﻿<?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="2010v3.2">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2011-05-03T14:28:47-05:00</Timestamp>
    <TaxPeriodEndDate>2010-12-31</TaxPeriodEndDate>
    <PreparerFirm>
      <PreparerFirmBusinessName>
        <BusinessNameLine1>PARENTEBEARD LLC</BusinessNameLine1>
      </PreparerFirmBusinessName>
      <PreparerFirmUSAddress>
        <AddressLine1>SUITE 200 221 W PHILADELPHIA ST</AddressLine1>
        <City>YORK</City>
        <State>PA</State>
        <ZIPCode>174012993</ZIPCode>
      </PreparerFirmUSAddress>
    </PreparerFirm>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2010-01-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>231466250</EIN>
      <Name>
        <BusinessNameLine1>BERKS VISITING NURSE ASSOCIATION INC</BusinessNameLine1>
      </Name>
      <NameControl>BERK</NameControl>
      <Phone>6103780481</Phone>
      <USAddress>
        <AddressLine1>1170 BERKSHIRE BLVD</AddressLine1>
        <City>WYOMISSING</City>
        <State>PA</State>
        <ZIPCode>19610</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>LUCILLE D GOUGH</Name>
      <Title>PRESIDENT/CEO</Title>
      <Phone>6103780481</Phone>
      <DateSigned>2011-04-21</DateSigned>
      <AuthorizeThirdParty>1</AuthorizeThirdParty>
    </Officer>
    <Preparer>
      <Name>DOUGLAS L BERMAN</Name>
      <Phone>7178467000</Phone>
      <DatePrepared>2011-04-21</DatePrepared>
    </Preparer>
    <TaxYear>2010</TaxYear>
    <BuildTS>2016-02-24 21:20:13Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="9">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <NameOfPrincipalOfficerPerson>LUCILLE D GOUGH</NameOfPrincipalOfficerPerson>
      <AddressPrincipalOfficerUS>
        <AddressLine1>1170 BERKSHIRE BLVD</AddressLine1>
        <City>WYOMISSING</City>
        <State>PA</State>
        <ZIPCode>19610</ZIPCode>
      </AddressPrincipalOfficerUS>
      <GrossReceipts>14707788</GrossReceipts>
      <GroupReturnForAffiliates>0</GroupReturnForAffiliates>
      <Organization501c3>X</Organization501c3>
      <WebSite>WWW.HHCMINC.ORG/BVNA</WebSite>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <YearFormation>1916</YearFormation>
      <StateLegalDomicile>PA</StateLegalDomicile>
      <ActivityOrMissionDescription>TO PROVIDE HEALTH AND SOCIAL SERVICES APPROPRIATE TO MEET THE NEEDS OF INDIVIDUALS AND FAMILIES IN THEIR PLACE OF RESIDENCE WITHIN THE AVAILABLE RESOURCES OF THE ORGANIZATION.</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>5</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>5</NbrIndependentVotingMembers>
      <TotalNbrEmployees>235</TotalNbrEmployees>
      <TotalNbrVolunteers>219</TotalNbrVolunteers>
      <TotalGrossUBI>3600</TotalGrossUBI>
      <NetUnrelatedBusinessTxblIncome>0</NetUnrelatedBusinessTxblIncome>
      <ContributionsGrantsPriorYear>717281</ContributionsGrantsPriorYear>
      <ContributionsGrantsCurrentYear>468510</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenuePriorYear>12006084</ProgramServiceRevenuePriorYear>
      <ProgramServiceRevenueCY>12742066</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>129792</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>224018</InvestmentIncomeCurrentYear>
      <OtherRevenuePriorYear>-39167</OtherRevenuePriorYear>
      <OtherRevenueCurrentYear>98003</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>12813990</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>13532597</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsPriorYear>0</GrantsAndSimilarAmntsPriorYear>
      <GrantsAndSimilarAmntsCY>0</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersPriorYear>0</BenefitsPaidToMembersPriorYear>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcPriorYear>7677982</SalariesEtcPriorYear>
      <SalariesEtcCurrentYear>8062556</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpPriorYear>0</TotalProfFundrsngExpPriorYear>
      <TotalProfFundrsngExpCY>0</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>102260</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>4395560</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>4427990</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>12073542</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>12490546</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>740448</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>1042051</RevenuesLessExpensesCY>
