﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2012v2.1">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2014-05-09T12:55:11-05:00</Timestamp>
    <TaxPeriodEndDate>2013-06-30</TaxPeriodEndDate>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2012-07-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>231352572</EIN>
      <Name>
        <BusinessNameLine1>VNA COMMUNITY CARE SERVICES INC</BusinessNameLine1>
      </Name>
      <NameControl>VNAC</NameControl>
      <Phone>7175444926</Phone>
      <USAddress>
        <AddressLine1>PO BOX 10788</AddressLine1>
        <City>LANCASTER</City>
        <State>PA</State>
        <ZIPCode>17604</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>DENNIS ROEMER</Name>
      <Title>EVP AND CHIEF FINANCIAL OFFICER</Title>
      <DateSigned>2014-05-08</DateSigned>
    </Officer>
    <TaxYear>2012</TaxYear>
    <BuildTS>2015-11-30 17:44:51Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="7">
    <IRS990 documentId="IRS990" softwareId="12000266" softwareVersion="v2012.1.0">
      <NameOfPrincipalOfficerBusiness>
        <BusinessNameLine1>DENNIS ROEMER EVP AND CHIEF FINANCIAL OFFICER</BusinessNameLine1>
      </NameOfPrincipalOfficerBusiness>
      <AddressPrincipalOfficerUS>
        <AddressLine1>555 NORTH DUKE STREET</AddressLine1>
        <City>LANCASTER</City>
        <State>PA</State>
        <ZIPCode>17604</ZIPCode>
      </AddressPrincipalOfficerUS>
      <GrossReceipts>27402418</GrossReceipts>
      <GroupReturnForAffiliates>false</GroupReturnForAffiliates>
      <Organization501c3>X</Organization501c3>
      <WebSite>WWW.LGHEALTH.ORG</WebSite>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <YearFormation>1926</YearFormation>
      <StateLegalDomicile>PA</StateLegalDomicile>
      <ActivityOrMissionDescription>VNA COMMUNITY CARE SERVICES, INC. IS A COMMUNITY SERVICE ORGANIZATION THAT PROVIDES COMPREHENSIVE HOME HEALTH CARE TO PEOPLE OF ALL AGES IN LANCASTER, BERKS, CHESTER, SCHUYLKILL, AND DAUPHIN COUNTIES AND THEIR SURROUNDING AREAS REGARDLESS OF THEIR ABILITY TO PAY. VNA COMMUNITY CARE SERVICES, INC. PROVIDES SKILLED NURSING, THERAPY, MEDICAL SOCIAL SERVICES, AND HOME HEALTH AID SERVICES. FOR THE FISCAL YEAR ENDED JUNE 30, 2013, VNA COMMUNITY CARE SERVICES, INC. PROVIDED 1096 PATIENTS WITH CARE AT EITHER NO CHARGE OR A REDUCED FEE.</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>8</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>0</NbrIndependentVotingMembers>
      <TotalNbrEmployees>308</TotalNbrEmployees>
      <TotalNbrVolunteers>0</TotalNbrVolunteers>
      <TotalGrossUBI>0</TotalGrossUBI>
      <NetUnrelatedBusinessTxblIncome>0</NetUnrelatedBusinessTxblIncome>
      <ContributionsGrantsPriorYear>188788</ContributionsGrantsPriorYear>
      <ContributionsGrantsCurrentYear>77676</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenuePriorYear>17849253</ProgramServiceRevenuePriorYear>
      <ProgramServiceRevenueCY>22653686</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>88515</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>28737</InvestmentIncomeCurrentYear>
      <OtherRevenuePriorYear>2267</OtherRevenuePriorYear>
      <OtherRevenueCurrentYear>90791</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>18128823</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>22850890</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsPriorYear>0</GrantsAndSimilarAmntsPriorYear>
      <GrantsAndSimilarAmntsCY>0</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersPriorYear>0</BenefitsPaidToMembersPriorYear>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcPriorYear>14458021</SalariesEtcPriorYear>
      <SalariesEtcCurrentYear>17593486</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpPriorYear>0</TotalProfFundrsngExpPriorYear>
      <TotalProfFundrsngExpCY>0</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>0</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>2789318</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>3549947</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>17247339</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>21143433</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>881484</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>1707457</RevenuesLessExpensesCY>
      <TotalAssetsBOY>12656546</TotalAssetsBOY>
      <TotalAssetsEOY>14381488</TotalAssetsEOY>
      <TotalLiabilitiesBOY>2822374</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>2779059</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>9834172</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>11602429</NetAssetsOrFundBalancesEOY>
      <MissionDescription>VNA COMMUNITY CARE SERVICES, INC. IS A COMMUNITY SERVICE ORGANIZATION THAT PROVIDES COMPREHENSIVE HOME HEALTH CARE TO PEOPLE OF ALL AGES IN LANCASTER, BERKS ,CHESTER, SCHUYLKILL, AND DAUPHIN COUNTIES AND THEIR SURROUNDING AREAS REGARDLESS OF THEIR ABILITY TO PAY. VNA COMMUNITY CARE SERVICES, INC. PROVIDES SKILLED NURSING, THERAPY, MEDICAL SOCIAL SERVICES, AND HOME HEALTH AID SERVICES.</MissionDescription>
      <SignificantNewProgramServices>false</SignificantNewProgramServices>
      <SignificantChange>false</SignificantChange>
      <Expense>9694605</Expense>
      <Revenue>13308858</Revenue>
      <Description>HOME HEALTH CARE: SKILLED NURSING - SKILLED NURSES HELP PATIENTS RECOVER AFTER AN OPERATION OR ILLNESS, PROVIDE CARE TO AGING OR CHRONICALLY ILL PATIENTS, AND RELIEVE THE STRESS FOR FAMILY MEMBERS CARING FOR THEIR LOVED ONE. (83,145 VISITS)</Description>
      <Activity2>
        <Expense>4071915</Expense>
        <Revenue>6617440</Revenue>
        <Description>HOME HEALTH CARE: PHYSICAL THERAPY - PHYSICAL THERAPISTS HELP PATIENTS IMPROVE MUSCLE STRENGTH, REGAIN FUNCTIONAL MOVEMENT, RELIEVE PAIN AND USE MEDICAL EQUIPMENT PROPERLY. (41,811 VISITS)</Description>
      </Activity2>
      <Activity3>
        <Expense>951854</Expense>
        <Revenue>1713262</Revenue>
        <Description>HOME HEALTH CARE: OCCUPATIONAL THERAPY - OCCUPATIONAL THERAPISTS WORK WITH PATIENTS TO REGAIN OR ADAPT THEIR ABILITY TO PERFORM DAILY LIVING SKILLS LIKE BATHING, DRESSING, OR PREPARING MEALS. (10,645 VISITS)</Description>
