﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2011v1.2">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2012-05-04T07:00:05-05:00</Timestamp>
    <TaxPeriodEndDate>2011-12-31</TaxPeriodEndDate>
    <PreparerFirm>
      <EIN>232108173</EIN>
      <PreparerFirmBusinessName>
        <BusinessNameLine1>REINSEL KUNTZ LESHER LLP</BusinessNameLine1>
      </PreparerFirmBusinessName>
      <PreparerFirmUSAddress>
        <AddressLine1>1601 SOUTH QUEEN STREET</AddressLine1>
        <City>YORK</City>
        <State>PA</State>
        <ZIPCode>174034630</ZIPCode>
      </PreparerFirmUSAddress>
    </PreparerFirm>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2011-01-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>231352574</EIN>
      <Name>
        <BusinessNameLine1>VISITING NURSE ASSOCIATION OF POTTSTOWN</BusinessNameLine1>
        <BusinessNameLine2>AND VICINITY</BusinessNameLine2>
      </Name>
      <NameControl>VISI</NameControl>
      <Phone>6103275700</Phone>
      <USAddress>
        <AddressLine1>1963 E HIGH STREET</AddressLine1>
        <City>POTTSTOWN</City>
        <State>PA</State>
        <ZIPCode>194643209</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>LUCILLE D GOUGH</Name>
      <Title>PRESIDENT/CEO</Title>
      <Phone>6103275700</Phone>
      <DateSigned>2012-04-26</DateSigned>
      <AuthorizeThirdParty>1</AuthorizeThirdParty>
    </Officer>
    <Preparer>
      <Name>DOUGLAS L BERMAN</Name>
      <PTIN>P01269555</PTIN>
      <Phone>7178433804</Phone>
    </Preparer>
    <TaxYear>2011</TaxYear>
    <BuildTS>2016-02-24 21:20:13Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="8">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <NameOfPrincipalOfficerPerson>LUCILLE D GOUGH</NameOfPrincipalOfficerPerson>
      <AddressPrincipalOfficerUS>
        <AddressLine1>1963 E HIGH STREET</AddressLine1>
        <City>POTTSTOWN</City>
        <State>PA</State>
        <ZIPCode>194643209</ZIPCode>
      </AddressPrincipalOfficerUS>
      <GrossReceipts>6077473</GrossReceipts>
      <GroupReturnForAffiliates>0</GroupReturnForAffiliates>
      <Organization501c3>X</Organization501c3>
      <WebSite>HTTP://WWW.VNAPOTTSTOWN.ORG/VNAP/</WebSite>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <YearFormation>1944</YearFormation>
      <StateLegalDomicile>PA</StateLegalDomicile>
      <ActivityOrMissionDescription>TO PROVIDE PROFESSIONAL AND SUPPORTIVE HEALTH CARE AND SOCIAL SERVICES TO MEET THE NEEDS OF INDIVIDUALS AND FAMILIES ON AN IN-HOME BASIS WITHIN THE AVAILABLE RESOURCES.</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>12</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>12</NbrIndependentVotingMembers>
      <TotalNbrEmployees>133</TotalNbrEmployees>
      <TotalNbrVolunteers>77</TotalNbrVolunteers>
      <TotalGrossUBI>0</TotalGrossUBI>
      <NetUnrelatedBusinessTxblIncome>0</NetUnrelatedBusinessTxblIncome>
      <ContributionsGrantsPriorYear>333541</ContributionsGrantsPriorYear>
      <ContributionsGrantsCurrentYear>317858</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenuePriorYear>5230953</ProgramServiceRevenuePriorYear>
      <ProgramServiceRevenueCY>4768422</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>132327</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>166537</InvestmentIncomeCurrentYear>
      <OtherRevenuePriorYear>17766</OtherRevenuePriorYear>
      <OtherRevenueCurrentYear>18632</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>5714587</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>5271449</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsPriorYear>0</GrantsAndSimilarAmntsPriorYear>
      <GrantsAndSimilarAmntsCY>0</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersPriorYear>0</BenefitsPaidToMembersPriorYear>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcPriorYear>3270789</SalariesEtcPriorYear>
      <SalariesEtcCurrentYear>3148318</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpPriorYear>0</TotalProfFundrsngExpPriorYear>
      <TotalProfFundrsngExpCY>0</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>42160</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>2467184</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>2321310</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>5737973</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>5469628</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>-23386</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>-198179</RevenuesLessExpensesCY>
      <TotalAssetsBOY>4407598</TotalAssetsBOY>
      <TotalAssetsEOY>4431379</TotalAssetsEOY>
      <TotalLiabilitiesBOY>2775990</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>3063496</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>1631608</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>1367883</NetAssetsOrFundBalancesEOY>
      <InfoInScheduleOPartIII>X</InfoInScheduleOPartIII>
      <MissionDescription>PROVIDE SERVICES THROUGHOUT POTTSTOWN, ALLENTOWN AND VICINITY WITH COMPREHENSIVE PROFESSIONAL AND SUPPORTIVE HEALTH CARE AND RELATED SERVICES AT THE PREVENTIVE, RESTORATIVE, REHABILITATIVE, AND MAINTENANCE LEVELS ON AN IN-HOME BASIS. THE ORGANIZATION WORKS TO DEVELOP, PROVIDE, AND PROMOTE A CONTINUUM OF HEALTH AND SOCIAL SERVICES APPROPRIATE TO MEET THE NEEDS OF INDIVIDUALS AND FAMILIES. ADDITIONALLY, THE ORGANIZATION SERVES THE GREATER LEHIGH VALLEY AREA UNDER THE DBA OF GREATER LEHIGH VALLEY VISITING NURSE ASSOCIATION.</MissionDescription>
      <SignificantNewProgramServices>0</SignificantNewProgramServices>
      <SignificantChange>0</SignificantChange>