      <TotalAssetsBOY>10443061</TotalAssetsBOY>
      <TotalAssetsEOY>11858948</TotalAssetsEOY>
      <TotalLiabilitiesBOY>1314999</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>1459323</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>9128062</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>10399625</NetAssetsOrFundBalancesEOY>
      <InfoInScheduleOPartIII>X</InfoInScheduleOPartIII>
      <MissionDescription>TO PROVIDE HEALTH AND SOCIAL SERVICES APPROPRIATE TO MEET THE NEEDS OF INDIVIDUALS AND FAMILIES IN THEIR PLACE OF RESIDENCE WITHIN THE AVAILABLE RESOURCES OF THE ORGANIZATION.</MissionDescription>
      <SignificantNewProgramServices>0</SignificantNewProgramServices>
      <SignificantChange>0</SignificantChange>
      <Expense>6812938</Expense>
      <Grants>0</Grants>
      <Revenue>7880981</Revenue>
      <Description>PROVIDED SKILLED NURSING CARE TO PATIENTS OF ALL AGES IN THEIR HOMES</Description>
      <Activity2>
        <Expense>2528548</Expense>
        <Grants>0</Grants>
        <Revenue>2924940</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>1192165</Expense>
        <Grants>0</Grants>
        <Revenue>1379057</Revenue>
        <Description>PROVIDED PSYCHOSOCIAL COUNSELING SERVICES AND CASE MANAGEMENT ACTIVITIES TO PATIENTS AND FAMILIES, ENABLING THEM TO COPE WITH ILLNESS.</Description>
      </Activity3>
      <ActivityOther>
        <Expense>515262</Expense>
        <Grants>0</Grants>
        <Revenue>596038</Revenue>
        <Description>PROVIDED ATTENDANT CARE SERVICES TO PATIENTS WITH PERSONAL NEEDS, PROVIDED COMMUNITY OUTREACH SERVICES</Description>
      </ActivityOther>
      <ActivityOther>
        <Description>FOR THE YEAR ENDED 12/31/09, THE ORGANIZATION SERVED 5,841 CLIENTS WITH 83,280 BILLABLE VISITS.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 DIGINITY. BUILDING A HEALTHIER COMMUNITY DOES REQUIRE THE CONTINUED SUPPORT OF MANY BUSINESSES AND INDIVIDUALS WHO BELIEVE THAT OUR SERVICES SHOULD BE ACCESSIBLE TO EVERYONE. WITH THE HELP OF MANY GENEROUS CONTRIBUTORS, OUR SERVICES REMAIN AFFORDABLE AND AVAILABLE TO EVERYONE. ANY GIFT WILL MAKE A MEANINGFUL DIFFERENCE TO SOMEONE WHO IS HURTING OR IN NEED TODAY! 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 CHARITABLES PROGRAMS SO DESIGNATED. CONTRACTUAL ALLOWANCES, THE DIFFERENCE BETWEEN CHARGES AND NEGOTIATED RATES, ARE CONSIDERED TO BE CHARITY CARE. CHARITY CARE AMOUNTED TO APPROXIMATELY $1,443,000 OR 9.6% OF NET PATIENT SERVICE REVENUE.</Description>
      </ActivityOther>
      <TotalOfOtherProgramServiceExp>515262</TotalOfOtherProgramServiceExp>
      <TotalOfOtherProgramServiceRev>596038</TotalOfOtherProgramServiceRev>
      <TotalProgramServiceExpense>11048913</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">1</ReportOtherAssets>
      <ReportOtherLiabilities referenceDocumentId="RetDoc1040000001">0</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>1</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>34</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <ComplianceWithBackupWitholding>1</ComplianceWithBackupWitholding>
      <NumberOfEmployees>235</NumberOfEmployees>
      <EmploymentTaxReturnsFiled>1</EmploymentTaxReturnsFiled>
      <UnrelatedBusinessIncome>1</UnrelatedBusinessIncome>
      <Form990-TFiled>1</Form990-TFiled>
      <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>5</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>5</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>
        <NamePerson>TERRY GORDON VP FINANCE</NamePerson>
        <TelephoneNumber>6103780481</TelephoneNumber>
        <AddressUS>
          <AddressLine1>1170 BERKSHIRE BLVD</AddressLine1>
          <City>WYOMISSING</City>
          <State>PA</State>
          <ZIPCode>19610</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <Form990PartVIISectionA>
        <NamePerson>JOHN P WEIDENHAMMER</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>RABBI BRIAN I MICHELSON</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>WILLIAM C LONG</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>0.10</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>STEPHEN J LUBAS</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>0.10</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DOUGLAS F SMITH</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 GOUGH</NamePerson>
        <Title>PRESIDENT/CEO</Title>
