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        <TotalAmt>30083</TotalAmt>
        <ManagementAndGeneralAmt>30083</ManagementAndGeneralAmt>
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        <TotalAmt>201413</TotalAmt>
        <ManagementAndGeneralAmt>201413</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>112196</ManagementAndGeneralAmt>
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        <TotalAmt>464858</TotalAmt>
        <ManagementAndGeneralAmt>464858</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>Other expenses</Desc>
        <TotalAmt>70223</TotalAmt>
        <ManagementAndGeneralAmt>70223</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>Printing and Publicatio</Desc>
        <TotalAmt>67584</TotalAmt>
        <ManagementAndGeneralAmt>67584</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <ManagementAndGeneralAmt>52280</ManagementAndGeneralAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
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      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
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        <CurrentTaxYearMinus1YearAmt>6324807</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>7879937</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus2YearsAmt>6569852</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6324807</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>7879937</CurrentTaxYearAmt>
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      <SubstAndDsqlfyPrsnsTotGrp>
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        <CurrentTaxYearAmt>7879937</CurrentTaxYearAmt>
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      <TotalLiabilityAmt>523030</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>7879937</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>7879937</TotalRevenuePerForm990Amt>
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      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>7876857</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>7876857</TotalExpensesPerForm990Amt>
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        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>The organizations included in these consolidated financial statements, excluding VNA Private Care, Inc. are qualified as public charities under Section 501 (c)(3) of the Internal Revenue Code. As public charities, the Association 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 Associations tax position and concluded that the Association has no unrelated business income or uncertain tax positions that require adjustment to the consolidated financial statements.</ExplanationTxt>
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      <CompensationSurveyInd>X</CompensationSurveyInd>
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      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
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      <InitialContractExceptionInd>0</InitialContractExceptionInd>
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        <PersonNm>Reynold Spadoni</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>43375</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>8570</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>18578</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>372943</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Christopher Attaya</PersonNm>
        <TitleTxt>CFO</TitleTxt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5461</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>16727</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Keren Diamond</PersonNm>
        <TitleTxt>VP of Operations</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4586</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>195484</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Diane Bergeron</PersonNm>
        <TitleTxt>Executive Director of Hospice</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5702</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>7635</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>170087</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Janice Sullivan</PersonNm>
        <TitleTxt>VP of External Affairs</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3556</DeferredCompensationFlngOrgAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>The sole corporate member shall be The Visiting Nurse Association of Boston Foundation, Inc. acting through its board of directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>The Visiting Nurse Association of Boston Foundation, Inc. shall elect or appoint, and may remove or suspend, directors in accordance with Article III, shall have all rights to vote with respect to the affairs of the Corporation, and shall have such other powers as provided by law, the Articles of Organization or these By-Laws.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Visiting Nurse Association of Boston Foundation, Inc. shall elect or appoint, and may remove or suspend, directors in accordance with Article III, shall have all rights to vote with respect to the affairs of the Corporation, and shall have such other powers as provided by law, the Articles of Organization or these By-Laws.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>The completed form 990 is reviewed by the CFO and controller. The form 990 is reviewed with the Finance Committee at the next monthly board meeting. The Finance Committee has three members who are considered to be financial experts. The final form 990 is posted to a secure website and is made available to all board members.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>All board members are required to read and sign a conflict of interest policy annually at the company's annual board meeting. All managers are required to read and sign a conflict of interest policy annually.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>The VNA of Boston engaged an outside executive compensation consultant to conduct an executive compensation survey for the positions of CEO, CFO, Vice President of Operations, Executive Director of VNA Hospice, Executive Director of VNA Private Care, Inc., Chief Information Officer, Director of Develop/Communications, Director of Provider Relations, Director of Risk, Quality and Regulatory Affairs.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Purchased Services: Program service expenses 0. Management and general expenses 212,438. Fundraising expenses 0. Total expenses 212,438. Consultants: Program service expenses 0. Management and general expenses 579,311. Fundraising expenses 0. Total expenses 579,311. Payroll Processing: Program service expenses 0. Management and general expenses 44,782. Fundraising expenses 0. Total expenses 44,782. Other expenses: Program service expenses 0. Management and general expenses 6,178. Fundraising expenses 0. Total expenses 6,178.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, line 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>Transfer of Equity to Affiliates -149,159.</ExplanationTxt>
