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      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>9267105</BeginningYearBalanceAmt>
        <ContributionsAmt>260489</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>127718</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>1090820</OtherExpendituresAmt>
        <EndYearBalanceAmt>8564492</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>7446524</BeginningYearBalanceAmt>
        <ContributionsAmt>2548047</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>525274</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>1252740</OtherExpendituresAmt>
        <EndYearBalanceAmt>9267105</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <BoardDesignatedBalanceEOYPct>0.85420</BoardDesignatedBalanceEOYPct>
      <PrmnntEndowmentBalanceEOYPct>0.14580</PrmnntEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>0</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>1500000</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1500000</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <InvestmentCostOrOtherBasisAmt>258533</InvestmentCostOrOtherBasisAmt>
        <OtherCostOrOtherBasisAmt>8893804</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1611601</DepreciationAmt>
        <BookValueAmt>7540736</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>828354</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>543182</DepreciationAmt>
        <BookValueAmt>285172</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>116722</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>40540</DepreciationAmt>
        <BookValueAmt>76182</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>9402090</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO THIRD PARTY PAYORS</Desc>
        <Amt>18098</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>18098</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>34060595</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>979226</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>56395</OtherRevenueAmt>
      <RevenueNotReportedAmt>1035621</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>33024974</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>67719</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>67719</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>33092693</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>31933211</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>56395</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>56395</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>31876816</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>67719</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>67719</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>31944535</TotalExpensesPerForm990Amt>
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        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE IRS CODE. AS SUCH, THE ORGANIZATION IS EXEMPT FROM STATE AND FEDERAL INCOME TAXES ON INCOME RELATED TO ITS TAX-EXEMPT PURPOSE. THE ORGANIZATION HAS PROCESSES IN PLACE TO ENSURE THE MAINTENANCE OF ITS TAX-EXEMPT STATUS; TO IDENTIFY AND REPORT UNRELATED INCOME; TO DETERMINE ITS FILING AND TAX OBLIGATIONS IN JURISDICTIONS FOR WHICH IT HAS NEXUS; AND TO IDENTIFY AND EVALUATE OTHER MATTERS THAT MAY BE CONSIDERED TAX POSITIONS. MANAGEMENT HAS CONCLUDED THAT AS OF JUNE 30, 2023 AND 2022, THERE ARE NO TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION IS SUBJECT TO ROUTINE EXAMINATIONS BY TAXING JURISDICTIONS GENERALLY FOR THE PRIOR THREE YEARS; HOWEVER, THERE ARE CURRENTLY NO EXAMINATIONS FOR ANY TAX PERIODS PENDING OR IN PROGRESS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EVENT EXPENSES REPORTED IN PART VIII 56,395.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EVENT EXPENSES REPORTED IN PART VIII 56,395.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <FundraisingEventInformationGrp>
        <Event1Nm>AUTUMN DINNER</Event1Nm>
        <GrossReceiptsEvent1Amt>256160</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>217966</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>38194</GrossRevenueEvent1Amt>
        <RentFacilityCostsEvent1Amt>1000</RentFacilityCostsEvent1Amt>
        <FoodAndBeverageEvent1Amt>17342</FoodAndBeverageEvent1Amt>
        <EntertainmentEvent1Amt>7100</EntertainmentEvent1Amt>
        <OtherDirectExpensesEvent1Amt>6250</OtherDirectExpensesEvent1Amt>
        <Event2Nm>SPRING BREAKFAST</Event2Nm>