        <AverageHoursPerWeek>0.10</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>161571</ReportableCompFromRelatedOrgs>
        <OtherCompensation>4701</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>TERRY E GORDON</NamePerson>
        <Title>TREASURER</Title>
        <AverageHoursPerWeek>0.10</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>116114</ReportableCompFromRelatedOrgs>
        <OtherCompensation>10713</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>AMICIE S ZIMMERMAN</NamePerson>
        <Title>SECRETARY</Title>
        <AverageHoursPerWeek>0.10</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>90859</ReportableCompFromRelatedOrgs>
        <OtherCompensation>10019</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MARIA CARE</NamePerson>
        <Title>PHYSICAL THERAPIST</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>194784</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>11615</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>LINDA DONOHUE</NamePerson>
        <Title>PALLATIVE RN</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>109273</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>2544</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>304057</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>368544</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>39592</TotalOtherCompensation>
      <NumberIndividualsGT100K>2</NumberIndividualsGT100K>
      <FormersListed>0</FormersListed>
      <TotalCompGT150K>1</TotalCompGT150K>
      <CompensationFromOtherSources>0</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>MCKESSON MEDICAL SURGICAL</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 827951</AddressLine1>
            <City>PHILADELPHIA</City>
            <State>PA</State>
            <ZIPCode>19182</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>MEDICAL SUPPLIES</DescriptionOfServices>
        <Compensation>155508</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>READING HOSPITAL &amp; MEDICAL CENTER</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 16051</AddressLine1>
            <City>READING</City>
            <State>PA</State>
            <ZIPCode>19612</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>HOSPICE IN PATIENT SVC</DescriptionOfServices>
        <Compensation>113709</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>2</NumberOfContractorsGT100K>
      <FederatedCampaigns>261621</FederatedCampaigns>
      <FundraisingEvents>32625</FundraisingEvents>
      <GovernmentGrants>26000</GovernmentGrants>
      <AllOtherContributions>148264</AllOtherContributions>
      <NoncashContributions>4194</NoncashContributions>
      <TotalContributions>468510</TotalContributions>
      <ProgramServiceRevenue>
        <Description>MEDICARE</Description>
        <BusinessCode>621610</BusinessCode>
        <TotalRevenueColumn>8120618</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>8120618</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>OTHER THIRD PARTY PAYO</Description>
        <BusinessCode>621610</BusinessCode>
        <TotalRevenueColumn>4517970</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>4517970</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>SELF PAY/REQUEST CARE</Description>
        <BusinessCode>621610</BusinessCode>
        <TotalRevenueColumn>103478</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>103478</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>12742066</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>113248</TotalRevenueColumn>
        <ExclusionAmount>113248</ExclusionAmount>
      </InvestmentIncome>
      <GrossAmountSalesAssets>
        <Securities>1274877</Securities>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Securities>1164107</Securities>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Securities>110770</Securities>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>110770</TotalRevenueColumn>
        <ExclusionAmount>110770</ExclusionAmount>
      </NetGainOrLossInvestments>
      <GrossIncomeFundraisingEvents>4560</GrossIncomeFundraisingEvents>
      <CntrbtnsRprtdFundraisingEvents>32625</CntrbtnsRprtdFundraisingEvents>
      <FundraisingDirectExpenses>11084</FundraisingDirectExpenses>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>-6524</TotalRevenueColumn>
        <ExclusionAmount>-6524</ExclusionAmount>
      </NetIncomeFromFundraisingEvents>
      <OtherRevenueMisc>
