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        <Total>47138</Total>
        <ProgramServices>41866</ProgramServices>
        <ManagementAndGeneral>5272</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>1093893</Total>
        <ProgramServices>971554</ProgramServices>
        <ManagementAndGeneral>122339</ManagementAndGeneral>
      </InformationTechnology>
      <Occupancy>
        <Total>524944</Total>
        <ProgramServices>466235</ProgramServices>
        <ManagementAndGeneral>58709</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>764000</Total>
        <ProgramServices>678555</ProgramServices>
        <ManagementAndGeneral>85445</ManagementAndGeneral>
      </Travel>
      <ConferencesMeetings>
        <Total>27746</Total>
        <ProgramServices>24643</ProgramServices>
        <ManagementAndGeneral>3103</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>1769</Total>
        <ProgramServices>1571</ProgramServices>
        <ManagementAndGeneral>198</ManagementAndGeneral>
      </Interest>
      <DepreciationDepletion>
        <Total>177246</Total>
        <ProgramServices>157423</ProgramServices>
        <ManagementAndGeneral>19823</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>93571</Total>
        <ProgramServices>83106</ProgramServices>
        <ManagementAndGeneral>10465</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>intercompany contracts</Description>
        <Total>2114571</Total>
        <ProgramServices>916555</ProgramServices>
        <ManagementAndGeneral>1198016</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>Program Supplies</Description>
        <Total>627446</Total>
        <ProgramServices>627446</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Telephone</Description>
        <Total>569458</Total>
        <ProgramServices>505771</ProgramServices>
        <ManagementAndGeneral>63687</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Bad Debts</Description>
        <Total>368285</Total>
        <ProgramServices>368285</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Equip Rent &amp; Repair</Description>
        <Total>264549</Total>
        <ProgramServices>234962</ProgramServices>
        <ManagementAndGeneral>29587</ManagementAndGeneral>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>546999</Total>
        <ProgramServices>485823</ProgramServices>
        <ManagementAndGeneral>61176</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>35313271</Total>
        <ProgramServices>30465336</ProgramServices>
        <ManagementAndGeneral>4847935</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <SavingsAndTempCashInvestments>
        <BOY>6224062</BOY>
        <EOY>5290973</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <BOY>129752</BOY>
        <EOY>84880</EOY>
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      <AccountsReceivable>
        <BOY>6013822</BOY>
        <EOY>7394703</EOY>
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      <PrepaidExpensesDeferredCharges>
        <BOY>387373</BOY>
        <EOY>365101</EOY>
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      <LandBuildingsEquipmentBasis>3609363</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>2739722</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>761577</BOY>
        <EOY>869641</EOY>
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        <BOY>1620232</BOY>
        <EOY>2035322</EOY>
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        <BOY>116889</BOY>
        <EOY>199586</EOY>
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      <TotalAssets>
        <BOY>15253707</BOY>
        <EOY>16240206</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>2960657</BOY>
        <EOY>2815006</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>2279037</BOY>
        <EOY>2134295</EOY>
      </DeferredRevenue>
      <OtherLiabilities>
        <BOY>5803954</BOY>
        <EOY>6595320</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>11043648</BOY>
        <EOY>11544621</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>4106412</BOY>
        <EOY>4517973</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>103647</BOY>
        <EOY>177612</EOY>
      </TemporarilyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>4210059</BOY>
        <EOY>4695585</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>15253707</BOY>
        <EOY>16240206</EOY>
      </TotalLiabNetAssetsFundBalances>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2>X</PubliclySupportedOrg509a2>
      <GiftsGrantsContribReceived509>
        <CurrentTaxYearMinus4Years>332156</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>472727</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>336797</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>365061</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>387235</CurrentTaxYear>
        <Total>1893976</Total>
      </GiftsGrantsContribReceived509>
      <GrossReceiptsFromAdmissions>
        <CurrentTaxYearMinus4Years>33668784</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>32466468</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>35242920</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>37713473</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>41156378</CurrentTaxYear>
        <Total>180248023</Total>
      </GrossReceiptsFromAdmissions>
      <Total509>
        <CurrentTaxYearMinus4Years>34000940</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>32939195</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>35579717</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>38078534</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>41543613</CurrentTaxYear>
        <Total>182141999</Total>
      </Total509>
      <AmtsRecdFromDisqualPersons>
        <Total>0</Total>
      </AmtsRecdFromDisqualPersons>
      <AmtsFromSubstContributors>
        <Total>0</Total>
      </AmtsFromSubstContributors>
      <SupportFromDQPsEtc>
        <Total>0</Total>
      </SupportFromDQPsEtc>
      <PublicSupportTotal509>182141999</PublicSupportTotal509>
      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus4Years>136338</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>108935</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>111158</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>117675</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>55184</CurrentTaxYear>
        <Total>529290</Total>
      </GrossInvestmentIncome509>
      <InvestmentIncomeAndUBTI>
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        <CurrentTaxYearMinus3Years>108935</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>111158</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>117675</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>55184</CurrentTaxYear>
        <Total>529290</Total>
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        <CurrentTaxYearMinus3Years>33048130</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>35690875</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>38196209</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>41598797</CurrentTaxYear>
        <Total>182671289</Total>
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      <PublicSupportPercentage509>0.99710</PublicSupportPercentage509>
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      <InvestmentIncomePercentage>0.00290</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.00350</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <OtherCostOrOtherBasis>645375</OtherCostOrOtherBasis>
        <Depreciation>203914</Depreciation>
        <BookValue>441461</BookValue>
      </Buildings>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>2963988</OtherCostOrOtherBasis>
        <Depreciation>2535808</Depreciation>
