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        <City>Watsonville</City>
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        <Desc>HOSPICE: Medicare Certified Hospice Program providing services at the end stages of a patients life. All services are pursuant to Medicare A guidelines for Hospice care. Those services include skilled nursing, medical social worker, spiritual care, home health aides and others as needed. Volunteers play a significant role in Hospice and are mandated under conditions of participation. The focus of the care is pain and symptom management at the end stage of a patients life. The goal is to give the patient the best quality of life at this point in the disease process. Other than skilled medical care, the patient is provided such activities as music, pet therapy or in the case of patients with limited resources, donated funds can be used to provide transportation or meals. Hospice provided approximately 26,600 patient care days.</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>PAYABLE TO AFFILIATES</Desc>
        <Amt>25006</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>SALES TAX PAYABLE</Desc>
        <Amt>2936</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>38879</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>24921740</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>385989</NetUnrealizedGainsInvstAmt>
      <DonatedServicesAndUseFcltsAmt>39375</DonatedServicesAndUseFcltsAmt>
      <OtherRevenueAmt>26313</OtherRevenueAmt>
      <RevenueNotReportedAmt>451677</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>24470063</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>24470063</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>23368941</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>39375</DonatedServicesUseFcltsAmt>
      <ExpensesNotReportedAmt>39375</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>23329566</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>23329566</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part V, Line 4: Intended uses of the endowment fund.</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD HAS DESIGNATED $100,000 AS A GENERAL ENDOWMENT TO SUPPORT THE MISSION OF THE ORGANIZATION. DONOR DESIGNATED ENDOWMENTS ARE REPRESENTED BY THREE INDIVIDUAL FUNDS ESTABLISHED TO SUPPORT PATIENT CARE AND THE GENERAL OPERATIONS OF THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN VALUE OF TRUSTS RECEIVABLE $26313</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ" softwareId="13000170" softwareVersion="2013v3.1">
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RebuttablePresumptionProcInd>false</RebuttablePresumptionProcInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>STEVEN A JOHNSON</PersonNm>
        <TitleTxt>CHAIR/CEO</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>255442</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>48132</BonusRelatedOrganizationsAmt>
        <DeferredCompRltdOrgsAmt>9107</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>11820</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>324501</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="13000170" softwareVersion="2013v3.1">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et</FormAndLineReferenceDesc>
        <ExplanationTxt>3 OF THE VOTING MEMBERS ARE EMPLOYEES OF SALINAS VALLEY MEMORIAL HOSPITAL (SVMH). SVMH HAS AN AFFILIATION AGREEMENT WITH CCVNA. 2 OF THE VOTING MEMBERS ARE EMPLOYEES OF CENTRAL COAST COMMUNITY HEALTH CARE (CCCHC)(SEE SCHEDULE R FOR RELATED PARTIES). CCCHC HAS A MANAGEMENT AGREEMENT WITH CCVNA. 1 OF THE VOTING MEMBERS IS AN EMPLOYEE OF CCVNA. THE BOARD DOES NOT VOTE ON ISSUES SUCH AS WAGES AND BENEFITS FOR CCVNA. THIS IS DONE BY THE AFFILIATES BOARD IN CCCHC. THIS BOARD PURELY MONITORS OPERATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 3: Description of Delegated Duties to Management Company</FormAndLineReferenceDesc>
