﻿<?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="2012v2.1">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2014-08-07T15:29:23-05:00</Timestamp>
    <TaxPeriodEndDate>2013-09-30</TaxPeriodEndDate>
    <PreparerFirm>
      <EIN>020400296</EIN>
      <PreparerFirmBusinessName>
        <BusinessNameLine1>Brad Borbidge PA</BusinessNameLine1>
      </PreparerFirmBusinessName>
      <PreparerFirmUSAddress>
        <AddressLine1>197 Loudon Road</AddressLine1>
        <City>Concord</City>
        <State>NH</State>
        <ZIPCode>03301</ZIPCode>
      </PreparerFirmUSAddress>
    </PreparerFirm>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2012-10-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>042435675</EIN>
      <Name>
        <BusinessNameLine1>Home Health VNA Inc</BusinessNameLine1>
      </Name>
      <NameControl>HOME</NameControl>
      <Phone>9785524000</Phone>
      <USAddress>
        <AddressLine1>360 Merrimack Street Building 9</AddressLine1>
        <City>Lawrence</City>
        <State>MA</State>
        <ZIPCode>01843</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>Anthony Jorge</Name>
      <Title>Vice President of Finance</Title>
      <Phone>6032240849</Phone>
      <DateSigned>2014-08-07</DateSigned>
      <AuthorizeThirdParty>1</AuthorizeThirdParty>
    </Officer>
    <Preparer>
      <Name>Dimitrios Panacopoulos CPA</Name>
      <PTIN>P01603705</PTIN>
      <Phone>6032240849</Phone>
    </Preparer>
    <TaxYear>2012</TaxYear>
    <BuildTS>2015-11-30 17:44:51Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="7">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <NameOfPrincipalOfficerPerson>Anthony Jorge</NameOfPrincipalOfficerPerson>
      <AddressPrincipalOfficerUS>
        <AddressLine1>360 Merrimack Street Building 9</AddressLine1>
        <City>Lawrence</City>
        <State>MA</State>
        <ZIPCode>01843</ZIPCode>
      </AddressPrincipalOfficerUS>
      <GrossReceipts>34642995</GrossReceipts>
      <GroupReturnForAffiliates>0</GroupReturnForAffiliates>
      <Organization501c3>X</Organization501c3>
      <WebSite>www.homehealthvna.org</WebSite>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <YearFormation>1968</YearFormation>
      <StateLegalDomicile>MA</StateLegalDomicile>
      <ActivityOrMissionDescription>Home Health VNA, Inc. primary purpose is to provide home health care services.</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>15</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>14</NbrIndependentVotingMembers>
      <TotalNbrEmployees>426</TotalNbrEmployees>
      <TotalNbrVolunteers>2</TotalNbrVolunteers>
      <TotalGrossUBI>0</TotalGrossUBI>
      <NetUnrelatedBusinessTxblIncome>0</NetUnrelatedBusinessTxblIncome>
      <ContributionsGrantsPriorYear>98576</ContributionsGrantsPriorYear>
      <ContributionsGrantsCurrentYear>149110</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenuePriorYear>36842755</ProgramServiceRevenuePriorYear>
      <ProgramServiceRevenueCY>34469887</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>17205</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>23998</InvestmentIncomeCurrentYear>
      <OtherRevenuePriorYear>0</OtherRevenuePriorYear>
      <OtherRevenueCurrentYear>0</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>36958536</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>34642995</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsPriorYear>0</GrantsAndSimilarAmntsPriorYear>
      <GrantsAndSimilarAmntsCY>0</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersPriorYear>0</BenefitsPaidToMembersPriorYear>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcPriorYear>26668099</SalariesEtcPriorYear>
      <SalariesEtcCurrentYear>25695624</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpPriorYear>0</TotalProfFundrsngExpPriorYear>
      <TotalProfFundrsngExpCY>0</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>0</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>8465997</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>7804598</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>35134096</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>33500222</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>1824440</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>1142773</RevenuesLessExpensesCY>
      <TotalAssetsBOY>17850869</TotalAssetsBOY>
      <TotalAssetsEOY>18613205</TotalAssetsEOY>
      <TotalLiabilitiesBOY>10125985</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>9745548</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>7724884</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>8867657</NetAssetsOrFundBalancesEOY>
      <MissionDescription>Home Health VNA, Inc. primary purpose is to provide home health care services.</MissionDescription>
      <SignificantNewProgramServices>0</SignificantNewProgramServices>
      <SignificantChange>0</SignificantChange>
      <Expense>27676680</Expense>
      <Revenue>34469887</Revenue>
      <Description>Home Care - provides acute health care services to patients who can be cared for at home</Description>