      </Activity3>
      <ActivityOther>
        <Expense>421320</Expense>
        <Revenue>519642</Revenue>
        <Description>HOME HEALTH CARE: HOME HEALTH CARE AID - HOME HEALTH CARE AIDES PROVIDE ASSISTANCE WITH DAILY LIVING ACTIVITIES IN THE HOME FOR THOSE PATIENTS UNABLE TO MANAGE THEIR PERSONAL CARE NEEDS AND HAVE AN ONGOING NEED FOR SKILLED CARE FROM A NURSE OR REHABILITATION THERAPIST. (7,770 VISITS)</Description>
      </ActivityOther>
      <ActivityOther>
        <Expense>225615</Expense>
        <Revenue>310566</Revenue>
        <Description>HOME HEALTH CARE: MEDICAL SOCIAL WORKER - MEDICAL SOCIAL WORKERS HELP PATIENTS AND THEIR FAMILIES MANAGE AND OVERCOME DIFFICULT CIRCUMSTANCES RELATED TO THEIR HEALTH AND RECOVERY. (1,625 VISITS)</Description>
      </ActivityOther>
      <ActivityOther>
        <Expense>120840</Expense>
        <Revenue>183918</Revenue>
        <Description>HOME HEALTH CARE: SPEECH THERAPY - SPEECH THERAPISTS HELP PATIENTS IMPROVE OVERALL COMMUNICATION AND SWALLOWING ABILITIES. (1,223 VISITS)</Description>
      </ActivityOther>
      <TotalOfOtherProgramServiceExp>767775</TotalOfOtherProgramServiceExp>
      <TotalOfOtherProgramServiceRev>1014126</TotalOfOtherProgramServiceRev>
      <TotalProgramServiceExpense>15486149</TotalProgramServiceExpense>
      <DescribedIn501C3 referenceDocumentId="IRS990ScheduleA">true</DescribedIn501C3>
      <ScheduleBRequired referenceDocumentId="IRS990ScheduleB">true</ScheduleBRequired>
      <PoliticalActivities>false</PoliticalActivities>
      <LobbyingActivities>false</LobbyingActivities>
      <DonorAdvisedFunds>false</DonorAdvisedFunds>
      <ConservationEasements>false</ConservationEasements>
      <CollectionsOfArt>false</CollectionsOfArt>
      <CreditCounseling>false</CreditCounseling>
      <TermOrPermanentEndowments referenceDocumentId="IRS990ScheduleD">true</TermOrPermanentEndowments>
      <ReportLandBldgEquip referenceDocumentId="IRS990ScheduleD">true</ReportLandBldgEquip>
      <ReportInvestOthSecurities>false</ReportInvestOthSecurities>
      <ReportProgRelInvest>false</ReportProgRelInvest>
      <ReportOtherAssets referenceDocumentId="IRS990ScheduleD">true</ReportOtherAssets>
      <ReportOtherLiabilities referenceDocumentId="IRS990ScheduleD">true</ReportOtherLiabilities>
      <ReportFin48Footnote referenceDocumentId="IRS990ScheduleD">true</ReportFin48Footnote>
      <IndependentAuditFinancialStmt referenceDocumentId="IRS990ScheduleD">true</IndependentAuditFinancialStmt>
      <ConsolidatedAuditFinancialStmt>false</ConsolidatedAuditFinancialStmt>
      <School>false</School>
      <ForeignOffice>false</ForeignOffice>
      <ForeignActivities>false</ForeignActivities>
      <MoreThan5000KToOrganizations>false</MoreThan5000KToOrganizations>
      <MoreThan5000KToIndividuals>false</MoreThan5000KToIndividuals>
      <ProfessionalFundraising>false</ProfessionalFundraising>
      <FundraisingActivities>false</FundraisingActivities>
      <Gaming>false</Gaming>
      <Hospital>false</Hospital>
      <GrantsToOrganizations>false</GrantsToOrganizations>
      <GrantsToIndividuals>false</GrantsToIndividuals>
      <ScheduleJRequired referenceDocumentId="IRS990ScheduleJ">true</ScheduleJRequired>
      <TaxExemptBonds>false</TaxExemptBonds>
      <ExcessBenefitTransaction>false</ExcessBenefitTransaction>
      <PriorExcessBenefitTransaction>false</PriorExcessBenefitTransaction>
      <LoanToOfficerOrDQP>false</LoanToOfficerOrDQP>
      <GrantToRelatedPerson>false</GrantToRelatedPerson>
      <BsnssRltnshpWithOrganization>false</BsnssRltnshpWithOrganization>
      <BsnssRltnshpThruFamilyMember>false</BsnssRltnshpThruFamilyMember>
      <OfficerEntityWithBsnssRltnshp referenceDocumentId="IRS990ScheduleL">true</OfficerEntityWithBsnssRltnshp>
      <DeductibleNonCashContributions>false</DeductibleNonCashContributions>
      <DeductibleContributionsOfArt>false</DeductibleContributionsOfArt>
      <Terminated>false</Terminated>
      <PartialLiquidation>false</PartialLiquidation>
      <DisregardedEntity>false</DisregardedEntity>
      <RelatedEntity>false</RelatedEntity>
      <RelatedOrgControlledEntity>false</RelatedOrgControlledEntity>
      <TransactionRelatedEntity>false</TransactionRelatedEntity>
      <TransfersToExemptNonChrtblOrg>false</TransfersToExemptNonChrtblOrg>
      <ActivitiesConductedPartnership>false</ActivitiesConductedPartnership>
      <ScheduleORequired>true</ScheduleORequired>
      <NumberFormsTransmittedWith1096>21</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <ComplianceWithBackupWitholding>true</ComplianceWithBackupWitholding>
      <NumberOfEmployees>308</NumberOfEmployees>
      <EmploymentTaxReturnsFiled>true</EmploymentTaxReturnsFiled>
      <UnrelatedBusinessIncome>false</UnrelatedBusinessIncome>
      <ForeignFinancialAccount>false</ForeignFinancialAccount>
      <ProhibitedTaxShelterTrans>false</ProhibitedTaxShelterTrans>
      <TaxablePartyNotification>false</TaxablePartyNotification>
      <NonDeductibleContributions>false</NonDeductibleContributions>
      <QuidProQuoContributions>false</QuidProQuoContributions>
      <Form8282PropertyDisposedOf>false</Form8282PropertyDisposedOf>
      <FundsToPayPremiums>false</FundsToPayPremiums>
      <PremiumsPaid>false</PremiumsPaid>
      <Form8899Filed>false</Form8899Filed>
      <Form1098CFiled>false</Form1098CFiled>
      <IndoorTanningServices>false</IndoorTanningServices>
      <InfoInScheduleOPartVI>X</InfoInScheduleOPartVI>
      <NbrVotingGoverningBodyMembers>8</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>0</NumberIndependentVotingMembers>
      <FamilyOrBusinessRelationship>false</FamilyOrBusinessRelationship>
      <DelegationOfManagementDuties>true</DelegationOfManagementDuties>
      <ChangesToOrganizingDocs>false</ChangesToOrganizingDocs>
      <MaterialDiversionOrMisuse>false</MaterialDiversionOrMisuse>
      <MembersOrStockholders>true</MembersOrStockholders>
      <ElectionOfBoardMembers>true</ElectionOfBoardMembers>
      <DecisionsSubjectToApproval>true</DecisionsSubjectToApproval>
      <MinutesOfGoverningBody>true</MinutesOfGoverningBody>
