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        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
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      <PaidStaffOrManagementInd>false</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>false</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>false</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
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      <OtherActivitiesAmt>26200</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>26200</TotalLobbyingExpendituresAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Sangmesh Jabshetty</PersonNm>
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        <PersonNm>Michael Ragland</PersonNm>
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        <PersonNm>Asma Jami</PersonNm>
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        <FormAndLineReferenceDesc>Schedule J, Part I, Line 1a Housing allowance or residence for personal use</FormAndLineReferenceDesc>
        <ExplanationTxt>DAVID KOCH, HOUSING STIPEND, TAXABLE COMPENSATION AS PER EMPLOYEE OFFER.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</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, 2024: LINNEA WINDEL: $36,500 CLAIRE DOBBINS: $12,000 DAVID KOCH: $12,000</ExplanationTxt>
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        <ExplanationTxt>VNA HEALTH CARE (VNA) IS A HUMANITARIAN, NOT-FOR-PROFIT ORGANIZATION DEDICATED TO PROVIDING COMPASSIONATE, DEPENDABLE AND COMPREHENSIVE PRIMARY CARE AND COMMUNITY HEALTH SERVICES. RECOGNIZING THAT EACH INDIVIDUAL IS UNIQUE AND IS TO BE TREATED WITH DIGNITY, VNA EXTENDS QUALITY CARE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES, IN ACCORDANCE WITH ESTABLISHED VNA CHARITABLE CARE POLICIES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a-4c Description of program services</FormAndLineReferenceDesc>
        <ExplanationTxt>(Expenses $ 615,322 including grants of $) Home Health</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a-4c Description of program services</FormAndLineReferenceDesc>
        <ExplanationTxt>(Expenses $ 47,696 including grants of $) Hospice</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 1a Delegate broad authority to a committee</FormAndLineReferenceDesc>
        <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>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <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>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</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>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</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>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</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, 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 XII, Line 2c Change of oversight process or selection process</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AUDIT OVERSIGHT AND ACCOUNTANT SELECTION PROCESS HAS NOT CHANGED SIGNIFICANTLY FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990-Section B Amended return</FormAndLineReferenceDesc>
        <ExplanationTxt>The return is being amended to correctly report lobbying activities. The following changes were made on the amended return: Part IV, Question 4 - answer changed to yes Part IX- Updated to reflect lobbying expenditures: Part IX Line 11d - changed from $0 to $26,200 Part IX Line 11g - changed from $5,530,565 to $5,504,365 Schedule C- Added to report the filing organization's lobbying activities in part II-B.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>