      <TotalProgramServiceExpense>27676680</TotalProgramServiceExpense>
      <DescribedIn501C3 referenceDocumentId="RetDoc1039100001">1</DescribedIn501C3>
      <ScheduleBRequired referenceDocumentId="RetDoc1234500001">1</ScheduleBRequired>
      <PoliticalActivities>0</PoliticalActivities>
      <LobbyingActivities>0</LobbyingActivities>
      <SubjectToProxyTax>0</SubjectToProxyTax>
      <DonorAdvisedFunds referenceDocumentId="RetDoc1040000001">0</DonorAdvisedFunds>
      <ConservationEasements referenceDocumentId="RetDoc1040000001">0</ConservationEasements>
      <CollectionsOfArt referenceDocumentId="RetDoc1040000001">0</CollectionsOfArt>
      <CreditCounseling referenceDocumentId="RetDoc1040000001">0</CreditCounseling>
      <TermOrPermanentEndowments referenceDocumentId="RetDoc1040000001">0</TermOrPermanentEndowments>
      <ReportLandBldgEquip referenceDocumentId="RetDoc1040000001">1</ReportLandBldgEquip>
      <ReportInvestOthSecurities referenceDocumentId="RetDoc1040000001">0</ReportInvestOthSecurities>
      <ReportProgRelInvest referenceDocumentId="RetDoc1040000001">0</ReportProgRelInvest>
      <ReportOtherAssets referenceDocumentId="RetDoc1040000001">1</ReportOtherAssets>
      <ReportOtherLiabilities referenceDocumentId="RetDoc1040000001">1</ReportOtherLiabilities>
      <ReportFin48Footnote referenceDocumentId="RetDoc1040000001">1</ReportFin48Footnote>
      <IndependentAuditFinancialStmt referenceDocumentId="RetDoc1040000001">0</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>
      <TransfersToExemptNonChrtblOrg referenceDocumentId="RetDoc1043400001">0</TransfersToExemptNonChrtblOrg>
      <ActivitiesConductedPartnership referenceDocumentId="RetDoc1043400001">0</ActivitiesConductedPartnership>
      <ScheduleORequired>1</ScheduleORequired>
      <NumberFormsTransmittedWith1096>30</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <ComplianceWithBackupWitholding>1</ComplianceWithBackupWitholding>
      <NumberOfEmployees>426</NumberOfEmployees>
      <EmploymentTaxReturnsFiled>1</EmploymentTaxReturnsFiled>
      <UnrelatedBusinessIncome>0</UnrelatedBusinessIncome>
      <ForeignFinancialAccount>0</ForeignFinancialAccount>
      <ProhibitedTaxShelterTrans>0</ProhibitedTaxShelterTrans>
      <TaxablePartyNotification>0</TaxablePartyNotification>
      <NonDeductibleContributions>0</NonDeductibleContributions>
      <QuidProQuoContributions>0</QuidProQuoContributions>
      <Form8282PropertyDisposedOf>0</Form8282PropertyDisposedOf>
      <FundsToPayPremiums>0</FundsToPayPremiums>
      <PremiumsPaid>0</PremiumsPaid>
      <IndoorTanningServices>0</IndoorTanningServices>
      <InfoInScheduleOPartVI>X</InfoInScheduleOPartVI>
      <NbrVotingGoverningBodyMembers>15</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>14</NumberIndependentVotingMembers>
      <FamilyOrBusinessRelationship>0</FamilyOrBusinessRelationship>
      <DelegationOfManagementDuties>0</DelegationOfManagementDuties>
      <ChangesToOrganizingDocs>0</ChangesToOrganizingDocs>
      <MaterialDiversionOrMisuse>0</MaterialDiversionOrMisuse>
      <MembersOrStockholders>1</MembersOrStockholders>
      <ElectionOfBoardMembers>1</ElectionOfBoardMembers>
      <DecisionsSubjectToApproval>1</DecisionsSubjectToApproval>
      <MinutesOfGoverningBody>1</MinutesOfGoverningBody>
      <MinutesOfCommittees>1</MinutesOfCommittees>
      <OfficerMailingAddress>0</OfficerMailingAddress>
      <LocalChapters>1</LocalChapters>
      <PoliciesReferenceChapters>1</PoliciesReferenceChapters>
      <Form990ProvidedToGoverningBody>1</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>MA</StatesWhereCopyOfReturnIsFiled>
      <StatesWhereCopyOfReturnIsFiled>NH</StatesWhereCopyOfReturnIsFiled>
      <OtherWebsite>X</OtherWebsite>
      <UponRequest>X</UponRequest>
      <TheBooksAreInCareOf>
        <NameBusiness>
          <BusinessNameLine1>Anthony Jorge</BusinessNameLine1>
        </NameBusiness>
        <TelephoneNumber>9785524000</TelephoneNumber>
        <AddressUS>
          <AddressLine1>360 Merrimack Street Building 9</AddressLine1>
          <City>Lawrence</City>
          <State>MA</State>
          <ZIPCode>01843</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <Form990PartVIISectionA>
        <NamePerson>John G Albert</NamePerson>
        <Title>President/CEO</Title>
        <AverageHoursPerWeek>38.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>339209</ReportableCompFromRelatedOrgs>
        <OtherCompensation>34282</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Atty Daniel A Hayes Jr</NamePerson>
        <Title>Chairman</Title>
        <AverageHoursPerWeek>0.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Mary Jane Werner</NamePerson>
        <Title>Vice Chairman</Title>
        <AverageHoursPerWeek>0.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Ronald J Pollina</NamePerson>
        <Title>Treasurer</Title>
        <AverageHoursPerWeek>0.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Scott A Collins</NamePerson>
        <Title>Clerk</Title>
        <AverageHoursPerWeek>0.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>John P Chemaly</NamePerson>
