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        <BusinessNameLine1>VNA Care Network Inc</BusinessNameLine1>
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      <FactsAndCircumstancesTest>Part III Line 12 Prior years reflected a release from restriction</FactsAndCircumstancesTest>
      <GeneralExplanation>Part III Line 12 Prior years reflected a release from restriction</GeneralExplanation>
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      <OtherSecurities>
        <Description>Financial derivatives and other financial products</Description>
      </OtherSecurities>
      <OtherSecurities>
        <Description>Closely-held equity interests</Description>
      </OtherSecurities>
      <OtherAssets>
        <Description>Cash and cash equivalents</Description>
      </OtherAssets>
      <OtherAssets>
        <Description>Security Deposits</Description>
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      <OtherAssets>
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      <OtherAssets>
        <Description>Funds held for others</Description>
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      <OtherAssets>
        <Description>Due from Affiliates</Description>
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      <OtherLiabilities>
        <Description>Federal income taxes</Description>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Due to Affiliates</Description>
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      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Due to 3rd Party</Description>
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      <RevenueNotRptdOnFinStmt>503166</RevenueNotRptdOnFinStmt>
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        <ReturnReference>Line 4b</ReturnReference>
        <Explanation>Investment income net of expenses</Explanation>
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        <Identifier>V</Identifier>
        <ReturnReference>Line 4</ReturnReference>
        <Explanation>Donor restricted permanent fund income generated is unrestricted. Temporarily restricted funds are for patients needing free care. This fund was moved to the VNA Care Network Foundation, Inc. company to be consistent with all investments.</Explanation>
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    </IRS990ScheduleD>
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      <Form990OfOtherOrganizations>X</Form990OfOtherOrganizations>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
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      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
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      <InitialContractException>false</InitialContractException>
      <RebuttablePresumptionProcedure>false</RebuttablePresumptionProcedure>
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        <NamePerson>Karen H Green</NamePerson>
        <Title>Former President and CEO</Title>
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        <NamePerson>Joannne M Kramer</NamePerson>
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        <NamePerson>Mary Ann O'Connor</NamePerson>
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      <GeneralExplanation>
        <Explanation>Form 990 Part VI Section B Line 15a The Executive Compensation Committee made up of independent Board Members obtains a competive salary survey from an outside independent source. The Executive Compensation Committee then deliberates and decides on the executive compensation.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Form 990 Part VI Section C Line 19 If a formal request is made we will send copies</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Form 990 Part VI Section B Line 15b Other officers and key employees salaries are determined by the CEO and the executive committee. This is based on comparable data that was obtained by a competitive salary survey from an outside independent source.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Form 990 Part VI Section B Line 12c Annually the Board is asked to sign a conflict of interest statement. Also, at the beginning of all Board meetings the Board chair asks if there is any conflicts with any of the agenda items.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Form 990 Part VI Section B Line 11b 990 compiled and reviewed by the CEO and CFO and sent to the Finance Committee for review. The Finance Committee presents to the Board for approval. Board members are offerred a copy of the 990 at that time.</Explanation>
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