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      <Form990PartVIISectionAGrp>
        <PersonNm>Charles Brown</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Alma Harrell</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Mary Taylor</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Lucy Ferrer</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Estefania Guerrero</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Martha Vazquez</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID KOCH</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <TotalOtherCompensationAmt>220922</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>82</IndivRcvdGreaterThan100KCnt>
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      <ContractorCompensationGrp>
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          <PersonNm>Stephen Gladdin</PersonNm>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1576 W RUE JAMES PLACE</AddressLine1Txt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Kevin Copley</PersonNm>
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        <ContractorAddress>
          <USAddress>
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          </USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Christine Moylussa Ruth Howorth</PersonNm>
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          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Fadel Azer</PersonNm>
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          <USAddress>
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      <TotalContributionsAmt>27260625</TotalContributionsAmt>
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      <ProgramServiceRevenueGrp>
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      <NetRentalIncomeOrLossGrp>
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        <ExclusionAmt>65951</ExclusionAmt>
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      <NetGainOrLossInvestmentsGrp>
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      <BenefitsToMembersGrp>
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        <ProgramServicesAmt>476153</ProgramServicesAmt>
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      <PaymentsToAffiliatesGrp>
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      <OtherExpensesGrp>
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        <ManagementAndGeneralAmt>926687</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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      <OtherExpensesGrp>
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      <EscrowAccountLiabilityGrp>
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        <EOYAmt>0</EOYAmt>
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      <UnsecuredNotesLoansPayableGrp>
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        <EOYAmt>0</EOYAmt>
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      <OtherLiabilitiesGrp>
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        <EOYAmt>1893067</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>25940439</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>1746693</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>29666422</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>ASC 740 Footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>Management has evaluated their income tax positions under the guidance included in ASC 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements.</ExplanationTxt>
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        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>DEFERRED COMPENSATION 457(F) PLAN: VNA HAS A DEFERRED COMPENSATION PLAN FOR CERTAIN HIGHLY COMPENSATED SENIOR EMPLOYEES UNDER IRC SECTION 457(F). UNDER THIS PLAN, VNA IN ITS DISCRETION MAY MAKE NONELECTIVE ACCRUALS TO THE PLAN ON BEHALF OF ITS PLAN PARTICIPANTS. THE FOLLOWING ADDITIONS WERE MADE TO THE PLAN FOR THE YEAR ENDED JUNE 30, 2023: LINNEA WINDEL: $24,500 CLAIRE DOBBINS: $11,504</ExplanationTxt>