      <MinutesOfCommittees>true</MinutesOfCommittees>
      <OfficerMailingAddress>true</OfficerMailingAddress>
      <LocalChapters>true</LocalChapters>
      <PoliciesReferenceChapters>true</PoliciesReferenceChapters>
      <Form990ProvidedToGoverningBody>false</Form990ProvidedToGoverningBody>
      <ConflictOfInterestPolicy>false</ConflictOfInterestPolicy>
      <WhistleblowerPolicy>false</WhistleblowerPolicy>
      <DocumentRetentionPolicy>false</DocumentRetentionPolicy>
      <CompensationProcessCEO>false</CompensationProcessCEO>
      <CompensationProcessOther>false</CompensationProcessOther>
      <InvestmentInJointVenture>false</InvestmentInJointVenture>
      <StatesWhereCopyOfReturnIsFiled>PA</StatesWhereCopyOfReturnIsFiled>
      <UponRequest>X</UponRequest>
      <TheBooksAreInCareOf>
        <NameBusiness>
          <BusinessNameLine1>DENNIS ROEMER EVP AND CFO</BusinessNameLine1>
        </NameBusiness>
        <TelephoneNumber>7175444926</TelephoneNumber>
        <AddressUS>
          <AddressLine1>555 NORTH DUKE STREET</AddressLine1>
          <City>LANCASTER</City>
          <State>PA</State>
          <ZIPCode>17604</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <Form990PartVIISectionA>
        <NamePerson>DREW S LERMAN</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeekRelated>2.00</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>GEOFFREY W EDDOWES</NamePerson>
        <Title>VICE CHAIRPERSON</Title>
        <AverageHoursPerWeekRelated>2.00</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>PATRICK R RICHARDS</NamePerson>
        <Title>CHAIRPERSON</Title>
        <AverageHoursPerWeekRelated>2.00</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>RICHARD J MABLE</NamePerson>
        <Title>TREASURER</Title>
        <AverageHoursPerWeekRelated>2.00</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>WILLIAM K WILKISON</NamePerson>
        <Title>SECRETARY</Title>
        <AverageHoursPerWeekRelated>2.00</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DONNA F WEBER</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeekRelated>2.00</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MARY C AGNEW</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeekRelated>2.00</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MICHAEL A YOUNG</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeekRelated>2.00</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>REGINA M MINGLE</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeekRelated>2.00</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>SUSAN WYNNE</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeekRelated>2.00</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MARGARET F COSTELLA</NamePerson>
        <Title>ASSISTANT SECRETARY</Title>
        <AverageHoursPerWeekRelated>2.00</AverageHoursPerWeekRelated>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>WILLIAM V DUNSTAN</NamePerson>
        <Title>PRESIDENT</Title>
        <AverageHoursPerWeek>55.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>192049</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>23168</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ELIZABETH GARDNER</NamePerson>
        <Title>PHYSICAL THERAPIST</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>96553</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>19102</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>SCOTT KUNKEL</NamePerson>
        <Title>MANAGER REHAB SERVICES</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>95253</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>19615</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>SHEILA BAUBLITZ</NamePerson>
        <Title>CHIEF OPERATING OFFICER</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>129730</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>21139</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>SUSAN CROW</NamePerson>
        <Title>DIRECTOR REHAB SERVICES</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>120192</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>19502</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>TAMMY KEITH</NamePerson>
        <Title>SENIOR DIRECTOR</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>111722</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>10565</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>745499</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>0</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>113091</TotalOtherCompensation>
      <NumberIndividualsGT100K>4</NumberIndividualsGT100K>
      <FormersListed>false</FormersListed>
      <TotalCompGT150K>true</TotalCompGT150K>
      <CompensationFromOtherSources>false</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>HIGH FAMILY PARTNERSHIP</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>1853 WILLIAM PENN WAY</AddressLine1>
            <City>LANCASTER</City>
            <State>PA</State>
            <ZIPCode>17605</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>RENT &amp; BUILDING MAINTENANCE</DescriptionOfServices>
        <Compensation>181192</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>PINNACLE HEALTH HOSPITALS</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>409 S SECOND ST 4TH FL</AddressLine1>
            <City>HARRISBURG</City>
            <State>PA</State>
            <ZIPCode>171058700</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>RENT &amp; BUILDING SERVICES</DescriptionOfServices>
        <Compensation>150800</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>2</NumberOfContractorsGT100K>
      <FederatedCampaigns>55443</FederatedCampaigns>
      <AllOtherContributions>22233</AllOtherContributions>
      <TotalContributions>77676</TotalContributions>
      <ProgramServiceRevenue>
        <Description>HOME HEALTH CARE MEDICARE REVENUE</Description>
        <BusinessCode>621610</BusinessCode>
        <TotalRevenueColumn>13707092</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>13707092</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>HOME HEALTH CARE-OTH PAYERS</Description>
        <BusinessCode>621610</BusinessCode>
