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      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>50294</TotalRevenueColumn>
        <ExclusionAmount>50294</ExclusionAmount>
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        <TotalRevenueColumn>20234116</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>18115801</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>1487894</ExclusionAmount>
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      <CompCurrentOfficersDirectors>
        <Total>447020</Total>
        <ManagementAndGeneral>447020</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <OtherSalariesAndWages>
        <Total>10727465</Total>
        <ProgramServices>9655621</ProgramServices>
        <ManagementAndGeneral>1071844</ManagementAndGeneral>
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      <PensionPlanContributions>
        <Total>90113</Total>
        <ProgramServices>78263</ProgramServices>
        <ManagementAndGeneral>11850</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>1120076</Total>
        <ProgramServices>972786</ProgramServices>
        <ManagementAndGeneral>147290</ManagementAndGeneral>
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      <PayrollTaxes>
        <Total>889382</Total>
        <ProgramServices>772428</ProgramServices>
        <ManagementAndGeneral>116954</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesLegal>
        <Total>14240</Total>
        <ManagementAndGeneral>14240</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>45700</Total>
        <ManagementAndGeneral>45700</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesInvstMgmntFees>
        <Total>105574</Total>
        <ProgramServices>91691</ProgramServices>
        <ManagementAndGeneral>13883</ManagementAndGeneral>
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      <FeesForServicesOther>
        <Total>544148</Total>
        <ProgramServices>450148</ProgramServices>
        <ManagementAndGeneral>94000</ManagementAndGeneral>
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      <Advertising>
        <Total>133055</Total>
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        <ManagementAndGeneral>17497</ManagementAndGeneral>
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      <OfficeExpenses>
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        <ProgramServices>34354</ProgramServices>
        <ManagementAndGeneral>5201</ManagementAndGeneral>
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      <InformationTechnology>
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        <ProgramServices>146393</ProgramServices>
        <ManagementAndGeneral>22166</ManagementAndGeneral>
      </InformationTechnology>
      <Occupancy>
        <Total>507341</Total>
        <ProgramServices>440626</ProgramServices>
        <ManagementAndGeneral>66715</ManagementAndGeneral>
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      <Travel>
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        <ProgramServices>391677</ProgramServices>
        <ManagementAndGeneral>43994</ManagementAndGeneral>
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        <Total>84028</Total>
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        <ManagementAndGeneral>13907</ManagementAndGeneral>
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        <Description>Program Supplies</Description>
        <Total>962435</Total>
        <ProgramServices>962435</ProgramServices>
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      <OtherExpenses>
        <Description>Other Expenses</Description>
        <Total>495077</Total>
        <ProgramServices>429974</ProgramServices>
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      <OtherExpenses>
        <Description>Equipment Rental/Repair</Description>
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        <ManagementAndGeneral>23832</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>Telephone</Description>
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        <ManagementAndGeneral>17240</ManagementAndGeneral>
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      <AllOtherExpenses>
        <Total>158555</Total>
        <ProgramServices>108946</ProgramServices>
        <ManagementAndGeneral>16496</ManagementAndGeneral>
        <Fundraising>33113</Fundraising>
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      <TotalFunctionalExpenses>
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      <LandBuildingsEquipmentBasis>3111840</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>890463</LandBldgEquipmentAccumDeprec>
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        <EOY>112587</EOY>
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      <MortNotesPyblSecuredInvestProp>
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        <EOY>20472</EOY>
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        <EOY>3042885</EOY>
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      <FollowSFAS117>X</FollowSFAS117>
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      <TemporarilyRestrictedNetAssets>
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        <EOY>19756223</EOY>
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      <TotalLiabNetAssetsFundBalances>
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      <ReconcilationRevenueExpenses>2744998</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>-184990</ReconcilationOtherChanges>
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        <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
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        <CurrentTaxYear>630421</CurrentTaxYear>