        <Description>INTEREST EXPENSE REFUN</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>56000</TotalRevenueColumn>
        <ExclusionAmount>56000</ExclusionAmount>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>FINANCING AND DEPRECIA</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>38950</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>38950</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>MISCELLANEOUS</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>5977</TotalRevenueColumn>
        <ExclusionAmount>5977</ExclusionAmount>
      </OtherRevenueMisc>
      <MiscellaneousRevenue>
        <TotalRevenueColumn>3600</TotalRevenueColumn>
        <UnrelatedBusinessRevenue>3600</UnrelatedBusinessRevenue>
      </MiscellaneousRevenue>
      <TotalOtherRevenue>104527</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>13532597</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>12781016</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>3600</UnrelatedBusinessRevenue>
        <ExclusionAmount>279471</ExclusionAmount>
      </TotalRevenue>
      <OtherSalariesAndWages>
        <Total>6549133</Total>
        <ProgramServices>5986261</ProgramServices>
        <ManagementAndGeneral>562872</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>95482</Total>
        <ProgramServices>87276</ProgramServices>
        <ManagementAndGeneral>8206</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>911272</Total>
        <ProgramServices>832951</ProgramServices>
        <ManagementAndGeneral>78321</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>506669</Total>
        <ProgramServices>463123</ProgramServices>
        <ManagementAndGeneral>43546</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>2533757</Total>
        <ProgramServices>2227950</ProgramServices>
        <ManagementAndGeneral>206993</ManagementAndGeneral>
        <Fundraising>98814</Fundraising>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>2212</Total>
        <ManagementAndGeneral>2212</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>16750</Total>
        <ManagementAndGeneral>16750</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>775</Total>
        <ProgramServices>775</ProgramServices>
      </FeesForServicesLobbying>
      <FeesForServicesInvstMgmntFees>
        <Total>24263</Total>
        <ManagementAndGeneral>24263</ManagementAndGeneral>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>218006</Total>
        <ProgramServices>90690</ProgramServices>
        <ManagementAndGeneral>127316</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>15898</Total>
        <ProgramServices>14481</ProgramServices>
        <ManagementAndGeneral>1417</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>797602</Total>
        <ProgramServices>582769</ProgramServices>
        <ManagementAndGeneral>211387</ManagementAndGeneral>
        <Fundraising>3446</Fundraising>
      </OfficeExpenses>
      <Occupancy>
        <Total>146688</Total>
        <ProgramServices>134218</ProgramServices>
        <ManagementAndGeneral>12470</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>336281</Total>
        <ProgramServices>327172</ProgramServices>
        <ManagementAndGeneral>9109</ManagementAndGeneral>
      </Travel>
      <ConferencesMeetings>
        <Total>9668</Total>
        <ProgramServices>8837</ProgramServices>
        <ManagementAndGeneral>831</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>12288</Total>
        <ProgramServices>11243</ProgramServices>
        <ManagementAndGeneral>1045</ManagementAndGeneral>
      </Interest>
      <DepreciationDepletion>
        <Total>44194</Total>
        <ProgramServices>40437</ProgramServices>
        <ManagementAndGeneral>3757</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>168385</Total>
        <ProgramServices>153913</ProgramServices>
        <ManagementAndGeneral>14472</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>BAD DEBTS EXPENSE</Description>
        <Total>67350</Total>
        <ProgramServices>67350</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MISCELLANEOUS EXPENSE</Description>
        <Total>21298</Total>
        <ProgramServices>19467</ProgramServices>
        <ManagementAndGeneral>1831</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>DUES AND SUBSCRIPTIONS</Description>
        <Total>12575</Total>
        <ManagementAndGeneral>12575</ManagementAndGeneral>
      </OtherExpenses>
      <TotalFunctionalExpenses>