        <Title>Board of Trustees</Title>
        <AverageHoursPerWeek>0.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Ila S Cox</NamePerson>
        <Title>Board of Trustees</Title>
        <AverageHoursPerWeek>0.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Debra S Grabowski</NamePerson>
        <Title>Board of Trustees</Title>
        <AverageHoursPerWeek>0.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Dr Joel B Hellmann</NamePerson>
        <Title>Board of Trustees</Title>
        <AverageHoursPerWeek>0.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Dennis C Ingram</NamePerson>
        <Title>Board of Trustees</Title>
        <AverageHoursPerWeek>0.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>David W Nesbitt</NamePerson>
        <Title>Board of Trustees</Title>
        <AverageHoursPerWeek>0.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Barbara B Sager</NamePerson>
        <Title>Board of Trustees</Title>
        <AverageHoursPerWeek>0.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>John J Sarro</NamePerson>
        <Title>Board of Trustees</Title>
        <AverageHoursPerWeek>0.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Keith N Soucie</NamePerson>
        <Title>Board of Trustees</Title>
        <AverageHoursPerWeek>0.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Ellen K Zappala</NamePerson>
        <Title>Board of Trustees</Title>
        <AverageHoursPerWeek>0.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Anthony Jorge</NamePerson>
        <Title>VP of Finance/CFO</Title>
        <AverageHoursPerWeek>38.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>202366</ReportableCompFromRelatedOrgs>
        <OtherCompensation>9777</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Dipti Shah</NamePerson>
        <Title>Physical Therapist</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>125572</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>19988</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Patricia Finocciaro</NamePerson>
        <Title>Clinical Director</Title>
        <AverageHoursPerWeek>38.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>112203</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>25495</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Lisa Aylward</NamePerson>
        <Title>Clinical Manager</Title>
        <AverageHoursPerWeek>32.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>135767</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>24633</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Mark McDonald</NamePerson>
        <Title>Physical Therapist</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>113301</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>23941</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Jeffrey Doucette</NamePerson>
        <Title>RN</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>149388</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>5098</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>636231</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>541575</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>143214</TotalOtherCompensation>
      <NumberIndividualsGT100K>5</NumberIndividualsGT100K>
      <FormersListed>0</FormersListed>
      <TotalCompGT150K>1</TotalCompGT150K>
      <CompensationFromOtherSources>0</CompensationFromOtherSources>
      <NumberOfContractorsGT100K>0</NumberOfContractorsGT100K>
      <FederatedCampaigns>908</FederatedCampaigns>
      <GovernmentGrants>60462</GovernmentGrants>
      <AllOtherContributions>87740</AllOtherContributions>
      <TotalContributions>149110</TotalContributions>
      <ProgramServiceRevenue>
        <Description>Home Care</Description>
        <BusinessCode>621610</BusinessCode>
        <TotalRevenueColumn>34469887</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>34469887</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>34469887</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>23998</TotalRevenueColumn>
        <ExclusionAmount>23998</ExclusionAmount>
      </InvestmentIncome>
      <TotalRevenue>
        <TotalRevenueColumn>34642995</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>34469887</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>23998</ExclusionAmount>
      </TotalRevenue>
      <OtherSalariesAndWages>
        <Total>21379709</Total>
        <ProgramServices>18671019</ProgramServices>
        <ManagementAndGeneral>2708690</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>563900</Total>
        <ProgramServices>492457</ProgramServices>
        <ManagementAndGeneral>71443</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>2193618</Total>
        <ProgramServices>1915699</ProgramServices>
        <ManagementAndGeneral>277919</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>1558397</Total>
        <ProgramServices>1360957</ProgramServices>
        <ManagementAndGeneral>197440</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesLegal>
        <Total>18353</Total>
        <ManagementAndGeneral>18353</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>21000</Total>