      <Expense>3019369</Expense>
      <Revenue>3113296</Revenue>
      <Description>PROVIDED SKILLED NURSING CARE TO PATIENTS OF ALL AGES IN THEIR HOMES</Description>
      <Activity2>
        <Expense>1335546</Expense>
        <Revenue>1377093</Revenue>
        <Description>PROVIDED PHYSICAL THERAPY FOR THE RELIEF OF PAIN OR TO MAINTAIN MAXIMUM PHYSICAL CAPABILITIES; PROVIDED OCCUPATIONAL THERAPY FOR THE DEVELOPMENT OF LEARNING DAILY LIVING SKILLS AND ACTIVITIES; PROVIDED SPEECH THERAPY</Description>
      </Activity2>
      <Activity3>
        <Expense>157989</Expense>
        <Revenue>162904</Revenue>
        <Description>PROVIDED RECUPERATING PATIENTS AND THEIR FAMILIES AFFORDABLE, RELIABLE AND WELL-SUPERVISED NURSING AND HOME HEALTH AIDE SERVICES</Description>
      </Activity3>
      <ActivityOther>
        <Expense>105174</Expense>
        <Revenue>108446</Revenue>
        <Description>SOCIAL SERVICES: PROVIDED PSYCHOSOCIAL COUNSELING SERVICES AND CASE MANAGEMENT ACTIVITIES TO PATIENTS AND FAMILIES, ENABLING THEM TO COPE WITH ILLNESS</Description>
      </ActivityOther>
      <ActivityOther>
        <Expense>6482</Expense>
        <Revenue>6683</Revenue>
        <Description>COMMUNITY OUTREACH PROGRAMS: EACH YEAR THOUSANDS OF CLIENTS ARE SERVED REGARDLESS OF THEIR ABILITY TO PAY. WHEN CLIENTS ARE FINANCIALLY STRAPPED AND NEED MORE CARE THAN THEIR INSURANCE WILL COVER OR WHEN THEY HAVE NO INSURANCE, CHARITABLE CONTRIBUTIONS HAVE HELPED THEM REGAIN INDEPENDENCE WITH DIGNITY. BUILDING A HEALTHIER COMMUNITY DOES REQUIRE THE CONTINUED SUPPORT OF MANY INDIVIDUALS WHO BELIEVE THAT OUR SERVICES SHOULD BE ACCESSIBLE TO EVERYONE. WITH THE HELP OF MANY GENEROUS CONTRIBUTIONS, OUR SERVICES REMAIN AFFORDABLE AND AVAILABLE. ANY GIFT WILL MAKE A MEANINGFUL DIFFERENCE TO SOMEONE WHO IS HURTING OR IN NEED OF HOME CARE. FOR THE YEAR ENDED 12/31/11, THE ORGANIZATION SERVED 2,153 CLIENTS WITH 30,344 BILLABLE VISITS.THE ORGANIZATION HAS DEFINED CHARITY CARE AS THE AMOUNT OF HEALTH CARE SERVICES PROVIDED IN WHICH THE ORGANIZATION NEVER EXPECTED TO RECEIVE THE CHARGES FOR THOSE SERVICES. IT ALSO INCLUDES HEALTH PROMOTION PROGRAMS AND ANY OTHER CHARITABLE PROGRAMS SO DESIGNATED. CONTRACTUAL ALLOWANCES, THE DIFFERENCE BETWEEN CHARGES AND NEGOTIATED RATES, ARE CONSIDERED TO BE CHARITY CARE. IN 2011,CHARITY CARE AMOUNTED TO APPROXIMATELY $173,000 OR 4% OF NET PATIENT SERVICE REVENUE.</Description>
      </ActivityOther>
      <TotalOfOtherProgramServiceExp>111656</TotalOfOtherProgramServiceExp>
      <TotalOfOtherProgramServiceRev>115129</TotalOfOtherProgramServiceRev>
      <TotalProgramServiceExpense>4624560</TotalProgramServiceExpense>
      <DescribedIn501C3 referenceDocumentId="RetDoc1039100001">1</DescribedIn501C3>
      <ScheduleBRequired referenceDocumentId="RetDoc1234500001">1</ScheduleBRequired>
      <PoliticalActivities referenceDocumentId="RetDoc1039700001">0</PoliticalActivities>
      <LobbyingActivities referenceDocumentId="RetDoc1039700001">1</LobbyingActivities>
      <DonorAdvisedFunds referenceDocumentId="RetDoc1040000001">0</DonorAdvisedFunds>
      <ConservationEasements referenceDocumentId="RetDoc1040000001">0</ConservationEasements>
      <CollectionsOfArt referenceDocumentId="RetDoc1040000001">0</CollectionsOfArt>
      <CreditCounseling referenceDocumentId="RetDoc1040000001">0</CreditCounseling>
      <TermOrPermanentEndowments referenceDocumentId="RetDoc1040000001">1</TermOrPermanentEndowments>
      <ReportLandBldgEquip referenceDocumentId="RetDoc1040000001">1</ReportLandBldgEquip>
      <ReportInvestOthSecurities referenceDocumentId="RetDoc1040000001">0</ReportInvestOthSecurities>
      <ReportProgRelInvest referenceDocumentId="RetDoc1040000001">0</ReportProgRelInvest>
      <ReportOtherAssets referenceDocumentId="RetDoc1040000001">0</ReportOtherAssets>
      <ReportOtherLiabilities referenceDocumentId="RetDoc1040000001">1</ReportOtherLiabilities>
      <ReportFin48Footnote referenceDocumentId="RetDoc1040000001">1</ReportFin48Footnote>
      <IndependentAuditFinancialStmt referenceDocumentId="RetDoc1040000001">1</IndependentAuditFinancialStmt>
      <ConsolidatedAuditFinancialStmt referenceDocumentId="RetDoc1040000001">1</ConsolidatedAuditFinancialStmt>
      <School>0</School>
      <ForeignOffice>0</ForeignOffice>
      <ForeignActivities>0</ForeignActivities>
      <MoreThan5000KToOrganizations>0</MoreThan5000KToOrganizations>
      <MoreThan5000KToIndividuals>0</MoreThan5000KToIndividuals>
      <ProfessionalFundraising>0</ProfessionalFundraising>
      <FundraisingActivities>0</FundraisingActivities>
      <Gaming>0</Gaming>
      <Hospital>0</Hospital>
      <GrantsToOrganizations>0</GrantsToOrganizations>
      <GrantsToIndividuals>0</GrantsToIndividuals>
      <ScheduleJRequired referenceDocumentId="RetDoc1042400001">1</ScheduleJRequired>
      <TaxExemptBonds>0</TaxExemptBonds>
      <ExcessBenefitTransaction>0</ExcessBenefitTransaction>
      <PriorExcessBenefitTransaction>0</PriorExcessBenefitTransaction>
      <LoanToOfficerOrDQP>0</LoanToOfficerOrDQP>
      <GrantToRelatedPerson>0</GrantToRelatedPerson>
      <BsnssRltnshpWithOrganization>0</BsnssRltnshpWithOrganization>
      <BsnssRltnshpThruFamilyMember>0</BsnssRltnshpThruFamilyMember>
      <OfficerEntityWithBsnssRltnshp>0</OfficerEntityWithBsnssRltnshp>
      <DeductibleNonCashContributions>0</DeductibleNonCashContributions>
      <DeductibleContributionsOfArt>0</DeductibleContributionsOfArt>
      <Terminated>0</Terminated>
      <PartialLiquidation>0</PartialLiquidation>
