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        <Desc>FOR HOSPICE CARE OF VNA, 92% OF OUR FAMILIES WE SERVED IN 2024 GIVE US THE HIGHEST "TOP BOX" SCORE IN OVERALL SATISFACTION WITH OUR AGENCY. OUR COMPASSIONATE HOSPICE TEAMS ENHANCE THE FINAL WEEKS, DAYS AND HOURS OF OUR PATIENTS' LIVES. IN 2024 VNA'S HOSPICE TEAM DELIVERED WORLD-CLASS CARE TO 352 PATIENTS IN KANSAS CITY AND THE SURROUNDING 11 COUNTY AREA. OUR PATIENTS AVERAGED 74.06 DAYS ON OUR HOSPICE SERVICE IN 2024 EQUATES TO AN AVERAGE DAILY CENSUS OF 47. ADDITIONALLY, OUR HOSPICE PROFESSIONALS ALSO PROVIDE INVALUABLE END OF LIFE EDUCATION TO FAMILIES AND LOVED ONES, AND WE CONTINUE PROVIDING CARE THROUGH OUR BEREAVEMENT SERVICES FOR 13 MONTHS FOLLOWING THE DEATH OF A LOVED ONE. AT VNA HOSPICE WE PROVIDE OUR SERVICES TO PATIENTS OF ALL AGES AND BACKGROUND.</Desc>
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        <TitleTxt>HOME HEALTH THERAPIST</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GREGORY KRISTOFF</PersonNm>
        <TitleTxt>HOME HEALTH THERAPIST</TitleTxt>
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        <FormAndLineReferenceDesc>Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation</FormAndLineReferenceDesc>
        <ExplanationTxt>FOLLOWING THE ACQUISITION, THE NEW CEO &amp; CFO ARE NOW COMPENSATED BY THE RELATED ORGANIZATION, MIDLAND CARE CONNECTION INC (MCC). MCC USES THE FOLLOWING METHODS TO ESTABLISH COMPENSATION OF THE CEO: - COMPENSATION SERVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4a Severance or change-of-control payment</FormAndLineReferenceDesc>
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        <ExplanationTxt>SINCE 1891, VISITING NURSE ASSOCIATION HOME HEALTH AND HOSPICE OF KANSAS CITY STRIVES TO BE OUR PATIENTS' FIRST AND ONLY CALL WHEN A NEED ARISES. OUR HEALTHCARE PROFESSIONALS ENDEAVOR TO DELIVER WORLD-CLASS QUALITY CARE TO EVERY PATIENT, EVERY VISIT. AT VNA WE BELIEVE OUR PATIENTS SHOULD NEVER SACRIFICE QUALITY OF CARE BASED ON THEIR ABILITY TO PAY. WE DELIVER INSPIRED CARE FROM AN INSPIRED TEAM.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION</FormAndLineReferenceDesc>
        <ExplanationTxt>OUR TOP FOUR PRIMARY DIAGNOSES WERE JOINT REPLACEMENT, HYPERTENSION WITH HEART FAILURE AND CHRONIC KIDNEY DISEASE, AFTERCARE FOR CANCER SURGERY, AND HYPERTENSION. APPROXIMATELY 15% OF ALL ADMISSIONS ARE SPECIFICALLY FOR JOINT REPLACEMENT AND OTHER TYPES OF ORTHOPEDIC SURGERY AFTERCARE. THROUGHOUT 2024 OUR REHABILITATION (PHYSICAL, OCCUPATIONAL AND SPEECH) THERAPISTS PERFORMED 27,701 VISITS (63% OF TOTAL ANNUAL VISITS). THE PHYSICAL, OCCUPATIONAL AND SPEECH THERAPISTS AT VNA BRING THERAPY TO THE COMFORT OF THE PLACE THEY CALL HOME, ASSISTING PATIENTS TO GAIN ABILITY ACROSS MULTI AREAS OF DIMINISHED CAPABILITY. OUR THERAPISTS NOT ONLY DELIVER CUSTOM DESIGNED THERAPY SESSIONS THEY ALSO EDUCATE PATIENTS ON POST VISIT TASKS TO CONTINUALLY ENHANCE THEIR REHABILITATION