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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL DEL TRECCO</PersonNm>
        <TitleTxt>PRESIDENT AN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>388154</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>64220</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PATRICK ROONEY</PersonNm>
        <TitleTxt>VP OF FINANC</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>136539</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>35624</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DEVON GREEN</PersonNm>
        <TitleTxt>VP OF GOVT R</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>165141</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>39361</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>EMMA HARRIGAN</PersonNm>
        <TitleTxt>DIR.-POLICY/</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>124452</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>35353</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>814286</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>174558</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>4</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <MembershipDuesAmt>2216625</MembershipDuesAmt>
      <TotalContributionsAmt>2216625</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>ANNUAL MEETING</Desc>
        <BusinessCd>561499</BusinessCd>
        <TotalRevenueColumnAmt>104003</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>104003</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>104003</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>91349</TotalRevenueColumnAmt>
        <ExclusionAmt>91349</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>598086</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>624403</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>-26317</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-26317</TotalRevenueColumnAmt>
        <ExclusionAmt>-26317</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>NET FLOOD INSURANCE PROCEEDS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>219283</TotalRevenueColumnAmt>
        <ExclusionAmt>219283</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>219283</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>2604943</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>104003</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>284315</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>681102</TotalAmt>
        <ProgramServicesAmt>558593</ProgramServicesAmt>
        <ManagementAndGeneralAmt>122509</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>499680</TotalAmt>
        <ProgramServicesAmt>359868</ProgramServicesAmt>
        <ManagementAndGeneralAmt>139812</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>63550</TotalAmt>
        <ProgramServicesAmt>52117</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11433</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>90993</TotalAmt>
        <ProgramServicesAmt>70975</ProgramServicesAmt>
        <ManagementAndGeneralAmt>20018</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>66896</TotalAmt>
        <ProgramServicesAmt>52179</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14717</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>88954</TotalAmt>
        <ProgramServicesAmt>84506</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4448</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>10290</TotalAmt>
        <ManagementAndGeneralAmt>10290</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>3800</TotalAmt>
        <ProgramServicesAmt>3800</ProgramServicesAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>17827</TotalAmt>
        <ManagementAndGeneralAmt>17827</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>272515</TotalAmt>
        <ProgramServicesAmt>272515</ProgramServicesAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>1300</TotalAmt>
        <ProgramServicesAmt>1300</ProgramServicesAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>16285</TotalAmt>
        <ProgramServicesAmt>12702</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3583</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>12583</TotalAmt>
        <ProgramServicesAmt>9815</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2768</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>48067</TotalAmt>
        <ProgramServicesAmt>40857</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7210</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>25604</TotalAmt>
        <ProgramServicesAmt>24324</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1280</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>100451</TotalAmt>
        <ProgramServicesAmt>100451</ProgramServicesAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>5806</TotalAmt>
        <ProgramServicesAmt>4935</ProgramServicesAmt>
        <ManagementAndGeneralAmt>871</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>15578</TotalAmt>
        <ProgramServicesAmt>13241</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2337</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>DUES AND SUBSCRIPTIONS</Desc>
        <TotalAmt>26233</TotalAmt>
        <ProgramServicesAmt>19675</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6558</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PROFESSIONAL FEES</Desc>
        <TotalAmt>3234</TotalAmt>
        <ProgramServicesAmt>2523</ProgramServicesAmt>
        <ManagementAndGeneralAmt>711</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>TRAINING AND EDUCATION</Desc>
        <TotalAmt>1350</TotalAmt>
        <ProgramServicesAmt>1350</ProgramServicesAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>2052098</TotalAmt>
        <ProgramServicesAmt>1685726</ProgramServicesAmt>
        <ManagementAndGeneralAmt>366372</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>275803</BOYAmt>
        <EOYAmt>41792</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>1161275</BOYAmt>
        <EOYAmt>1659133</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>19157</BOYAmt>