      <DisregardedEntity referenceDocumentId="RetDoc1043400001">0</DisregardedEntity>
      <RelatedEntity referenceDocumentId="RetDoc1043400001">1</RelatedEntity>
      <RelatedOrgControlledEntity>0</RelatedOrgControlledEntity>
      <TransactionRelatedEntity referenceDocumentId="RetDoc1043400001">0</TransactionRelatedEntity>
      <TransfersToExemptNonChrtblOrg referenceDocumentId="RetDoc1043400001">0</TransfersToExemptNonChrtblOrg>
      <ActivitiesConductedPartnership referenceDocumentId="RetDoc1043400001">0</ActivitiesConductedPartnership>
      <ScheduleORequired>1</ScheduleORequired>
      <NumberFormsTransmittedWith1096>27</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <ComplianceWithBackupWitholding>1</ComplianceWithBackupWitholding>
      <NumberOfEmployees>133</NumberOfEmployees>
      <EmploymentTaxReturnsFiled>1</EmploymentTaxReturnsFiled>
      <UnrelatedBusinessIncome>0</UnrelatedBusinessIncome>
      <ForeignFinancialAccount>0</ForeignFinancialAccount>
      <ProhibitedTaxShelterTrans>0</ProhibitedTaxShelterTrans>
      <TaxablePartyNotification>0</TaxablePartyNotification>
      <NonDeductibleContributions>0</NonDeductibleContributions>
      <QuidProQuoContributions>1</QuidProQuoContributions>
      <QuidProQuoDisclosure>1</QuidProQuoDisclosure>
      <Form8282PropertyDisposedOf>0</Form8282PropertyDisposedOf>
      <FundsToPayPremiums>0</FundsToPayPremiums>
      <PremiumsPaid>0</PremiumsPaid>
      <IndoorTanningServices>0</IndoorTanningServices>
      <InfoInScheduleOPartVI>X</InfoInScheduleOPartVI>
      <NbrVotingGoverningBodyMembers>12</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>12</NumberIndependentVotingMembers>
      <FamilyOrBusinessRelationship>0</FamilyOrBusinessRelationship>
      <DelegationOfManagementDuties>0</DelegationOfManagementDuties>
      <ChangesToOrganizingDocs>0</ChangesToOrganizingDocs>
      <MaterialDiversionOrMisuse>0</MaterialDiversionOrMisuse>
      <MembersOrStockholders>0</MembersOrStockholders>
      <ElectionOfBoardMembers>0</ElectionOfBoardMembers>
      <DecisionsSubjectToApproval>0</DecisionsSubjectToApproval>
      <MinutesOfGoverningBody>1</MinutesOfGoverningBody>
      <MinutesOfCommittees>1</MinutesOfCommittees>
      <OfficerMailingAddress>0</OfficerMailingAddress>
      <LocalChapters>0</LocalChapters>
      <Form990ProvidedToGoverningBody>0</Form990ProvidedToGoverningBody>
      <ConflictOfInterestPolicy>1</ConflictOfInterestPolicy>
      <AnnualDisclosureCoveredPersons>1</AnnualDisclosureCoveredPersons>
      <RegularMonitoringEnforcement>1</RegularMonitoringEnforcement>
      <WhistleblowerPolicy>1</WhistleblowerPolicy>
      <DocumentRetentionPolicy>1</DocumentRetentionPolicy>
      <CompensationProcessCEO>1</CompensationProcessCEO>
      <CompensationProcessOther>1</CompensationProcessOther>
      <InvestmentInJointVenture>0</InvestmentInJointVenture>
      <StatesWhereCopyOfReturnIsFiled>PA</StatesWhereCopyOfReturnIsFiled>
      <UponRequest>X</UponRequest>
      <TheBooksAreInCareOf>
        <NameBusiness>
          <BusinessNameLine1>TERRY E GORDON VP FINANCE</BusinessNameLine1>
        </NameBusiness>
        <TelephoneNumber>6103780481</TelephoneNumber>
        <AddressUS>
          <AddressLine1>1170 BERKSHIRE BLVD</AddressLine1>
          <City>WYOMISSING</City>
          <State>PA</State>
          <ZIPCode>19610</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <InfoInScheduleOPartVII>X</InfoInScheduleOPartVII>
      <Form990PartVIISectionA>
        <NamePerson>DAVID L NESTER</NamePerson>
        <Title>CHAIRPERSON</Title>
        <AverageHoursPerWeek>0.10</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>LISA M LIGHTCAP</NamePerson>
        <Title>VICE-CHAIRPERSON</Title>
        <AverageHoursPerWeek>0.10</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>TIMOTHY D FORESTER</NamePerson>
        <Title>TREASURER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>REV DR W CARTER LESTER JR</NamePerson>
        <Title>RECORDING SECRETARY</Title>
        <AverageHoursPerWeek>0.10</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>BRADLEY FULLER</NamePerson>
        <Title>CORRESPONDING SECRETARY</Title>
        <AverageHoursPerWeek>0.10</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>RICHARD T GIRARD</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>0.10</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>RODNEY P HAWTHORNE</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>0.20</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>VINCE B RAFFEO</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>0.20</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ANDREW W MEADOWS</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>0.10</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>REV JOHN SMOLIK</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>0.10</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>LESTER L HIMMELREICH JR</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>0.10</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JEAN E HOLLENBACH</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>0.10</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>LUCILLE D GOUGH</NamePerson>
        <Title>PRESIDENT/CEO</Title>
        <AverageHoursPerWeek>0.10</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>167444</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>TERRY E GORDON</NamePerson>
        <Title>ASST TREASURER</Title>
        <AverageHoursPerWeek>0.10</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>120989</ReportableCompFromRelatedOrgs>