BETWEEN THERAPY SESSIONS. THE IMPORTANCE OF EDUCATION ALONG WITH THERAPY ASSISTS PATIENTS IN REGAINING GREATER SUCCESS OVER THE COURSE OF THEIR TREATMENT TIMELINE. WE ARE ALSO ONE OF THE FEW REMAINING HOME HEALTH AGENCIES WITH CERTIFIED WOUND CARE CLINICAL REGISTERED NURSES. THIS UNIQUE ASPECT SETS VNA APART IN THE COMMUNITIES WE SERVE. WOUND CARE PROVIDES A NECESSARY SERVICE TO PATIENTS WHO MIGHT OTHERWISE SEE GREATER HOSPITAL READMISSIONS. BY LIMITING UNDUE STRESS ON THE ALREADY OVERWHELMED HEALTHCARE SYSTEM OUR VNA WOUND CARE SPECIALISTS ASSIST IN ALLEVIATING HOSPITAL READMISSIONS OF OUR PATIENTS. VNA IS PROUD TO HAVE AFFILIATION WITH LSVT BIG AND LVST LOUD CERTIFICATION. WITH THESE CERTIFICATIONS VNA IS EQUIPPED TO BETTER TREAT PATIENTS WITH PARKINSON'S DISEASE OR OTHER NEUROLOGICAL CONDITIONS. VNA'S LSVT BIG AND LSVT LOUD THERAPY PROVIDES CUSTOM DESIGNED TREATMENT PLANS TO BENEFIT OUR PATIENTS. MANY OF OUR PATIENTS IN RURAL AND UNDERSERVED COMMUNITIES WOULD NOT HAVE ACCESS TO THIS PREMIER SERVICE WITHOUT VNA'S DEDICATION.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15 PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT</FormAndLineReferenceDesc>
        <ExplanationTxt>VNA CORPORATION CONDUCTED COMPENSATION REVIEWS IN 2023 USING INFORMATION FROM TOTAL COMPENSATION SOLUTIONS. THE FIRM'S LEGAL COUNSEL, WITH THE DIRECTION OF THE HUMAN RESOURCES COMMITTEE AND THE EXECUTIVE COMMITTEE, PERFORMED THE REVIEW OF THE ORGANIZATION'S PRESIDENT, THE CFO, AND CNO (CLINICAL DIRECTOR). ANNUAL COMPENSATION IS REVIEWED BY THE EXECUTIVE COMMITTEE AND LEGAL COUNSEL, WITH INPUT BY THE BOARD'S HUMAN RESOURCES COMMITTEE, IN THE OFF YEARS. OTHER KEY EMPLOYEES' COMPENSATION IS REVIEWED BY THE HUMAN RESOURCES COMMITTEE AND VNA'S HUMAN RESOURCE DIRECTOR ON AN ANNUAL BASIS. FOLLOWING THE ACQUISITION, THE NEW CEO AND CFO ARE COMPENSATED BY RELATED ORGANIZATION, MIDLAND CARE CONNECTION, INC (MCC). MCC DETERMINED THE EXECUTIVE COMPENSATION BY USING COMPENSATION RESOURCES, SUCH AS THE HOME CARE AND HOSPICE SALARY AND BENEFITS REPORT AND REGIONAL WAGE INDEXES. CEO COMPENSATION AND SALARY INCREASES ARE DETERMINED AND APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS WITHIN THE CONFINES OF THE APPROVED BUDGET. OTHER EXECUTIVE COMPENSATION IS BASED ON BENCHMARKING REPORTS AND APPROVED WITH THE CONFINES OF THE APPROVED ANNUAL BUDGET. ALL APPROVED COMPENSATION AND SALARY INCREASES ARE DOCUMENTED IN THE EMPLOYEE'S PERSONNEL FILES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a &amp; 7B - RESERVED RIGHTS AND POWERS BY MEMBERS</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE MEMBER SHALL HAVE THE POWER TO: - CHANGE THE NUMBER OF DIRECTORS - ELECT THE BOARD OF DIRECTORS - REMOVE DIRECTORS - AMEND THE BYLAWS - AMEND THE ARTICLES OF INCORPORATION - ADOPT ANNUAL BUDGETS - ESTABLISH LEVELS OF APPROVAL AUTHORITY FOR THE BOARD AND MANAGEMENT OF THE CORPORATION - APPROVE OR DISAPPROVE ITEMS EXCEEDING THE APPROVED AUTHORITY OF THE BOARD - ADOPT AND ENFORCE CORPORATE POLICIES - APPROVE IN ADVANCE ANY PROPOSED MERGER, SALE, DISSOLUTION AND/OR LIQUIDATION OF THE CORPORATION. FURTHER, THE SOLE MEMBER SHALL HAVE ALL SUCH OTHER RIGHTS AND PRIVILEGES OF MEMBERS OF A PUBLIC BENEFIT CORPORATION ORGANIZED UNDER R.S.MO. CHAPTER 355.