        <TotalRevenueColumn>9001094</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>9001094</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>PROVISION FOR BAD DEBTS</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>-54500</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>-54500</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </ProgramServiceRevenue>
      <TotalOthProgramServiceRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>0</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </TotalOthProgramServiceRevenue>
      <TotalProgramServiceRevenue>22653686</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>36411</TotalRevenueColumn>
        <ExclusionAmount>36411</ExclusionAmount>
      </InvestmentIncome>
      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </IncomeFromInvestBondProceeds>
      <RoyaltiesRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </RoyaltiesRevenue>
      <RentalIncomeOrLoss>
        <Real>0</Real>
        <Personal>0</Personal>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetRentalIncomeOrLoss>
      <GrossAmountSalesAssets>
        <Securities>4543854</Securities>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Securities>4551528</Securities>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Securities>-7674</Securities>
        <Other>0</Other>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>-7674</TotalRevenueColumn>
        <ExclusionAmount>-7674</ExclusionAmount>
      </NetGainOrLossInvestments>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromFundraisingEvents>
      <NetIncomeFromGaming>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromGaming>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeOrLoss>
      <OtherRevenueMisc>
        <Description>MISCELLANEOUS REVENUE</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>90791</TotalRevenueColumn>
        <ExclusionAmount>90791</ExclusionAmount>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </OtherRevenueMisc>
      <MiscellaneousRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>0</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </MiscellaneousRevenue>
      <TotalOtherRevenue>90791</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>22850890</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>22653686</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>119528</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>0</Total>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>234082</Total>
        <ManagementAndGeneral>234082</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>13723611</Total>
        <ProgramServices>11061284</ProgramServices>
        <ManagementAndGeneral>2662327</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>751533</Total>
        <ProgramServices>617030</ProgramServices>
        <ManagementAndGeneral>134503</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>1859970</Total>
        <ProgramServices>1477703</ProgramServices>
        <ManagementAndGeneral>382267</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>1024290</Total>
        <ProgramServices>844502</ProgramServices>
        <ManagementAndGeneral>179788</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>0</Total>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>0</Total>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>43400</Total>
        <ManagementAndGeneral>43400</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>15221</Total>
        <ManagementAndGeneral>15221</ManagementAndGeneral>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>317268</Total>
        <ProgramServices>188108</ProgramServices>
        <ManagementAndGeneral>129160</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesOther>
      <Advertising>
        <Total>3193</Total>
        <ManagementAndGeneral>3193</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>46407</Total>
        <ManagementAndGeneral>46407</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>75848</Total>
        <ProgramServices>4803</ProgramServices>
        <ManagementAndGeneral>71045</ManagementAndGeneral>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>417571</Total>
        <ManagementAndGeneral>417571</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>678103</Total>
        <ProgramServices>658842</ProgramServices>
        <ManagementAndGeneral>19261</ManagementAndGeneral>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>0</Total>
      </ConferencesMeetings>
      <Interest>
        <Total>0</Total>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>257054</Total>
        <ManagementAndGeneral>257054</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>136714</Total>
        <ProgramServices>136714</ProgramServices>
      </Insurance>
      <OtherExpenses>
        <Description>SUPPLIES</Description>
        <Total>362239</Total>
        <ProgramServices>362193</ProgramServices>
        <ManagementAndGeneral>46</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>EQUIPMENT RENTAL AND MAINTENANCE</Description>
        <Total>443827</Total>
        <ProgramServices>106459</ProgramServices>
        <ManagementAndGeneral>337368</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>PRINTING AND PUBLICATIONS</Description>
        <Total>83042</Total>
        <ProgramServices>4589</ProgramServices>
        <ManagementAndGeneral>78453</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MISCELLANEOUS</Description>
        <Total>96165</Total>
        <ProgramServices>23922</ProgramServices>
        <ManagementAndGeneral>72243</ManagementAndGeneral>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>573895</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>573895</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>21143433</Total>
        <ProgramServices>15486149</ProgramServices>
        <ManagementAndGeneral>5657284</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <TotalJointCosts>
        <Total>0</Total>
      </TotalJointCosts>
      <CashNonInterestBearing>
        <BOY>1050</BOY>
        <EOY>1050</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>8273704</BOY>