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        <CharitableContriEvent2Amt>95005</CharitableContriEvent2Amt>
        <GrossRevenueEvent2Amt>28906</GrossRevenueEvent2Amt>
        <RentFacilityCostsEvent2Amt>500</RentFacilityCostsEvent2Amt>
        <FoodAndBeverageEvent2Amt>10760</FoodAndBeverageEvent2Amt>
        <EntertainmentEvent2Amt>1450</EntertainmentEvent2Amt>
        <OtherDirectExpensesEvent2Amt>4993</OtherDirectExpensesEvent2Amt>
        <GrossReceiptsTotalAmt>380071</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>312971</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>67100</GrossRevenueTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>1500</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>28102</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>8550</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>11243</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>49395</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>17705</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
      <GamingInformationGrp>
        <GrossRevenueOtherGamingAmt>19634</GrossRevenueOtherGamingAmt>
        <NonCashPrizesOtherGamingAmt>7000</NonCashPrizesOtherGamingAmt>
        <VolunteerLaborOtherGamingInd>1</VolunteerLaborOtherGamingInd>
        <VolunteerLaborOtherGamingPct>0.80000</VolunteerLaborOtherGamingPct>
        <GrossRevenueTotalGamingAmt>19634</GrossRevenueTotalGamingAmt>
        <NonCashPrizesTotalGamingAmt>7000</NonCashPrizesTotalGamingAmt>
        <DirectExpenseSummaryGamingAmt>7000</DirectExpenseSummaryGamingAmt>
        <NetGamingIncomeSummaryAmt>12634</NetGamingIncomeSummaryAmt>
      </GamingInformationGrp>
      <StatesWhereGamingConductedCd>CT</StatesWhereGamingConductedCd>
      <LicensedInd>0</LicensedInd>
      <ExplanationIfNoTxt>THE STATE OF CONNECTICUT REQUIRES REGISTRATION OF RAFFLES ONLY IF THERE ARE TICKETS SOLD PRE-EVENT. THE ORGANIZATION DOES NOT PRE-SELL TICKETS.</ExplanationIfNoTxt>
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      <GamingWithNonmembersInd>1</GamingWithNonmembersInd>
      <MemberOfOtherEntityInd>0</MemberOfOtherEntityInd>
      <GamingOwnFacilityPct>0.00000</GamingOwnFacilityPct>
      <GamingOtherFacilityPct>1.00000</GamingOtherFacilityPct>
      <IndividualWithBooksNm>MJ HELLER</IndividualWithBooksNm>
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        <AddressLine1Txt>27 GOVERNOR STREET</AddressLine1Txt>
        <CityNm>RIDGEFIELD</CityNm>
        <StateAbbreviationCd>CT</StateAbbreviationCd>
        <ZIPCd>06877</ZIPCd>
      </PersonsWithBooksUSAddress>
      <CntrctWith3rdPrtyForGameRevInd>0</CntrctWith3rdPrtyForGameRevInd>
      <GamingManagerBusinessName>
        <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
      </GamingManagerBusinessName>
      <CharitableDistributionRqrInd>0</CharitableDistributionRqrInd>
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        <GrantTypeTxt>SCHOLARSHIPS</GrantTypeTxt>
        <RecipientCnt>5</RecipientCnt>
        <CashGrantAmt>12000</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>VISITING NURSE ASSOCIATION OF RIDGEFIELD, INC. HAS A COMMITTEE THAT REVIEWS APPLICATIONS FOR SCHOLARSHIP FUNDS FOR STUDENTS ENTERING COLLEGE IN THE HEALTHCARE FIELD. THE FUNDS ARE PAID DIRECTLY TO THE BURSAR'S OFFICES AT THE SCHOLARSHIP RECIPIENTS' CHOSEN INSTITUTIONS.</ExplanationTxt>
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    </IRS990ScheduleI>
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      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
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      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>THERESA SANTORO</PersonNm>
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        <BaseCompensationFilingOrgAmt>286830</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>42525</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>14089</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>15201</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>358645</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TIFFANY SANDERS</PersonNm>
        <TitleTxt>HOSPICE MD</TitleTxt>
        <BaseCompensationFilingOrgAmt>259892</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>268111</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PAUL SIROIS</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9507</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>31599</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>242544</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KERI LINARDI</PersonNm>
