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          <BusinessName>
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          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <CityNm>Fairhaven</CityNm>
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            <ZIPCd>02719</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Computer Services</ServicesDesc>
        <CompensationAmt>227152</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Careficient Inc</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 947531</AddressLine1Txt>
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            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>303947531</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>EMR Services</ServicesDesc>
        <CompensationAmt>121631</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>N B Jewish Convalescent</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>200 Hawthorn St</AddressLine1Txt>
            <CityNm>New Bedford</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02740</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Hospice Care Services</ServicesDesc>
        <CompensationAmt>114877</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>7</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>35125</FundraisingAmt>
      <AllOtherContributionsAmt>294841</AllOtherContributionsAmt>
      <TotalContributionsAmt>329966</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Home Care and Hospice</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>13190228</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>13190228</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Other Operating Revenue</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>73753</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>73753</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>13263981</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>158472</TotalRevenueColumnAmt>
        <ExclusionAmt>158472</ExclusionAmt>
      </InvestmentIncomeGrp>
      <FundraisingGrossIncomeAmt>12430</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>35125</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>12854</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
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        <ExclusionAmt>-424</ExclusionAmt>
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      <GamingGrossIncomeAmt>27603</GamingGrossIncomeAmt>
      <GamingDirectExpensesAmt>5617</GamingDirectExpensesAmt>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>21986</TotalRevenueColumnAmt>
        <ExclusionAmt>21986</ExclusionAmt>
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        <RelatedOrExemptFuncIncomeAmt>13263981</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>180034</ExclusionAmt>
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        <ProgramServicesAmt>200910</ProgramServicesAmt>
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      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>769825</ProgramServicesAmt>
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        <ProgramServicesAmt>592187</ProgramServicesAmt>
        <ManagementAndGeneralAmt>113333</ManagementAndGeneralAmt>
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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>5526</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>90000</ManagementAndGeneralAmt>
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      <FeesForServicesOtherGrp>
        <TotalAmt>283078</TotalAmt>
        <ManagementAndGeneralAmt>283078</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>105586</TotalAmt>
        <ProgramServicesAmt>88629</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16957</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>165656</ProgramServicesAmt>
        <ManagementAndGeneralAmt>31694</ManagementAndGeneralAmt>
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      <OccupancyGrp>
        <TotalAmt>391056</TotalAmt>
        <ProgramServicesAmt>328252</ProgramServicesAmt>
        <ManagementAndGeneralAmt>62804</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>261082</TotalAmt>
        <ProgramServicesAmt>261082</ProgramServicesAmt>
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        <ProgramServicesAmt>40060</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7665</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>66487</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12721</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>698213</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>197378</ProgramServicesAmt>
        <ManagementAndGeneralAmt>37764</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>122433</ProgramServicesAmt>
        <ManagementAndGeneralAmt>23425</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>Other Expenses</Desc>
        <TotalAmt>7738</TotalAmt>
        <ProgramServicesAmt>6495</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1243</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
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        <EOYAmt>2925</EOYAmt>
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        <EOYAmt>235667</EOYAmt>
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    <IRS990ScheduleB documentId="RetDoc1234500001">
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          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
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        <ContributorUSAddress>
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        <BookValueAmt>71200</BookValueAmt>
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      <MemberOfOtherEntityInd>0</MemberOfOtherEntityInd>
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      <IndividualWithBooksNm>Michael Fitzpatrick</IndividualWithBooksNm>
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        <AddressLine1Txt>62 Center Street</AddressLine1Txt>
        <CityNm>Fairhaven</CityNm>
        <StateAbbreviationCd>MA</StateAbbreviationCd>
        <ZIPCd>02719</ZIPCd>
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      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>1</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Lisa K Parent</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>250504</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>12842</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7914</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>6866</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>278126</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Sandra J Dompierre</PersonNm>
        <TitleTxt>Chief Clinical Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>164602</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>8858</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5150</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>1369</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>179979</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>All eligible employees were voted on and approved by the Board of Directors. The eligibility lists that each employee must be employed at the time of payout and actively employed by 12/31/2023 for a November 2024 bonus payout.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Ashlee Santos</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Daughter of Lisa Parent, CEO</RelationshipDescriptionTxt>
        <TransactionAmt>120453</TransactionAmt>
        <TransactionDesc>Employed by CN as the Director of Hospice</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board Treasurer receives and reviews the 990, and all other board members are notified that there is a copy available for review at the association.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Directors reviews annually and discloses any conflicts.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>CEO compared with other organizations by Board and approved by the Board annually. CEO is the only employee under contract by the Board.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization makes its Form 990 and audited financial statements available to the public on request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part X, Line 10: Land, Buildings, and Equipment:</FormAndLineReferenceDesc>
        <ExplanationTxt>Section 1.263(a)-3(n) Election: Community Nurse, Inc. 62 Center Street Fairhaven, MA 02719 EIN: 04-2104019 Section 1.263(a)-3(n) Election: Community Nurse, Inc. is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, line 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>Change in Fair Value of Beneficial Interest in Perpetual Trust 53,671.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>