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          <AddressUS>
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      <ConferencesMeetings>
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      <Interest>
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        <ProgramServices>21515</ProgramServices>
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        <ProgramServices>154311</ProgramServices>
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        <ManagementAndGeneral>15083</ManagementAndGeneral>
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      <OtherExpenses>
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        <Description>DUE FROM AFFILIATE, VNA OF BOSTON MANAGEMENT RESOURCES, INC.</Description>
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      <OtherAssets>
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      <OtherAssets>
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      <OtherLiabilities>
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      <OtherLiabilities>
        <Description>DUE TO AFFILIATE, VNA OF BOSTON FOUNDATION, INC.</Description>
        <Amount>2276442</Amount>
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      <OtherLiabilities>
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        <Amount>11152040</Amount>
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      <OtherLiabilities>
        <Description>DUE TO AFFILIATE, VNA PRIVATE CARE, INC.</Description>
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      <TotalOfAmounts>13836564</TotalOfAmounts>
      <FootnoteInPartXIII>X</FootnoteInPartXIII>
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      <ExpensesNotRptdOnFinStmt>0</ExpensesNotRptdOnFinStmt>
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      <Form990ScheduleDPartXIII>
        <Identifier>DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:</Identifier>
        <ReturnReference>PART V, LINE 4:</ReturnReference>
        <Explanation>ENDOWMENT FUNDS ARE TO COVER OPERATING EXPENSES AND TO HELP COVER THE COSTS RELATED TO THE CHARITY CARE THE ORGANIZATION PROVIDES TO THOSE INDIVIDUALS WHO ARE UNABLE TO PAY FOR SERVICES.</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:</Identifier>
        <ReturnReference>PART X, LINE 2:</ReturnReference>
        <Explanation>THE ORGANIZATION FOLLOWS FASB ASC 740 "INCOME TAXES" WHICH CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES BY PRESCRIBING THE RECOGNITION THRESHOLD A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. THIS GUIDANCE ALSO PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT STANDARD FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF AN INCOME TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. IN ADDITION, IT PROVIDES GUIDANCE ON DE-RECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE AND TRANSITION. MANAGEMENT BELIEVES THAT THE ORGANIZATION HAS NO MATERIAL UNCERTAINTIES IN INCOME TAXES. THE ORGANIZATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATION BY THE U.S. FEDERAL, STATE, OR LOCAL TAX AUTHORITIES FOR YEARS BEFORE 2009. THE ORGANIZATION WILL ACCOUNT FOR INTEREST AND PENALTIES RELATED TO UNCERTAIN TAX POSITIONS, IF ANY, AS A PART OF TAX EXPENSE.</Explanation>
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      <Form990ScheduleDPartXIII>
        <Identifier>PART XI, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>RESIDUAL LOSS FROM DEMUTUALIZATION OF EMPLOYEE BENEFIT PLANS 29,083. GAIN ON BENEFICIAL INTEREST IN PERPETUAL TRUST 42,016.</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>PART XI, LINE 4B - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>FUNDRAISING EXPENSE REPORTED ON FORM 990, PART VIII, LINE 8B -82,358.</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>PART XII, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>FUNDRAISING EXPENSE REPORTED ON FORM 990, PART VIII, LINE 8B 82,358.</Explanation>
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    </IRS990ScheduleD>
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        <GrossRevenueEvent1>44616</GrossRevenueEvent1>
        <RentFacilityCostsEvent1>55130</RentFacilityCostsEvent1>
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        <RentFacilityCostsTotalEvents>55130</RentFacilityCostsTotalEvents>
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        <NetIncomeSummary>-37742</NetIncomeSummary>
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      <CompensationSurvey>X</CompensationSurvey>
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        <Title>VP OF OPERATIONS</Title>
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        <BonusRelatedOrgs>1808</BonusRelatedOrgs>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>JOAN HURTON</NamePerson>
        <Title>CHN 1 - RN</Title>
