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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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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part IV, Line 11f</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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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>The sole corporate member shall be VNA Care Network Foundation, Inc. acting through its board of directors except as otherwise provided herein.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>The VNA Care Network Foundation, Inc. shall elect and may remove or suspend directors, 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>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>The VNA Care Network Foundation, Inc. shall elect and may remove or suspend directors, 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>
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        <ExplanationTxt>990 compiled and reviewed by the CEO and CFO and sent to the Finance Committee for review. The Finance Committee presents to the board for approval. Board members offered a copy of the 990 at that time.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Annually the Board is asked to sign a conflict of interest statement. Also, at the beginning of all Board meetings the Board chair asks if there is any conflicts with any of the agenda items.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>The Executive Compensation Committee made up of independent board members obtain a competive salary survey from an outside independent source. The Executive Compensation Committee then deliberates and decides on the executive compensation. Other officers and key employees sa;aroes are determined by the CEO and the executive committee. This is based on comparable data that was obtained by a competitive salary survey from an outside independent source.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>Upon request.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>Other Contract Services: Program service expenses 5,677,836. Management and general expenses 990,016. Fundraising expenses 0. Total expenses 6,667,852.</ExplanationTxt>
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          <City>Worcester</City>
          <State>MA</State>
          <ZIPCode>01608</ZIPCode>
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        <PrimaryActivitiesTxt>Management Company</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
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        </DisregardedEntityName>
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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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          <BusinessNameLine1>VNA Care Network Foundation Inc</BusinessNameLine1>
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      <IdRelatedTaxExemptOrgGrp>
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          <City>Worcester</City>
          <State>MA</State>
          <ZIPCode>01608</ZIPCode>
        </USAddress>
        <EIN>042953171</EIN>
        <PrimaryActivitiesTxt>Day Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
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          <City>Newton</City>
          <State>MA</State>
          <ZIPCode>02466</ZIPCode>
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        <EIN>043397450</EIN>
        <PrimaryActivitiesTxt>Multi-Specialty Medical Group</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
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          <State>MA</State>
          <ZIPCode>02169</ZIPCode>
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        <PrimaryActivitiesTxt>Multi-Specialty Medical Group</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
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          <City>Dedham</City>
          <State>MA</State>
          <ZIPCode>02026</ZIPCode>
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        <EIN>043136240</EIN>
        <PrimaryActivitiesTxt>Multi-Specialty Medical Group</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
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          <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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          <BusinessNameLine1>Southboro Medical Group Inc</BusinessNameLine1>
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          <AddressLine1>24 Newton Street</AddressLine1>
          <City>Southboro</City>
          <State>MA</State>
          <ZIPCode>01772</ZIPCode>
        </USAddress>
        <EIN>042487729</EIN>
        <PrimaryActivitiesTxt>Multi-Specialty Medical Group</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
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          <BusinessNameLine1>Atrius Health Inc</BusinessNameLine1>
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          <AddressLine1>275 Grove Street Suite 3-300</AddressLine1>
          <City>Newton</City>
          <State>MA</State>
          <ZIPCode>02466</ZIPCode>
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        <EIN>264517944</EIN>
        <PrimaryActivitiesTxt>Support Atrius Health and Supporting Organizations</PrimaryActivitiesTxt>
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        <DirectControllingEntityName>
          <BusinessNameLine1>Atrius Health Inc</BusinessNameLine1>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>Reliant Medical Group Inc (Formerly Fallon Clinic Inc)</BusinessNameLine1>
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          <AddressLine1>630 Plantation Street</AddressLine1>
          <City>Worcester</City>
          <State>MA</State>
          <ZIPCode>01605</ZIPCode>
        </USAddress>
        <EIN>042472266</EIN>
        <PrimaryActivitiesTxt>Provide Medical Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)3</ExemptCodeSectionTxt>
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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>
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        <DisregardedEntityName>
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          <City>Auburn</City>
          <State>MA</State>
          <ZIPCode>01501</ZIPCode>
        </USAddress>
        <EIN>043106404</EIN>
        <PrimaryActivitiesTxt>Medical Equipment Supplier</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
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          <State>MA</State>
          <ZIPCode>02129</ZIPCode>
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        <EIN>042105800</EIN>
        <PrimaryActivitiesTxt>Home Health Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
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          <State>MA</State>
          <ZIPCode>02129</ZIPCode>
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        <EIN>042880614</EIN>
        <PrimaryActivitiesTxt>Fundrasing</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
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        <DisregardedEntityName>
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          <AddressLine1>100 Trade Center Suite G-500</AddressLine1>
          <City>Woburn</City>
          <State>MA</State>
          <ZIPCode>01801</ZIPCode>
        </USAddress>
        <EIN>042658051</EIN>
        <PrimaryActivitiesTxt>Hospice Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
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          <AddressLine1>500 Rutherford Avenue</AddressLine1>
          <City>Charlestown</City>
          <State>MA</State>
          <ZIPCode>02129</ZIPCode>
        </USAddress>
        <EIN>042880108</EIN>
        <PrimaryActivitiesTxt>Management Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
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        <RelatedOrganizationName>
          <BusinessNameLine1>Home Staff LLC</BusinessNameLine1>
        </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>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1>Venture 2-BRN LLC</BusinessNameLine1>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1>275 Grove Street Suite 3-300</AddressLine1>
          <City>Newton</City>
          <State>MA</State>
          <ZIPCode>02466</ZIPCode>
        </USAddress>
        <EIN>205842227</EIN>
        <PrimaryActivitiesTxt>MRI Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
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        </RelatedOrganizationName>
        <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>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1>Venture 4-WWS LLC</BusinessNameLine1>
        </RelatedOrganizationName>
        <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>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1>Venture V-90 Libbey LLC</BusinessNameLine1>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1>275 Grove Street Suite 3-300</AddressLine1>
          <City>Newton</City>
          <State>MA</State>
          <ZIPCode>02466</ZIPCode>
        </USAddress>
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        <PrimaryActivitiesTxt>Gastrointestinal Endoscopic Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
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        <RelatedOrganizationName>
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        <ForeignAddress>
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          <City>Grand Cayman</City>
          <Country>CJ</Country>
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        <RelatedOrganizationName>
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          <City>Worcester</City>
          <State>MA</State>
          <ZIPCode>01605</ZIPCode>
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        <PrimaryActivitiesTxt>Inactive</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
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        <USAddress>
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          <City>Braintree</City>
          <State>MA</State>
          <ZIPCode>02184</ZIPCode>
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        <EIN>201916670</EIN>
        <PrimaryActivitiesTxt>Private Duty Home Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1>Massachusetts Assurance Company LTD</BusinessNameLine1>
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        <ForeignAddress>
          <AddressLine1>First Caribbean House George Town</AddressLine1>
          <City>Grand Cayman</City>
          <Country>CJ</Country>
        </ForeignAddress>
        <PrimaryActivitiesTxt>Insurance</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1>Reliant Medical Group Inc</BusinessNameLine1>
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</Return>