        <Total>12490546</Total>
        <ProgramServices>11048913</ProgramServices>
        <ManagementAndGeneral>1339373</ManagementAndGeneral>
        <Fundraising>102260</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>150</BOY>
        <EOY>150</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>3673355</BOY>
        <EOY>4321515</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <EOY>4000</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>1600663</BOY>
        <EOY>1254188</EOY>
      </AccountsReceivable>
      <PrepaidExpensesDeferredCharges>
        <BOY>26736</BOY>
        <EOY>39891</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>3471078</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>2975628</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>507770</BOY>
        <EOY>495450</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>3461826</BOY>
        <EOY>3856779</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <BOY>765717</BOY>
        <EOY>790995</EOY>
      </InvestmentsOtherSecurities>
      <IntangibleAssets>
        <BOY>9926</BOY>
        <EOY>8236</EOY>
      </IntangibleAssets>
      <OtherAssetsTotal>
        <BOY>396918</BOY>
        <EOY>1087744</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>10443061</BOY>
        <EOY>11858948</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>927980</BOY>
        <EOY>1145699</EOY>
      </AccountsPayableAccruedExpenses>
      <TaxExemptBondLiabilities>
        <BOY>387019</BOY>
        <EOY>313624</EOY>
      </TaxExemptBondLiabilities>
      <TotalLiabilities>
        <BOY>1314999</BOY>
        <EOY>1459323</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>8277286</BOY>
        <EOY>9526152</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>85059</BOY>
        <EOY>82478</EOY>
      </TemporarilyRestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>765717</BOY>
        <EOY>790995</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>9128062</BOY>
        <EOY>10399625</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>10443061</BOY>
        <EOY>11858948</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>1042051</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>229512</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>775</OtherActivitiesAmount>
      <TotalLobbyingExpendituresIIB>775</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>0</NotDescribedIn501c3>
      <Form990ScheduleCPartIV>
        <Identifier>EXPLANATION OF OTHER LOBBYING ACTIVITIES:</Identifier>
        <ReturnReference>PART II-B, LINE 1I:</ReturnReference>
        <Explanation>BERKS VISITING NURSE ASSOCIATION, INC. 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 2010, BERKS VISITING NURSE ASSOCIATION, INC. PAID $775 TO VISITING NURSE ASSOCIATIONS OF AMERICA (VNAA) FOR LOBBYING AS A PORTION OF THEIR MEMBERSHIP DUES. LOBBYING EXPENSES GENERALLY DO NOT EXCEED 15% OF THE DUES PAID.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <CurrentYear>
        <BeginningOfYearBalance>3902760</BeginningOfYearBalance>
        <Contributions>139271</Contributions>
        <InvestmentEarningsOrLosses>424027</InvestmentEarningsOrLosses>
        <OtherExpenditures>35379</OtherExpenditures>
        <AdministrativeExpenses>16550</AdministrativeExpenses>
        <EndOfYearBalance>4414129</EndOfYearBalance>
      </CurrentYear>
      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>3350885</BeginningOfYearBalance>
        <Contributions>119924</Contributions>
        <InvestmentEarningsOrLosses>532143</InvestmentEarningsOrLosses>
        <OtherExpenditures>86196</OtherExpenditures>
        <AdministrativeExpenses>13996</AdministrativeExpenses>
        <EndOfYearBalance>3902760</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <CurrentYearMinus2Years>
        <BeginningOfYearBalance>4262380</BeginningOfYearBalance>
        <Contributions>110034</Contributions>
        <InvestmentEarningsOrLosses>-830168</InvestmentEarningsOrLosses>
        <OtherExpenditures>176325</OtherExpenditures>
        <AdministrativeExpenses>15036</AdministrativeExpenses>
        <EndOfYearBalance>3350885</EndOfYearBalance>
      </CurrentYearMinus2Years>
      <BoardDesignatedEOYBalance>0.82080</BoardDesignatedEOYBalance>
      <PermanentEndowmentEOYBalance>0.17920</PermanentEndowmentEOYBalance>
      <TermEndowmentEOYBalance>0.00000</TermEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>0</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>1</EndowmentsHeldByRelatedOrgs>
