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      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Jay Oppenheimer</NamePerson>
        <Title>Board Member</Title>
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      <Form990PartVIISectionA>
        <NamePerson>Jan McClendon</NamePerson>
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      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Peggy Flaxman Millheiser</NamePerson>
        <Title>Board Member</Title>
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      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Meaders Ozarow</NamePerson>
        <Title>Board Member</Title>
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        <NamePerson>Catherine Sweet</NamePerson>
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      <Form990PartVIISectionA>
        <NamePerson>Deborah Tapler PhD</NamePerson>
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        <NamePerson>Nita Prothro Clark</NamePerson>
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      <Form990PartVIISectionA>
        <NamePerson>Sara Fraser Crismon</NamePerson>
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        <NamePerson>Elizabeth Enloe Malakoff</NamePerson>
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        <NamePerson>Ann Hobson</NamePerson>
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        <NamePerson>Charles Wills</NamePerson>
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        <NamePerson>Victor Elmore</NamePerson>
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        <NamePerson>Daniel Polter MD</NamePerson>
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        <NamePerson>Jay Barlow</NamePerson>
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        <NamePerson>Marshall Brackbill</NamePerson>
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        <NamePerson>Peggy Dear</NamePerson>
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        <NamePerson>Helen Holman</NamePerson>
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        <NamePerson>Katie Johnson</NamePerson>
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        <NamePerson>Rainer Khetan MD</NamePerson>
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        <NamePerson>Fred Ligon</NamePerson>
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        <NamePerson>Francis Mancillas</NamePerson>
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        <NamePerson>Katherine McClendon</NamePerson>
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        <NamePerson>Helen Nixon</NamePerson>
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        <NamePerson>Sonja Blumoff Pagan</NamePerson>
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        <NamePerson>Helen Risch</NamePerson>
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        <NamePerson>Lizzie Routman</NamePerson>
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        <NamePerson>Carlton Holland</NamePerson>
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        <NamePerson>John Parks</NamePerson>
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        <NamePerson>Krystal Alvarado</NamePerson>
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        <NamePerson>Robert P Carpenter</NamePerson>
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      </Form990PartVIISectionA>
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        <NamePerson>Nancy Crowe</NamePerson>
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        <ProgramServices>0</ProgramServices>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>1147368</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>1097368</ManagementAndGeneral>
        <Fundraising>50000</Fundraising>
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      <CompDisqualPersons>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <OtherSalariesAndWages>
        <Total>11140556</Total>
        <ProgramServices>10334620</ProgramServices>
        <ManagementAndGeneral>805936</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <PensionPlanContributions>
        <Total>492590</Total>
        <ProgramServices>259365</ProgramServices>
        <ManagementAndGeneral>222375</ManagementAndGeneral>
        <Fundraising>10850</Fundraising>
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      <OtherEmployeeBenefits>
        <Total>1260434</Total>
        <ProgramServices>1117309</ProgramServices>
        <ManagementAndGeneral>143125</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>923868</Total>
        <ProgramServices>782459</ProgramServices>
        <ManagementAndGeneral>137584</ManagementAndGeneral>
        <Fundraising>3825</Fundraising>
      </PayrollTaxes>
      <FeesForServicesLegal>
        <Total>167894</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>167894</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesLegal>
      <Advertising>
        <Total>252873</Total>
        <ProgramServices>245661</ProgramServices>
        <ManagementAndGeneral>7212</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Advertising>
      <OfficeExpenses>
        <Total>91698</Total>
        <ProgramServices>67546</ProgramServices>
        <ManagementAndGeneral>23527</ManagementAndGeneral>
        <Fundraising>625</Fundraising>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>514562</Total>
        <ProgramServices>333157</ProgramServices>
        <ManagementAndGeneral>181405</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <Occupancy>
        <Total>1146673</Total>
        <ProgramServices>855361</ProgramServices>
        <ManagementAndGeneral>291312</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <Travel>
        <Total>605734</Total>
        <ProgramServices>587307</ProgramServices>
        <ManagementAndGeneral>18427</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <ConferencesMeetings>
        <Total>78810</Total>
        <ProgramServices>63916</ProgramServices>
        <ManagementAndGeneral>14644</ManagementAndGeneral>
        <Fundraising>250</Fundraising>
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        <ProgramServices>965149</ProgramServices>
        <ManagementAndGeneral>138071</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <Insurance>
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        <ProgramServices>163725</ProgramServices>
        <ManagementAndGeneral>51027</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <OtherExpenses>
        <Description>Food Expense Meals</Description>
        <Total>3417977</Total>
        <ProgramServices>3417977</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Professional Fees</Description>
        <Total>405482</Total>
        <ProgramServices>324910</ProgramServices>
        <ManagementAndGeneral>76022</ManagementAndGeneral>
        <Fundraising>4550</Fundraising>
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      <OtherExpenses>
