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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>136783</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18882</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>598245</ProgramServicesAmt>
        <ManagementAndGeneralAmt>82585</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>444531</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>44015</ManagementAndGeneralAmt>
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      <FeesForServicesOtherGrp>
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        <ProgramServicesAmt>168762</ProgramServicesAmt>
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        <ProgramServicesAmt>46451</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6412</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>40561</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5599</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
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        <ProgramServicesAmt>92704</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12797</ManagementAndGeneralAmt>
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      <OccupancyGrp>
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        <ProgramServicesAmt>26371</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3640</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>390089</TotalAmt>
        <ProgramServicesAmt>379942</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10147</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>38560</TotalAmt>
        <ProgramServicesAmt>33883</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4677</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>8412</TotalAmt>
        <ProgramServicesAmt>7392</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1020</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>135048</TotalAmt>
        <ProgramServicesAmt>118667</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16381</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>40988</TotalAmt>
        <ProgramServicesAmt>36016</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4972</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Program Supplies</Desc>
        <TotalAmt>561217</TotalAmt>
        <ProgramServicesAmt>561217</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Medicaid Tax</Desc>
        <TotalAmt>357145</TotalAmt>
        <ProgramServicesAmt>357145</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Printing &amp; Publications</Desc>
        <TotalAmt>60862</TotalAmt>
        <ProgramServicesAmt>53479</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7383</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Other Expenses</Desc>
        <TotalAmt>33635</TotalAmt>
        <ProgramServicesAmt>29555</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4080</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>60353</TotalAmt>
        <ProgramServicesAmt>47578</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6568</ManagementAndGeneralAmt>
        <FundraisingAmt>6207</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>9845015</TotalAmt>
        <ProgramServicesAmt>8740352</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1098456</ManagementAndGeneralAmt>
        <FundraisingAmt>6207</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>319162</BOYAmt>
        <EOYAmt>798996</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>1542723</BOYAmt>
        <EOYAmt>1449475</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>87394</BOYAmt>
        <EOYAmt>105914</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>2118488</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>1504901</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>652216</BOYAmt>
        <EOYAmt>613587</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>136808</BOYAmt>
        <EOYAmt>162109</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <TotalAssetsGrp>
        <BOYAmt>2738303</BOYAmt>
        <EOYAmt>3130081</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>701543</BOYAmt>
        <EOYAmt>655161</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>300603</BOYAmt>
        <EOYAmt>317681</EOYAmt>
      </DeferredRevenueGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>203102</BOYAmt>
        <EOYAmt>143961</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>107926</BOYAmt>
        <EOYAmt>118773</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>1313174</BOYAmt>
        <EOYAmt>1235576</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>1313289</BOYAmt>
        <EOYAmt>1768352</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TemporarilyRstrNetAssetsGrp>
        <EOYAmt>8588</EOYAmt>
      </TemporarilyRstrNetAssetsGrp>
      <PermanentlyRstrNetAssetsGrp>
        <BOYAmt>111840</BOYAmt>
        <EOYAmt>117565</EOYAmt>
      </PermanentlyRstrNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>1425129</BOYAmt>
        <EOYAmt>1894505</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>2738303</BOYAmt>
        <EOYAmt>3130081</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>469376</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>225003</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>303570</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>181205</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>169768</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>197246</CurrentTaxYearAmt>
        <TotalAmt>1076792</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>9296132</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>10192896</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>9849891</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>9630702</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>10098239</CurrentTaxYearAmt>
        <TotalAmt>49067860</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>9521135</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>10496466</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>10031096</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>9800470</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>10295485</CurrentTaxYearAmt>
        <TotalAmt>50144652</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>50144652</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>11688</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>6441</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>8666</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>970</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>645</CurrentTaxYearAmt>
        <TotalAmt>28410</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
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        <CurrentTaxYearMinus3YearsAmt>6441</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>8666</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>970</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>645</CurrentTaxYearAmt>
        <TotalAmt>28410</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <TotalSupportCalendarYearGrp>
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        <CurrentTaxYearMinus3YearsAmt>10502907</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>10039762</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>9801440</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>10296130</CurrentTaxYearAmt>
        <TotalAmt>50173062</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.99940</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99930</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00060</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00070</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>104561</BeginningYearBalanceAmt>
        <ContributionsAmt>5725</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>15867</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>126153</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>102957</BeginningYearBalanceAmt>
        <ContributionsAmt>2275</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>-671</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>104561</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
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        <BeginningYearBalanceAmt>105465</BeginningYearBalanceAmt>
        <ContributionsAmt>4100</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>-6608</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>102957</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
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        <ContributionsAmt>105465</ContributionsAmt>
        <EndYearBalanceAmt>105465</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <PrmnntEndowmentBalanceEOYPct>0.93190</PrmnntEndowmentBalanceEOYPct>
      <TermEndowmentBalanceEOYPct>0.06810</TermEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>0</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
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        <BookValueAmt>48600</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
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        <BookValueAmt>329883</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
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      <OtherLandBuildingsGrp>
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      <OtherSecuritiesGrp>
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        <BookValueAmt>162109</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>162109</TotalBookValueSecuritiesAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Due to Third-Party Payers</Desc>
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      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Other Current Liabilities</Desc>
        <Amt>94216</Amt>
      </OtherLiabilitiesOrgGrp>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>10314391</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>10314391</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>9845015</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>9845015</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>9845015</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Agency is a public charity under Section 501(c)(3) of the Internal Revenue Code. As a public charity, the Agency 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 Agency's tax positions and concluded that the Agency has no unrelated business income or uncertain tax positions that require adjustment to the financial statements.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Executive Director and Chief Financial Officer review and approve the 990 and make the form available to the Board President.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Board Members are aware of the policy they sign annually and are instructed to disclose conflicts, if any arise during the year.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Directors evaluate the Executive Director's performance and the Agency participates in wage and benefit surveys conducted by the Vermont Assembly of Home Health Agencies.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>