        <OtherCompensation>7781</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>AMICIE S ZIMMERMAN</NamePerson>
        <Title>ASST RECORDING SECRETARY</Title>
        <AverageHoursPerWeek>0.10</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>97055</ReportableCompFromRelatedOrgs>
        <OtherCompensation>7781</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>0</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>385488</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>15562</TotalOtherCompensation>
      <NumberIndividualsGT100K>0</NumberIndividualsGT100K>
      <FormersListed>0</FormersListed>
      <TotalCompGT150K>1</TotalCompGT150K>
      <CompensationFromOtherSources>0</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>GENERAL HEALTHCARE RESOURCES</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>2250 HICKORY RD SUITE 240</AddressLine1>
            <City>PLYMOUTH MEETING</City>
            <State>PA</State>
            <ZIPCode>19462</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>STAFFING OF HEALTHCARE PERSONNEL</DescriptionOfServices>
        <Compensation>185849</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>1</NumberOfContractorsGT100K>
      <FederatedCampaigns>239931</FederatedCampaigns>
      <FundraisingEvents>9195</FundraisingEvents>
      <GovernmentGrants>15375</GovernmentGrants>
      <AllOtherContributions>53357</AllOtherContributions>
      <TotalContributions>317858</TotalContributions>
      <ProgramServiceRevenue>
        <Description>MEDICARE</Description>
        <BusinessCode>621610</BusinessCode>
        <TotalRevenueColumn>3488390</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>3488390</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>OTHER THIRD-PARTY PAYO</Description>
        <BusinessCode>621610</BusinessCode>
        <TotalRevenueColumn>1251267</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>1251267</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>SELF PAY AND REQUEST C</Description>
        <BusinessCode>621610</BusinessCode>
        <TotalRevenueColumn>28765</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>28765</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>4768422</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>72688</TotalRevenueColumn>
        <ExclusionAmount>72688</ExclusionAmount>
      </InvestmentIncome>
      <GrossRents>
        <Real>18571</Real>
      </GrossRents>
      <RentalIncomeOrLoss>
        <Real>18571</Real>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>18571</TotalRevenueColumn>
        <ExclusionAmount>18571</ExclusionAmount>
      </NetRentalIncomeOrLoss>
      <GrossAmountSalesAssets>
        <Securities>894516</Securities>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Securities>800667</Securities>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Securities>93849</Securities>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>93849</TotalRevenueColumn>
        <ExclusionAmount>93849</ExclusionAmount>
      </NetGainOrLossInvestments>
      <GrossIncomeFundraisingEvents>2600</GrossIncomeFundraisingEvents>
      <CntrbtnsRprtdFundraisingEvents>9195</CntrbtnsRprtdFundraisingEvents>
      <FundraisingDirectExpenses>5357</FundraisingDirectExpenses>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>-2757</TotalRevenueColumn>
        <ExclusionAmount>-2757</ExclusionAmount>
      </NetIncomeFromFundraisingEvents>
      <OtherRevenueMisc>
        <Description>MISCELLANEOUS INCOME</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>2818</TotalRevenueColumn>
        <ExclusionAmount>2818</ExclusionAmount>
      </OtherRevenueMisc>
      <TotalOtherRevenue>2818</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>5271449</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>4768422</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>185169</ExclusionAmount>
      </TotalRevenue>
      <OtherSalariesAndWages>
        <Total>2568014</Total>
        <ProgramServices>2238962</ProgramServices>
        <ManagementAndGeneral>329052</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <OtherEmployeeBenefits>
        <Total>349431</Total>
        <ProgramServices>304657</ProgramServices>
        <ManagementAndGeneral>44774</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>230873</Total>
        <ProgramServices>201290</ProgramServices>
        <ManagementAndGeneral>29583</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>1218654</Total>
        <ProgramServices>1037926</ProgramServices>
        <ManagementAndGeneral>140750</ManagementAndGeneral>
        <Fundraising>39978</Fundraising>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>4517</Total>
        <ManagementAndGeneral>4517</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>15200</Total>
        <ManagementAndGeneral>15200</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>785</Total>
        <Fundraising>785</Fundraising>
      </FeesForServicesLobbying>
      <FeesForServicesInvstMgmntFees>
        <Total>17516</Total>
        <ManagementAndGeneral>17516</ManagementAndGeneral>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>316014</Total>
        <ProgramServices>271547</ProgramServices>
        <ManagementAndGeneral>44467</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>6178</Total>
        <ProgramServices>5440</ProgramServices>
        <ManagementAndGeneral>738</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>360138</Total>
        <ProgramServices>227802</ProgramServices>
        <ManagementAndGeneral>130939</ManagementAndGeneral>