        <ManagementAndGeneral>21000</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesOther>
        <Total>961680</Total>
        <ProgramServices>839841</ProgramServices>
        <ManagementAndGeneral>121839</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>140031</Total>
        <ProgramServices>122290</ProgramServices>
        <ManagementAndGeneral>17741</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>38045</Total>
        <ProgramServices>33225</ProgramServices>
        <ManagementAndGeneral>4820</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>693770</Total>
        <ProgramServices>605873</ProgramServices>
        <ManagementAndGeneral>87897</ManagementAndGeneral>
      </InformationTechnology>
      <Occupancy>
        <Total>588224</Total>
        <ProgramServices>513699</ProgramServices>
        <ManagementAndGeneral>74525</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>632747</Total>
        <ProgramServices>552581</ProgramServices>
        <ManagementAndGeneral>80166</ManagementAndGeneral>
      </Travel>
      <ConferencesMeetings>
        <Total>28612</Total>
        <ProgramServices>24987</ProgramServices>
        <ManagementAndGeneral>3625</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>498</Total>
        <ProgramServices>435</ProgramServices>
        <ManagementAndGeneral>63</ManagementAndGeneral>
      </Interest>
      <DepreciationDepletion>
        <Total>211869</Total>
        <ProgramServices>185026</ProgramServices>
        <ManagementAndGeneral>26843</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>88858</Total>
        <ProgramServices>77600</ProgramServices>
        <ManagementAndGeneral>11258</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>Inter-Company Managemen</Description>
        <Total>1936665</Total>
        <ManagementAndGeneral>1936665</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Inter-Company Clincial</Description>
        <Total>660940</Total>
        <ProgramServices>660940</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Telephone</Description>
        <Total>654329</Total>
        <ProgramServices>571429</ProgramServices>
        <ManagementAndGeneral>82900</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Program Supplies</Description>
        <Total>494737</Total>
        <ProgramServices>494737</ProgramServices>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>634240</Total>
        <ProgramServices>553885</ProgramServices>
        <ManagementAndGeneral>80355</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>33500222</Total>
        <ProgramServices>27676680</ProgramServices>
        <ManagementAndGeneral>5823542</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <SavingsAndTempCashInvestments>
        <BOY>3655681</BOY>
        <EOY>1293648</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
        <BOY>4301696</BOY>
        <EOY>3892792</EOY>
      </AccountsReceivable>
      <PrepaidExpensesDeferredCharges>
        <BOY>257233</BOY>
        <EOY>306219</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>4068678</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>3347683</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>748910</BOY>
        <EOY>720995</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>5559829</BOY>
        <EOY>5876533</EOY>
      </InvestmentsPubTradedSecurities>
      <OtherAssetsTotal>
        <BOY>3327520</BOY>
        <EOY>6523018</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>17850869</BOY>
        <EOY>18613205</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>2420832</BOY>
        <EOY>2264675</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>1777120</BOY>
        <EOY>1771334</EOY>
      </DeferredRevenue>
      <OtherLiabilities>
        <BOY>5928033</BOY>
        <EOY>5709539</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>10125985</BOY>
        <EOY>9745548</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>7565595</BOY>
        <EOY>8683118</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>159289</BOY>
        <EOY>184539</EOY>
      </TemporarilyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>7724884</BOY>
        <EOY>8867657</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>17850869</BOY>
        <EOY>18613205</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>1142773</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>0</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <FSAuditedBasis>
        <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      </FSAuditedBasis>
      <AuditCommittee>1</AuditCommittee>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2>X</PubliclySupportedOrg509a2>
      <GiftsGrantsContribReceived509>
        <CurrentTaxYearMinus4Years>365061</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>387235</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>273989</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>98576</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>88648</CurrentTaxYear>
        <Total>1213509</Total>
