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          <State>RESTRICTED</State>
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        <FormAndLineReferenceDesc>Part II-B, Line 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization pays dues to local associations, a portion of which is attributable to lobbying activities.</ExplanationTxt>
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      <FootnoteTextInd>X</FootnoteTextInd>
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        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Association is a public charity under Section 501 (c)(3) of the Internal Revenue Code. As a public charity, the Association is exempt from state and federal income taxes on income earned in accordance with its tax exempt purpose. Unrelated business income is subject to state and federal income tax. Management has evaluated the Association's tax positions and concluded that the Association has no unrelated business income or uncertain tax positions that require adjustment to the financial statements.</ExplanationTxt>
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      <AnyNonFixedPaymentsInd>1</AnyNonFixedPaymentsInd>
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        <PersonNm>Lyne Limoges</PersonNm>
        <TitleTxt>Executive Director</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <PersonNm>Sharon Porter</PersonNm>
        <TitleTxt>Registered Nurse</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>Lyne Limoges, Executive Director received total bonus payments in the amount of $1,084.13. Stephanie Austin, Finance Director, received a total in the amount of $975.72. Sharon Porter, RN received total bonus payments in the amount of $1,084.13. Lori Sparkes, PT received total bonus payments in the amount of $1,084.13. The Holiday bonuses were determined and approved by the Board of Directors.</ExplanationTxt>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>Long Term Care Division: Choices for Care VT Medicaid Due to Confilct-Free Case Management, clients were transferred to the Northeast Council on Aging (NEKCOA). Vermont Home Health agencies will no longer have Case Managers for this program.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>Executive Director and Finance Director review the 990 prior to signing.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>To monitor compliance with the Conflict of Interest Policy for the Organization, each member of the governing Board of Directors, Officers, and Employees of the Agency are required annually and if an event actual or potential conflict arises, to submit a conflict-of-interest disclosure form. Forms are distributed at orientation and annually thereafter. The compliance officer verifies the receipt of these documents. Conflicts of interest, actual or potential, are reviewed by the Board of Directors. Persons with a conflict are prohibited from participating in the governing body's deliberations and decisions in the transaction. All new employees sign a conflict-of-interest statement at the time of hire. All employees, whether considered key employees or not, are expected to exercise good judgment and discretion in evaluating any particular activity to avoid any perceived, apparent or actual conflict of interest. A conflict of interest exists when an employee or their family member's outside interest (financial or personal) interferes or conflicts with the Agency's interests or the employee's workrelated duties.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>Comparison with other similar organizations per the Northern New England Healthcare Compensation Survey.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
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        <ExplanationTxt>Other Professional Fees: Program service expenses 891,694. Management and general expenses 238,069. Fundraising expenses 0. Total expenses 1,129,763.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part X, Line 10: Land, Buildings &amp; Equipment</FormAndLineReferenceDesc>
        <ExplanationTxt>Section 1.263(a)-3(n) Election: Orleans Essex Visiting Nurse Association &amp; Hospice, Inc. 46 Lakemont Road Newport, VT 05855 EIN: 23-7418021 Orleans Essex Visiting Nurse Association &amp; Hospice, Inc. is electing to capitalize repair and maintenance costs under Regulations Section 1.263(a)-3(n).</ExplanationTxt>
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  </ReturnData>
</Return>