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        <ExplanationTxt>THE BOARD OF DIRECTORS OF VNA HAS AN EXECUTIVE COMMITTEE COMPRISED OF THE CHAIRMAN, 1ST VICE-CHAIRMAN, 2ND VICE-CHAIRMAN, SECRETARY, AND TREASURER. THE PRESIDENT/CEO PARTICIPATES IN AN EX OFFICIO, NON-VOTING CAPACITY. THE EXECUTIVE COMMITTEE SHALL CONVENE AS NECESSARY AND SHALL ACT FOR THE BOARD OF DIRECTORS IN ALL MATTERS REQUIRING IMMEDIATE ATTENTION DURING THE INTERIM PERIODS BETWEEN MEETINGS OF THE BOARD OF DIRECTORS; PROVIDED THAT THE EXECUTIVE COMMITTEE SHALL NOT (1) ADOPT A PLAN FOR THE DISTRIBUTION OF THE ASSETS OF THE CORPORATION, OR FOR DISSOLUTION; (2) FILL VACANCIES ON THE BOARD OR ON ANY OF ITS COMMITTEES; (3) ELECT, APPOINT OR REMOVE ANY OFFICER, DIRECTOR OR COMMITTEE MEMBER, OR FIX THE COMPENSATION OF ANY COMMITTEE MEMBER; (4) ADOPT, AMEND OR REPEAL THE BYLAWS OR THE ARTICLES OF INCORPORATION; (5) ADOPT A PLAN OF MERGER OR ADOPT A PLAN OF CONSOLIDATION WITH ANOTHER CORPORATION, OR AUTHORIZE THE SALE, LEASE, EXCHANGE, OR MORTGAGE OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY OR ASSETS OF THE CORPORATION; OR (6) AMEND, ALTER, REPEAL OR TAKE ACTION INCONSISTENT WITH ANY RESOLUTION OR ACTION OF THE BOARD OF DIRECTORS WHEN THE RESOLUTION OR ACTION OF THE BOARD PROVIDES BY ITS TERMS THAT IT SHALL NOT BE AMENDED, ALTERED OR REPEALED BY ACTION OF A COMMITTEE. THE EXECUTIVE COMMITTEE SHALL MAKE A REPORT FOR THE BOARD OF DIRECTORS, AND SHALL OBTAIN THE BOARD'S RATIFICATION AT THE NEXT BOARD MEETING, WHENEVER IT TAKES ANY ACTIONS ON THE BOARD'S BEHALF. IN ADDITION, THE EXECUTIVE COMMITTEE SHALL: (1) DEVELOP THE BOARD PLAN FOR THE YEAR, INCLUDING TRAINING AND DEVELOPMENT FOR THE BOARD AND APPROPRIATE TRAVEL FOR BOARD MEMBERS; (2) COMPRISE THE SEARCH COMMITTEE RESPONSIBLE FOR RECOMMENDING CANDIDATES FOR PRESIDENT/CEO; AND (3) CONDUCT THE EVALUATION OF THE PRESIDENT/CEO.</ExplanationTxt>
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        <ExplanationTxt>THE CONTROLLER AND CHIEF EXECUTIVE OFFICER INSPECTS FORM 990 AND REVIEWS IT WITH THE FINANCE COMMITTEE CHAIRMAN, COMPARING THE TAX RETURN WITH INTERNAL RECORDS. A DRAFT OF THE FORM 990 IS ALSO DISTRIBUTED TO ALL MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO FILING THE RETURN WITH THE IRS.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS AND OFFICERS ARE REQUIRED TO ANNUALLY DISCLOSE IN WRITING ALL BUSINESS AND FAMILY RELATIONSHIPS THAT MIGHT POTENTIALLY CREATE A CONFLICT OF INTEREST. ALL POSSIBLE INDIRECT FINANCIAL INTERESTS IN A FEDERALLY FUNDED CONTRACT MUST ALSO BE DISCLOSED IN WRITING. BOARD MEMBERS MAY NOT VOTE ON ANY MATTER WHICH MAY DIRECTLY OR INDIRECTLY RESULT IN FINANCIAL GAIN TO THAT MEMBER.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>IN DETERMINING THE COMPENSATION OF THE CEO and TOP MANAGEMENT, THE ORGANIZATION PARTICIPATES IN INDUSTRY-WIDE COMPENSATION SURVEYS FOR HOMECARE AND HEALTH CENTERS. IN ADDITION, COMPENSATION PACKAGES DETAILED ON PUBLICLY AVAILABLE TAX FILINGS ARE TAKEN INTO CONSIDERATION WHEN DETERMINING SALARIES. THE BOARD EXECUTIVE COMMITTEE REVIEWS THE CEO'S PERFORMANCE ANNUALLY AND SETS GOALS AND OBJECTIVES TO ACHIEVE IN THE UPCOMING REVIEW PERIOD.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>IN DETERMINING THE COMPENSATION OF OTHER officers or key EMPLOYEES, THE ORGANIZATION PARTICIPATES IN INDUSTRY-WIDE COMPENSATION SURVEYS FOR HOMECARE AND HEALTH CENTERS. IN ADDITION, COMPENSATION PACKAGES DETAILED ON PUBLICLY AVAILABLE TAX FILINGS ARE TAKEN INTO CONSIDERATION WHEN DETERMINING SALARIES. THE BOARD EXECUTIVE COMMITTEE REVIEWS THE CEO'S PERFORMANCE ANNUALLY AND SETS GOALS AND OBJECTIVES TO ACHIEVE IN THE UPCOMING REVIEW PERIOD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AUDIT OVERSIGHT AND ACCOUNTANT SELECTION PROCESS HAS NOT CHANGED SIGNIFICANTLY FROM THE PRIOR YEAR.</ExplanationTxt>
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</Return>