        <Description>Telecommunications</Description>
        <Total>333304</Total>
        <ProgramServices>222595</ProgramServices>
        <ManagementAndGeneral>110709</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <OtherExpenses>
        <Description>Miscellaneous</Description>
        <Total>725868</Total>
        <ProgramServices>514135</ProgramServices>
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        <Fundraising>760</Fundraising>
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        <ProgramServices>1534960</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <TotalFunctionalExpenses>
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        <ProgramServices>21790152</ProgramServices>
        <ManagementAndGeneral>3697611</ManagementAndGeneral>
        <Fundraising>70860</Fundraising>
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      <CashNonInterestBearing>
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        <EOY>3470283</EOY>
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      <SavingsAndTempCashInvestments>
        <BOY>354199</BOY>
        <EOY>506560</EOY>
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        <EOY>2156181</EOY>
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        <EOY>185643</EOY>
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      <LandBuildingsEquipmentBasis>7376366</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>0</LandBldgEquipmentAccumDeprec>
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        <BOY>7623307</BOY>
        <EOY>7376366</EOY>
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        <EOY>947688</EOY>
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        <EOY>14642721</EOY>
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        <EOY>10833270</EOY>
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        <EOY>890518</EOY>
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        <EOY>0</EOY>
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        <EOY>11723788</EOY>
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      <TotalLiabNetAssetsFundBalances>
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        <EOY>14642721</EOY>
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      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>-1446706</ReconcilationRevenueExpenses>
      <ReconciliationUnrealizedInvest>0</ReconciliationUnrealizedInvest>
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        <NamePerson>Thomas Riccardelli</NamePerson>
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        <NamePerson>Krystal Alvarado</NamePerson>
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      <Form990ScheduleJPartIII>
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        <ReturnReference>Form 990, Part VI, Section A, Line 2</ReturnReference>
        <Explanation>Elizabeth Enloe Malakoff is the Daughter of Ted Enloe Daniel &amp; Lucy Polter are married Ted Enloe and Sara Crismon are In-Laws Katherine and Jan McClendon are mother and daughter</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0A_L07a</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 7a</ReturnReference>
        <Explanation>VNA's Board is elected by its governing board with new Directors chaosen and replacing outgoing Directors at the end of respective terms.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L11b</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 11b</ReturnReference>
        <Explanation>The Form 990 is reviewed by the Executive Committee of the Board of Directors</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L12c</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 12c</ReturnReference>
        <Explanation>Annually all officers and directors are required to complete a conflict of interest statement disclosing all possible conflicts with the organization</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L15</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 15</ReturnReference>
        <Explanation>An Executive compensation review is performed periodically by an outside compensation consulting firm under the direction of VNA's compensation committee. The firm analyzes CEO and Vice President's compensation. The analysis is presented to the compensation committee along with recommendations which are used by the committee to determine compensation.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0C_L19</Identifier>
        <ReturnReference>Form 990, Part VI, Section C, Line 19</ReturnReference>
        <Explanation>Any information can be furnished to the public through a request made on VNA's Website, through a phone call, through the mail, or an email request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P09_S00_L24e</Identifier>
        <ReturnReference>Form 990, Part IX, Line 24e</ReturnReference>
        <Explanation>Pateint Supplies, Drugs, Room &amp; Board, and Medical Equipment</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P11_S00_L09</Identifier>
        <ReturnReference>Form 990, Part XI, Line 9</ReturnReference>
        <Explanation>Asset Releases from capital campaign restrictions</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="R000008" softwareId="12000197" softwareVersion="v1.00">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Visiting Nurse Association Foundation</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1600 Viceroy Drive</AddressLine1>
          <AddressLine2>4th Floor</AddressLine2>
          <City>Dallas</City>
          <State>TX</State>
          <ZIPCode>75235</ZIPCode>
        </AddressUS>
        <EIN>751633963</EIN>
        <PrimaryActivities>Promote Community Health Services</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501 (c) 3</ExemptCodeSection>
        <PublicCharityStatus>509 (a)(3) Type 1</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>0</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <DividendsRelatedOrganization>0</DividendsRelatedOrganization>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>1</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>1</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>1</SharingOfFacilities>
      <SharingOfPaidEmployees>1</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>0</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>1</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Visiting Nurse Association Foundation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>s</TransactionType>
        <AmountInvolved>2400000</AmountInvolved>
        <MethodOfAmtDetermination>Paydown of intercompany balance between VNA and VNA Foundation</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
    <ReasonableCauseExplanation documentId="R000009" softwareId="12000197" softwareVersion="v1.00">
      <Explanation>An Extension was filed and accetped by the IRS</Explanation>
    </ReasonableCauseExplanation>
  </ReturnData>
</Return>