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      <Total509>
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        <CurrentTaxYearMinus1Year>16615678</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>18746222</CurrentTaxYear>
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      <AmtsRecdFromDisqualPersons>
        <Total>0</Total>
      </AmtsRecdFromDisqualPersons>
      <AmtsFromSubstContributors>
        <Total>0</Total>
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      <SupportFromDQPsEtc>
        <Total>0</Total>
      </SupportFromDQPsEtc>
      <PublicSupportTotal509>77255583</PublicSupportTotal509>
      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus4Years>335746</CurrentTaxYearMinus4Years>
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        <CurrentTaxYearMinus1Year>324193</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>377980</CurrentTaxYear>
        <Total>1691082</Total>
      </GrossInvestmentIncome509>
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        </ContributorNameBusiness>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
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        <AggregateContributions>RESTRICTED</AggregateContributions>
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        <BookValue>270000</BookValue>
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        <Depreciation>123660</Depreciation>
        <BookValue>1822682</BookValue>
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        <OtherCostOrOtherBasis>895498</OtherCostOrOtherBasis>
        <Depreciation>766803</Depreciation>
        <BookValue>128695</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>2221377</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>Due To Third Party Payers</Description>
        <Amount>4384</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Due to Affiliates</Description>
        <Amount>16088</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>20472</TotalOfAmounts>
      <TotRevenueEtcAuditedFinclStmt>20128542</TotRevenueEtcAuditedFinclStmt>
      <RevenueNotRptdF990>0</RevenueNotRptdF990>
      <RevenueSubtotal>20128542</RevenueSubtotal>
      <InvestmentExpensesNotIncluded>105574</InvestmentExpensesNotIncluded>
      <RevenueNotRptdOnFinStmt>105574</RevenueNotRptdOnFinStmt>
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        <Explanation>Investment expenses netted against income Part IV, Line 11F - The VNA is a public charity under Section 501(c)(3) of the Internal Revenue Code. An application for determination as a public charity under Section 501(c)(3) is in process for the Foundation, Works and CSC. It is expected the applications will be approved and public charity status awarded. 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 positions and concluded that the Association has no unrelated business income or uncertain tax positions that require adjustment to the consolidated financial statements.</Explanation>
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    <IRS990ScheduleG documentId="RetDoc1041300001">
      <EventsInformation>
        <NameOfEvent1>Golf Tournament</NameOfEvent1>
        <GrossReceiptsEvent1>97241</GrossReceiptsEvent1>
        <GrossRevenueEvent1>97241</GrossRevenueEvent1>
        <CashPrizesEvent1>2660</CashPrizesEvent1>
        <RentFacilityCostsEvent1>26235</RentFacilityCostsEvent1>
        <OtherDirectExpensesEvent1>18052</OtherDirectExpensesEvent1>
        <GrossReceiptsTotal>97241</GrossReceiptsTotal>
        <GrossRevenueTotalEvents>97241</GrossRevenueTotalEvents>
        <CashPrizesTotalEvents>2660</CashPrizesTotalEvents>
        <RentFacilityCostsTotalEvents>26235</RentFacilityCostsTotalEvents>
        <OtherDirectExpensesTotalEvents>18052</OtherDirectExpensesTotalEvents>
        <DirectExpenseSummaryEvents>46947</DirectExpenseSummaryEvents>
        <NetIncomeSummary>50294</NetIncomeSummary>
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      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <Form990OfOtherOrganizations>X</Form990OfOtherOrganizations>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>0</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
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      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>1</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>Mary E Doherty</NamePerson>
        <Title>Executive Director</Title>
        <BaseCompensationFilingOrg>180000</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>8500</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>415</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>24059</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>212974</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Rudi Gerhard</NamePerson>
        <Title>Physical Therapist</Title>
        <BaseCompensationFilingOrg>127498</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
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        <NontaxableBenefitsFilingOrg>29650</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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        <NamePerson>Gail Gazelle</NamePerson>
        <Title>Hospice Medical Director</Title>
        <BaseCompensationFilingOrg>213049</BaseCompensationFilingOrg>
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        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
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        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
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        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 7</ReturnReference>