        <Fundraising>1397</Fundraising>
      </OfficeExpenses>
      <Occupancy>
        <Total>64169</Total>
        <ProgramServices>56506</ProgramServices>
        <ManagementAndGeneral>7663</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>131257</Total>
        <ProgramServices>127254</ProgramServices>
        <ManagementAndGeneral>4003</ManagementAndGeneral>
      </Travel>
      <ConferencesMeetings>
        <Total>9830</Total>
        <ProgramServices>8570</ProgramServices>
        <ManagementAndGeneral>1260</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>9243</Total>
        <ProgramServices>8139</ProgramServices>
        <ManagementAndGeneral>1104</ManagementAndGeneral>
      </Interest>
      <DepreciationDepletion>
        <Total>49407</Total>
        <ProgramServices>44890</ProgramServices>
        <ManagementAndGeneral>4517</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>91147</Total>
        <ProgramServices>79468</ProgramServices>
        <ManagementAndGeneral>11679</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>DUES AND SUBSCRIPTIONS</Description>
        <Total>14348</Total>
        <ManagementAndGeneral>14348</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MISCELLANEOUS EXPENSE</Description>
        <Total>7803</Total>
        <ProgramServices>7005</ProgramServices>
        <ManagementAndGeneral>798</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>BAD DEBTS EXPENSE</Description>
        <Total>5104</Total>
        <ProgramServices>5104</ProgramServices>
      </OtherExpenses>
      <TotalFunctionalExpenses>
        <Total>5469628</Total>
        <ProgramServices>4624560</ProgramServices>
        <ManagementAndGeneral>802908</ManagementAndGeneral>
        <Fundraising>42160</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>256777</BOY>
        <EOY>226994</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>8333</BOY>
        <EOY>8750</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
        <BOY>504679</BOY>
        <EOY>507518</EOY>
      </AccountsReceivable>
      <PrepaidExpensesDeferredCharges>
        <BOY>32266</BOY>
        <EOY>56363</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>2149622</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>1079914</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>1092361</BOY>
        <EOY>1069708</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>2490907</BOY>
        <EOY>2542131</EOY>
      </InvestmentsPubTradedSecurities>
      <IntangibleAssets>
        <BOY>11234</BOY>
        <EOY>8929</EOY>
      </IntangibleAssets>
      <OtherAssetsTotal>
        <BOY>11041</BOY>
        <EOY>10986</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>4407598</BOY>
        <EOY>4431379</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>489892</BOY>
        <EOY>439456</EOY>
      </AccountsPayableAccruedExpenses>
      <TaxExemptBondLiabilities>
        <BOY>510000</BOY>
        <EOY>410000</EOY>
      </TaxExemptBondLiabilities>
      <MortNotesPyblSecuredInvestProp>
        <BOY>3940</BOY>
        <EOY>1314</EOY>
      </MortNotesPyblSecuredInvestProp>
      <OtherLiabilities>
        <BOY>1772158</BOY>
        <EOY>2212726</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>2775990</BOY>
        <EOY>3063496</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>1618731</BOY>
        <EOY>1346695</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>1836</BOY>
        <EOY>10202</EOY>
      </TemporarilyRestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>11041</BOY>
        <EOY>10986</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>1631608</BOY>
        <EOY>1367883</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>4407598</BOY>
        <EOY>4431379</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>-198179</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>-65546</ReconcilationOtherChanges>
      <InfoInScheduleOPartXII>X</InfoInScheduleOPartXII>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementBoth>X</FinancialStatementBoth>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <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>
    <IRS990ScheduleC documentId="RetDoc1039700001">
      <Volunteers>0</Volunteers>
      <PaidStaffOrManagement>0</PaidStaffOrManagement>
      <MediaAdvertisements>0</MediaAdvertisements>
      <MailingsMembers>0</MailingsMembers>
      <PublicationsOrBroadcast>0</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>0</GrantsOtherOrganizations>
      <DirectContactLegislators>0</DirectContactLegislators>
      <RalliesDemonstrations>0</RalliesDemonstrations>
      <OtherActivities>1</OtherActivities>
      <OtherActivitiesAmount>785</OtherActivitiesAmount>
      <TotalLobbyingExpendituresIIB>785</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>0</NotDescribedIn501c3>
      <Form990ScheduleCPartIV>
        <Identifier>EXPLANATION OF OTHER LOBBYING ACTIVITIES:</Identifier>
        <ReturnReference>PART II-B, LINE 1I:</ReturnReference>
        <Explanation>VISITING NURSE ASSOCIATION OF POTTSTOWN HOLDS MEMBERSHIP IN VARIOUS ORGANIZATIONS WHICH ENGAGE IN LOBBYING AS PART OF THEIR MISSION TO REPRESENT THE INTEREST OF HOME HEALTH PROVIDERS AT BOTH THE FEDERAL AND STATE LEVEL. A PERCENTAGE OF THE DUES PAID TO THESE ORGANIZATIONS OFTEN ARE ATTRIBUTABLE TO LOBBYING. IN 2011, $785 OF THE DUES PAID TO VARIOUS ORGANIZATIONS WAS ATTRIBUTED TO LOBBYING.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <CurrentYear>
        <BeginningOfYearBalance>2349782</BeginningOfYearBalance>
        <Contributions>19150</Contributions>
