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      <GovernmentGrantsAmt>73322</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>138289</AllOtherContributionsAmt>
      <TotalContributionsAmt>211611</TotalContributionsAmt>
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        <BusinessCd>621610</BusinessCd>
        <TotalRevenueColumnAmt>21665700</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>21665700</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>21665700</TotalProgramServiceRevenueAmt>
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        <TotalRevenueColumnAmt>321176</TotalRevenueColumnAmt>
        <ExclusionAmt>321176</ExclusionAmt>
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        <SecuritiesAmt>1322606</SecuritiesAmt>
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      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>603273</SecuritiesAmt>
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      <GainOrLossGrp>
        <SecuritiesAmt>719333</SecuritiesAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>719333</TotalRevenueColumnAmt>
        <ExclusionAmt>719333</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>51457</FundraisingGrossIncomeAmt>
      <FundraisingDirectExpensesAmt>7608</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>43849</TotalRevenueColumnAmt>
        <ExclusionAmt>43849</ExclusionAmt>
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      <GamingGrossIncomeAmt>47917</GamingGrossIncomeAmt>
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      <NetIncomeFromGamingGrp>
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        <TotalRevenueColumnAmt>23009586</TotalRevenueColumnAmt>
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        <ManagementAndGeneralAmt>376081</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
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        <ProgramServicesAmt>42303</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3764</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>263405</ProgramServicesAmt>
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      <InformationTechnologyGrp>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>32680</ProgramServicesAmt>
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      <InterestGrp>
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        <ProgramServicesAmt>2801</ProgramServicesAmt>
        <ManagementAndGeneralAmt>202</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1539524</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>Other Expenses</Desc>
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        <ProgramServicesAmt>131203</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11671</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>17948066</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>20926739</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>1554738</ReconcilationRevenueExpnssAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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      <GiftsGrantsContrisRcvd509Grp>
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        <CurrentTaxYearMinus3YearsAmt>394660</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>391996</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>283876</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>211611</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus2YearsAmt>18658909</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>19040440</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>21665700</CurrentTaxYearAmt>
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      <Total509Grp>
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        <CurrentTaxYearMinus2YearsAmt>19050905</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>19324316</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>21877311</CurrentTaxYearAmt>
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      <AmountsRcvdDsqlfyPersonGrp>
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      <SubstantialContributorsAmtGrp>
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      <SubstAndDsqlfyPrsnsTotGrp>
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        <CurrentTaxYearMinus1YearAmt>41168</CurrentTaxYearMinus1YearAmt>
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      <TotalSupportCalendarYearGrp>
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        <CurrentTaxYearMinus1YearAmt>19654195</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>22290253</CurrentTaxYearAmt>
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      <PublicSupportCY509Pct>0.98520</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.98710</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.01190</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.01050</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
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    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <BookValueAmt>50485</BookValueAmt>
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      <BuildingsGrp>
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        <DepreciationAmt>1308979</DepreciationAmt>
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      <EquipmentGrp>
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        <BookValueAmt>6000</BookValueAmt>
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      <OtherAssetsOrgGrp>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <NetUnrealizedGainsInvstAmt>427293</NetUnrealizedGainsInvstAmt>
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      <RevenueNotReportedFinclStmtAmt>4327</RevenueNotReportedFinclStmtAmt>
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      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
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      <TotalExpensesPerForm990Amt>21454848</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <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 position and concluded that the Association has no unrelated business income or uncertain tax positions that require adjustment to the financial statements.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 2d - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>Change in FV of Benefical Interest in Perpetual Trust 101,829.</ExplanationTxt>
