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        <Explanation>The Organization's governing documents, conflict of interest policy and financial statements are available upon request. Information is maintained by the senior management staff of the Organization.</Explanation>
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      <GeneralExplanation>
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        </NameOfOtherOrganization>
        <TransactionType>l</TransactionType>
        <AmountInvolved>435692</AmountInvolved>
        <MethodOfAmtDetermination>FairMarketValue</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>VNA Home Health Services</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>k</TransactionType>
        <AmountInvolved>505366</AmountInvolved>
        <MethodOfAmtDetermination>FairMarketValue</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>VNA Home Health Services</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>d</TransactionType>
        <AmountInvolved>1938782</AmountInvolved>
        <MethodOfAmtDetermination>FairMarketValue</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Hospice Care in WestchesterPutnam</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>k</TransactionType>
        <AmountInvolved>718728</AmountInvolved>
        <MethodOfAmtDetermination>FairMarketValue</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Hospice Care in WestchesterPutnam</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>d</TransactionType>
        <AmountInvolved>889213</AmountInvolved>
        <MethodOfAmtDetermination>FairMarketValue</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>