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        <ReportableCompFromRltdOrgAmt>22854</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SILVIA RIVERA-BELARDO</PersonNm>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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      <Form990PartVIISectionAGrp>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
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        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>163235</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31335</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ALVIN LEDWIDGE</PersonNm>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
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      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
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        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
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      <OtherRevenueTotalAmt>97162</OtherRevenueTotalAmt>
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      <CompCurrentOfcrDirectorsGrp>
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      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>918013</ProgramServicesAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>1169808</TotalAmt>
        <ProgramServicesAmt>905794</ProgramServicesAmt>
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        <ProgramServicesAmt>151552</ProgramServicesAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>26616</ProgramServicesAmt>
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      <OccupancyGrp>
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        <ProgramServicesAmt>268797</ProgramServicesAmt>
        <ManagementAndGeneralAmt>20422</ManagementAndGeneralAmt>
        <FundraisingAmt>941</FundraisingAmt>
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        <ProgramServicesAmt>1731</ProgramServicesAmt>
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        <ProgramServicesAmt>318363</ProgramServicesAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>211850</ProgramServicesAmt>
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        <Desc>SUPPLIES</Desc>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>264735</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>TELEPHONE</Desc>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>200528</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
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        <EOYAmt>2162285</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
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        <CurrentTaxYearMinus2YearsAmt>304357</CurrentTaxYearMinus2YearsAmt>
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        <CurrentTaxYearAmt>953654</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus1YearAmt>18177061</CurrentTaxYearMinus1YearAmt>
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          <AddressLine2>RESTRICTED</AddressLine2>
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          <State>RESTRICTED</State>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
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      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
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        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>VISITING NURSE SERVICE AND HOSPICE WAS EVALUATED FOR UNCERTAIN TAX POSITION AND HAS DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS FOR 2023 AND 2022.</ExplanationTxt>
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        <GrossRevenueEvent1Amt>35947</GrossRevenueEvent1Amt>
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        <Event2Nm>ANNUAL APPEAL</Event2Nm>
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        <GrossRevenueEvent2Amt>4774</GrossRevenueEvent2Amt>
        <OtherDirectExpensesEvent2Amt>4774</OtherDirectExpensesEvent2Amt>
        <OtherEventsTotalCnt>3</OtherEventsTotalCnt>
        <GrossReceiptsOtherEventsAmt>44417</GrossReceiptsOtherEventsAmt>
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        <GrossRevenueOtherEventsAmt>26462</GrossRevenueOtherEventsAmt>
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        <CharitableContributionsTotAmt>84186</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>67183</GrossRevenueTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>67183</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>67183</DirectExpenseSummaryEventsAmt>
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      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
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      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS AND EXECUTIVE STAFF ARE REQUIRED TO DISCLOSE ANNUALLY ALL MATTERS OF OWNERSHIP INTEREST, DIRECT OR INDIRECT, WHICH MIGHT REASONABLY RESULT IN A CONFLICT OF INTEREST. IF THERE WERE TO BE A CONFLICT OR A POTENTIAL CONFLICT, THE BOARD MEMBER WOULD BE PROHIBITED FROM PARTICIPATING IN THE GOVERNING BODY'S DELIBERATION AND DECISIONS REGARDING THE TRANSACTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE PERFORMS A COMPARATIVE COMPENSATION ANALYSIS AND RECOMMENDS THE COMPENSATION AMOUNT FOR THE CEO EACH YEAR. THIS RECOMMENDATION IS SUBJECT TO REVIEW AND APRPOVAL BY THE FULL BOARD OF DIRECTORS AT A SUBSEQUENT BOARD MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THESE DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
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