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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <BookValueAmt>881377</BookValueAmt>
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        <DepreciationAmt>498392</DepreciationAmt>
        <BookValueAmt>312453</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>1193830</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>BONDS FUND</Desc>
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        <MethodValuationCd>F</MethodValuationCd>
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      <OtherSecuritiesGrp>
        <Desc>POOLED INVESTMENTS</Desc>
        <BookValueAmt>1760690</BookValueAmt>
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      <OtherSecuritiesGrp>
        <Desc>MUTUAL FUNDS - EQUITY</Desc>
        <BookValueAmt>1717869</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
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      <OtherSecuritiesGrp>
        <Desc>MUTUAL FUNDS - BALANCED</Desc>
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        <Desc>OTHER INVESTMENTS</Desc>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
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      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
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        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>CIRCLE HOME, INC. ("THE VNA") IS A PUBLIC CHARITY UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS A PUBLIC CHARITY, THE VNA 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 VNA'S TAX POSITIONS AND CONCLUDED THAT THE VNA HAS NO UNRELATED BUSINESS INCOME OR UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE CONSOLIDATED FINANCIAL STATEMENTS.</ExplanationTxt>
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        <ExplanationTxt>FUNDRAISING EXPENSES 18,813.</ExplanationTxt>
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        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>DEFINED BENEFIT PENSION ADJUSTMENT 1,480,021. FUNDRAISING EXPENSES 18,813.</ExplanationTxt>
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        <NetIncomeSummaryAmt>-5043</NetIncomeSummaryAmt>
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      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>NORMAND DESCHENE IS A DIRECTOR AND THE PRESIDENT/CEO OF CIRCLE HEALTH, INC. WHICH IS THE PARENT OF CIRCLE HOME, INC. HE IS ALSO THE CEO OF THE LOWELL GENERAL HOSPITAL, A SUBSIDIARY OF CIRCLE HEALTH, INC. HE IS ALSO A DIRECTOR OF ENTERPRISE BANK. SUSAN GREEN IS THE SR. VICE PRESIDENT, CFO AND TREASURER OF CIRCLE HEALTH, INC. AND THE LOWELL GENERAL HOSPITAL, A SUBSIDIARY OF CIRCLE HEALTH, INC. JOSEPH WHITE IS THE PRESIDENT OF THE LOWELL GENERAL HOSPITAL, A SUBSIDIARY OF CIRCLE HEALTH, INC. HE IS ALSO THE PRESIDENT OF CIRCLE HEALTH, INC. NAOMI PRENDERGAST IS A DIRECTOR OF CIRCLE HOME, INC. AND A BOARD MEMBER FOR CIRCLE HEALTH, INC., AS WELL AS THE PRESIDENT &amp; CEO OF D'YOUVILLE LIFE &amp; WELLNESS COMMUNITY. CIRCLE HOME, INC. IS A VENDOR OF D'YOUVILLE LIFE &amp; WELLNESS. D'YOUVILLE LIFE AND WELLNESS