        <EOY>9920021</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
        <BOY>1932375</BOY>
        <EOY>2047465</EOY>
      </AccountsReceivable>
      <ReceivablesFromOfficersEtc>
        <EOY>0</EOY>
      </ReceivablesFromOfficersEtc>
      <ReceivablesFromDisqualPersons>
        <EOY>0</EOY>
      </ReceivablesFromDisqualPersons>
      <PrepaidExpensesDeferredCharges>
        <BOY>213673</BOY>
        <EOY>139966</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>3252286</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>2557110</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>681794</BOY>
        <EOY>695176</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>27782</BOY>
        <EOY>32985</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </InvestmentsOtherSecurities>
      <InvestmentsProgramRelated>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </InvestmentsProgramRelated>
      <OtherAssetsTotal>
        <BOY>1526168</BOY>
        <EOY>1544825</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>12656546</BOY>
        <EOY>14381488</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>1553299</BOY>
        <EOY>1601076</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>723538</BOY>
        <EOY>774937</EOY>
      </DeferredRevenue>
      <LoansFromOfficersDirectors>
        <EOY>0</EOY>
      </LoansFromOfficersDirectors>
      <OtherLiabilities>
        <BOY>545537</BOY>
        <EOY>403046</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>2822374</BOY>
        <EOY>2779059</EOY>
      </TotalLiabilities>
      <UnrestrictedNetAssets>
        <BOY>9620615</BOY>
        <EOY>11372478</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>11160</BOY>
        <EOY>6550</EOY>
      </TemporarilyRestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>202397</BOY>
        <EOY>223401</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>9834172</BOY>
        <EOY>11602429</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>12656546</BOY>
        <EOY>14381488</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>1707457</ReconcilationRevenueExpenses>
      <ReconciliationUnrealizedInvest>60800</ReconciliationUnrealizedInvest>
      <ReconcilationOtherChanges>0</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <FSAuditedBasis>
        <FinancialStatementSeparate>X</FinancialStatementSeparate>
      </FSAuditedBasis>
      <AuditCommittee>true</AuditCommittee>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA" softwareId="12000266" softwareVersion="v2012.1.0">
      <PubliclySupportedOrg170b1Avi>X</PubliclySupportedOrg170b1Avi>
      <GiftsGrantsContribReceived170>
        <CurrentTaxYearMinus4Years>260287</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>264395</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>89864</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>188788</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>77676</CurrentTaxYear>
        <Total>881010</Total>
      </GiftsGrantsContribReceived170>
      <TaxRevLeviedForOrgBenefit170>
        <Total>0</Total>
      </TaxRevLeviedForOrgBenefit170>
      <ValueSrvcFcltsFurnishedByGovt>
        <Total>0</Total>
      </ValueSrvcFcltsFurnishedByGovt>
      <Total170>
        <CurrentTaxYearMinus4Years>260287</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>264395</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>89864</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>188788</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>77676</CurrentTaxYear>
        <Total>881010</Total>
      </Total170>
      <PublicSupportTotal170>881010</PublicSupportTotal170>
      <GrossInvestmentIncome170>
        <CurrentTaxYearMinus4Years>195844</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>123910</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>99694</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>64664</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>36412</CurrentTaxYear>
        <Total>520524</Total>
      </GrossInvestmentIncome170>
      <NetUBI>
        <Total>0</Total>
      </NetUBI>
      <OtherIncome170>
        <CurrentTaxYearMinus4Years>45386</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>37188</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>34888</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>2267</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>90791</CurrentTaxYear>
        <Total>210520</Total>
      </OtherIncome170>
      <TotalSupport>1612054</TotalSupport>
      <GrossReceiptsFromAdmissionsEtc>80575107</GrossReceiptsFromAdmissionsEtc>
      <PublicSupportPertcentage170>0.54650</PublicSupportPertcentage170>
      <PublicSupportPertcentPriorYear>0.47420</PublicSupportPertcentPriorYear>
      <ThirtyThreePercntTestsCY170>X</ThirtyThreePercntTestsCY170>
      <GeneralExplanation>OTHER INCOME, SCHEDULE A, PART II, LINE 10, DESCRIPTION - , COLUMN A - 45386, COLUMN B - 37188, COLUMN C - 34888, COLUMN D - 2267, COLUMN E - 90791, COLUMN F - 210520; DESCRIPTION - , COLUMN A - , COLUMN B - , COLUMN C - , COLUMN D - , COLUMN E - , COLUMN F - 0; DESCRIPTION - , COLUMN A - , COLUMN B - , COLUMN C - , COLUMN D - , COLUMN E - , COLUMN F - 0;,</GeneralExplanation>
      <GeneralExplanation>OTHER INCOME, SCHEDULE A, PART II, LINE 10, OTHER INCOME INCLUDES MISCELLANEOUS OPERATING INCOME OF $10,197 AND MISCELLANEOUS NON-OPERATING INCOME OF $80,594.,</GeneralExplanation>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB" softwareId="12000266" softwareVersion="v2012.1.0">
      <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="IRS990ScheduleD" softwareId="12000266" softwareVersion="v2012.1.0">
      <CurrentYear>
        <BeginningOfYearBalance>23770</BeginningOfYearBalance>
        <InvestmentEarningsOrLosses>5202</InvestmentEarningsOrLosses>
        <EndOfYearBalance>28972</EndOfYearBalance>
      </CurrentYear>
      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>3140518</BeginningOfYearBalance>
        <Contributions>18</Contributions>
        <InvestmentEarningsOrLosses>85584</InvestmentEarningsOrLosses>
        <OtherExpenditures>1000</OtherExpenditures>