        <InvestmentEarningsOrLosses>98594</InvestmentEarningsOrLosses>
        <OtherExpenditures>59896</OtherExpenditures>
        <AdministrativeExpenses>11971</AdministrativeExpenses>
        <EndOfYearBalance>2395659</EndOfYearBalance>
      </CurrentYear>
      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>2105687</BeginningOfYearBalance>
        <Contributions>4001</Contributions>
        <InvestmentEarningsOrLosses>258755</InvestmentEarningsOrLosses>
        <OtherExpenditures>7925</OtherExpenditures>
        <AdministrativeExpenses>10736</AdministrativeExpenses>
        <EndOfYearBalance>2349782</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <CurrentYearMinus2Years>
        <BeginningOfYearBalance>351429</BeginningOfYearBalance>
        <Contributions>2606004</Contributions>
        <InvestmentEarningsOrLosses>60204</InvestmentEarningsOrLosses>
        <OtherExpenditures>910210</OtherExpenditures>
        <AdministrativeExpenses>1740</AdministrativeExpenses>
        <EndOfYearBalance>2105687</EndOfYearBalance>
      </CurrentYearMinus2Years>
      <CurrentYearMinus3Years>
        <BeginningOfYearBalance>388734</BeginningOfYearBalance>
        <Contributions>44751</Contributions>
        <InvestmentEarningsOrLosses>-65028</InvestmentEarningsOrLosses>
        <OtherExpenditures>15296</OtherExpenditures>
        <AdministrativeExpenses>1732</AdministrativeExpenses>
        <EndOfYearBalance>351429</EndOfYearBalance>
      </CurrentYearMinus3Years>
      <BoardDesignatedEOYBalance>0.99540</BoardDesignatedEOYBalance>
      <PermanentEndowmentEOYBalance>0.00460</PermanentEndowmentEOYBalance>
      <TermEndowmentEOYBalance>0.00000</TermEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>0</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>1</EndowmentsHeldByRelatedOrgs>
      <AreRelatedOrgsListedScheduleR>1</AreRelatedOrgsListedScheduleR>
      <Land>
        <OtherCostOrOtherBasis>328460</OtherCostOrOtherBasis>
        <BookValue>328460</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>1384439</OtherCostOrOtherBasis>
        <Depreciation>654465</Depreciation>
        <BookValue>729974</BookValue>
      </Buildings>
      <Equipment>
        <OtherCostOrOtherBasis>410941</OtherCostOrOtherBasis>
        <Depreciation>399667</Depreciation>
        <BookValue>11274</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>25782</OtherCostOrOtherBasis>
        <Depreciation>25782</Depreciation>
        <BookValue>0</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>1069708</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>ADVANCES FROM RELATED ENTITY</Description>
        <Amount>100000</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DEPOSITS</Description>
        <Amount>1072</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>PAYABLES TO RELATED PARTIES</Description>
        <Amount>2111654</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>2212726</TotalOfAmounts>
      <TotalRevenue>5271449</TotalRevenue>
      <TotalExpenses>5469628</TotalExpenses>
      <ExcessOrDeficitForYear>-198179</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>-65491</NetUnrealizedGLOnInvestments>
      <OtherAmount>-55</OtherAmount>
      <TotalAdjustments>-65546</TotalAdjustments>
      <ExcessOrDeficitPerFS>-263725</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>5198607</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>-65491</NetUnrealizedGainsInvestments>
      <OtherRevenues>5357</OtherRevenues>
      <RevenueNotRptdF990>-60134</RevenueNotRptdF990>
      <RevenueSubtotal>5258741</RevenueSubtotal>
      <InvestmentExpensesNotIncluded>12708</InvestmentExpensesNotIncluded>
      <RevenueNotRptdOnFinStmt>12708</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>5271449</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>5462277</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>5357</OtherExpensesIncluded>
      <ExpensesNotRptdF990>5357</ExpensesNotRptdF990>
      <ExpensesSubtotal>5456920</ExpensesSubtotal>
      <InvestmentExpensesNotIncluded2>12708</InvestmentExpensesNotIncluded2>
      <ExpensesNotRptdOnFinStmt>12708</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>5469628</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:</Identifier>
        <ReturnReference>PART V, LINE 4:</ReturnReference>
        <Explanation>THE ORGANIZATION GENERALLY REINVESTS ALL INTEREST AND DIVIDENDS FROM ITS ENDOWMENT INVESTMENTS. HOWEVER, SPECIAL PROJECTS OR THE POSSIBILITY OF FUTURE FINANCIAL DIFFICULTY MAY WARRANT THE USE OF THESE FUNDS, AT THE DISCRETION OF THE BOARD OF DIRECTORS. THE ORGANIZATION REVIEWS THE ENDOWMENT ANNUALLY (AS OF DECEMBER 31ST) TO DETERMINE THE BALANCES AVAILABLE TO COVER SPECIAL PROJECTS OR UNPLANNED OPERATING EXPENSES. THESE AVAILABLE FUNDS SHOULD NOT EXCEED THREE PERCENT OF THE MARKET VALUE OF THE FUNDS HELD BY THE ORGANIZATION'S INDEPENDENT INVESTMENT FIRM. THIS INVESTMENT SPENDING WILL TAKE EFFECT ONCE THE FOLLOWING OCCURS: 1) MANAGEMENT OR STAFF PRESENTS A REQUEST INDICATING THE USE OF THE FUNDS FOR SPECIAL PROJECTS OR OPERATING EXPENSES (NOT MORE THAN 3 PERCENT OF THE ENDOWMENT FUND BALANCE AT YEAR END BASED ON MARKET VALUES DETERMINED QUARTERLY AND AVERAGED OVER THE PREVIOUS THREE YEARS). 2) THE EXECUTIVE COMMITTEE REVIEWS AND APPROVES THE REQUEST. 3) IF CIRCUMSTANCES WARRANT A LARGER PERCENTAGE OF SPENDING IT WILL BE AT THE DISCRETION OF THE FULL BOARD OF DIRECTORS.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:</Identifier>
        <ReturnReference>PART X:</ReturnReference>