        <EOYAmt>9397</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>24649</BOYAmt>
        <EOYAmt>32678</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>465193</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>159530</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>80409</BOYAmt>
        <EOYAmt>305663</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>2250500</BOYAmt>
        <EOYAmt>2716128</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>56885</BOYAmt>
        <EOYAmt>9016</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>3868678</BOYAmt>
        <EOYAmt>4773807</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>220729</BOYAmt>
        <EOYAmt>125977</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>2277</BOYAmt>
        <EOYAmt>7990</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>223006</BOYAmt>
        <EOYAmt>133967</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>3645672</BOYAmt>
        <EOYAmt>4639840</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>3645672</BOYAmt>
        <EOYAmt>4639840</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>3868678</BOYAmt>
        <EOYAmt>4773807</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>552845</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>441323</NetUnrlzdGainsLossesInvstAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleC documentId="RetDoc3">
      <PoliticalExpendituresAmt>3800</PoliticalExpendituresAmt>
      <InternalFundsContributedAmt>3800</InternalFundsContributedAmt>
      <TotalExemptFunctionExpendAmt>3800</TotalExemptFunctionExpendAmt>
      <Form1120POLFiledInd>false</Form1120POLFiledInd>
      <Section527PoliticalOrgGrp>
        <OrganizationBusinessName>
          <BusinessNameLine1Txt>AMERICAN HOSPITAL ASSOCIATION</BusinessNameLine1Txt>
        </OrganizationBusinessName>
        <USAddress>
          <AddressLine1Txt>155 WACKER DRIVE SUITE 400</AddressLine1Txt>
          <CityNm>CHICAGO</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60606</ZIPCd>
        </USAddress>
        <EIN>360726140</EIN>
        <PaidInternalFundsAmt>2750</PaidInternalFundsAmt>
      </Section527PoliticalOrgGrp>
      <Section527PoliticalOrgGrp>
        <OrganizationBusinessName>
          <BusinessNameLine1Txt>VERMONT DEMOCRATIC PARTY</BusinessNameLine1Txt>
        </OrganizationBusinessName>
        <USAddress>
          <AddressLine1Txt>73 MAIN STREET SUITE 400</AddressLine1Txt>
          <CityNm>MONTPELIER</CityNm>
          <StateAbbreviationCd>VT</StateAbbreviationCd>
          <ZIPCd>05601</ZIPCd>
        </USAddress>
        <EIN>030199445</EIN>
        <PaidInternalFundsAmt>500</PaidInternalFundsAmt>
      </Section527PoliticalOrgGrp>
      <Section527PoliticalOrgGrp>
        <OrganizationBusinessName>
          <BusinessNameLine1Txt>RUTLAND GOPAC</BusinessNameLine1Txt>
        </OrganizationBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 173</AddressLine1Txt>
          <CityNm>RUTLAND</CityNm>
          <StateAbbreviationCd>VT</StateAbbreviationCd>
          <ZIPCd>05701</ZIPCd>
        </USAddress>
        <EIN>134331424</EIN>
        <PaidInternalFundsAmt>150</PaidInternalFundsAmt>
      </Section527PoliticalOrgGrp>
      <Section527PoliticalOrgGrp>
        <OrganizationBusinessName>
          <BusinessNameLine1Txt>ORLEANS COUNTY REPUBLICAN COMMITTEE</BusinessNameLine1Txt>
        </OrganizationBusinessName>
        <USAddress>
          <AddressLine1Txt>159 LINDSAY ROAD EXT</AddressLine1Txt>
          <CityNm>NEWPORT</CityNm>
          <StateAbbreviationCd>VT</StateAbbreviationCd>
          <ZIPCd>05855</ZIPCd>
        </USAddress>
        <EIN>030315062</EIN>
        <PaidInternalFundsAmt>150</PaidInternalFundsAmt>
      </Section527PoliticalOrgGrp>
      <Section527PoliticalOrgGrp>
        <OrganizationBusinessName>
          <BusinessNameLine1Txt>FRANKLIN CTY REPUBLICAN COMMITTEE</BusinessNameLine1Txt>
        </OrganizationBusinessName>
        <USAddress>
          <AddressLine1Txt>4668 RT 36</AddressLine1Txt>
          <CityNm>FAIRFIELD</CityNm>
          <StateAbbreviationCd>VT</StateAbbreviationCd>
          <ZIPCd>05455</ZIPCd>
        </USAddress>
        <EIN>843896422</EIN>
        <PaidInternalFundsAmt>250</PaidInternalFundsAmt>
      </Section527PoliticalOrgGrp>
      <SubstantiallyAllDuesNondedInd>true</SubstantiallyAllDuesNondedInd>
      <OnlyInHouseLobbyingInd>false</OnlyInHouseLobbyingInd>
      <AgreeCarryoverPriorYearInd>false</AgreeCarryoverPriorYearInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE C, PART I-A, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>VAHHS PARTICIPATES INDIRECTLY IN POLITICAL ACTIVITIES BY MAKING VOLUNTARY DONATIONS TOWARD THE SUPPORT OF POLITICAL PARTIES WHO SUPPORT THE HOSPITAL POLICY AGENDA AND PROVIDE POLITICAL EDUCATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc4">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>16150</OtherCostOrOtherBasisAmt>
        <BookValueAmt>16150</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>329773</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>85933</DepreciationAmt>
        <BookValueAmt>243840</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>57152</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>57152</DepreciationAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>62118</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>16445</DepreciationAmt>
        <BookValueAmt>45673</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>305663</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>RIGHT OF USE LIABILITY - COPIER</Desc>
        <Amt>5354</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>POST EMPLOYMENT BENEFIT PAYABLE</Desc>
        <Amt>2636</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>7990</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>3049601</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>441323</NetUnrealizedGainsInvstAmt>
      <DonatedServicesAndUseFcltsAmt>21162</DonatedServicesAndUseFcltsAmt>
