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        <BusinessNameLine1>VNA Care Hospice Inc</BusinessNameLine1>
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      <FollowSFAS117>X</FollowSFAS117>
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      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
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      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
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        <CurrentTaxYearMinus1Year>563141</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>516407</CurrentTaxYear>
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      <GrossReceiptsFromAdmissions>
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        <CurrentTaxYearMinus1Year>12620937</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>10547229</CurrentTaxYear>
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        <CurrentTaxYear>11063636</CurrentTaxYear>
        <Total>68248998</Total>
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      <PublicSupportTotal509>68248998</PublicSupportTotal509>
      <GrossInvestmentIncome509>
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        <CurrentTaxYearMinus1Year>225906</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>160240</CurrentTaxYear>
        <Total>1532880</Total>
      </GrossInvestmentIncome509>
      <Post1975UBTI>
        <Total>0</Total>
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      <InvestmentIncomeAndUBTI>
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        <CurrentTaxYear>344644</CurrentTaxYear>
        <Total>2135326</Total>
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      <TotalSupportTotal>
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        <CurrentTaxYearMinus1Year>14113469</CurrentTaxYearMinus1Year>
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      <PublicSupportPercentage509>0.94900</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.95820</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.02130</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.01850</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
      <FactsAndCircumstancesTest>Part III Line 12 Net assets released from restriction</FactsAndCircumstancesTest>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="990D" softwareId="11000218" softwareVersion="2011.0.0">
      <IncludedOnFS>false</IncludedOnFS>
      <EndowmentsHeldByUnrelatedOrgs>false</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>true</EndowmentsHeldByRelatedOrgs>
      <AreRelatedOrgsListedScheduleR>true</AreRelatedOrgsListedScheduleR>
      <Land>
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        <BookValue>1245047</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>4242184</OtherCostOrOtherBasis>
        <Depreciation>-1405388</Depreciation>
        <BookValue>2461231</BookValue>
      </Buildings>
      <Equipment>
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        <Depreciation>-79003</Depreciation>
      </Equipment>
      <TotalOfBookValueLandBuildings>3706278</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>Due from Affiliates</Description>
        <BookValue>8435818</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>8435818</TotalBookValueOtherAssets>
      <TotalRevenue>11568520</TotalRevenue>
      <TotalExpenses>12115797</TotalExpenses>
      <ExcessOrDeficitForYear>-547277</ExcessOrDeficitForYear>
      <ExcessOrDeficitPerFS>-547277</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>11408280</TotRevenueEtcAuditedFinclStmt>
      <RevenueSubtotal>11408280</RevenueSubtotal>
      <OtherRevenuesNotIncluded>160240</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>160240</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>11568520</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>12115797</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>12115797</ExpensesSubtotal>
      <TotalExpensesPerForm990>12115797</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>XII</Identifier>
        <ReturnReference>4b</ReturnReference>
        <Explanation>Investment income net of fees and transfers from affiliates</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>V</Identifier>
        <ReturnReference>4</ReturnReference>
        <Explanation>Donor restricted permanent endowment fund any interest earned is unrestricted.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="990J" softwareId="11000218" softwareVersion="2011.0.0">
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <Form990OfOtherOrganizations>X</Form990OfOtherOrganizations>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>Karen Green</NamePerson>
        <CompBasedOnRelatedOrgs>237288</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>44351</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>16500</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>7746</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>26330</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>332215</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Joanne Kramer</NamePerson>
        <CompBasedOnRelatedOrgs>205967</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>28420</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>16500</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>5020</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>4330</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>260237</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>I</Identifier>
        <ReturnReference>4b</ReturnReference>
        <Explanation>Included in column C is the 457f plan. Karen Green 457f was 2,846 and Joanne Kramers 457f was 332.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="990O" softwareId="11000218" softwareVersion="2011.0.0">
      <GeneralExplanation>
        <Identifier>Form 990 Part VI</Identifier>
        <ReturnReference>15a</ReturnReference>
        <Explanation>The Executive Compensation Committee made up of independent Board members obtains a competitive salary survey from an outside independent source. The Executive Compensation Committee then deliberates and decides on the executive compensation.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part VI</Identifier>
        <ReturnReference>19</ReturnReference>
        <Explanation>If formal request is made will send the copies</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part VI</Identifier>
        <ReturnReference>15b</ReturnReference>
        <Explanation>Other officers and key employees salaries are determined by the CEO based on comparable data obtained by competitive salary survey from an outside independent source.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part VI</Identifier>
        <ReturnReference>12c</ReturnReference>
        <Explanation>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>
        <Identifier>Form 990 Part VI</Identifier>
        <ReturnReference>11b</ReturnReference>
        <Explanation>990 was compiled and reveiwed 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 offered a copy of the 990 at that time.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part VII</Identifier>
        <ReturnReference>1a</ReturnReference>
        <Explanation>The forty hours worked are spread over all Affiliated companies.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part XI</Identifier>
        <ReturnReference>5</ReturnReference>
        <Explanation>This represents an equity transfer to affiliate/net assets release for capital acquisition.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Form 990 Part VI Section B Line 15a The Executive Compensation Committee made up of independent Board members obtains a competitive salary survey from an outside independent source. The Executive Compensation Committee then deliberates and decides on the executive compensation. Form 990 Part VI Section C Line 19 If formal request is made will send the copies Form 990 Part VI Section B Line 15b Other officers and key employees salaries are determined by the CEO based on comparable data obtained by competitive salary survey from an outside independent source. 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. Form 990 Part VI Section B Line 11b 990 was compiled and reveiwed 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 offered a copy of the 990 at that time. Form 990 Part VII Section A Line 1a The forty hours worked are spread over all Affiliated companies. Form 990 Part XI Line 5 This represents an equity transfer to affiliate/net assets release for capital acquisition.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="990R" softwareId="11000218" softwareVersion="2011.0.0">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>VNA Care Network Foundation Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>120 Thomas Street</AddressLine1>
          <City>Worcester</City>
          <State>MA</State>
          <ZIPCode>01608</ZIPCode>
        </AddressUS>
        <EIN>042794849</EIN>
        <PrimaryActivities>Management Company</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501c3</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>VNA Care Network Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>120 Thomas Street</AddressLine1>
          <City>Worcester</City>
          <State>MA</State>
          <ZIPCode>01608</ZIPCode>
        </AddressUS>
        <EIN>042103825</EIN>
        <PrimaryActivities>Home Health Care</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501c3</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>VNA Care Advantage Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>120 Thomas Street</AddressLine1>
          <City>Worcester</City>
          <State>MA</State>
          <ZIPCode>01608</ZIPCode>
        </AddressUS>
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        <PrimaryActivities>Day Care</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501c3</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Home Staff LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>40 Millbrook Street</AddressLine1>
          <City>Worcester</City>
          <State>MA</State>
          <ZIPCode>01608</ZIPCode>
        </AddressUS>
        <EIN>421757904</EIN>
        <PrimaryActivity>Home Care</PrimaryActivity>
        <LegalDomicileState>MA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
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      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>true</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>true</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>true</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
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      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
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      <TransactionsRelatedOrgsTable>
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</Return>