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        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>VNA CARE ADVANTAGE, INC. ("ADVANTAGE") QUALIFIES AS A PUBLIC CHARITY UNDER 501(C)(3) OF THE INTERNAL REVENUE CODE ("IRC"). AS A PUBLIC CHARITY, IT 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 ADVANTAGE'S TAX POSITION AND CONCLUDED THAT ADVANTAGE HAS NO UNRELATED BUSINESS INCOME OR UNCERATIN TAX POSITIONS THAT REQUIRE ADJUSTMENT.</ExplanationTxt>
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        <PersonNm>JANE PIKE-BENTON</PersonNm>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>STEPHEN GUT</PersonNm>
        <TitleTxt>TREASURER/CHIEF FINANCIAL OFFICER</TitleTxt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID ROSE</PersonNm>
        <TitleTxt>CHIEF PEOPLE OFFICER</TitleTxt>
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        <ExplanationTxt>THE EXECUTIVE COMPENSATION COMMITTEE IS MADE UP OF INDEPENDENT BOARD MEMBERS OF PARENT ORGANIZATION, VNA CARE NETWORK FOUNDATION, INC. THE COMMITTEE OBTAINS A COMPETITIVE SALARY SURVEY FROM AN OUTSIDE INDEPENDENT SOURCE. THE EXECUTIVE COMPENSATION COMMITTEE THEN DELIBERATES AND DECIDES ON THE EXECUTIVE COMPENSATION.</ExplanationTxt>
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        <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 THE 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 THE BY-LAWS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PREPARED BY THE INDEPENDENT ACCOUNTANTS AND REVIEWED BY THE CEO AND CFO AND SENT TO THE FINANCE COMMITTEE FOR REVIEW. THE FINANCE COMMITTEE PRESENTS THE FORM 990 TO THE BOARD FOR APPROVAL.</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 ARE 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 IS MADE UP OF INDEPENDENT BOARD MEMBERS. THE COMMITTEE OBTAINS A COMPETITIVE SALARY SURVEY FROM AN OUTSIDE INDEPENDENT SOURCE. THE EXECUTIVE COMPENSATION COMMITTEE THEN DELIBERATES AND DECIDES ON THE EXECUTIVE COMPENSATION. OTHER OFFICERS AND KEY EMPLOYEES SALARIES ARE DETERMINED BY THE CEO AND THE EXECUTIVE COMMITTEE BASED ON COMPARABLE DATA THAT WAS OBTAINED BY A COMPETITIVE SALARY SURVEY FROM AN OUTSIDE INDEPENDENT SOURCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>CONSOLIDATED FINANCIAL STATEMENTS OF VNA CARE FOUNDATION AND AFFILIATES IS ATTACHED TO THE MA FORM PC FILED WITH THE ATTORNEY GENERAL'S OFFICE, WHICH IS OPEN TO PUBLIC INSPECTION. THE ARTICLES OF ORGANIZATION ARE AVAILABLE AT THE MASSACHUSETTS SECRETARY OF STATE'S OFFICE, INCLUDING ON-LINE. OTHER GOVERNING DOCUMENTS AND THE CONFLICTS OF INTEREST POLICY ARE NOT GENERALLY AVAILABLE TO THE PUBLIC. REQUESTS FOR COPIES OF SUCH DOCUMENTS ARE CONSIDERED ON A CASE BY CASE BASIS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S SELECTION PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR.</ExplanationTxt>
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          <AddressLine1Txt>67 MILLBROOK STREET 500 NORTH</AddressLine1Txt>
          <CityNm>WORCESTER</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01606</ZIPCd>
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        <EIN>042880108</EIN>
        <PrimaryActivitiesTxt>ADMINISTRATIVE AND MANAGEMENT SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>VISITING NURSE ASSOCIATION OF BOSTON INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>67 MILLBROOK STREET 500 NORTH</AddressLine1Txt>
          <CityNm>WORCESTER</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01606</ZIPCd>
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        <EIN>042105800</EIN>
        <PrimaryActivitiesTxt>HOME HEALTH CARE SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VNA CARE NETWORK FOUNDATION INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
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          <AddressLine1Txt>67 MILLBROOK STREET 500 NORTH</AddressLine1Txt>
          <CityNm>WORCESTER</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01606</ZIPCd>
        </USAddress>
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        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VNA CARE NETWORK FOUNDATION INC</BusinessNameLine1Txt>
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      </IdRelatedTaxExemptOrgGrp>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>VNA CARE NETWORK FOUNDATION INC</BusinessNameLine1Txt>
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        <USAddress>
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          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01606</ZIPCd>
        </USAddress>
        <EIN>042794849</EIN>
        <PrimaryActivitiesTxt>RAISE FUNDS AND MANAGE INVESTMENTS FOR AFFILIATES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VNA CARE NETWORK FOUNDATION INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
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      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VNA CARE NETWORK INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>67 MILLBROOK STREET 500 NORTH</AddressLine1Txt>
          <CityNm>WORCESTER</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01606</ZIPCd>
        </USAddress>
        <EIN>042103825</EIN>
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        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VNA CARE NETWORK FOUNDATION INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>1</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>1</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>VNA CARE NETWORK INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>D</TransactionTypeTxt>
        <InvolvedAmt>185713</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>BOOK VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>VNA CARE NETWORK FOUNDATION INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>D</TransactionTypeTxt>
        <InvolvedAmt>220545</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>BOOK VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>VNA CARE HOSPICE INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>E</TransactionTypeTxt>
        <InvolvedAmt>1787751</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>BOOK VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>VNA CARE MANAGEMENT RESOURCES INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>E</TransactionTypeTxt>
        <InvolvedAmt>964540</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>BOOK VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>