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    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <FundraisingEventInformationGrp>
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        <GrossRevenueEvent1Amt>28205</GrossRevenueEvent1Amt>
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        <Event2Nm>Lights of Love</Event2Nm>
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        <GrossRevenueTotalEventsAmt>35451</GrossRevenueTotalEventsAmt>
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      <GamingInformationGrp>
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        <NetGamingIncomeSummaryAmt>47917</NetGamingIncomeSummaryAmt>
      </GamingInformationGrp>
      <StatesWhereGamingConductedCd>NH</StatesWhereGamingConductedCd>
      <LicensedInd>1</LicensedInd>
      <LicenseSuspendedEtcInd>0</LicenseSuspendedEtcInd>
      <GamingWithNonmembersInd>0</GamingWithNonmembersInd>
      <MemberOfOtherEntityInd>0</MemberOfOtherEntityInd>
      <IndividualWithBooksNm>Jennifer Ufkin Chief Executive Off</IndividualWithBooksNm>
      <PersonsWithBooksUSAddress>
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        <CityNm>Rochester</CityNm>
        <StateAbbreviationCd>NH</StateAbbreviationCd>
        <ZIPCd>03867</ZIPCd>
      </PersonsWithBooksUSAddress>
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      <GamingRevenueRtnBy3PrtyAmt>0</GamingRevenueRtnBy3PrtyAmt>
      <ThirdPartyBusinessName>
        <BusinessNameLine1Txt>Lilac Club Casino</BusinessNameLine1Txt>
      </ThirdPartyBusinessName>
      <ThirdPartyUSAddress>
        <AddressLine1Txt>7 Milton Road</AddressLine1Txt>
        <CityNm>Rochester</CityNm>
        <StateAbbreviationCd>NH</StateAbbreviationCd>
        <ZIPCd>03867</ZIPCd>
      </ThirdPartyUSAddress>
      <GamingManagerPersonNm>Jennifer Ufkin Chief Executive Off</GamingManagerPersonNm>
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      <GamingManagerIsDirectorOfcrInd>X</GamingManagerIsDirectorOfcrInd>
      <CharitableDistributionRqrInd>0</CharitableDistributionRqrInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule G, Part III, Line 15a:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization had an agreement with Lilac Club Casino where Lilac Club Casino would pay the organization a portion of its gross revenue from games of chance for pre-specified event dates. Cornerstone VNA was not directly involved in administrating any of the games of chance. While gaming activties are the primary commercial business activity for Lilac Club Casino, Cornerstone VNA's involvement was entirely passive and only for a short period of time, and thus is not considered to be an activity regularly carried on by the Organization.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
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      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>2500</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>6807</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>19386</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>232892</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Alexa Gordon</PersonNm>
        <TitleTxt>Palliative Care</TitleTxt>
        <BaseCompensationFilingOrgAmt>131372</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>5478</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3967</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>15958</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>156775</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Amy Dumont</PersonNm>
        <TitleTxt>Nurse Practioner</TitleTxt>
        <BaseCompensationFilingOrgAmt>118959</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>8486</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>25584</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>153029</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>Jennifer Ufkin received a bonus approved by the Board of Directors and based on recommendations by the Executive Committee and Finance Committees. Bonuses paid to all other employees were recommended by the Finance Committee and approved by the Board of Directors.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Directors reviews the Form 990 prior to the Chief Executive Officer signing the Form 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board President reviews the annual written declarations of board members and uses this knowledge to restrict the voting priviledges of any member with a possible conflict. The Executive Secretary tracks the form to be sure all Board members and key employees sign the statement annually.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>Healthcare wage surveys are used to judge the appropriateness of increases outside the stated range and to ensure that the range is comparable to other like organizations in our area.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>A summary of the income statement is published in the annual report along with other annual statistics. This report is distributed to the general public. The annual community benefits report and our conflict of interest policy are available on our website. The complete audited statements and our governing documents are available upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part X, Line 10: Land, Buildings, and Equipment</FormAndLineReferenceDesc>
        <ExplanationTxt>Section 1.263(a)-3(n) Election: Cornerstone VNA 178 Farmington Road Rochester, NH 03867-4352 EIN 02-0231026 Cornerstone VNA is electing to capitalize repair and maintenance costs under Regulation Section1.263(a)-3(n).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, line 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>Change in FV of Beneficial Interest in Perpetual Trust Held by Others 101,829.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>