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        <DisregardedEntityName>
          <BusinessNameLine1>Visiting Nurse Association of Boston Foundation</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>500 Rutherford Avenue Suite 200</AddressLine1>
          <City>Charlestown</City>
          <State>MA</State>
          <ZIPCode>02129</ZIPCode>
        </USAddress>
        <EIN>042880614</EIN>
        <PrimaryActivitiesTxt>Fundraising</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>Line 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
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          <City>Charlestown</City>
          <State>MA</State>
          <ZIPCode>02129</ZIPCode>
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        <EIN>042105800</EIN>
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        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
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          <State>MA</State>
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          <City>Newton</City>
          <State>MA</State>
          <ZIPCode>02466</ZIPCode>
        </USAddress>
        <EIN>043397450</EIN>
        <PrimaryActivitiesTxt>Multi-Specialty Medical Group</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 9</PublicCharityStatusTxt>
        <DirectControllingEntityName>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
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          <City>Quincy</City>
          <State>MA</State>
          <ZIPCode>02169</ZIPCode>
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        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
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          <City>Dedham</City>
          <State>MA</State>
          <ZIPCode>02026</ZIPCode>
        </USAddress>
        <EIN>043136240</EIN>
        <PrimaryActivitiesTxt>Multi-Specialty Medical Group</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>Line 9</PublicCharityStatusTxt>
        <DirectControllingEntityName>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1>South Shore Medical Center Inc</BusinessNameLine1>
        </DisregardedEntityName>
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          <AddressLine1>75 Washington Street</AddressLine1>
          <City>Norwell</City>
          <State>MA</State>
          <ZIPCode>02061</ZIPCode>
        </USAddress>
        <EIN>042297845</EIN>
        <PrimaryActivitiesTxt>Multi-Specialty Medical Group</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
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        <DirectControllingEntityName>
          <BusinessNameLine1>Atrius Health Inc</BusinessNameLine1>
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          <AddressLine1>24 Newton Street</AddressLine1>
          <City>Southboro</City>
          <State>MA</State>
          <ZIPCode>01772</ZIPCode>
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        <EIN>042487729</EIN>
        <PrimaryActivitiesTxt>Multi-Specialty Medical Group</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
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      <IdRelatedTaxExemptOrgGrp>
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          <City>Newton</City>
          <State>MA</State>
          <ZIPCode>02466</ZIPCode>
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        <EIN>264517944</EIN>
        <PrimaryActivitiesTxt>Support Atrius Health and Its Supporting Organizations</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
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          <BusinessNameLine1>Atrius Health Inc</BusinessNameLine1>
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      <IdRelatedTaxExemptOrgGrp>
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          <City>Worcester</City>
          <State>MA</State>
          <ZIPCode>01605</ZIPCode>
        </USAddress>
        <EIN>042472266</EIN>
        <PrimaryActivitiesTxt>Provide Medical Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
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          <BusinessNameLine1>Atrius Health Inc</BusinessNameLine1>
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      <IdRelatedTaxExemptOrgGrp>
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          <AddressLine1>630 Plantation Street</AddressLine1>
          <City>Worcester</City>
          <State>MA</State>
          <ZIPCode>01605</ZIPCode>
        </USAddress>
        <EIN>222912515</EIN>
        <PrimaryActivitiesTxt>Promote Community Health</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 7</PublicCharityStatusTxt>
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          <BusinessNameLine1>Reliant Medical Group Inc</BusinessNameLine1>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>VNA Care Hospice Inc</BusinessNameLine1>
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          <AddressLine1>120 Thomas Street</AddressLine1>
          <City>Worcester</City>
          <State>MA</State>
          <ZIPCode>01608</ZIPCode>
        </USAddress>
        <EIN>043217872</EIN>
        <PrimaryActivitiesTxt>Hospice Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (c)(3)</ExemptCodeSectionTxt>
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        <DirectControllingEntityName>
          <BusinessNameLine1>VNA Care Network Foundation Inc</BusinessNameLine1>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
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          <AddressLine1>120 Thomas Street</AddressLine1>
          <City>WORCESTER</City>
          <State>MA</State>
          <ZIPCode>01608</ZIPCode>
        </USAddress>
        <EIN>042794849</EIN>
        <PrimaryActivitiesTxt>Management Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 9</PublicCharityStatusTxt>