COMMUNITY REFERS PATIENTS TO CIRCLE HOME, INC. MARGARET LEMIRE-BERTHEL IS A DIRECTOR OF CIRCLE HOME, INC. AS WELL AS AN EMPLOYEE OF THE LOWELL GENERAL HOSPITAL, A SUBSIDIARY OF CIRCLE HEALTH, INC. JAMES O'DONNELL IS A DIRECTOR OF CIRCLE HOME, INC. AS WELL AS A CORPORATOR OF THE LOWELL GENERAL HOSPITAL, A SUBSIDIARY OF CIRCLE HEALTH, INC. DANIEL MANSUR IS A DIRECTOR OF CIRCLE HOME, INC. AS WELL AS A VICE CHAIR OF THE LOWELL GENERAL HOSPITAL AND VICE CHAIR OF CIRCLE HEALTH, INC. AS A PRACTICING ATTORNEY, HIS CLIENT LIST MAY INCLUDE OTHER DIRECTORS. TUSHAR PATEL, M.D. IS A DIRECTOR AS WELL AS THE PRESIDENT OF THE MEDICAL STAFF OF THE LOWELL GENERAL HOSPITAL. STEVEN JONCAS IS A DIRECTOR OF CIRCLE HOME, INC. AS WELL AS A CORPORATOR OF THE LOWELL GENERAL HOSPITAL. BRAIN STAFFORD IS THE TREASURER OF CIRCLE HOME, INC. AS WELL AS A DIRECTOR OF THE LOWELL GENERAL HOSPITAL. THE LOWELL GENERAL HOSPITAL IS A SUBSIDIARY OF CIRCLE HEALTH, INC. AS A PRACTICING PUBLIC ACCOUNTANT HIS CLIENT LIST MAY INCLUDE OTHER DIRECTORS. GINGER PEARSON IS ON THE BOARD OF GOVERNORS FOR CIRCLE HEALTH, INC. AND IS A DIRECTOR OF CIRCLE HOME, INC. GERALDINE VAUGHAN IS A SR. VICE PRESIDENT OF CIRCLE HEALTH, INC. SHE IS ALSO CIRCLE HOME, INC.'S SOLE MEMBER AND EXECUTIVE DIRECTOR FOR LOWELL GENERAL HOSPITAL ORGANIZATION AND CIRCLE HEALTH ALLIANCE. CIRCLE HOME, INC. RECEIVES REFERRALS FROM PHYSICIANS IN THESE ORGANIZATIONS. STEVEN LAROCHELLE IS A DIRECTOR OF CIRCLE HOME, INC. AND IS ALSO EMPLOYED AS ECECUTIVE VICE PRESIDENT FOR ENTERPRISE BANK. CIRCLE HOME, INC. HAS AN ACCOUNT WITH THE BANK, OPEN LINE OF CREDIT AND INVESTMENTS. ADDITIONALLY, STEVEN IS ON THE BOARD OF D'YOUVILLE LIFE AND WELLNESS COMMUNITY. ALISON KALMAN IS A DIRECTOR OF CIRCLE HOME, INC. AS WELL AS A CORPORATOR FOR THE LOWELL GENERAL HOSPITAL, A SUBSIDIARY OF CIRCLE HEALTH, INC. ADDITIONALLY, ALISON IS ON THE BOARD OF D'YOUVILLE LIFE AND WELLNESS COMMUNITY. RACHEL CHADDOCK IS THE EXECUTIVE DIRECTOR OF CIRCLE HOME, INC. AND SERVES AS TREASURER FOR THE GREATER LOWELL HEALTH ALLIANCE WHO AWARDED A GRANT TO CIRCLE HOME, INC. SHE IS ALSO A BOARD MEMBER FOR UNIVERSITY OF MASSACHUSETTS NURSING ADVISORY BOARD. CIRCLE HOME, INC. HAS A CONTRACT WITH THE UNIVERSITY TO PROVIDE FOR STUDENT CLINICAL ROTATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE CORPORATE MEMBER OF CIRCLE HOME, INC. IS CIRCLE HEALTH, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>A MINIMUM OF 80% OF THE DIRECTORS OF CIRCLE HOME, INC. ARE CLASSIFIED AS CIRCLE HEALTH, INC. DIRECTORS. THE BALANCE ARE CIRCLE HOME, INC. DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE CORPORATE MEMBER OF CIRLCE HOME, INC. IS CIRCLE HEALTH, INC. CIRCLE HEALTH HAS THE FOLLOWING RESERVE POWERS: - ORGANIZE OR ACQUIRE AN AFFILIATE OR SUBSIDIARY; - AUTHORIZE THE DISSOLUTION, MERGER OR CONSOLIDATION OF THE CORPORATION; - AUTHORIZE THE SALE OR OTHER TRANSFER OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATION'S ASSETS; - AMEND THE CORPORATION'S ARTICLES OF ORGANIZATION OR BYLAWS; - ADOPT ANNUAL OPERATING OR CAPITAL BUDGETS; - AUTHORIZE OFF-BUDGET EXPENDITURES ABOVE $100,000; - ADOPT STRATEGIC