        <Explanation>ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION, INCLUDING WHETHER THE ENTITY IS EXEMPT FROM INCOME TAXES. MANAGEMENT EVALUATED THE TAX POSITIONS TAKEN AND CONCLUDED THAT THE ORGANIZATION HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENT. THEREFORE, NO PROVISION OR LIABILITY FOR INCOME TAXES HAS BEEN INCLUDED IN THE FINANCIAL STATEMENTS. WITH FEW EXCEPTIONS, THE ORGANIZATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL, STATE OR LOCAL TAX AUTHORITIES FOR YEARS BEFORE DECEMBER 31, 2008.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XI, LINE 8 - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>LOSS ON BENEFICIAL INTEREST IN PERPETUAL TRUST -55.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XII, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>FUNDRAISING DIRECT EXPENSES 5,357.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XIII, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>FUNDRAISING DIRECT EXPENSES 5,357.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommittee>X</CompensationCommittee>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>1</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>0</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>0</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>0</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>LUCILLE D GOUGH</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>167444</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>167444</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 4B</ReturnReference>
        <Explanation>LUCILLE GOUGH AND TERRY GORDON PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN OF A RELATED ORGANIZATION. NO PAYMENTS WERE RECEIVED IN THE CURRENT YEAR.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>THE FINANCE COMMITTEE WILL REVIEW THE ANNUAL IRS FORM 990 PRIOR TO PUBLIC RELEASE AND WILL MAKE A REPORT TO HOME HEALTH CARE MANAGEMENT'S BOARD OF DIRECTORS BEFORE ITS FILING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>EACH DIRECTOR, EMPLOYEE AND VOLUNTEER WILL SIGN AN ANNUAL CONFLICT OF INTEREST STATEMENT. THE ORGANIZATION'S POLICY REQUIRES DIRECTORS, EMPLOYEES, AND VOLUNTEERS TO AVOID ALL CONFLICTS OF INTEREST AND THE APPEARANCE OF ANY CONFLICT OF INTEREST. TO AVOID THE APPEARANCE OF A CONFLICT OF INTEREST, A DIRECTOR, EMPLOYEE OR VOLUNTEER CAN NOT PARTICIPATE IN MAKING ANY DECISION OR RECOMMENDATION CONCERNING A MATTER WHICH MAY RESULT IN ANY BENEFIT OR FINANCIAL GAIN, EITHER DIRECTLY OR INDIRECTLY, TO THE DIRECTOR, EMPLOYEE OR VOLUNTEER OR A MEMBER OF HER/HIS IMMEDIATE FAMILY. IN ADDITION, FULL DISCLOSURE OF THE PERTINENT FACTS REGARDING THE POTENTIAL CONFLICT OF INTEREST IS REQUIRED TO BE PROVIDED BY THE DIRECTOR, EMPLOYEE OR VOLUNTEER. TO FURTHER AVOID THE APPEARANCE OF A CONFLICT OF INTEREST, A DIRECTOR, EMPLOYEE OR VOLUNTEER MAY NOT SOLICIT OR ACCEPT GIFTS, TIPS OR OTHER SPECIAL CONSIDERATIONS OF ECONOMIC VALUE INCLUDING PERSONAL INSURANCE BENEFICIARY STATUS, FROM CLIENTS, THEIR FAMILIES, VISITORS OR VENDORS. IMPARTIAL DECISION-MAKING BASED ON THE BEST INTEREST OF THE ORGANIZATION SHALL ALSO APPLY TO RELATIONS WITH VENDORS. DECISIONS REGARDING PRODUCTS AND VENDORS SHALL BE MADE OBJECTIVELY AND WITHOUT FAVORITISM. ANY ACTUAL, APPARENT OR POTENTIAL CONFLICTS OF INTEREST SHALL BE REPORTED TO AN APPROPRIATE MEMBER OF THE ORGANIZATION'S MANAGEMENT. IF A MATTER ARISES WITH RESPECT TO WHICH A MEMBER OF THE BOARD OR MANAGEMENT STAFF HAVE A REASON TO BELIEVE THAT HE OR SHE MAY HAVE A CONFLICT OF INTEREST, IT SHALL BE PROMPTLY DISCLOSED BY THE BOARD/STAFF MEMBER TO THE BOARD OF DIRECTORS OR PRESIDENT AND CEO. THE BOARD MEMBER SHALL FURTHER DISCLOSE ANY REASON KNOWN TO HIM OR HER WHY THE PROPOSED ACTION MAY OR MAY NOT BE IN THE BEST INTEREST OF THE ORGANIZATION. EXCEPT FOR SUCH DISCLOSURES, THE BOARD/STAFF MEMBER SHALL NOT PARTICIPATE IN BY VOTE OR OTHERWISE, ANY DECISION OR CONSIDERATION OF THE PROPOSED ACTION. HIS/HER ABSTENTION AND THE REASON FOR IT SHALL BE RECORDED IN THE MINUTES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>ON AN ANNUAL BASIS, VICE PRESIDENT-HUMAN RESOURCES &amp; FACILITIES REVIEWS SALARY DATA AVAILABLE FROM NATIONALLY RECOGNIZED COMPENSATION SURVEY DATA, COMPILES THAT DATA AND PROVIDES A RECOMMENDATION FOR SALARY RANGES FOR ALL EXECUTIVE LEVEL POSITIONS TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS FOR HOME HEALTH CARE MANAGEMENT. THAT COMMITTEE REVIEWS SUCH RECOMMENDATIONS AND APPROVES THE SALARY RANGE FOR THOSE SPECIFIC POSITIONS. THE AMOUNT OF MONEY AVAILABLE EACH YEAR FOR SALARY INCREASES IS BUDGETED WITH THAT SPECIFIC YEAR'S ANNUAL BUDGET. SALARY RECOMMENDED INCREASES AND PERFORMANCE APPRAISALS FOR EXECUTIVE LEVEL POSITIONS ARE PRESENTED TO THE EXECUTIVE COMMITTEE BY THE PRESIDENT/CEO. THE EXECUTIVE COMMITTEE PROVIDES THE APPROVAL FOR THOSE RECOMMENDATIONS. THE EXECUTIVE COMMITTEE CONSISTS OF INDEPENDENT MEMBERS OF THE BOARD AND THE DELIBERATION AND DECISIONS OF THE COMMITTEE ARE DOCUMENTED CONTEMPORANEOUSLY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE ORGANIZATION MAKES THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON WRITTEN REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VII, COLUMN B:</ReturnReference>
        <Explanation>LUCILLE D GOUGH, PRESIDENT/CEO TERRY GORDON, ASST TREASURER AMICIE S ZIMMERMAN, ASST RECORDING SECRETARY ALL THE ABOVE WORK A 40 HOUR WEEK EMPLOYED BY HOME HEALTH CARE MANAGEMENT, THE RELATED PARENT COMPANY. THEIR TIME IS SPLIT BETWEEN HOME HEALTH CARE MANAGEMENT, INC., ADVANTAGE HOME CARE, INC., BERKS VISITING NURSE ASSOCIATION, INC., AND VISITING NURSE ASSOCIATION OF POTTSTOWN AND VICINITY, INC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>NET UNREALIZED LOSSES ON INVESTMENTS: -65,491. LOSS ON BENEFICIAL INTEREST IN PERPETUAL TRUST -55. TOTAL TO FORM 990, PART XI, LINE 5: -65,546.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART XI, LINE 2C:</ReturnReference>