        <AdministrativeExpenses>3201350</AdministrativeExpenses>
        <EndOfYearBalance>23770</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <CurrentYearMinus2Years>
        <BeginningOfYearBalance>2637073</BeginningOfYearBalance>
        <Contributions>4237</Contributions>
        <InvestmentEarningsOrLosses>499207</InvestmentEarningsOrLosses>
        <GrantsOrScholarships>0</GrantsOrScholarships>
        <OtherExpenditures>0</OtherExpenditures>
        <AdministrativeExpenses>0</AdministrativeExpenses>
        <EndOfYearBalance>3140518</EndOfYearBalance>
      </CurrentYearMinus2Years>
      <CurrentYearMinus3Years>
        <BeginningOfYearBalance>2350056</BeginningOfYearBalance>
        <Contributions>0</Contributions>
        <InvestmentEarningsOrLosses>288017</InvestmentEarningsOrLosses>
        <GrantsOrScholarships>0</GrantsOrScholarships>
        <OtherExpenditures>1000</OtherExpenditures>
        <AdministrativeExpenses>0</AdministrativeExpenses>
        <EndOfYearBalance>2637073</EndOfYearBalance>
      </CurrentYearMinus3Years>
      <CurrentYearMinus4Years>
        <BeginningOfYearBalance>2733342</BeginningOfYearBalance>
        <Contributions>0</Contributions>
        <InvestmentEarningsOrLosses>-382686</InvestmentEarningsOrLosses>
        <GrantsOrScholarships>0</GrantsOrScholarships>
        <OtherExpenditures>600</OtherExpenditures>
        <AdministrativeExpenses>0</AdministrativeExpenses>
        <EndOfYearBalance>2350056</EndOfYearBalance>
      </CurrentYearMinus4Years>
      <PermanentEndowmentEOYBalance>0.82000</PermanentEndowmentEOYBalance>
      <TermEndowmentEOYBalance>0.18000</TermEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>false</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>false</EndowmentsHeldByRelatedOrgs>
      <Land>
        <BookValue>0</BookValue>
      </Land>
      <Buildings>
        <BookValue>0</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>47047</OtherCostOrOtherBasis>
        <Depreciation>42972</Depreciation>
        <BookValue>4075</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>3205239</OtherCostOrOtherBasis>
        <Depreciation>2514138</Depreciation>
        <BookValue>691101</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <BookValue>0</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>695176</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>INTEREST RECEIVABLE</Description>
        <BookValue>5400</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>MISCELLANEOUS RECEIVABLES</Description>
        <BookValue>69822</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>PERPETUAL TRUST</Description>
        <BookValue>199846</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>GOODWILL</Description>
        <BookValue>1269757</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>1544825</TotalBookValueOtherAssets>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>PAYABLES TO THIRD PARTY</Description>
        <Amount>328620</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>LONG-TERM LIABILITIES</Description>
        <Amount>74426</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>403046</TotalOfAmounts>
      <FootnoteInPartXIII>X</FootnoteInPartXIII>
      <TotRevenueEtcAuditedFinclStmt>22911690</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>18840</NetUnrealizedGainsInvestments>
      <OtherRevenues>41960</OtherRevenues>
      <RevenueNotRptdF990>60800</RevenueNotRptdF990>
      <RevenueSubtotal>22850890</RevenueSubtotal>
      <OtherRevenuesNotIncluded>0</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>0</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>22850890</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>21143433</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>0</OtherExpensesIncluded>
      <ExpensesNotRptdF990>0</ExpensesNotRptdF990>
      <ExpensesSubtotal>21143433</ExpensesSubtotal>
      <OtherExpensesNotIncluded>0</OtherExpensesNotIncluded>
      <ExpensesNotRptdOnFinStmt>0</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>21143433</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIII>
        <Identifier>Intended uses of endowment funds</Identifier>
        <ReturnReference>Schedule D, Part V, Line 4</ReturnReference>
        <Explanation>THE INTENDED USE OF ENDOWMENT FUNDS HELD BY VNA COMMUNITY CARE SERVICES, INC. IS TO FURTHER THE ORGANIZATION'S EXEMPT PURPOSE OF PROVIDING COMPREHENSIVE HOME HEALTH CARE REGARDLESS OF THE PATIENT'S ABILITY TO PAY.</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>FIN 48 (ASC 740) footnote</Identifier>
        <ReturnReference>Schedule D, Part X, Line 2</ReturnReference>
        <Explanation>VNA FOLLOWS THE ACCOUNTING GUIDANCE FOR UNCERTAINTIES IN INCOME TAX POSITIONS, WHICH REQUIRES THAT A TAX POSITION BE RECOGNIZED OR DERECOGNIZED BASED ON A "MORE THAN LIKELY THAN NOT" THRESHOLD. THIS APPLIES TO POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. VNA DOES NOT BELEIVE ITS FINANCIAL STATEMENTS INCLUDE ANY MATERIAL UNCERTAIN TAX POSTIONS.</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>Other revenues in audited financial statements not in form 990</Identifier>
        <ReturnReference>Schedule D, Part XI, Line 2d</ReturnReference>
        <Explanation>PERPETUAL TRUST DISTRIBUTIONS - 41960;</Explanation>
      </Form990ScheduleDPartXIII>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ" softwareId="12000266" softwareVersion="v2012.1.0">
      <IdemnificationGrossUpPayments>X</IdemnificationGrossUpPayments>
      <WrittenPolicyReTAndEExpenses>false</WrittenPolicyReTAndEExpenses>
      <SubstantiationRequired>true</SubstantiationRequired>
      <IndependentConsultant>X</IndependentConsultant>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>true</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>SHEILA BAUBLITZ</NamePerson>
        <Title>CHIEF OPERATING OFFICER</Title>
        <BaseCompensationFilingOrg>118646</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>10916</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>168</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>4459</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>16680</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>150869</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>WILLIAM V DUNSTAN</NamePerson>