      <AreRelatedOrgsListedScheduleR>1</AreRelatedOrgsListedScheduleR>
      <Land>
        <OtherCostOrOtherBasis>250704</OtherCostOrOtherBasis>
        <BookValue>250704</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>2444388</OtherCostOrOtherBasis>
        <Depreciation>2248865</Depreciation>
        <BookValue>195523</BookValue>
      </Buildings>
      <Equipment>
        <OtherCostOrOtherBasis>775986</OtherCostOrOtherBasis>
        <Depreciation>726763</Depreciation>
        <BookValue>49223</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>495450</TotalOfBookValueLandBuildings>
      <OtherSecurities>
        <Description>BENEFICIAL INTEREST IN PERPETUAL TRUSTS</Description>
        <BookValue>790995</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <TotalOfBookValueSecurities>790995</TotalOfBookValueSecurities>
      <OtherAssets>
        <Description>CONTRIBUTION RECEIVABLE FROM CHARITABLE REMAINDER TRUST</Description>
        <BookValue>50430</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>ADVANCE TO RELATED PARTIES</Description>
        <BookValue>1037314</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>1087744</TotalBookValueOtherAssets>
      <TotalRevenue>13532597</TotalRevenue>
      <TotalExpenses>12490546</TotalExpenses>
      <ExcessOrDeficitForYear>1042051</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>200722</NetUnrealizedGLOnInvestments>
      <OtherAmount>28790</OtherAmount>
      <TotalAdjustments>229512</TotalAdjustments>
      <ExcessOrDeficitPerFS>1271563</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>13726889</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>200722</NetUnrealizedGainsInvestments>
      <OtherRevenues>11084</OtherRevenues>
      <RevenueNotRptdF990>211806</RevenueNotRptdF990>
      <RevenueSubtotal>13515083</RevenueSubtotal>
      <InvestmentExpensesNotIncluded>17514</InvestmentExpensesNotIncluded>
      <RevenueNotRptdOnFinStmt>17514</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>13532597</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>12484116</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>11084</OtherExpensesIncluded>
      <ExpensesNotRptdF990>11084</ExpensesNotRptdF990>
      <ExpensesSubtotal>12473032</ExpensesSubtotal>
      <InvestmentExpensesNotIncluded2>17514</InvestmentExpensesNotIncluded2>
      <ExpensesNotRptdOnFinStmt>17514</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>12490546</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>THE ORGANIZATION FOLLOWS THE PROVISIONS OF THE ACCOUNTING STANDARD FOR ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN A COMPANY'S FINANCIAL STATEMENTS AND PRESCRIBES A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED BY EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. THE STANDARD ALSO PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, AND DISCLOSURE. MANAGEMENT HAS DETERMINED THAT THE STANDARD DOES NOT HAVE A MATERIAL IMPACT ON THE ORGANIZATION'S FINANCIAL STATEMENTS. THE ORGANIZATION'S FEDERAL EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURNS FOR THE YEARS ENDED DECEMBER 31, 2009, 2008, AND 2007 REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XI, LINE 8 - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>GAIN/(LOSS) ON BENEFICIAL INTEREST IN PERPETUAL TRUSTS 25,278. CHANGE IN VALUE OF CHARITABLE REMAINDER TRUST 3,512.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XII, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>FUNDRAISING EXPENSES 11,084.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XIII, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>FUNDRAISING EXPENSES SHOWN NET IN REVENUE 11,084.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <EventsInformation>
        <NameOfEvent1>CHAMPION BREAKFAST</NameOfEvent1>
        <GrossReceiptsEvent1>17050</GrossReceiptsEvent1>
        <CharitableContributionsEvent1>12490</CharitableContributionsEvent1>
        <GrossRevenueEvent1>4560</GrossRevenueEvent1>
        <FoodAndBeverageEvent1>3713</FoodAndBeverageEvent1>
        <EntertainmentEvent1>905</EntertainmentEvent1>
        <OtherDirectExpensesEvent1>384</OtherDirectExpensesEvent1>
        <NameOfEvent2>TREE HOSPICE</NameOfEvent2>
        <GrossReceiptsEvent2>13069</GrossReceiptsEvent2>
        <CharitableContributionsEvent2>13069</CharitableContributionsEvent2>