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          <BusinessNameLine1>Atrius Health Inc</BusinessNameLine1>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>VNA Care Network Inc</BusinessNameLine1>
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        <USAddress>
          <AddressLine1>120 Thomas Street</AddressLine1>
          <City>Worcester</City>
          <State>MA</State>
          <ZIPCode>01608</ZIPCode>
        </USAddress>
        <EIN>042103825</EIN>
        <PrimaryActivitiesTxt>Home Health Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 9</PublicCharityStatusTxt>
        <DirectControllingEntityName>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>VNA Care Advantage Inc</BusinessNameLine1>
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          <AddressLine1>120 Thomas Street</AddressLine1>
          <City>Worcester</City>
          <State>MA</State>
          <ZIPCode>01608</ZIPCode>
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        <EIN>042953171</EIN>
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        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 9</PublicCharityStatusTxt>
        <DirectControllingEntityName>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>Lakeview Medical Inc</BusinessNameLine1>
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          <AddressLine1>44 Southbridge Street</AddressLine1>
          <City>Auburn</City>
          <State>MA</State>
          <ZIPCode>01501</ZIPCode>
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        <EIN>043106404</EIN>
        <PrimaryActivitiesTxt>Medical Equipment Supplier</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 9</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1>Reliant Medical Group Inc</BusinessNameLine1>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1>Venture 2-BRN LLC</BusinessNameLine1>
        </RelatedOrganizationName>
        <USAddress>
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          <City>Newton</City>
          <State>MA</State>
          <ZIPCode>02466</ZIPCode>
        </USAddress>
        <EIN>205842227</EIN>
        <PrimaryActivitiesTxt>MRI Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <PredominantIncomeTypeTxt>Related</PredominantIncomeTypeTxt>
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        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1>Venture 3-WW LLC</BusinessNameLine1>
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        <USAddress>
          <AddressLine1>275 Grove Street Suite 3-300</AddressLine1>
          <City>Newton</City>
          <State>MA</State>
          <ZIPCode>02466</ZIPCode>
        </USAddress>
        <EIN>208676840</EIN>
        <PrimaryActivitiesTxt>Radiation, Oncology and CAT Scan Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
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        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1>Venture 4-WW2 LLC</BusinessNameLine1>
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        <USAddress>
          <AddressLine1>275 Grove Street Suite 3-300</AddressLine1>
          <City>Newton</City>
          <State>MA</State>
          <ZIPCode>02466</ZIPCode>
        </USAddress>
        <EIN>262783850</EIN>
        <PrimaryActivitiesTxt>Digital Mammography, Ultrasound and Bone Density Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <PredominantIncomeTypeTxt>Related</PredominantIncomeTypeTxt>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1>Venture V-90 Libbey LLC</BusinessNameLine1>
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        <USAddress>
          <AddressLine1>275 Grove Street Suite 3-300</AddressLine1>
          <City>Newton</City>
          <State>MA</State>
          <ZIPCode>02466</ZIPCode>
        </USAddress>
        <EIN>274351500</EIN>
        <PrimaryActivitiesTxt>Gastrointestinal Endoscopic Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <PredominantIncomeTypeTxt>Related</PredominantIncomeTypeTxt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
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        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1>40 Millbrook Street</AddressLine1>
          <City>Worcester</City>
          <State>MA</State>
          <ZIPCode>01606</ZIPCode>
        </USAddress>
        <EIN>421757904</EIN>
        <PrimaryActivitiesTxt>Home Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1>VNA Private Care Inc</BusinessNameLine1>
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        <USAddress>
          <AddressLine1>350 Granite Street Suite 1104</AddressLine1>
          <City>Braintree</City>
          <State>MA</State>
          <ZIPCode>02184</ZIPCode>
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        <PrimaryActivitiesTxt>Private Duty Home Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1>Central Masscahusetts Indemnity Co Inc</BusinessNameLine1>
        </RelatedOrganizationName>
        <ForeignAddress>
          <AddressLine1>First Caribbean House George Town</AddressLine1>
          <City>Grand Cayman</City>
          <Country>CJ</Country>
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        <EIN>980405037</EIN>
        <PrimaryActivitiesTxt>Insurance</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1>Massachusetts Assurance Company LTD</BusinessNameLine1>
        </RelatedOrganizationName>
        <ForeignAddress>
          <AddressLine1>First Caribbean House George Town</AddressLine1>
          <City>Grand Cayman</City>
          <Country>CJ</Country>
        </ForeignAddress>
        <PrimaryActivitiesTxt>Insurance</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
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        </RelatedOrganizationName>
        <USAddress>
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          <City>Worcester</City>
          <State>MA</State>
          <ZIPCode>01605</ZIPCode>
        </USAddress>
        <EIN>043403101</EIN>
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        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <DirectControllingEntityName>
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      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
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      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>1</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>1</TransferFromOtherOrgInd>
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  </ReturnData>
</Return>