNm>Sharon Quashie</PersonNm>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>The sole corporate member shall be VNA Care Network Foundation, Inc. acting through its board of directors except as otherwise provided herein.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>The VNA Care Network Foundation, Inc. shall elect and may remove or suspend directors, shall have all rights to vote with respect to the affairs of the Corporation, and shall have such other powers as provided by law, the Articles of Organization, or these By-Laws.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>The VNA Care Network Foundation, Inc. shall elect and may remove or suspend directors, shall have all rights to vote with respect to the affairs of the Corporation, and shall have such other powers as provided by law, the Articles of Organization, or these By-Laws.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>990 compiled and reviewed by the CEO and CFO and sent to the Finance Committee for review. The Finance Committee presents to the board for approval. Board members offered a copy of the 990 at that time.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Annually the Board is asked to sign a Conflict of Interest statement. Also, at the beginning of all Board meetings the Board Chair asks if there are any conflicts with any of the agenda items.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>The Executive Compensation Committee made up of independent board members obtain a competitive salary survey from an outside independent source. The Executive Compensation Committee then deliberates and decides on the executive compensation. Other officers and key employee's salaries are determined by the CEO and the Compensation Committee based on comparable data obtained by a competitive salary survey from an outside independent source.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Financial statements are attached to the MA Form PC filed with the attorney general's office, which is open to public inspection. The articles of organization are available at the Massachusetts Secretary of State's office, including on-line. Other governing documents and the conflicts of interest policy are not generally available to the public. Requests for copies of such documents are considered on a case by case basis.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part X, Line 10: Land, Buildings, and Equipment</FormAndLineReferenceDesc>
        <ExplanationTxt>Section 1.263(a)-3(n) Election: VNA Care Hospice Inc. 120 Thomas Street Worcester, MA 01608-1280 EIN: 04-3217872 Section 1.263(a)-3(n) Election: VNA Care Hospice, Inc. is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, line 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>Transfer of Net Assets from VNA Care Network Foundation 1,977,987.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>Visiting Nurse Association of Boston Inc</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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        <EIN>042880614</EIN>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>Visiting Nurse Association of Boston Management Resources Inc</BusinessNameLine1Txt>
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        <EIN>042880108</EIN>
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      <IdRelatedTaxExemptOrgGrp>
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      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
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  </ReturnData>
</Return>