        <TitleTxt>CHIEF CLINICAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>152483</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>17613</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7112</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>35394</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>212602</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RONETTE CHARLES</PersonNm>
        <TitleTxt>REGISTERED NURSE</TitleTxt>
        <BaseCompensationFilingOrgAmt>151598</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4691</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>14810</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>171099</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RYAN VENTURA</PersonNm>
        <TitleTxt>SALES ACCOUNT MANAGER</TitleTxt>
        <BaseCompensationFilingOrgAmt>79586</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>33796</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>41911</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>155293</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S AUDIT FIRM PREPARES THE IRS FORM 990 FROM INFORMATION PROVIDED BY THE ORGANIZATION. A DRAFT COPY IS REVIEWED AND APPROVED BY MANAGEMENT AND A DRAFT COPY IS PROVIDED TO ALL OTHER MEMBERS OF THE BOARD OF DIRECTORS FOR THEIR REVIEW AND INPUT, IF ANY. THE FINAL COPY IS THEN FILED WITH THE INTERNAL REVENUE SERVICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>VISITING NURSE ASSOCIATION OF RIDGEFIELD INC CURRENTLY HAS IN PLACE A CONFLICT OF INTEREST POLICY WHICH IT ANNUALLY MONITORS AND ENFORCES. THE BOARD CURRENTLY MANDATES THAT ALL DIRECTORS AND OFFICERS ANNUALLY SIGN A CONFLICT OF INTEREST POLICY AND DISCLOSE ANY POTENTIAL OR ACTUAL CONFLICTS THAT MAY EXIST. THE SIGNED CONFLICT OF INTEREST POLICY IS SUBMITTED TO THE CHIEF EXECUTIVE OFFICER AND THE CHAIRMAN OF THE BOARD WHO REVIEWS THE SIGNED ATTESTATIONS FOR POTENTIAL OR ACTUAL CONFLICTS. IF A POTENTIAL OR ACTUAL CONFLICT EXISTS, THE BOARD OR COMMITTEE WILL INFORM THE MEMBER OF THE BASIS OF SUCH BELIEF AND AFFORD THE MEMBER AN OPPORTUNITY TO RESPOND. THE BOARD OR COMMITTEE WILL DISCLOSE THE CONFLICT OF INTEREST AND HOW THE CONFLICT WAS HANDLED. THE PERSON WITH THE ACTUAL CONFLICT OF INTEREST WILL BE PROHIBITED FROM VOTING ON THE MATTER THAT GIVES RISE TO THE CONFLICT. IF THERE HAS BEEN SUBSTANTIAL AND REPEATED FAILURES TO DISCLOSE ACTUAL CONFLICTS OF INTEREST, THE BOARD MAY TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION, INCLUDING REMOVAL OF THE MEMBER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE RECOMMEND, AND THE BOARD OF DIRECTORS CONSIDER AND ADOPT, EMPLOYMENT AND COMPENSATION POLICIES FOR THE SENIOR MANAGEMENT TEAM AND FOR THE ORGANIZATION, TO BE IMPLEMENTED BY THE PRESIDENT/CEO. THE EXECUTIVE COMMITTEE REVIEW THESE POLICIES AND RECOMMEND MODIFICATIONS TO THE BOARD AS MAY BE APPROPRIATE IN LIGHT OF INDUSTRY PRACTICES AND OTHER RELEVANT FACTORS. ANNUALLY, THE EXECUTIVE COMMITTEE REVIEW THE PRESIDENT/CEO'S PERFORMANCE AND COMPENSATION AND, IF APPROPRIATE, APPROVE CHANGES TO THE PRESIDENT/CEO'S COMPENSATION CONSISTENT WITH THE COMPENSATION POLICY. THE ORGANIZATION RETAIN ALL RELEVANT RECORDS OF SUCH REVIEWS. THE LAST TIME REVIEW OF COMPENSATION WAS PERFORMED IN 2023.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. INFORMATION IS MANTAINED BY THE MANAGEMENT OF THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN BENEFICIAL INTEREST IN TRUSTS 13,789.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS A FINANCE COMMITTEE WHICH IS RESPONSIBLE FOR OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANT. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>HOME CARE BY RVNA LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>27 GOVERNOR STREET</AddressLine1Txt>
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          <StateAbbreviationCd>CT</StateAbbreviationCd>
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      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
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          <StateAbbreviationCd>CT</StateAbbreviationCd>
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        </USAddress>
        <EIN>812783531</EIN>
        <PrimaryActivitiesTxt>REHABILITATION SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CT</LegalDomicileStateCd>
        <TotalIncomeAmt>693547</TotalIncomeAmt>
        <EndOfYearAssetsAmt>188035</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>RIDGEFIELD VNA INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