        <Explanation>Bonuses are provided to staff at the discretion of the Board of Directors.</Explanation>
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    <IRS990ScheduleL documentId="RetDoc1042800001">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Dulce Griffin</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Sister-in-law to Mary Doherty (Executive Director).</Relationship>
        <AmountOfTransaction>55889</AmountOfTransaction>
        <DescriptionOfTransaction>Dulce is an employee of NVNA.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 6</ReturnReference>
        <Explanation>The sole member of the Corporation shall be NVNA Foundation, Inc. (Foundation), a Massachusetts charitable corporation qualifying as tax-exempt under Section 501(c)(3) of the Code.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 7a</ReturnReference>
        <Explanation>The powers of the Member includes election of the Directors of the Organization.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 7b</ReturnReference>
        <Explanation>The powers of the Member includes the following: -Authorization or approval of any amendment to the Articles of Organization of the Corporation. -Authorization or approval of any amendment to the By-Laws of the Corporation. -Authorization or approval of any change to the name of the Corporation. -Authorization or approval of any merger, consolidationm reorganization, or sale, transfer, disposition, pledge or hypothecation of all or substantially all of the assets of the Corporation. -Authorization or approval of the establishment and the organizational documents (including any amendment, revision or repeal thereof), of any equity or contractual joint venture between the Corporation and any third party in which the Corporation will have more than a twenty percent interest in the revenues or profits of the joint venture, excluding contracts in the ordinary course of business. -Authorization or approval of any plan of dissolution, liquidation, assignment for the benefit of creditors, petition for voluntary bankruptcy or appointment of a receiver, or any plan for winding up the affairs of the Corporation, or any liquidating distribution by the Corporation. -Authorization or approval of the incurrence of any debt, loan, borrowing, debt guarantee, whether as primary obligor or co-obligor, pledge, lien, hypothecation, security interest or encumbrance on any of the property or assets of the Corporation. -Authorization or approval of any acquisition or lease of, or interest in, real estate, by the Corporation. -Authorization or approval of undertaking any expenditure outside of the annual budget whether by contract or otherwise, in excess of $25,000. -Authorization or approval of the settlement of any litigation or other dispute involving the Corporation.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 11</ReturnReference>
        <Explanation>The Executive Director and the CFO review the 990. It is then reviewed by the Finance Committee, which makes a report to the full Board of Directors.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 12c</ReturnReference>
        <Explanation>Board signs policy annually.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 15</ReturnReference>
        <Explanation>The CEO's salary is determined by the board of directors; CFO as well as other directors are evaluated by the CEO based on performance.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section C, line 19</ReturnReference>
        <Explanation>Upon request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Changes in Net Assets or Fund Balances:</Identifier>
        <ReturnReference>Form 990, Part XI, line 9:</ReturnReference>
        <Explanation>Transfer To Affiliate -184,990.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>NVNA Foundation Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>120 Longwater Circle</AddressLine1>
          <City>Norwell</City>
          <State>MA</State>
          <ZIPCode>02061</ZIPCode>
        </AddressUS>
        <EIN>273458384</EIN>
        <PrimaryActivities>Support</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>509(A)(3) Type II</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>NVNA Works Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2048 Washington St</AddressLine1>
          <City>Hanover</City>
          <State>MA</State>
          <ZIPCode>02339</ZIPCode>
        </AddressUS>
        <EIN>273458349</EIN>
        <PrimaryActivities>Private Duty Health Care</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>509(A)(2)</PublicCharityStatus>
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        <AddressUS>
          <AddressLine1>120 Longwater Drive</AddressLine1>
          <City>Norwell</City>
          <State>MA</State>
          <ZIPCode>02061</ZIPCode>
        </AddressUS>
        <EIN>452652624</EIN>
        <PrimaryActivities>Cancer Support</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>Box 7</PublicCharityStatus>
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        <ControlledOrg>0</ControlledOrg>
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      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>0</GiftGrantOrCapContrFrOtherOrg>
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      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
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      <ExchangeOfAssets>0</ExchangeOfAssets>
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      <SharingOfPaidEmployees>1</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>0</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>1</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>