        <BookValue>428180</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>869641</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>DUE TO THIRD PARTY PAYORS</Description>
        <Amount>5928033</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>due to affiliates</Description>
        <Amount>667287</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>6595320</TotalOfAmounts>
      <TotalRevenue>41598797</TotalRevenue>
      <TotalExpenses>35313271</TotalExpenses>
      <ExcessOrDeficitForYear>6285526</ExcessOrDeficitForYear>
      <OtherAmount>-5800000</OtherAmount>
      <TotalAdjustments>-5800000</TotalAdjustments>
      <ExcessOrDeficitPerFS>485526</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>41598797</TotRevenueEtcAuditedFinclStmt>
      <RevenueNotRptdF990>0</RevenueNotRptdF990>
      <RevenueSubtotal>41598797</RevenueSubtotal>
      <RevenueNotRptdOnFinStmt>0</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>41598797</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>35313271</TotExpensesEtcAuditedFinclStmt>
      <ExpensesNotRptdF990>0</ExpensesNotRptdF990>
      <ExpensesSubtotal>35313271</ExpensesSubtotal>
      <ExpensesNotRptdOnFinStmt>0</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>35313271</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XI, Line 8 - Other Adjustments:</Identifier>
        <Explanation>EQUITY TRANSFER TO HOME HEALTH FOUNDATION, INC.: -5800000.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <SubstantiationRequired>1</SubstantiationRequired>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>0</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>0</CompBasedOnRevenueOfFilingOrg>
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      <CompBasedNetEarningsFilingOrg>0</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>Joan Styles Hull</BusinessNameLine1>
        </NameBusiness>
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        <CompBasedOnRelatedOrgs>277986</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
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        <TotalCompensationRelatedOrgs>304682</TotalCompensationRelatedOrgs>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>Anthony Jorge</BusinessNameLine1>
        </NameBusiness>
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        <CompBasedOnRelatedOrgs>194038</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>10145</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>204183</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>Gail delaney-woolford</BusinessNameLine1>
        </NameBusiness>
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        <TotalCompensationFilingOrg>163142</TotalCompensationFilingOrg>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>jeffrey doucette</BusinessNameLine1>
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        <BonusFilingOrg>0</BonusFilingOrg>
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        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
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        <NontaxableBenefitsFilingOrg>4582</NontaxableBenefitsFilingOrg>
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        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>lisa aylward</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>150345</BaseCompensationFilingOrg>
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        <BonusFilingOrg>0</BonusFilingOrg>
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        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 6</Identifier>
        <Explanation>Home Health Foundation, Inc., acting through its Board of Trustees, shall be the sole member of the Corporation.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 7a</Identifier>
        <Explanation>The sole Member shall elect and may remove or suspend the Trustees.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 7b</Identifier>
        <Explanation>The Member shall have the right to approve each of the following actions of the Board of Trustees, and such actions by the Board shall not be effective unless and until approved by the Member: a)the adoption of annual operating and capital budgets; b)the adoption of any long range plans of the Corporation; c)the decision to establish a new program of service or to discontinue an existing program; d)the approval of any borrowing by the Corporation; e)the expenditure, disposition, donation, or acquisition by purchase, lease or other means, of corporate assets, other than in the ordinary course of business or budgeted items; f)the merger or consolidation of the Corporation with any other corporation, and the formation or dissolution of subsidiaries; g)the conduct of any fund raising activities; h)the selection or employment of legal counsel or certified public accountants, whether for special projects or on a regular basis; and i)the execution of leases for equipment or real estate, the execution of major contracts, and the approval of individuals authorized to sign checks.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 11</Identifier>
        <Explanation>the 990 will be reviewed by management, and current chairman and treasurer of the board of trustees prior to signing.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 12c</Identifier>
        <Explanation>any potential conflicts are reviewed by the ceo.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 15</Identifier>
        <Explanation>compensation study of like positions prepared every other year and reviewed by the executive committee of the board of trustees.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section C, line 19</Identifier>
        <Explanation>upon request</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990. Part XI, Line 2c.</Identifier>
        <Explanation>No changes from prior year.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>home health foundation inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>360 merrimack street</AddressLine1>
          <City>lawrence</City>
          <State>MA</State>
          <ZIPCode>01843</ZIPCode>
        </AddressUS>
        <EIN>222587225</EIN>
        <PrimaryActivities>management services</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501 (c)(3)</ExemptCodeSection>
        <PublicCharityStatus>509 (a)(3) type II</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>home care inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>360 merrimack street</AddressLine1>
          <City>lawrence</City>
          <State>MA</State>
          <ZIPCode>01843</ZIPCode>
        </AddressUS>
        <EIN>042854358</EIN>
        <PrimaryActivities>home health supportive services</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501 (c)(3)</ExemptCodeSection>
        <PublicCharityStatus>509(a)(2)</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>merrimack valley hospice inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>360 merrimack street</AddressLine1>
          <City>lawrence</City>
          <State>MA</State>
          <ZIPCode>01843</ZIPCode>
        </AddressUS>
        <EIN>043024278</EIN>
        <PrimaryActivities>hospice services</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501 (c)(3)</ExemptCodeSection>
        <PublicCharityStatus>509 (a)(2)</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartII>
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      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>0</GiftGrantOrCapContrFrOtherOrg>
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      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
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      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
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    </IRS990ScheduleR>
  </ReturnData>
</Return>