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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Kerry E Capwell</PersonNm>
        <TitleTxt>Board Trustee</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Anthea R Daniels</PersonNm>
        <TitleTxt>Board Trustee</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jeffrey D Nieberding</PersonNm>
        <TitleTxt>Board Trustee</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Paula Makdad Shaw</PersonNm>
        <TitleTxt>Board Trustee</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.0</AverageHoursPerWeekRltdOrgRt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Tammy L Smith</PersonNm>
        <TitleTxt>Board Trustee</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.0</AverageHoursPerWeekRltdOrgRt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Claire M Zangerle</PersonNm>
        <TitleTxt>BOARD AT LARGE (President/CEO)</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Mario M Danese</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Christine Marsick</PersonNm>
        <TitleTxt>Hospice Medical Director</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Teresa Wimms</PersonNm>
        <TitleTxt>Chief Admin. Officer</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>125549</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Lisa Kristosik</PersonNm>
        <TitleTxt>COO</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Dana Traxler</PersonNm>
        <TitleTxt>Ex. Director Mid Ohio</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Helen Vafaie</PersonNm>
        <TitleTxt>MENTAL HEALTH MD</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Emily Kelly</PersonNm>
        <TitleTxt>General Counsel</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>122740</ReportableCompFromRltdOrgAmt>
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          <PersonNm>DEULEY HOME REHABILITATION</PersonNm>
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        <ContractorAddress>
          <USAddress>
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            <CityNm>WILLOUGHBY</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>REIDY MEDICAL SUPPLY</PersonNm>
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          <USAddress>
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      <ProgramServiceRevenueGrp>
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        <PersonalAmt>0</PersonalAmt>
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        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
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      <NetIncomeFromGamingGrp>
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        <BusinessCd>900099</BusinessCd>
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      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS</Desc>
        <BusinessCd>621610</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>29971</RelatedOrExemptFuncIncomeAmt>
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        <ExclusionAmt>844388</ExclusionAmt>
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      <GrantsToDomesticOrgsGrp>
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      <GrantsToDomesticIndividualsGrp>
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      <BenefitsToMembersGrp>
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      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>857116</ProgramServicesAmt>
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        <ProgramServicesAmt>61516</ProgramServicesAmt>
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      <FeesForServicesLegalGrp>
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      <FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>16200</ProgramServicesAmt>
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      <FeesForServicesLobbyingGrp>
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      </FeesForServicesLobbyingGrp>
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        <ProgramServicesAmt>51926</ProgramServicesAmt>
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        <ProgramServicesAmt>49941</ProgramServicesAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>285580</ProgramServicesAmt>
        <ManagementAndGeneralAmt>90183</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>432497</ProgramServicesAmt>
        <ManagementAndGeneralAmt>136578</ManagementAndGeneralAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>460240</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9082</ManagementAndGeneralAmt>
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      </PymtTravelEntrtnmntPubOfclGrp>
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        <ManagementAndGeneralAmt>180</ManagementAndGeneralAmt>
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      </PaymentsToAffiliatesGrp>
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        <ProgramServicesAmt>137738</ProgramServicesAmt>
        <ManagementAndGeneralAmt>43496</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>1418</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>349255</TotalAmt>
        <ProgramServicesAmt>349255</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>BAD DEBTS</Desc>
        <TotalAmt>316938</TotalAmt>
        <ProgramServicesAmt>316938</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>RECRUITMENT</Desc>
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        <ManagementAndGeneralAmt>20280</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
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        <ProgramServicesAmt>74785</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13320</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>16348240</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3673465</ManagementAndGeneralAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>416</EOYAmt>
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        <EOYAmt>1615078</EOYAmt>
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        <EOYAmt>3672745</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>325409</EOYAmt>
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        <EOYAmt>109121</EOYAmt>