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 2 Family/business relationships amongst interested persons</FormAndLineReferenceDesc>
        <ExplanationTxt>SHAWN SULLIVAN, JEREMY WILTZ, AND DANIEL LEHMAN - Business relationship</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 4 Significant changes to organizational documents</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION REVISED ITS BYLAWS DURING 2024 TO ALIGN WITH THE CHANGES FOLLOWING ITS ACQUISITION BY MIDLAND CARE CONNECTION, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE MEMBER OF THE CORPORATION IS MIDLAND CARE CONNECTION, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND OTHER INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE BOARD OF DIRECTORS WERE PROVIDED WITH THE DRAFT FORM 990 AND RELATED SCHEDULES. SCHEDULE B WAS PROVIDED TO THE BOARD WITH REDACTED DONOR INFORMATION. THE FORMS AND SCHEDULES WERE REVIEWED, WITH TIME ALLOWED FOR QUESTIONS AND ANSWERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL STAFF AND BOARD MEMBERS ARE REQUIRED TO SIGN A CONFLICT OF INTEREST STATEMENT. IN THE EVENT OF A CONFLICT TO OCCUR, THE CONFLICT WOULD BE REVIEWED BY THE RISK MANAGEMENT COMMITTEE (COMPRISED OF THE EXECUTIVE COMMITTEE, CEO AND SENIOR MANAGEMENT TEAM) AND A DETERMINATION OF ACTION WOULD BE MADE. A BOARD MEMBER THAT HAS A BUSINESS RELATIONSHIP THAT CREATES A CONFLICT OF INTEREST IS PROHIBITED FROM PARTICIPATING IN THE FINAL DISCUSSIONS AND DECISIONS IN THE TRANSACTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A BOARD MEMBER COMPENSATION</FormAndLineReferenceDesc>
        <ExplanationTxt>NO BOARD MEMBERS RECEIVED COMPENSATION FOR THEIR DUTIES AS DIRECTORS. BOARD OF DIRECTORS WITH COMPENSATION LISTED ON PART VII ARE EMPLOYEES OF THE FILING ORGANIZATION OR A RELATED ORGANIZATION AND THEIR COMPENSATION REFLECTS THEIR DUTIES IN THAT CAPACITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>TRANSFER FROM AFFILIATE - 1958589; VALUATION ADJUSTMENT - 332360; Total - 2290949;</ExplanationTxt>
      </SupplementalInformationDetail>
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          <BusinessNameLine1Txt>VISITING NURSE ASSOCIATION FOUNDATION</BusinessNameLine1Txt>
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          <AddressLine1Txt>1500 MEADOWLAKE PARKWAY</AddressLine1Txt>
          <CityNm>KANSAS CITY</CityNm>
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      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
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      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
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