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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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        <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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        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 6</FormAndLineReferenceDesc>
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        <ExplanationTxt>Annually the Board is asked to signed 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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        <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 employee's salaries are determined by the CEO and the Compensation Committee based on comparable data obtained by a competitive salary survey from an outside independent source.</ExplanationTxt>
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        <ExplanationTxt>Upon request.</ExplanationTxt>
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        <ExplanationTxt>Other Contract Services: Program service expenses 3,660,305. Management and general expenses 372,786. Fundraising expenses 0. Total expenses 4,033,091.</ExplanationTxt>
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          <City>Quincy</City>
          <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>
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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>
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        <EIN>042297845</EIN>
        <PrimaryActivitiesTxt>Multi-Specialty Medical Group</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
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          <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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          <City>Newton</City>
          <State>MA</State>
          <ZIPCode>02466</ZIPCode>
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        <EIN>264517944</EIN>
        <PrimaryActivitiesTxt>Support Atrius Health and Its Supporting Oganizations</PrimaryActivitiesTxt>
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        <DirectControllingEntityName>
          <BusinessNameLine1>Atrius Health Inc</BusinessNameLine1>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
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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>
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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>
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        <PrimaryActivitiesTxt>Promote Community Health</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
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        <DirectControllingEntityName>
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        <DisregardedEntityName>
          <BusinessNameLine1>Lakeview Medical Inc</BusinessNameLine1>
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          <AddressLine1>44 Southbridge Street</AddressLine1>
          <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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        <DirectControllingEntityName>
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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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          <AddressLine1>500 Rutherford Avenue</AddressLine1>
          <City>Charlestown</City>
          <State>MA</State>
          <ZIPCode>02129</ZIPCode>
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        <EIN>042880614</EIN>
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        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1>VNA CARE NETWORK FOUNDATION INC</BusinessNameLine1>
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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>
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        <EIN>042658051</EIN>
        <PrimaryActivitiesTxt>Hospice Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
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          <BusinessNameLine1>VISITING NURSE ASSN OF BOSTON FOUNDATION INC</BusinessNameLine1>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>Visiting Nurse Association of Boston Management Resources Inc</BusinessNameLine1>
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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>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>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <PredominantIncomeTypeTxt>Related</PredominantIncomeTypeTxt>
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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>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1>Venture 4-WW2 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>
        <PredominantIncomeTypeTxt>Related</PredominantIncomeTypeTxt>
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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>
        <EIN>274351500</EIN>
        <PrimaryActivitiesTxt>Gastrointestinal Endoscopic 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>Home Staff LLC</BusinessNameLine1>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1>40 Millbrook Street</AddressLine1>
          <City>Worcester</City>
          <State>MA</State>
          <ZIPCode>01605</ZIPCode>
        </USAddress>
        <EIN>421757904</EIN>
        <PrimaryActivitiesTxt>Home Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1>Central Massachusetts Indemnity Co</BusinessNameLine1>
        </RelatedOrganizationName>
        <ForeignAddress>
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          <City>Grand Cayman</City>
          <Country>CJ</Country>
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        <PrimaryActivitiesTxt>Insurance</PrimaryActivitiesTxt>
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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>
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        <PrimaryActivitiesTxt>Insurance</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1>Reliant Medical Group Inc</BusinessNameLine1>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
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        <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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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
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        </RelatedOrganizationName>
        <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>
        <DirectControllingEntityName>
          <BusinessNameLine1>Visiting Nurse Association of Boston Foundation Inc</BusinessNameLine1>
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      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
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      <TransferFromOtherOrgInd>1</TransferFromOtherOrgInd>
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  </ReturnData>
</Return>