      </GiftsGrantsContribReceived509>
      <GrossReceiptsFromAdmissions>
        <CurrentTaxYearMinus4Years>37713473</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>41156378</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>40013561</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>36842755</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>34530349</CurrentTaxYear>
        <Total>190256516</Total>
      </GrossReceiptsFromAdmissions>
      <Total509>
        <CurrentTaxYearMinus4Years>38078534</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>41543613</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>40287550</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>36941331</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>34618997</CurrentTaxYear>
        <Total>191470025</Total>
      </Total509>
      <AmtsRecdFromDisqualPersons>
        <Total>0</Total>
      </AmtsRecdFromDisqualPersons>
      <AmtsFromSubstContributors>
        <Total>0</Total>
      </AmtsFromSubstContributors>
      <SupportFromDQPsEtc>
        <Total>0</Total>
      </SupportFromDQPsEtc>
      <PublicSupportTotal509>191470025</PublicSupportTotal509>
      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus4Years>117675</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>55184</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>26492</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>17205</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>23998</CurrentTaxYear>
        <Total>240554</Total>
      </GrossInvestmentIncome509>
      <InvestmentIncomeAndUBTI>
        <CurrentTaxYearMinus4Years>117675</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>55184</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>26492</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>17205</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>23998</CurrentTaxYear>
        <Total>240554</Total>
      </InvestmentIncomeAndUBTI>
      <TotalSupportTotal>
        <CurrentTaxYearMinus4Years>38196209</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>41598797</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>40314042</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>36958536</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>34642995</CurrentTaxYear>
        <Total>191710579</Total>
      </TotalSupportTotal>
      <PublicSupportPercentage509>0.99870</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.99830</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.00130</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.00170</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
    </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>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <Buildings>
        <OtherCostOrOtherBasis>489403</OtherCostOrOtherBasis>
        <Depreciation>401722</Depreciation>
        <BookValue>87681</BookValue>
      </Buildings>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>3579275</OtherCostOrOtherBasis>
        <Depreciation>2945961</Depreciation>
        <BookValue>633314</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>720995</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>Assets Limited as to Use</Description>
        <BookValue>184539</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Due From Affiliates</Description>
        <BookValue>6338479</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>6523018</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>Due to Third Party Payors</Description>
        <Amount>5709539</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>5709539</TotalOfAmounts>
      <TotRevenueEtcAuditedFinclStmt>34642995</TotRevenueEtcAuditedFinclStmt>
      <RevenueNotRptdF990>0</RevenueNotRptdF990>
      <RevenueSubtotal>34642995</RevenueSubtotal>
      <RevenueNotRptdOnFinStmt>0</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>34642995</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>33500222</TotExpensesEtcAuditedFinclStmt>
      <ExpensesNotRptdF990>0</ExpensesNotRptdF990>
      <ExpensesSubtotal>33500222</ExpensesSubtotal>
      <ExpensesNotRptdOnFinStmt>0</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>33500222</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIII>
        <Explanation>Part IV, line 11f - The Association consists of four public charities under Section 501(c)(3) of the Internal Revenue Code. As public charities, the Association is exempt from state and federal income taxes on income earned in accordance with its tax exempt purpose. Unrelated business income is subject to state and federal income tax. Management has evaluated the Association's tax position and concluded that the Association has no unrelated business income or uncertain tax positions that require adjustment to the financial statements.</Explanation>
      </Form990ScheduleDPartXIII>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <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>John G Albert</NamePerson>