        <ExplanationTxt>CENTRAL COAST COMMUNITY HEALTH CARE, INC. IS A CORPORATION ESTABLISHED AS AN UMBRELLA COMPANY TO MANAGE THREE RELATED NONPROFIT ORGANIZATIONS, INCLUDING CENTRAL COAST VNA &amp; HOSPICE, INC. DUTIES DELEGATED TO CENTRAL COAST COMMUNITY HEALTH CARE, INC. BY CENTRAL COAST VNA &amp; HOSPICE, INC. INCLUDE RECORDING OF FINANCIAL TRANSACTIONS, MANAGING STAFF, AND PERFORMING VARIOUS OTHER MANAGEMENT DUTIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b: Form 990 Review Process</FormAndLineReferenceDesc>
        <ExplanationTxt>COPIES OF THE 990 ARE PROVIDED TO BOARD MEMBERS BY MANAGEMENT FOR REVIEW PRIOR TO THE FILING OF THE RETURN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS PROVIDE YEARLY STATEMENTS OF ANY CONFLICTS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a: Compensation Review &amp; Approval Process - CEO, Top Management</FormAndLineReferenceDesc>
        <ExplanationTxt>WHEN DETERMINING THE ANNUAL COMPENSATION FOR ANY INSIDER, THE ORGANIZATION SHALL ALWAYS UNDERTAKE AND SATISFY ALL THREE PRONGS OF THE REBUTTABLE PRESUMPTION SET FORTH IN THE INTERNAL REVENUE CODE REGARDING INTERMEDIATE SANCTIONS (IRC 4958).1. COMPENSATION ARRANGEMENT APPROVED IN ADVANCE BY INDEPENDENT MEMBERS OF THE ORGANIZATION'S GOVERNING BODY (BOARD OF DIRECTORS OR A SUBCOMMITTEE THEREOF) THAT IS COMPOSED OF PERSONS WHO DO NOT HAVE A CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT. 2. BEFORE MAKING THE REASONABLE COMPENSATION DETERMINATION, THE GOVERNING BODY (OR SUBCOMMITTEE THEREOF) RELIED UPON COMPARABILITY DATA (COMPARABILITY DATA INCLUDES COMPENSATION PAID BY COMPARABLE AND SIMILARLY SITUATED ENTITIES) IN DECIDING WHETHER TO APPROVE THE COMPENSATION. 3. GOVERNING BODY CONTEMPORANEOUSLY DOCUMENTS ITS BASIS FOR MAKING A REASONABLE COMPENSATION DETERMINATION AS FOLLOWS:A. TERMS OF THE APPROVED COMPENSATION AND THE DATE APPROVED BY THE BOARDB. MEMBERS OF THE BOARD PRESENT DURING DEBATE ON THE COMPENSATION AMOUNT AND THOSE WHO VOTED ON IT AND HOW THEY VOTED ON IT.C. DESCRIPTION OF THE COMPARABILITY DATA OBTAINED AND RELIED UPON AND HOW SUCH DATA WAS OBTAINED. D. ANY ACTIONS BY A BOARD MEMBER HAVING A CONFLICT OF INTEREST (E.G. DISCLOSURE OF THE CONFLICT OF INTEREST; RECUSE FROM THE DISCUSSION)E. DOCUMENTATION OF THE BASIS FOR THE COMPENSATION DETERMINATION BEFORE THE LATER OF THE NEXT BOARD MEETING OR 60 DAYS AFTER THE FINAL ACTIONS OF THE AUTHORIZED BODY ARE TAKEN</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE RESPONSE AT FORM 990,PART VI,LINE 15A</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</FormAndLineReferenceDesc>
        <ExplanationTxt>COPIES OF GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST; AVAILABLE ON COMPANY INTRANET FOR ORGANIZATION STAFF AND BOARD</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other Changes In Net Assets Or Fund Balances - Other Increases</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN VALUE OF TRUSTS RECEIVABLE = $26313</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR" softwareId="13000170" softwareVersion="2013v3.1">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>VNA COMMUNITY SERVICES INC</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>5 LOWER RAGSDALE DR</AddressLine1>
          <City>MONTEREY</City>
          <State>CA</State>
          <ZIPCode>93940</ZIPCode>
        </USAddress>
        <EIN>942903253</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>CCVNA FOUNDATION INC</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>5 LOWER RAGSDALE DR</AddressLine1>
          <City>MONTEREY</City>
          <State>CA</State>
          <ZIPCode>93940</ZIPCode>
        </USAddress>
        <EIN>770441676</EIN>
        <PrimaryActivitiesTxt>FUNDRAISING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11A</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1>CENTRAL COAST COMMUNITY HEALTH CARE INC</BusinessNameLine1>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1>5 LOWER RAGSDALE DR</AddressLine1>
          <City>MONTEREY</City>
          <State>CA</State>
          <ZIPCode>93940</ZIPCode>
        </USAddress>
        <EIN>770066666</EIN>
        <PrimaryActivitiesTxt>MANAGEMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C CORP</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>