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        <ManagementAndGeneral>4990</ManagementAndGeneral>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>61286</Total>
        <ProgramServices>45739</ProgramServices>
        <ManagementAndGeneral>5116</ManagementAndGeneral>
        <Fundraising>10431</Fundraising>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>9460673</Total>
        <ProgramServices>8554357</ProgramServices>
        <ManagementAndGeneral>895885</ManagementAndGeneral>
        <Fundraising>10431</Fundraising>
      </TotalFunctionalExpenses>
      <SavingsAndTempCashInvestments>
        <BOY>1331612</BOY>
        <EOY>1208296</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
        <BOY>1122942</BOY>
        <EOY>1320096</EOY>
      </AccountsReceivable>
      <PrepaidExpensesDeferredCharges>
        <BOY>57702</BOY>
        <EOY>64897</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>1604356</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>951752</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>659816</BOY>
        <EOY>652604</EOY>
      </LandBuildingsEquipmentBasisNet>
      <TotalAssets>
        <BOY>3172072</BOY>
        <EOY>3245893</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>673926</BOY>
        <EOY>760378</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>270276</BOY>
        <EOY>261527</EOY>
      </DeferredRevenue>
      <OtherLiabilities>
        <BOY>122094</BOY>
        <EOY>46062</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>1066296</BOY>
        <EOY>1067967</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>2105776</BOY>
        <EOY>2177926</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>2105776</BOY>
        <EOY>2177926</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>3172072</BOY>
        <EOY>3245893</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>72150</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>0</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <FSAuditedBasis>
        <FinancialStatementSeparate>X</FinancialStatementSeparate>
      </FSAuditedBasis>
      <AuditCommittee>1</AuditCommittee>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2>X</PubliclySupportedOrg509a2>
      <GiftsGrantsContribReceived509>
        <CurrentTaxYearMinus4Years>212852</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>192275</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>212240</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>185010</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>225003</CurrentTaxYear>
        <Total>1027380</Total>
      </GiftsGrantsContribReceived509>
      <GrossReceiptsFromAdmissions>
        <CurrentTaxYearMinus4Years>8448219</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>8522618</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>9060358</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>9093006</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>9296132</CurrentTaxYear>
        <Total>44420333</Total>
      </GrossReceiptsFromAdmissions>
      <Total509>
        <CurrentTaxYearMinus4Years>8661071</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>8714893</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>9272598</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>9278016</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>9521135</CurrentTaxYear>
        <Total>45447713</Total>
      </Total509>
      <AmtsRecdFromDisqualPersons>
        <Total>0</Total>
      </AmtsRecdFromDisqualPersons>
      <AmtsFromSubstContributors>
        <Total>0</Total>
      </AmtsFromSubstContributors>
      <SupportFromDQPsEtc>
        <Total>0</Total>
      </SupportFromDQPsEtc>
      <PublicSupportTotal509>45447713</PublicSupportTotal509>
      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus4Years>9799</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>10638</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>10655</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>9000</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>11688</CurrentTaxYear>
        <Total>51780</Total>
      </GrossInvestmentIncome509>
      <InvestmentIncomeAndUBTI>
        <CurrentTaxYearMinus4Years>9799</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>10638</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>10655</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>9000</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>11688</CurrentTaxYear>
        <Total>51780</Total>
      </InvestmentIncomeAndUBTI>
      <TotalSupportTotal>
        <CurrentTaxYearMinus4Years>8670870</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>8725531</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>9283253</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>9287016</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>9532823</CurrentTaxYear>
        <Total>45499493</Total>
      </TotalSupportTotal>
      <PublicSupportPercentage509>0.99890</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.99870</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.00110</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.00130</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <Land>
        <OtherCostOrOtherBasis>48600</OtherCostOrOtherBasis>
        <BookValue>48600</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>1119789</OtherCostOrOtherBasis>
        <Depreciation>635924</Depreciation>
        <BookValue>483865</BookValue>
      </Buildings>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>435967</OtherCostOrOtherBasis>
        <Depreciation>315828</Depreciation>
        <BookValue>120139</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>652604</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>Due To Third Party Payers</Description>
        <Amount>46062</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>46062</TotalOfAmounts>
      <TotRevenueEtcAuditedFinclStmt>9532823</TotRevenueEtcAuditedFinclStmt>
      <RevenueNotRptdF990>0</RevenueNotRptdF990>
      <RevenueSubtotal>9532823</RevenueSubtotal>
      <RevenueNotRptdOnFinStmt>0</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>9532823</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>9460673</TotExpensesEtcAuditedFinclStmt>
      <ExpensesNotRptdF990>0</ExpensesNotRptdF990>
      <ExpensesSubtotal>9460673</ExpensesSubtotal>
      <ExpensesNotRptdOnFinStmt>0</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>9460673</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIII>
        <Explanation>Part IV, Line 11f - The Agency is a public charity under Section 501 (c)(3) of the Internal Revenue Code. As a public charity, the Agency 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 Agency's tax positions and concluded that the Agency has no unrelated business income or uncertain tax positions that require adjustment to the financial statements.</Explanation>
      </Form990ScheduleDPartXIII>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 11</ReturnReference>
        <Explanation>The Chief Executive Officer and Chief Financial Officer reviews and approves the 990 and makes the form available to the board president.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 12c</ReturnReference>
        <Explanation>Board members are aware of the policy they sign annually and are instructed to disclose conflicts, if any arise during the year.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 15</ReturnReference>
        <Explanation>The board of directors evaluate Executive Directors performance and the Agency participates in wage and benefit surveys conducted by the Vermont Assembly of Home Health Agencies.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section C, line 19</ReturnReference>
        <Explanation>Upon request.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>