        <Title>President/CEO</Title>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>273209</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>66000</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>34282</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>373491</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Anthony Jorge</NamePerson>
        <Title>VP of Finance/CFO</Title>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>192866</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>9500</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>9777</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>212143</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Lisa Aylward</NamePerson>
        <Title>Clinical Manager</Title>
        <BaseCompensationFilingOrg>135767</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>24633</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>160400</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Jeffrey Doucette</NamePerson>
        <Title>RN</Title>
        <BaseCompensationFilingOrg>149388</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>5098</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>154486</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 6</ReturnReference>
        <Explanation>Home Health Foundation, Inc., acting through its Board of Trustees, shall be the sole member of the Corporation.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 7a</ReturnReference>
        <Explanation>The sole Member shall elect and may remove or suspend the Trustees.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 7b</ReturnReference>
        <Explanation>The Member shall have the right to approve each of the following actions of the Board of Trustees, and such actions by the Board shall not be effective unless and until approved by the Member: a)the adoption of annual operating and capital budgets; b)the adoption of any long range plans of the Corporation; c)the decision to establish a new program of service or to discontinue an existing program; d)the approval of any borrowing by the Corporation; e)the expenditure, disposition, donation, or acquisition by purchase, lease or other means, of corporate assets, other than in the ordinary course of business or budgeted items; f)the merger or consolidation of the Corporation with any other corporation, and the formation or dissolution of subsidiaries; g)the conduct of any fund raising activities; h)the selection or employment of legal counsel or certified public accountants, whether for special projects or on a regular basis; and i)the execution of leases for equipment or real estate, the execution of major contracts, and the approval of individuals authorized to sign checks.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 11</ReturnReference>
        <Explanation>The 990 will be reviewed by Management, and current Chairman and Treasurer of the Board of Trustees prior to signing.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 12c</ReturnReference>
        <Explanation>Any potential conflicts are reviewed by the CEO.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 15</ReturnReference>
        <Explanation>Compensation study of like positions prepared every other year and reviewed by the Executive Committee of the Board of Trustees.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section C, line 19</ReturnReference>
        <Explanation>Upon request.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Home Health Foundation Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>360 Merrimack Street</AddressLine1>
          <City>Lawrence</City>
          <State>MA</State>
          <ZIPCode>01843</ZIPCode>
        </AddressUS>
        <EIN>222587225</EIN>
        <PrimaryActivities>Management Services</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501 (c)(3)</ExemptCodeSection>
        <PublicCharityStatus>509 (a)(3) type II</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Home Care Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>360 Merrimack Street</AddressLine1>
          <City>Lawrence</City>
          <State>MA</State>
          <ZIPCode>01843</ZIPCode>
        </AddressUS>
        <EIN>042854358</EIN>
        <PrimaryActivities>Home Health Supportive Services</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501 (c)(3)</ExemptCodeSection>
        <PublicCharityStatus>509(a)(2)</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Merrimack Valley Hospice Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>360 Merrimack Street</AddressLine1>
          <City>Lawrence</City>
          <State>MA</State>
          <ZIPCode>01843</ZIPCode>
        </AddressUS>
        <EIN>043024278</EIN>
        <PrimaryActivities>Hospice Services</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501 (c)(3)</ExemptCodeSection>
        <PublicCharityStatus>509 (a)(2)</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>0</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>1</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <DividendsRelatedOrganization>0</DividendsRelatedOrganization>
      <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>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>