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        <BusinessNameLine1>VNA Care Network Inc</BusinessNameLine1>
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      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>812114</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>1090</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementBoth>X</FinancialStatementBoth>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
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      <Total509>
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      <Post1975UBTI>
        <Total>0</Total>
      </Post1975UBTI>
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      </NetIncomeFromOtherUBI>
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      <EndowmentsHeldByRelatedOrgs>true</EndowmentsHeldByRelatedOrgs>
      <AreRelatedOrgsListedScheduleR>true</AreRelatedOrgsListedScheduleR>
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      </Buildings>
      <LeaseholdImprovements>
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        <BookValue>897424</BookValue>
      </LeaseholdImprovements>
      <Equipment>
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      </Equipment>
      <TotalOfBookValueLandBuildings>2261754</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>Cash and cash equivalents</Description>
        <BookValue>140623</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Security Deposits</Description>
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      </OtherAssets>
      <OtherAssets>
        <Description>Goodwill</Description>
        <BookValue>292630</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Funds held for others</Description>
        <BookValue>93297</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Due from Affiliates</Description>
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      </OtherAssets>
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        <Description>Due to Affiliates</Description>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Due to 3rd Party</Description>
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      </OtherLiabilities>
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      <ExcessOrDeficitPerFS>812114</ExcessOrDeficitPerFS>
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      <RevenueNotRptdOnFinStmt>426526</RevenueNotRptdOnFinStmt>
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        <Identifier>XII</Identifier>
        <ReturnReference>4b</ReturnReference>
        <Explanation>Investment income net of expenses</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>V</Identifier>
        <ReturnReference>4</ReturnReference>
        <Explanation>Donor restricted permanent endowment fund income generated is unrestricted. Temporarily restricted funds are for patients needing free care.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="990J" softwareId="10000149" softwareVersion="2010.2.15">
      <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 H Green</NamePerson>
        <CompBasedOnRelatedOrgs>260636</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>60689</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>16500</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>10196</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>26204</NontaxableBenefitsRelatedOrgs>
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        <CompReportPrior990RelatedOrgs>348898</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Joanne M Kramer</NamePerson>
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        <CompReportPrior990RelatedOrgs>255753</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Lisa Lessard</NamePerson>
        <BaseCompensationFilingOrg>146024</BaseCompensationFilingOrg>
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        <TotalCompensationFilingOrg>150414</TotalCompensationFilingOrg>
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      </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>
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      <GeneralExplanation>
        <Identifier>Form 990 Part VI</Identifier>
        <ReturnReference>19</ReturnReference>
        <Explanation>If a formal request is made we will make copies.</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 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>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 VII</Identifier>
        <ReturnReference>1a</ReturnReference>
        <Explanation>Forty hours worked are spread over all Affiliated companies.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part XI</Identifier>
        <ReturnReference>5</ReturnReference>
        <Explanation>Change in unrealized gain on investments.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="990R" softwareId="10000149" softwareVersion="2010.2.15">
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>VNA Care Network Foundation Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
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          <AddressLine1>120 Thomas Street</AddressLine1>
          <City>Worcester</City>
          <State>MA</State>
          <ZIPCode>01608</ZIPCode>
        </AddressUS>
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        <PrimaryActivities>Management Company</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501c3</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>VNA Care Hospice Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
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          <City>Worcester</City>
          <State>MA</State>
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        </AddressUS>
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        <PrimaryActivities>Hospice 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>
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          <State>MA</State>
          <ZIPCode>01608</ZIPCode>
        </AddressUS>
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        <PrimaryActivities>Day Care</PrimaryActivities>
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        <ExemptCodeSection>501c3</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
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        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
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        <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>
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      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>true</RentalOfFacilitiesToOtherOrgs>
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</Return>