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        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>The Form 990 is made available to all board members for review.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Conflict of interest policies are required for new Board Members. Discussions occur annually for Board Members to update and/or renew their policies for changes. The Board reviews conflicts disclosed and ensures a board member does not participate in a board decision related to the conflict.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>The Executive Committee reviews the CEO performance for the year based on established goals, reviews compensation benchmark data provided by an outside consultant and recommends adjustments to the full board who authorizes compensation. The CEO reviews the performance for the year of key employees of the organization based on established goals and authorizes compensation adjustment in accordance with the budget which is approved by the board.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Governing documents, conflict of interest policy, and financial statements are available upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part X, Line 10: Land, Buildings, and Equipment</FormAndLineReferenceDesc>
        <ExplanationTxt>Section 1.263(a)-3(n) Election: Visiting Nurse Association of Albany, Inc. 35 Colvin Avenue, Albany, NY, 12206 EIN 14-1340125 Visiting Nurse Association of Albany, 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 from Affiliate 830,000. Change in unrecognized pension loss -2,142,675.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>Visiting Nurses Foundation Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>35 Colvin Avenue</AddressLine1Txt>
          <CityNm>Albany</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
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          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12203</ZIPCd>
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        <EIN>222778949</EIN>
        <PrimaryActivitiesTxt>Planning and coordinating the delivery of home health care services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>Line 11c, III-FI</PublicCharityStatusTxt>
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        </DirectControllingEntityName>
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          <BusinessNameLine1Txt>Visiting Nurse Association of Albany Home Care Corporation</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>150 Broadway Suite 310</AddressLine1Txt>
          <CityNm>Albany</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12204</ZIPCd>
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        <EIN>141697717</EIN>
        <PrimaryActivitiesTxt>Licensed HHA</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>Albany Visiting Nurse Home Care Services Group Inc</BusinessNameLine1Txt>
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      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>1</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>1</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
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      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
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          <BusinessNameLine1Txt>Albany Visiting Nurse Home Care Services Group Inc</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>D</TransactionTypeTxt>
        <InvolvedAmt>288000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Book Value</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
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          <BusinessNameLine1Txt>Albany Visiting Nurse Home Care Services Group Inc</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>S</TransactionTypeTxt>
        <InvolvedAmt>600000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Book Value</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
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  </ReturnData>
</Return>