        <FoodAndBeverageEvent2>118</FoodAndBeverageEvent2>
        <EntertainmentEvent2>50</EntertainmentEvent2>
        <OtherDirectExpensesEvent2>2334</OtherDirectExpensesEvent2>
        <TotalNumberOfOtherEvents>2</TotalNumberOfOtherEvents>
        <GrossReceiptsOtherEvents>7066</GrossReceiptsOtherEvents>
        <CharitableContribOtherEvents>7066</CharitableContribOtherEvents>
        <RentFacilityCostsOtherEvents>449</RentFacilityCostsOtherEvents>
        <FoodAndBeverageOtherEvents>1399</FoodAndBeverageOtherEvents>
        <EntertainmentOtherEvents>1095</EntertainmentOtherEvents>
        <OtherDirectExpensesOtherEvents>637</OtherDirectExpensesOtherEvents>
        <GrossReceiptsTotal>37185</GrossReceiptsTotal>
        <CharitableContributionsTotal>32625</CharitableContributionsTotal>
        <GrossRevenueTotalEvents>4560</GrossRevenueTotalEvents>
        <RentFacilityCostsTotalEvents>449</RentFacilityCostsTotalEvents>
        <FoodAndBeverageTotalEvents>5230</FoodAndBeverageTotalEvents>
        <EntertainmentTotalEvents>2050</EntertainmentTotalEvents>
        <OtherDirectExpensesTotalEvents>3355</OtherDirectExpensesTotalEvents>
        <DirectExpenseSummaryEvents>11084</DirectExpenseSummaryEvents>
        <NetIncomeSummary>-6524</NetIncomeSummary>
      </EventsInformation>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommittee>X</CompensationCommittee>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>0</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 GOUGH</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>161571</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>3231</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>1470</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>166272</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MARIA CARE</NamePerson>
        <BaseCompensationFilingOrg>194784</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>3987</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>7628</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>206399</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION B, LINE 11</Identifier>
        <Explanation>THE FINANCE COMMITTEE REVIEWS THE ANNUAL IRS FORM 990 PRIOR TO PUBLIC RELEASE AND WILL MAKE A REPORT TO HOME HEALTH CARE MANAGEMENT'S BOARD OF DIRECTORS.</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 OF 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>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>NET UNREALIZED GAINS ON INVESTMENTS: 200,722. GAIN/(LOSS) ON BENEFICIAL INTEREST IN PERPETUAL TRUSTS 25,278. CHANGE IN VALUE OF CHARITABLE REMAINDER TRUST 3,512. TOTAL TO FORM 990, PART XI, LINE 5: 229,512.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FINANCIAL STATEMENT AUDIT AND INDEPENDENT AUDITOR SELECTION:</Identifier>
        <ReturnReference>FORM 990. PART XI, LINE 2C: OVERSIGHT RESPONSIBILITY FOR</ReturnReference>
        <Explanation>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>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VII, COLUMN B:</ReturnReference>
        <Explanation>LUCILLE D GOUGH, PRESIDENT/CEO TERRY GORDON, TREASURER AMICIE S ZIMMERMAN, 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>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <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 AND INDIVID.</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 3</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <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>VISITING NURSE ASSOCIATION OF POTTSTOWN AND VICINITY</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1963 E HIGH STREET</AddressLine1>
          <City>POTTSTOWN</City>
          <State>PA</State>
          <ZIPCode>194643209</ZIPCode>
        </AddressUS>
        <EIN>231352574</EIN>
        <PrimaryActivities>PROVIDE PROFESSIONAL AND SUPPORTIVE HEALTH CARE AND SERVICES, IN-HOME BASIS</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 3</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>0</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>1</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>1</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>1</SharingOfFacilities>
      <SharingOfPaidEmployees>1</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>1</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>1</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>1</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>