        <Explanation>THE FOLLOWING OVERSIGHT AND SELECTION PROCESS BY THE FINANCE COMMITTEE HAS NOT CHANGED FROM THE PRIOR YEAR. THE FINANCE COMMITTEE ASSISTS THE BOARD OF DIRECTORS IN FULFILLING ITS RESPONSIBILITY FOR FIDUCIARY OVERSIGHT OF THE QUALITY AND INTEGRITY OF THE ACCOUNTING, AUDITING, AND REPORTING PRACTICES OF THE ASSOCIATION, AND SUCH OTHER DUTIES AS DIRECTED BY THE BOARD (SUCH AS REVIEW OF THE ANNUAL IRS FORM 990). THE COMMITTEE WILL OVERSEE THE ACCOUNTING AND FINANCIAL REPORTING PROCESSES OF THE ASSOCIATION, THE AUDITS OF THE ASSOCIATION'S FINANCIAL STATEMENTS, AND THE QUALIFICATIONS OF THE PUBLIC ACCOUNTING FIRM ENGAGED AS THE ASSOCIATION'S INDEPENDENT AUDITOR TO PREPARE A YEARLY AUDIT REPORT. THE COMMITTEE ALSO REVIEWS AND ASSESSES THE QUALITATIVE ASPECTS OF FINANCIAL REPORTING, THE ASSOCIATION'S PROCESSES TO MANAGE BUSINESS AND FINANCIAL RISK, AND COMPLIANCE WITH SIGNIFICANT APPLICABLE LEGAL AND REGULATORY REQUIREMENTS. THE COMMITTEE IS DIRECTLY RESPONSIBLE FOR THE APPOINTMENT, COMPENSATION, RETENTION, AND OVERSIGHT OF THE INDEPENDENT AUDITOR. THE COMMITTEE WILL ALSO REVIEW THE ANNUAL IRS FORM 990 PRIOR TO PUBLIC RELEASE AND WILL MAKE A REPORT TO HOME HEALTH CARE MANAGEMENT'S BOARD OF DIRECTORS. THE INDEPENDENT AUDITOR REPORTS DIRECTLY TO THE FINANCE COMMITTEE. THE COMMITTEE IS EXPECTED TO MAINTAIN AN OPEN COMMUNICATION WITH THE INDEPENDENT AUDITOR, THE FINANCIAL ADMINISTRATOR, AND COMPANY MANAGEMENT. THE COMMITTEE RELIES ON THE EXPERTISE AND KNOWLEDGE OF COMPANY MANAGEMENT AND THE INDEPENDENT AUDITOR IN CARRYING OUT ITS OVERSIGHT RESPONSIBILITIES. MANAGEMENT OF THE ASSOCIATION IS RESPONSIBLE FOR ASSURING THE ACCURACY OF THE ASSOCIATION'S FINANCIAL STATEMENTS IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES AND ESTABLISHING SATISFACTORY INTERNAL CONTROLS OVER FINANCIAL REPORTING. THE INDEPENDENT AUDITOR IS RESPONSIBLE FOR AUDITING THE ASSOCIATION'S FINANCIAL STATEMENTS AND THE EFFECTIVENESS OF THE ASSOCIATION'S INTERNAL CONTROLS. IT IS NOT THE DUTY OF THE COMMITTEE TO PLAN OR CONDUCT AUDITS; DETERMINE THAT THE FINANCIAL STATEMENTS ARE COMPLETE AND ACCURATE AND IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES; CONDUCT INVESTIGATIONS, ASSURE COMPLIANCE WITH LAWS AND REGULATIONS OR STANDARDS OF BUSINESS CONDUCT, CODES OF ETHICS, INTERNAL POLICIES, PROCEDURES, AND CONTROLS.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>BERKS VISITING NURSE ASSOCIATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1170 BERKSHIRE BLVD</AddressLine1>
          <City>WYOMISSING</City>
          <State>PA</State>
          <ZIPCode>19610</ZIPCode>
        </AddressUS>
        <EIN>231466250</EIN>
        <PrimaryActivities>PROVIDE HEALTH AND SOCIAL SERVICES TO FAMILIES AND INDIVIDUALS AT HOME BASIS</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>HOME HEALTH CARE MANAGEMENT INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HOME HEALTH CARE MANAGEMENT INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1170 BERKSHIRE BLVD</AddressLine1>
          <City>WYOMISSING</City>
          <State>PA</State>
          <ZIPCode>19610</ZIPCode>
        </AddressUS>
        <EIN>232469321</EIN>
        <PrimaryActivities>PROVIDE MANAGEMENT SERVICES TO RELATED HEALTH CARE ENTITIES</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 3</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ADVANTAGE HOME CARE INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1170 BERKSHIRE BLVD</AddressLine1>
          <City>WYOMISSING</City>
          <State>PA</State>
          <ZIPCode>19610</ZIPCode>
        </AddressUS>
        <EIN>232469319</EIN>
        <PrimaryActivities>PROVIDE SUPPORTIVE HEALTH CARE AND RELATED SERVICES TO FAMILIES/INDIVIDUALS</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>HOME HEALTH CARE MANAGEMENT INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>0</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>1</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>1</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>1</SharingOfFacilities>
      <SharingOfPaidEmployees>1</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>1</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>1</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HOME HEALTH CARE MANAGEMENT INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>E</TransactionType>
        <AmountInvolved>2061475</AmountInvolved>
        <MethodOfAmtDetermination>FAIR MARKET VALUE</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>BERKS VISITING NURSE ASSOCIATION INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>E</TransactionType>
        <AmountInvolved>150179</AmountInvolved>
        <MethodOfAmtDetermination>FAIR MARKET VALUE</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HOME HEALTH CARE MANAGEMENT INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>L</TransactionType>
        <AmountInvolved>1218654</AmountInvolved>
        <MethodOfAmtDetermination>FAIR MARKET VALUE</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HOME HEALTH CARE MANAGEMENT INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>1218654</AmountInvolved>
        <MethodOfAmtDetermination>FAIR MARKET VALUE</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>