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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9813</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>6842</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>353938</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SONIA WILLIAMS</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>286294</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>5221</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>291515</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS OF VNA HAS AN EXECUTIVE COMMITTEE COMPRISED OF THE CHAIRMAN, 1ST VICE-CHAIRMAN, 2ND VICE-CHAIRMAN, SECRETARY, AND TREASURER. THE PRESIDENT/CEO PARTICIPATES IN AN EX OFFICIO, NON-VOTING CAPACITY. THE EXECUTIVE COMMITTEE SHALL CONVENE AS NECESSARY AND SHALL ACT FOR THE BOARD OF DIRECTORS IN ALL MATTERS REQUIRING IMMEDIATE ATTENTION DURING THE INTERIM PERIODS BETWEEN MEETINGS OF THE BOARD OF DIRECTORS; PROVIDED THAT THE EXECUTIVE COMMITTEE SHALL NOT (1) ADOPT A PLAN FOR THE DISTRIBUTION OF THE ASSETS OF THE CORPORATION, OR FOR DISSOLUTION; (2) FILL VACANCIES ON THE BOARD OR ON ANY OF ITS COMMITTEES; (3) ELECT, APPOINT OR REMOVE ANY OFFICER, DIRECTOR OR COMMITTEE MEMBER, OR FIX THE COMPENSATION OF ANY COMMITTEE MEMBER; (4) ADOPT, AMEND OR REPEAL THE BYLAWS OR THE ARTICLES OF INCORPORATION; (5) ADOPT A PLAN OF MERGER OR ADOPT A PLAN OF CONSOLIDATION WITH ANOTHER CORPORATION, OR AUTHORIZE THE SALE, LEASE, EXCHANGE, OR MORTGAGE OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY OR ASSETS OF THE CORPORATION; OR (6) AMEND, ALTER, REPEAL OR TAKE ACTION INCONSISTENT WITH ANY RESOLUTION OR ACTION OF THE BOARD OF DIRECTORS WHEN THE RESOLUTION OR ACTION OF THE BOARD PROVIDES BY ITS TERMS THAT IT SHALL NOT BE AMENDED, ALTERED OR REPEALED BY ACTION OF A COMMITTEE. THE EXECUTIVE COMMITTEE SHALL MAKE A REPORT FOR THE BOARD OF DIRECTORS, AND SHALL OBTAIN THE BOARD'S RATIFICATION AT THE NEXT BOARD MEETING, WHENEVER IT TAKES ANY ACTIONS ON THE BOARD'S BEHALF. IN ADDITION, THE EXECUTIVE COMMITTEE SHALL: (1) DEVELOP THE BOARD PLAN FOR THE YEAR, INCLUDING TRAINING AND DEVELOPMENT FOR THE BOARD AND APPROPRIATE TRAVEL FOR BOARD MEMBERS; (2) COMPRISE THE SEARCH COMMITTEE RESPONSIBLE FOR RECOMMENDING CANDIDATES FOR PRESIDENT/CEO; AND (3) CONDUCT THE EVALUATION OF THE PRESIDENT/CEO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>THE VICE PRESIDENT OF DECISION SUPPORT AND GRANTS INSPECTS FORM 990 AND REVIEWS IT WITH THE FINANCE COMMITTEE CHAIRMAN, COMPARING THE TAX RETURN WITH INTERNAL RECORDS. A DRAFT OF THE FORM 990 IS ALSO DISTRIBUTED TO ALL MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO FILING THE RETURN WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS AND OFFICERS ARE REQUIRED TO ANNUALLY DISCLOSE IN WRITING ALL BUSINESS AND FAMILY RELATIONSHIPS THAT MIGHT POTENTIALLY CREATE A CONFLICT OF INTEREST. ALL POSSIBLE INDIRECT FINANCIAL INTERESTS IN A FEDERALLY FUNDED CONTRACT MUST ALSO BE DISCLOSED IN WRITING. BOARD MEMBERS MAY NOT VOTE ON ANY MATTER WHICH MAY DIRECTLY OR INDIRECTLY RESULT IN FINANCIAL GAIN TO THAT MEMBER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>IN DETERMINING THE COMPENSATION OF THE CEO, TOP MANAGEMENT, AND OTHER EMPLOYEES, THE ORGANIZATION PARTICIPATES IN INDUSTRY-WIDE COMPENSATION SURVEYS FOR HOMECARE AND HEALTH CENTERS. IN ADDITION, COMPENSATION PACKAGES DETAILED ON PUBLICLY AVAILABLE TAX FILINGS ARE TAKEN INTO CONSIDERATION WHEN DETERMINING SALARIES. THE BOARD EXECUTIVE COMMITTEE REVIEWS THE CEO'S PERFORMANCE ANNUALLY AND SETS GOALS AND OBJECTIVES TO ACHIEVE IN THE UPCOMING REVIEW PERIOD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>MOST DOCUMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTRACTED EMPLOYEES: PROGRAM SERVICE EXPENSES 598,854. MANAGEMENT AND GENERAL EXPENSES 127. FUNDRAISING EXPENSES 23. TOTAL EXPENSES 599,004. LEGAL &amp; ACCOUNTING: PROGRAM SERVICE EXPENSES 133,066. MANAGEMENT AND GENERAL EXPENSES 4,979. FUNDRAISING EXPENSES 31. TOTAL EXPENSES 138,076. TEMPORARY STAFFING: PROGRAM SERVICE EXPENSES 398,253. MANAGEMENT AND GENERAL EXPENSES 4,252. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 402,505. CONTRACTED IBCCP PROVIDERS: PROGRAM SERVICE EXPENSES 282,567. MANAGEMENT AND GENERAL EXPENSES 11. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 282,578. OUTSIDE LAB SERVICES: PROGRAM SERVICE EXPENSES 437,372. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 437,372. OUTSIDE MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 125,701. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 125,701. OTHER CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 293,222. MANAGEMENT AND GENERAL EXPENSES 950. FUNDRAISING EXPENSES 3,250. TOTAL EXPENSES 297,422. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 159,019. MANAGEMENT AND GENERAL EXPENSES 7,687. FUNDRAISING EXPENSES 114. TOTAL EXPENSES 166,820.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AUDIT OVERSIGHT AND ACCOUNTANT SELECTION PROCESS HAS NOT CHANGED SIGNIFICANTLY FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>