        <BaseCompensationFilingOrg>127264</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>1000</BonusFilingOrg>
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        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>PAUL ALBUSHIES</NamePerson>
        <Title>CHN 1 - RN</Title>
        <BaseCompensationFilingOrg>137535</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>1000</BonusFilingOrg>
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        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>5544</DeferredCompFilingOrg>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>SUPPLEMENTAL INFORMATION</Identifier>
        <ReturnReference>PART III</ReturnReference>
        <Explanation>SCH J, PART II, LINE 1, COLUMN (B)(II): REYNOLD SPADONI'S INCENTIVE COMPENSATION IS EVALUATED BY THE BOARD BASED ON PERFORMANCE AT HIS EMPLOYMENT ANNIVERSARY WHICH IS OCTOBER 31ST. IN FY12, THE INCENTIVE COMPENSATION FOR THE PERIOD ENDING OCTOBER 31, 2011 WAS PAID OUT IN JANUARY 2012 AND INCENTIVE COMPENSATION FOR THE PERIOD ENDING OCTOBER 31, 2012 WAS PAID OUT IN DECEMBER 2012.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>THE COMPLETED FORM 990 IS REVIEWED BY THE CFO AND CONTROLLER. THE FORM 990 IS REVIEWED WITH THE FINANCE COMMITTEE AT THE NEXT MONTHLY BOARD MEETING. THE FINANCE COMMITTEE HAS THREE MEMBERS WHO ARE CONSIDERED TO BE FINANCIAL EXPERTS. THE FINAL FORM 990 IS POSTED TO A SECURE WEBSITE AND IS MADE AVAILABLE TO ALL BOARD MEMBERS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>ALL BOARD MEMBERS ARE REQUIRED TO READ AND SIGN A CONFLICT OF INTEREST POLICY ANNUALLY AT THE COMPANY'S ANNUAL BOARD MEETING. ALL MANAGERS ARE REQUIRED TO READ AND SIGN A CONFLICT OF INTEREST POLICY ANNUALLY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>THE VNA OF BOSTON ENGAGED AN OUTSIDE EXECUTIVE COMPENSATION CONSULTANT, OLNEY &amp; ASSOCIATES, TO CONDUCT AN EXECUTIVE COMPENSATION SURVEY FOR THE POSITIONS OF CEO, CFO, VICE PRESIDENT OF OPERATIONS, EXECUTIVE DIRECTOR OF VNA HOSPICE, EXECUTIVE DIRECTOR OF VNA PRIVATE CARE, INC., DIRECTOR OF HUMAN RESOURCE, CHIEF INFORMATION OFFICER, DIRECTOR OF DEVELOP/COMMUNICATIONS; DIRECTOR OF PROVIDER RELATIONS, DIRECTOR OF RISK, QUALITY AND REGULATORY AFFAIRS. HOMECARE AGENCIES FROM ACROSS THE COUNTRY OF SIMILAR SIZE AND BUDGET WERE INVITED TO PARTICIPATE. OF 19 INVITED AGENCIES, 18, SUBMITTED DATA ON BASE SALARY, BONUS, BENEFITS, PERQUISITES AND TOTAL COMPENSATION. FINDINGS WERE PRESENTED TO EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS IN MAY 2007. THE CONSULTANT COMMUNICATED DIRECTLY WITH THE BOARD CHAIR. CEO DATA AND RECOMMENDATIONS WERE PROVIDED DIRECTLY TO THE BOARD COMMITTEE. ALL IS DOCUMENTED IN MINUTES WITH COMPARABILITY REPORT AND EXPLANATION OF VARIANCES FROM THE MARKET DATA (E.G. PAY POLICY DECISION, ADDITIONAL RESPONSIBILITY, PERFORMANCE AND SENIORITY, STRATEGIC REQUIREMENTS, BOSTON COST OF LIVING). SOME ADJUSTMENTS WERE MADE IN PAY AS A RESULT OF THE SURVEY. THE AGENCY USES SURVEYS CONDUCTED BY WESTMINSTER ASSOCIATES FOR THE HOME HEALTH ALLIANCE AND PARTICIPATES IN OTHER SURVEYS CONDUCTED BY LARGE SIZED AGENCIES IN THE COUNTRY TO PROVIDE COMPARATIVE SALARY DATA FOR ALL SENIOR POSITIONS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, FORM 990, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. IN ADDITION, THE FORM 990 IS AVAILABLE VIA GUIDESTAR AND THE MASSACHUSETTS ATTORNEY GENERAL'S WEBSITE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 9:</ReturnReference>
        <Explanation>RESIDUAL GAIN FROM DEMUTUALIZATION OF EMPLOYEE BENEFIT PLANS 29,083. GAIN ON BENEFICIAL INTEREST IN PERPETUAL TRUST 42,016.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION:</ReturnReference>
        <Explanation>WE RESPECT AND VALUE THE SKILLS AND COMPASSION OF OUR STAFF, THE UNIQUE NEEDS OF OUR PATIENTS, THE DIVERSITY OF THE COMMUNITY WE SERVE AND OUR STAFF, AND THE COMMITMENT OF THOSE WHO SUPPORT OUR WORK. INTEGRITY IS ENGRAINED IN ALL WE DO. WE ARE COMMITTED TO CONTINUOUSLY AND FURTHER IMPROVE THE QUALITY OF OUR CARE THROUGH THE CREATION OF SUPERIOR PATIENT OUTCOMES -- ACHIEVED BY PROVIDING THE SERVICES AND PROGRAMS THAT ADDRESS THE NEEDS OF OUR PATIENTS, COMMUNITIES AND HEALTH CARE SYSTEM. WE BELIEVE IN PROVIDING THE BEST CUSTOMER SERVICE EXPERIENCE TO OUR PATIENTS, HEALTH CARE PARTNERS AND STAFF. WE STRIVE TO FOSTER A CULTURE THAT STIMULATES OPEN AND PRODUCTIVE COMMUNICATION THAT HELPS TO EXCEED THE EXPECTATIONS OF OUR INTERNAL AND EXTERNAL CUSTOMERS.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>VNAB FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>500 RUTHERFORD AVENUE SUITE 200</AddressLine1>
          <City>CHARLESTOWN</City>
          <State>MA</State>
          <ZIPCode>02129</ZIPCode>
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