        <Title>PRESIDENT</Title>
        <BaseCompensationFilingOrg>164803</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>24687</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>2559</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>6884</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>16284</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>215217</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>Tax indemnification and gross-up payments</Identifier>
        <ReturnReference>Schedule J, Part I, Line 1a</ReturnReference>
        <Explanation>VNA COMMUNITY SERVICES, INC (EIN # 23-1352572) PROVIDES GROSS-UP PAYMENTS TO EMPLOYEES WHEN THEY RECEIVE HOLIDAY GIFT CARDS SO AS TO PROVIDE TAX ASSISTANCE IN THAT NO TAX BURDENS ARE CREATED WITH THE INTENDED GIFT. HOLIDAY GIFT CARDS IN THE AMOUNT OF $15 PER EMPLOYEE WERE GIVEN DURING THE 2012 TAX YEAR.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Written policy regarding payment or reimbursement of expenses</Identifier>
        <ReturnReference>Schedule J, Part I, Line 1b</ReturnReference>
        <Explanation>THERE ARE CURRENTLY NO WRITTEN POLICIES IN PLACE FOR GROSS UP PAYMENTS.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>COMPENSATION</Identifier>
        <ReturnReference>SCHEDULE J, PART I, LINE 3</ReturnReference>
        <Explanation>VNA COMMUNITY CARE SERVICES, INC, FOLLOWS THE COMPENSATION PROCESS OF LANCASTER GENERAL HEALTH, THE MANAGING MEMBER. LANCASTER GENERAL HEALTH UTILIZES AN INDEPENDENT THIRD PARTY TO PROVIDE BASE SALARY AND TOTAL COMPENSATION MARKET DATA FOR COMPARABLE POSITIONS AT SIMILARLY SIZED ORGANIZATIONS. LANCASTER GENERAL HEALTH PRESENTS THE PERFORMANCE OF THE ABOVE MENTIONED POSITIONS AGAINST ESTABLISHED GOALS AND EVALUATES AND PRESENTS THEM TO THE MANAGEMENT AND DEVELOPMENT COMPENSATION COMMITTEE (MDCC). THE MDCC IS A COMMITTEE COMPRISED OF BOARD OF TRUSTEE MEMBERS. THE MARKET DATA AND PERFORMANCES AGAINST GOALS ARE REVIEWED BY THE MDCC WHO THEN TAKES ACTION. MINUTES ARE KEPT OF THE DISCUSSION AND ACTIONS TAKEN BY THE MDCC MEMBERS AT THEIR MEETING. THIS DOCUMENTATION IS KEPT FOR FUTURE REFERENCE. THIS PROCESS IS UNDERTAKEN EACH AUGUST AFTER THE CLOSE OF THE PREVIOUS FISCAL YEAR IN JUNE. PLEASE REFER TO FORM 990 PART VI QUESTION 15 STATING THAT ALL BUT ONE OF THE MEMBERS OF THE COMMITTEE IS CONSIDERED INDEPENDENT.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Non-fixed payments</Identifier>
        <ReturnReference>Schedule J, Part I, Line 7</ReturnReference>
        <Explanation>VNA COMMUNITY CARE SERVICES, INC. PARTICIPATES IN THE LANCASTER GENERAL HEALTH ANNUAL INCENTIVE PLAN (THE PLAN). THE PURPOSE OF THE PLAN IS TO REINFORCE STRATEGIC PERFORMANCE PRIORITIES FOR SENIOR MANAGEMENT AND MANAGEMENT EMPLOYEES AND TO ENCOURAGE THE HIGHEST LEVEL OF PERFORMANCE IN THE DELIVERY OF HEALTH CARE SERVICES. AS A REWARD FOR EMPLOYEES' CONTRIBUTIONS TO LANCASTER GENERAL HEALTH'S SUCCESS, THE PLAN PROVIDES THE OPPORTUNITY TO EARN MEANINGFUL INCENTIVE COMPENSATION BASED ON THE PERFORMANCE OF LANCASTER GENERAL HEALTH AND THE INDIVIDUAL PARTICIPANTS. SPECIFICALLY, THE PLAN IS DESIGNED TO: *FOCUS PARTICIPANTS ON THE ACHIEVEMENT OF ORGANIZATION GOALS RELATED TO PEOPLE, SERVICE, QUALITY/SAFETY, FINANCIAL AND GROWTH;*PROMOTE AND FOSTER A TEAM ORIENTED CULTURE;*STRENGTHEN LANCASTER GENERAL HEALTH'S ABILITY TO ATTRACT AND RETAIN SUPERIOR TALENT, RECOGNIZE AND REWARD ACCOMPLISHMENTS THAT CLEARLY ADVANCE THE ORGANIZATION'S MISSION, AND DRIVE STRATEGIES;*PROVIDE INCENTIVE AWARDS THAT CAN BE ADJUSTED ANNUALLY FOR DIFFERENT BUSINESS CONDITIONS AND BUSINESS PLAN PRIORITIES WITHOUT CHANGING BASIC DESIGN FEATURES OF THE PLAN; AND *PROVIDE ANNUAL INCENTIVE OPPORTUNITIES WITH DUE CONSIDERATION TO THE REQUIREMENTS OF THE INTERMEDIATE SANCTIONS LAW AND THE REGULATIONS THERE UNDER.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="IRS990ScheduleL" softwareId="12000266" softwareVersion="v2012.1.0">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>MICHAEL A YOUNG</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>TRUSTEE</Relationship>
        <AmountOfTransaction>0</AmountOfTransaction>
        <DescriptionOfTransaction>INDIVIDUAL IS AN OFFICER OF PINNACLE HEALTH. PINNACLE OWNS 11.8 PERCENT OF VNA. PINNACLE DISCHARGES PATIENTS TO VNA.</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>RICHARD J MABLE</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>TRUSTEE &amp; OFFICER</Relationship>
        <AmountOfTransaction>0</AmountOfTransaction>
        <DescriptionOfTransaction>INDIVIDUAL IS A VICE PRESIDENT OF READING HOME HEALTH CARE. READING OWNS 44.1 PERCENT OF VNA. READING DISCHARGES PATIENTS TO VNA.</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>WILLIAM K WILKISON</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>TRUSTEE &amp; OFFICER</Relationship>
        <AmountOfTransaction>0</AmountOfTransaction>
        <DescriptionOfTransaction>INDIVIDUAL IS AN OFFICER OF PINNACLE. PINNACLE OWNS 11.8 PERCENT OF VNA. PINNACLE DISCHARGES PATIENTS TO VNA.</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>DREW S LERMAN</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>TRUSTEE</Relationship>
        <AmountOfTransaction>0</AmountOfTransaction>
        <DescriptionOfTransaction>INDIVIDUAL IS A VICE PRESIDENT OF READING HEALTH SYSTEM. READING OWNS 44.1 PERCENT OF VNA. READING DISCHARGES PATIENTS TO VNA.</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>MARY C AGNEW</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>TRUSTEE</Relationship>
        <AmountOfTransaction>0</AmountOfTransaction>
        <DescriptionOfTransaction>INDIVIDUAL IS A VICE PRESIDENT OF READING HEALTH SYSTEM. READING OWNS 44.1 PERCENT OF VNA. READING DISCHARGES PATIENTS TO VNA.</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>GEOFFREY W EDDOWES</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>TRUSTEE &amp; OFFICER</Relationship>
        <AmountOfTransaction>0</AmountOfTransaction>