      <RevenueNotReportedAmt>462485</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>2587116</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>17827</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>17827</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>2604943</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>2055433</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>21162</DonatedServicesUseFcltsAmt>
      <ExpensesNotReportedAmt>21162</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>2034271</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>17827</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>17827</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>2052098</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>VAHHS IS A NOT-FOR-PROFIT CORPORATION, EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(6) OF THE INTERNAL REVENUE CODE AND NONE OF ITS PRESENT OR ANTICIPATED FUTURE ACTIVITIES ARE SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME; THEREFORE, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING FINANCIAL STATEMENTS. VAHHS ANNUALLY FILES AN IRS FORM 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, TAX RETURN IN THE U.S. FEDERAL JURISDICTION. VAHHS IS NO LONGER SUBJECT TO U.S. FEDERAL INCOME TAX EXAMINATION BY TAX AUTHORITIES FOR THE YEARS PRIOR TO SEPTEMBER 30, 2021. IN THE NORMAL COURSE OF BUSINESS, VAHHS IS SUBJECT TO EXAMINATION BY VARIOUS TAXING AUTHORITIES. ALTHOUGH THE OUTCOME OF TAX AUDITS IS ALWAYS UNCERTAIN, VAHHS BELIEVES THAT THERE ARE NO SIGNIFICANT UNRECOGNIZED TAX LIABILITIES AT SEPTEMBER 30, 2024.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc5">
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL DEL TRECCO</PersonNm>
        <TitleTxt>PRESIDENT AND CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>324000</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>54400</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>9754</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>33000</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>31220</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>452374</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PATRICK ROONEY</PersonNm>
        <TitleTxt>VP OF FINANCE</TitleTxt>
        <BaseCompensationFilingOrgAmt>127460</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>8880</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>199</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>8473</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>27151</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>172163</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DEVON GREEN</PersonNm>
        <TitleTxt>VP OF GOVT RELATIONS</TitleTxt>
        <BaseCompensationFilingOrgAmt>154305</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>10668</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>168</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>16497</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>22864</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>204502</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>EMMA HARRIGAN</PersonNm>
        <TitleTxt>DIR.-POLICY/ANALYSIS</TitleTxt>
        <BaseCompensationFilingOrgAmt>118640</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>5625</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>187</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>12426</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>22927</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>159805</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc6">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE VICE PRESIDENT OF FINANCE WILL REVIEW THE 990 FOR ANY NECESSARY CHANGES. THE RETURN WILL THEN BE FILED ELECTRONICALLY. SUBSEQUENT TO SUBMISSION OF THE RETURN, THE VICE PRESIDENT OF FINANCE WILL SEND AN ELECTRONIC COPY OF THE 990 THE ALL BOARD MEMBERS FOR THEIR REVIEW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>CONFLICTS OF INTEREST ARE REQUIRED TO BE DISCLOSED AND ARE DISCUSSED AT MONTHLY BOARD MEETINGS AS THEY ARISE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>PRESIDENT RECEIVES AN EVALUATION BY THE EXECUTIVE COMMITTEE BEFORE SALARY AND BONUSES ARE DECIDED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>PRESIDENT PERFORMS AN EVALUATION OF STAFF BEFORE SALARIES AND BONUSES ARE DECIDED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>VAHHS MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON EACH INDIVIDUAL REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>OUTSIDE CONSULTANTS 272,515 0 0</ExplanationTxt>
      </SupplementalInformationDetail>
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          <BusinessNameLine2Txt>HEALTH SYSTEMS - NSO</BusinessNameLine2Txt>
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          <AddressLine1Txt>148 MAIN STREET</AddressLine1Txt>
          <CityNm>MONTPELIER</CityNm>
          <StateAbbreviationCd>VT</StateAbbreviationCd>
          <ZIPCd>05602</ZIPCd>
        </USAddress>
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        <LegalDomicileStateCd>VT</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
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      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
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        <OtherOrganizationName>
          <BusinessNameLine1Txt>VAHHS - NSO</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>40969</BusinessNameLine2Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>69874</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL TIME</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>VAHHS - NSO</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>19034</BusinessNameLine2Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>21162</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL TIME</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>VAHHS - NSO</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>105563</BusinessNameLine2Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>85895</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL EXPENSES INCURRED</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
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</Return>