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      <Form990PartVIISectionAGrp>
        <PersonNm>MARGARET KEIRAN</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHELLE COULLAHAN</PersonNm>
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      <ContractorCompensationGrp>
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        <ContractorAddress>
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      <ContractorCompensationGrp>
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      <ContractorCompensationGrp>
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      <ContractorCompensationGrp>
        <ContractorName>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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        <ContractorAddress>
          <USAddress>
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          </USAddress>
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      <CntrctRcvdGreaterThan100KCnt>6</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>285021</FundraisingAmt>
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      <TotalContributionsAmt>346888</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>621610</BusinessCd>
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      <TotalProgramServiceRevenueAmt>15949589</TotalProgramServiceRevenueAmt>
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      <GrossAmountSalesAssetsGrp>
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      <LessCostOthBasisSalesExpnssGrp>
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      <NetGainOrLossInvestmentsGrp>
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      <OtherExpensesGrp>
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      <OtherExpensesGrp>
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      <TotalFunctionalExpensesGrp>
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      <RevenueNotReportedFinclStmtAmt>120557</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>16893358</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>14386347</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>63916</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>63916</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>14322431</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>120557</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>120557</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>14442988</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AGENCY ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES IN ACCORDANCE WITH ASC TOPIC INCOME TAXES. THIS STANDARD CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN TAX POSITIONS AND PRESCRIBES A RECOGNITION THRESHOL AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT REGARDING A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE AGENCY HAS DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS WHICH WUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS AT DECEMBER 31, 2014 AND 2013. THE AGENCY'S INFORMATION RETURNS ARE SUBJECT TO EXAMINATION BY THE FEDERAL AND STATE JURISDICTIONS AND GENERALLY REMAIN OPEN FOR THE MOST RECENT THREE YEARS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EXPENSE 63,916.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EXPENSE 63,916.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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      <FundraisingEventInformationGrp>
        <Event1Nm>GOLF TOURNAMENT</Event1Nm>
        <GrossReceiptsEvent1Amt>29790</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>28310</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>1480</GrossRevenueEvent1Amt>
        <FoodAndBeverageEvent1Amt>19698</FoodAndBeverageEvent1Amt>
        <OtherDirectExpensesEvent1Amt>4106</OtherDirectExpensesEvent1Amt>
        <Event2Nm>AUCTION</Event2Nm>
        <GrossReceiptsEvent2Amt>68012</GrossReceiptsEvent2Amt>
        <CharitableContriEvent2Amt>34670</CharitableContriEvent2Amt>
        <GrossRevenueEvent2Amt>33342</GrossRevenueEvent2Amt>
        <FoodAndBeverageEvent2Amt>16488</FoodAndBeverageEvent2Amt>
        <OtherDirectExpensesEvent2Amt>15008</OtherDirectExpensesEvent2Amt>
        <OtherEventsTotalCnt>1</OtherEventsTotalCnt>
        <GrossReceiptsOtherEventsAmt>222041</GrossReceiptsOtherEventsAmt>
        <CharitableContriOtherEventsAmt>222041</CharitableContriOtherEventsAmt>
        <OthDirectExpnssOtherEventsAmt>8616</OthDirectExpnssOtherEventsAmt>
        <GrossReceiptsTotalAmt>319843</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>285021</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>34822</GrossRevenueTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>36186</FoodAndBeverageTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>27730</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>63916</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-29094</NetIncomeSummaryAmt>
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      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>1</SupplementalNonqualRtrPlanInd>
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      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
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      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
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      <InitialContractExceptionInd>0</InitialContractExceptionInd>
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        <PersonNm>MERRY BETH RUCKER</PersonNm>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>20000</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>52365</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>341463</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LAWRENCE LASPESA</PersonNm>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>294753</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KAREN AGAHIGIAN</PersonNm>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>36998</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>208546</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARGARET KEIRAN</PersonNm>
        <TitleTxt>NURSE PRACTIONER</TitleTxt>
        <BaseCompensationFilingOrgAmt>123242</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>34103</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>157345</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE V.N.A. ESTABLISHED AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (THE PLAN) FOR MERRY BETH RUCKER AND LAWRENCE LASPESA (THE PARTICIPANTS). UNDER THE PLAN, THE V.N.A. IS TO PROVIDE RETIREMENT BENEFITS TO THE PARTICIPANTS AS DEFERRED COMPENSATION EACH YEAR. THE PARTICIPANTS BECAME ELIGIBLE TO PARTICIPATE UPON INCEPTION OF THE PLAN AND WERE IMMEDIATELY VESTED. THE V.N.A. MAKES ANNUAL CONTRIBUTIONS OF $20,000 PER PARTICIPANT IN ACCORDANCE WITH THE PLAN.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>THE VNAME ENTERED INTO AN AFFILIATION AGREEMENT WITH LAHEY HEALTH SYSTEM, INC. (LHS) EFFECTIVE OCTOBER 1, 2014, WHEREBY SIGNIFICANT CHANGES WERE MADE TO THE VNAME'S ORGANIZATIONAL DOCUMENTS TO REFLECT THE AFFILIATION AGREEMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PRESENTED AT A BOARD OF DIRECTORS MEETING AND IS REVIEWED PRIOR TO IT BEING SUBMITTED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE VNA MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY THROUGH ANNUAL CONFLICT OF INTEREST SIGN-OFFS BY ALL BOARD MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>SALARY LEVELS ARE REVIEWED IN COMPARISON WITH OTHER SIMILAR AGENCIES VIA PRINTED SALARY SURVEYS PRODUCED BY ASSOCIATED INDUSTRIES OF MA. THE CEO AND OTHER OFFICER'S SALARIES ARE DETERMINED BY THE BOARD OF DIRECTORS IN ACCORDANCE WITH A COMPENSATION SURVEY. THE CEO'S SALARY AS OF OCTOBER 1, 2014 IS NOW A CONTRACT POSITION THROUGH MAY 31, 2015.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE VNA MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC ON WWW.GUIDESTAR.ORG AND UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>COMMUNITY CARE INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>607 NORTH AVENUE SUITE 17</AddressLine1Txt>
          <CityNm>WAKEFIELD</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01880</ZIPCd>
        </USAddress>
        <EIN>900396973</EIN>
        <PrimaryActivitiesTxt>PROGRAMS AND SERVICES FOCUSED ON COMMUNITY WELLNESS ENHANCEMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>9</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VISITING NURSE ASSOCIATION OF MIDDLESEX-EAST INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LAHEY HEALTH SYSTEM INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>41 MALL ROAD</AddressLine1Txt>
          <CityNm>BURLINGTON</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01805</ZIPCd>
        </USAddress>
        <EIN>611665701</EIN>
        <PrimaryActivitiesTxt>HEALTH SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>9</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>LAHEY HEALTH SYSTEM INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
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      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
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  </ReturnData>
</Return>