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        <PurposeOfGrant>TO PROVIDE OPERATING SUPPORT FOR A HOSPICE AND PALLIATIVE CARE CLINIC THAT SERVES THE COMMUNITY SURROUNDING MBITA, KENYA</PurposeOfGrant>
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        <MannerOfCashDisbursement>WIRE TRANSFER</MannerOfCashDisbursement>
        <MethodOfValuation>FAIR MARKET VALUE</MethodOfValuation>
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      <InterestInForeignTrust>0</InterestInForeignTrust>
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        <Identifier>PROCEDURE FOR MONITORING GRANTS OUTSIDE THE U.S.:</Identifier>
        <Explanation>SCHEDULE F, PART I, LINE 2: WE ARE IN REGULAR COMMUNICATION WITH THE BOARD OF VIAGENCO VIA EMAIL. WE RECEIVE REGULAR FINANCIAL AND SERVICE REPORTS DETAILING HOW THE MONEY IS BEING SPENT AS WELL AS THE NUMBER OF PATIENTS SERVED AND THE STATISTICS SURROUNDING DIAGNOSES ETC. IN 2009, THE CHAIRMAN OF THE BOARD OF VIAGENCO VISITED VNHC IN SANTA BARBARA AND DELIVERED A COMPREHENSIVE UPDATE ON THE PROGRAM. IN OTHER YEARS, OUR STAFF HAS VISITED THE VIAGENCO CLINIC IN KENYA.</Explanation>
      </Form990ScheduleFPartV>
    </IRS990ScheduleF>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <RecordsMaintained>1</RecordsMaintained>
      <Form990ScheduleIPartIII>
        <TypeOfGrant>CHARITY CARE SERVICES FOR HOME, HEALTH AND HOSPICE CARE.</TypeOfGrant>
        <NumberOfRecipients>121</NumberOfRecipients>
        <AmountOfNonCashAssistance>560027</AmountOfNonCashAssistance>
        <MethodOfValuation>FAIR MARKET VALUE</MethodOfValuation>
        <DescriptionOfNonCashAssistance>CHARGES FORGONE FOR CHARITY CARE SERVICES</DescriptionOfNonCashAssistance>
      </Form990ScheduleIPartIII>
      <Form990ScheduleIPartIV>
        <Identifier>PROCEDURE FOR MONITORING GRANTS IN THE U.S.:</Identifier>
        <ReturnReference>PART I, LINE 2:</ReturnReference>
        <Explanation>SCHEDULE I, PART I, LINE 2: THE ORGANIZATION MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF COMMUNITY BENEFITS AND CHARITY CARE IT PROVIDES. THOSE RECORDS INCLUDE MANAGEMENT'S ESTIMATE OF THE EXPENSE TO PROVIDE CHARITY CARE AND EXPENSE OF SERVICES AND SUPPLIES FURNISHED FOR COMMUNITY BENEFIT PROGRAMS.</Explanation>
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    </IRS990ScheduleI>
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      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>0</SupplementalNonqualRetirePlan>
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      <InitialContractException>0</InitialContractException>
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        <Title>PRESIDENT/CEO</Title>
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        <BonusRelatedOrgs>0</BonusRelatedOrgs>
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        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>9720</DeferredCompFilingOrg>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>KAREN WALLACE</NamePerson>
        <Title>CFO</Title>
        <BaseCompensationFilingOrg>152577</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>9720</DeferredCompFilingOrg>
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        <TotalCompensationFilingOrg>162297</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>PAULINE JONES</NamePerson>
        <Title>COO</Title>
        <BaseCompensationFilingOrg>143696</BaseCompensationFilingOrg>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc1042800001">
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        <NamePerson>LYNDA TANNER</NamePerson>
        <RelationshipWithOrganization>CEO</RelationshipWithOrganization>
        <PurposeOfLoan>TO ASSIST WITH HOUSING RELOCATION COSTS</PurposeOfLoan>
        <LoanFromOrganization>X</LoanFromOrganization>
        <OriginalPrincipalAmount>150000</OriginalPrincipalAmount>
        <BalanceDue>150000</BalanceDue>
        <Default>0</Default>
        <ApprovedByBoard>1</ApprovedByBoard>
        <WrittenAgreement>1</WrittenAgreement>
      </LoanTable>
      <LoanTable>
        <NamePerson>BABETTA DADDINO</NamePerson>