PLANS; - COMMENCE ANY CLINICAL SERVICE THAT WAS NOT OFFERED BY THE CORPORATION AS OF THE EFFECTIVE DATE OF THIS BYLAW PROVISION OR TERMINATE ANY CLINICAL SERVICE THAT WAS OFFERED BY THE CORPORATION AS OF SUCH DATE; - BORROW MONEY, UNLESS ALREADY APPROVED IN THE CORPORATION'S CURRENT BUDGET; - UNDERTAKE COMMUNITY-WIDE FUND-RAISING ACTIVITIES; - CHANGE THE CORPORATION'S INDEPENDENT AUDITOR; - ENGAGE THE EXECUTIVE DIRECTOR OF THE CORPORATION; AND - ADOPT OR MAKE MATERIAL MODIFICATIONS TO PERSONNEL POLICIES AND PROCEDURES INCLUDING POLICIES WITH REGARD TO COMPENSATION AND BENEFITS. IN ADDITION, IN ORDER TO FACILITATE THE DEVELOPMENT OF AN EFFECTIVE INTEGRATED HEALTH CARE DELIVERY SYSTEM UNDER THE AUSPICES OF THE MEMBER, AND IN ORDER TO ASSURE THAT THE PUBLIC PERCEPTION OF THE MEMBER AND THE CONSTITUENTS OF ITS SYSTEM IS ONE OF COORDINATION, THE MEMBER SHALL HAVE THE FOLLOWING POWERS WITH RESPECT TO THE CORPORATION: - TO REQUIRE THE CORPORATION TO INITIATE STRATEGIC PLANNING PROCESSES CONSISTENT WITH THOSE OF THE MEMBER AND THE OTHER CONSTITUENTS OF ITS HEALTH CARE SYSTEM. - TO REQUIRE THE CORPORATION TO COORDINATE CLINICAL SERVICES WITH THE MEMBER AND THE OTHER CONSTITUENTS OF ITS HEALTH CARE SYSTEM. - TO REQUIRE THE CORPORATION TO COORDINATE FUND-RAISING ACTIVITIES WITH THE MEMBER AND THE OTHER CONSTITUENTS OF ITS HEALTH CARE SYSTEM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE COMPLETE FORM 990 IS EMAILED TO THE BOARD OF DIRECTORS FOR THEIR REVIEW AND COMMENT PRIOR TO FILING. ANY IDENTIFIED CHANGES BASED UPON COMMENTS ARE MADE AS INDICATED.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL NEW HIRES AND NEW BOARD MEMBERS RECEIVE THE ORGANIZATION'S CORPORATE COMPLIANCE PLAN. THEY DISCLOSE AT THAT POINT IN TIME ANY CONFLICTS OF INTEREST. BOARD MEMBERS ALSO COMPLETE A 990 QUESTIONAIRE. ON AN ANNUAL BASIS EMPLOYEES ALSO REVIEW THE CORPORATE COMPLIANCE PLAN AND INDICATE ANY POTENTIAL CONFLICTS OF INTEREST. BOARD MEMBERS ON AN ANNUAL BASIS REVIEW THE BYLAWS RELATING TO CONFLICT OF INTEREST AND COMPLETE A 990 QUESTIONAIRE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>ON AN ANNUAL BASIS THE ORGANIZATION PARTICIPATES IN A SALARY SURVEY AND EVALUATES ALL POSITIONS AGAINST THE SURVEY. THE CONTEMPORANEOUS INFORMATION IS SHARED WITH THE BOARD PRESIDENT FOR REVIEW WHEN EVALUATING THE EXECUTIVE DIRECTORS SALARY AND ANY COMPENSATION CHANGES. FOR OFFICERS, THE SALARY SURVEY IS REVIEWED ANNUALLY BY HUMAN RESOURCES AND THE EXECUTIVE DIRECTOR. BASED UPON THAT SURVEY SALARY RANGES OR PAY MAY BE ADJUSTED. THIS INFORMATION IS SHARED WITH THE PERSONNEL COMMITTEE BY THE EXECUTIVE DIRECTOR.</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 AVAILALE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>DEFINED BENEFIT PENSION ADJUSTMENT -1,480,021.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>CNS NURSING HOME CARE INC AKA COMMONWEALTH NURSING SERVICES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>847 ROGERS ST 201</AddressLine1Txt>
          <CityNm>LOWELL</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
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