        <DescriptionOfTransaction>INDIVIDUAL IS A SENIOR VICE PRESIDENT OF LANCASTER GENERAL HEALTH. LGH OWNS 44.1 PERCENT OF VNA. LGH DISCHARGES PATIENTS TO VNA.</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>REGINA M MINGLE</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>TRUSTEE</Relationship>
        <AmountOfTransaction>0</AmountOfTransaction>
        <DescriptionOfTransaction>INDIVIDUAL IS A SENIOR VICE PRESIDENT OF LANCASTER GENERAL HEALTH. LGH OWNS 44.1 PERCENT OF VNA. LGH DISCHARGES PATIENTS TO VNA.</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>SUSAN WYNNE</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>TRUSTEE</Relationship>
        <AmountOfTransaction>0</AmountOfTransaction>
        <DescriptionOfTransaction>INDIVIDUAL IS A SENIOR VICE PRESIDENT OF LANCASTER GENERAL HEALTH. LGH OWNS 44.1 PERCENT OF VNA. LGH DISCHARGES PATIENTS TO VNA.</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>MARGARET F COSTELLA</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>OFFICER</Relationship>
        <AmountOfTransaction>0</AmountOfTransaction>
        <DescriptionOfTransaction>INDIVIDUAL IS A VICE PRESIDENT OF LANCASTER GENERAL HEALTH. LGH OWNS 44.1 PERCENT OF VNA. LGH DISCHARGES PATIENTS TO VNA.</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>DONNA F WEBER</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>TRUSTEE</Relationship>
        <AmountOfTransaction>0</AmountOfTransaction>
        <DescriptionOfTransaction>INDIVIDUAL WAS PREVIOUSLY CHIEF NURSE OFFICER OF READING HEALTH. INDIVIDUAL HAD SERVED AS TRUSTEE ON THE VNA BOARD. READING HEALTH OWNS 44.1 PERCENT OF VNA. READING DISCHARGES PATIENTS TO VNA.</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>PATRICK R RICHARDS</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>TRUSTEE &amp; OFFICER</Relationship>
        <AmountOfTransaction>0</AmountOfTransaction>
        <DescriptionOfTransaction>INDIVIDUAL WAS PREVIOUSLY IN THE FINANCE DEPARTMENT OF READING HEALTH. INDIVIDUAL HAD SERVED AS A TRUSTEE AND OFFICER ON THE VNA BOARD. READING OWNS 44.1 PERCENT OF VNA. READING DISCHARGES PATIENTS TO VNA.</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="12000266" softwareVersion="v2012.1.0">
      <GeneralExplanation>
        <Identifier>Delegation of management duties</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 3</ReturnReference>
        <Explanation>LANCASTER GENERAL HEALTH (EIN# 23-2250941) AND LANCASTER GENERAL HOSPITAL (EIN# 23-1365353) PROVIDE MANAGEMENT SERVICES TO VNA COMMUNITY CARE SERVICES, INC. SUCH SERVICES INCLUDE , BUT ARE NOT LIMITED TO, ACCOUNTING, AUDIT, HUMAN RESOURCES, INFORMATION TECHNOLOGY, AND MANAGEMENT OVERSIGHT.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Classes of members or stockholders</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 6</ReturnReference>
        <Explanation>AS OF JANUARY 1, 2012, THE MEMBERS OF THE CORPORATION SHALL BE LANCASTER GENERAL HEALTH (EIN 22-2250941), A PENNSYLVANIA NONPROFIT CORPORATION AND THE READING HOSPITAL AND MEDICAL CENTER (EIN 23-1352204), A PENNSYLVANIA NONPROFIT CORPORATION AND PINNACLE HEALTH HOSPITALS (EIN 23-2024121 ), A PENNSYLVANIA NONPROFIT CORPORATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Members or stockholders electing members of governing body</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 7a</ReturnReference>
        <Explanation>THE BOARD OF DIRECTORS OF THE CORPORATION SHALL BE COMPOSED OF EIGHT DIRECTORS. THIS NUMBER MAY BE INCREASED OR DECREASED, HOWEVER, THE PERCENTAGE OF PHYSICIAN DIRECTORS SHALL NEVER BE MORE THAN 20 PERCENT OF THE TOTAL NUMBER OF DIRECTORS IN OFFICE. AS OF JANUARY 1, 2012, THREE DIRECTORS SHALL BE ELECTED BY EACH OF LG HEALTH (EIN 22-2250941) AND THE READING HOSPITAL AND MEDICAL CENTER (EIN 23-1352204), AND THE REMAINING TWO SHALL BE ELECTED BY PINNACLE HEALTH HOSPITALS (EIN 23-2024121) AT THE ANNUAL MEETING OF THE MEMBERS. EACH DIRECTOR SHALL BE APPOINTED FOR A THREE YEAR TERM.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Decisions requiring approval by members or stockholders</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 7b</ReturnReference>
        <Explanation>A MAJORITY OF THE DIRECTORS OF THE BOARD SHALL CONSTITUTE A QUORUM FOR THE TRANSACTION OF BUSINESS. THE ACTS OF A MAJORITY OF THE DIRECTORS PRESENT AND VOTING AT A MEETING AT WHICH A QUORUM IS PRESENT SHALL BE THE ACTS OF THE BOARD.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Interested persons who cannot be reached at organization's address</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 9</ReturnReference>
        <Explanation>BOARD MEMBERS REGINA M. MINGLE AND SUSAN P. WYNNE CAN BE REACHED AT LANCASTER GENERAL HEALTH, 555 NORTH DUKE STREET, PO BOX 3555, LANCASTER, PA 17604-3555. BOARD MEMBERS PATRICK R. RICHARDS, RICHARD J. MABLE, AND DONNA F. WEBER CAN BE REACHED AT THE READING HOSPITAL AND MEDICAL CENTER, 601 SPRUCE STREET, READING PA 19611. BOARD MEMBER GEOFFREY W. EDDOWES CAN BE REACHED AT LANCASTER GENERAL WOMEN &amp; BABIES HOSPITAL, 690 GOOD DRIVE, LANCASTER, PA 17604. BOARD MEMBER WILLIAM K. WILKINSON CAN BE REACHED AT PINNACLE HEALTH COMMUNITY HOSPITAL, 4300 LONDONDERRY ROAD, HARRISBURG, PA 17109. BOARD MEMBER MICHAEL A. YOUNG CAN BE REACHED AT PINNACLE HEALTH SYSTEM, P.O. BOX 8700, HARRISBURG, PA 17105-8700. BOARD MEMBER MARY C. AGNEW CAN BE REACED AT READING HOSPITAL, PO BOX 16052, READING, PA 19612. BOARD MEMBER DREW S. LERMAN CAN BE REACHED AT READING HOSPITAL, SIXTH AVENUE AND SPRUCE STREET, WEST READING, PA 19611.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Review of form 990 by governing body</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 11b</ReturnReference>
        <Explanation>THE VICE PRESIDENT-CONTROLLER AND THE DIRECTOR OF ACCOUNTING REVIEWED THE FORM 990.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Governing documents, conflict of interest policy and financial statements available to the public</Identifier>
        <ReturnReference>Form 990, Part VI, Section C, Line 19</ReturnReference>
        <Explanation>VNA COMMUNITY CARE SERVICES, INC. DOES NOT MAKE THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>