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        <EOYAmt>101250</EOYAmt>
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      <IntangibleAssetsGrp>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>3422910</EOYAmt>
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        <EOYAmt>28519255</EOYAmt>
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        <EOYAmt>2352325</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>10265</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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      <EscrowAccountLiabilityGrp>
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        <EOYAmt>0</EOYAmt>
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      <LoansFromOfficersDirectorsGrp>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>5958333</EOYAmt>
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      <UnsecuredNotesLoansPayableGrp>
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        <EOYAmt>0</EOYAmt>
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      <OtherLiabilitiesGrp>
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        <EOYAmt>0</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
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        </ContributorBusinessName>
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    <IRS990ScheduleD documentId="IRS990ScheduleD">
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      <CYMinus4YrEndwmtFundGrp />
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      </LeaseholdImprovementsGrp>
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      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>439831</OtherCostOrOtherBasisAmt>
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      </OtherLandBuildingsGrp>
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      <OtherAssetsOrgGrp>
        <Desc>INTERCOMPANY RECEIVABLES</Desc>
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      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>true</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
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      <InitialContractExceptionInd>false</InitialContractExceptionInd>
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        <PersonNm>Claire M Zangerle</PersonNm>
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        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Mario M Danese</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>138196</CompensationBasedOnRltdOrgsAmt>
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        <PersonNm>Christine Marsick</PersonNm>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4A - SEVERANCE PAYMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>MARIO DANESE, CFO, LEFT THE ORGANIZATION IN SEPTEMBER, 2014 AND RECEIVED SEVERANCE PAY FOR ONE YEAR. THE AMOUNT PAID IN 2014 WAS $44,098.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B - NONQUALIFIED DEFERRED COMPENSATION PLAN:</FormAndLineReferenceDesc>
        <ExplanationTxt>ONE EMPLOYEE OF A RELATED ORGANIZATION CONTRIBUTED TO A NONQUALIFIED SECTION 457(B) DEFERRED COMPENSATION PLAN OF THAT ORGANIZATION. MARIO DANESE CONTRIBUTED $5,200 DURING 2014 TO THAT PLAN.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 6 - MEMBERS OF THE ORGANIZATION:</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization has one member. The Visiting Nurse Association Healthcare Partners of Ohio is the sole owner/member. This organization's board reports in a professional/advisory role to the Visiting Nurse Association Healthcare Partners of Ohio's governance board.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 11B - FORM 990 REVIEW:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD HAS DELEGATED AUTHORITY TO REVIEW FORM 990 TO THE FINANCE COMMITTEE. THE FULL 990 IS REVIEWED WITH MANAGEMENT AND THE FINANCE COMMITTEE. THE FULL 990 IS SENT TO THE BOARD PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990,PART VI,LINE 12C - MONITORING AND ENFORCEMENT OF CONFLICT POLICY:</FormAndLineReferenceDesc>
        <ExplanationTxt>Annual completion of the conflict of interest forms for officers and directors provides regular review of potential conflicts which may arise.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 15 - COMPENSATION REVIEW AND APPROVAL:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CHIEF HUMAN RESOURCE OFFICER CONDUCTS A MARKET COMPENSATION STUDY TO ESTABLISH SALARY RANGES FOR ALL AGENCY EMPLOYEES. FINDINGS ARE REVIEWED WITH TOP MANAGEMENT TO DETERMINE IF COMPENSATION STRUCTURES NEED REVISION. IF REVISIONS ARE NEEDED, THEY ARE PRESENTED FOR APPROVAL TO THE HUMAN RESOURCE COMMITTEE OF THE BOARD FOR APPROVAL. IF APPROVED, THE SALARY STRUCTURE IS MODIFIED TO KEEP THE ORGANIZATIION COMPETITIVE IN THE ECONOMIC MARKET. THE LAST SALARY REVIEW WAS IN 2010.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 19 - AVAILABILITY OF DOCUMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>Certain agencies receive the audited financial statements as required by our business relationship with them. All others are able to obtain the audited financial statements via written request. The governing documents and conflict of interest policy are available upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9 - OTHER CHANGES IN NET ASSETS:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN INTEREST RATE SWAP LIABILITY: ($101,981)</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>VISITING NURSE ASSOCOF MID-OHIO</BusinessNameLine1Txt>
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          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44115</ZIPCd>
        </USAddress>
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        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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        </DirectControllingEntityName>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>VNA HOUSECALLS</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>2500 EAST 22ND STREET</AddressLine1Txt>
          <CityNm>CLEVELAND</CityNm>
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        </USAddress>
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</Return>