        <RelationshipWithOrganization>DIRECTOR OF HOSPICE</RelationshipWithOrganization>
        <PurposeOfLoan>TO ASSIST WITH HOME PURCHASE COSTS</PurposeOfLoan>
        <LoanFromOrganization>X</LoanFromOrganization>
        <OriginalPrincipalAmount>100000</OriginalPrincipalAmount>
        <BalanceDue>100000</BalanceDue>
        <Default>0</Default>
        <ApprovedByBoard>1</ApprovedByBoard>
        <WrittenAgreement>1</WrittenAgreement>
      </LoanTable>
      <TotalBalanceDue>250000</TotalBalanceDue>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>MICHAEL BORDOFSKY</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>BOARD MEMBER</Relationship>
        <AmountOfTransaction>532928</AmountOfTransaction>
        <DescriptionOfTransaction>PHYSICIAN PRACTICE</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>A FULL COPY OF THE 990 WAS PRESENTED TO THE FINANCE COMMITTEE OF THE BOARD. COPIES WERE DISTRIBUTED TO THE MEMBERS SO THAT THEY WOULD HAVE SUFFICIENT TIME TO REVIEW PRIOR TO THE BOARD MEETING. A SUMMARY OF THE 990 WAS PRESENTED TO THE FULL BOARD, WITH FULL COPIES AVALIABLE UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>SENIOR MANAGEMENT (OFFICERS AND KEY EMPLOYEES) AND BOARD MEMBERS COMPLETE THE CONFLICT OF INTEREST DISCLOSURE FORM ANNUALLY. BOTH SENIOR MANAGEMENT AND THE EXTERNAL AUDITORS VERIFY THAT ALL APPROPRIATE PARTIES HAVE COMPLETED THE FORM. IF CONFLICTS OF INTEREST ARE DISCLOSED, THEY ARE DISCUSSED BY THE CEO WITH THE EXECUTIVE COMMITTEE OF THE BOARD AND RESOLUTION OF THE CONFLICT IS DETERMINED BY THE BOARD.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>THE PERSONNEL COMMITTEE OF THE BOARD IS THE COMPENSATION COMMITTEE, AND INCLUDES THE BOARD CHAIRMAN AND CHAIRMAN OF THE FINANCE COMMITTEE. THE COMPENSATION COMMITTEE REVIEWS COMPARATIVE COMPENSATION DATA FOR THE CEO AND KEY EMPLOYEES ON AN ANNUAL BASIS AND DETERMINES MERIT INCREASES BY POSITION. THEY ALSO REVIEW COMPARATIVE DATA AND DETERMINE RANGES FOR CLINICAL POSITIONS (HIGHEST PAID EMPLOYEES) ON AN ANNUAL BASIS. THE BOARD CHAIRMAN REVIEWS COMPARATIVE COMPENSATION DATA FOR THE CEO AND ON AN ANNUAL BASIS DETERMINES ANY MERIT INCREASE. IN ADDITION, THE EXECUTIVE COMMITTEE OF THE BOARD REVIEWS COMPENSATION FOR THE CEO, CFO AND KEY EMPLOYEES ON AN ANNUAL BASIS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVALIABLE TO THE PUBLIC UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART XII, LINE 2C</ReturnReference>
        <Explanation>THERE IS NO CHANGE FROM PRIOR YEAR.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
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          <BusinessNameLine1>VISITING NURSE AND HOSPICE CARE FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
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          <City>SANTA BARBARA</City>
          <State>CA</State>
          <ZIPCode>93103</ZIPCode>
        </AddressUS>
        <EIN>770342043</EIN>
        <PrimaryActivities>FUNDRAISING TO SUPPORT THE CHARITABLE MISSION OF VISITING NURSE AND HOSPICE</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(C)3</ExemptCodeSection>
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        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
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        </NameOfDisregardedEntity>
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          <City>SANTA BARBARA</City>
          <State>CA</State>
          <ZIPCode>93103</ZIPCode>
        </AddressUS>
        <EIN>200008507</EIN>
        <PrimaryActivities>TO PROVIDE NON-SKILLED CARE TO INDIVIDUALS IN THEIR HOME</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(C)3</ExemptCodeSection>
        <PublicCharityStatus>509(A)2</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
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      <GiftGrantOrCapContrFrOtherOrg>1</GiftGrantOrCapContrFrOtherOrg>
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      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
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      <TransactionsRelatedOrgsTable>
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</Return>