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        <CurrentTaxYearMinus1Year>6569852</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>6324807</CurrentTaxYear>
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        <CurrentTaxYearMinus3Years>26129</CurrentTaxYearMinus3Years>
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        <Explanation>THE ORGANIZATION USED SMITH &amp; RAUSCHENBACH IN 2012 FOR LOBBYING TO ASSIST WITH GETTING LANGUAGE INTO THE HEALTH REFORM BILL TO HELP SUPPORT IT GRANTS FOR HOME HEALTH ORGANIZATIONS. THE ORGANIZATION SPENT $15,000 IN 2012 WITH THE FIRM.</Explanation>
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        <Depreciation>874527</Depreciation>
        <BookValue>260944</BookValue>
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        <Amount>1871321</Amount>
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      <OtherLiabilities>
        <Description>DUE TO AFFILIATE, VNAB FOUNDATION, INC.</Description>
        <Amount>30</Amount>
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        <Identifier>DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:</Identifier>
        <ReturnReference>PART X, LINE 2:</ReturnReference>
        <Explanation>THE ORGANIZATION FOLLOWS FASB ASC 740 "INCOME TAXES" WHICH CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES BY PRESCRIBING THE RECOGNITION THRESHOLD A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. THIS GUIDANCE ALSO PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT STANDARD FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF AN INCOME TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. IN ADDITION, IT PROVIDES GUIDANCE ON DE-RECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE AND TRANSITION. MANAGEMENT BELIEVES THAT THE ORGANIZATION HAS NO MATERIAL UNCERTAINTIES IN INCOME TAXES. THE ORGANIZATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATION BY THE U.S. FEDERAL, STATE, OR LOCAL TAX AUTHORITIES FOR YEARS BEFORE 2009. THE ORGANIZATION WILL ACCOUNT FOR INTEREST AND PENALTIES RELATED TO UNCERTAIN TAX POSITIONS, IF ANY, AS A PART OF TAX EXPENSE.</Explanation>
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      <Form990ScheduleDPartXIII>
        <Identifier>PART XI, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>LOSS ON EQUITY INVESTMENT -3,871.</Explanation>
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      <CompensationSurvey>X</CompensationSurvey>
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        <Title>PRESIDENT &amp; CEO</Title>
        <BaseCompensationFilingOrg>264349</BaseCompensationFilingOrg>
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        <BonusFilingOrg>80358</BonusFilingOrg>
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        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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        <Title>CFO</Title>
        <BaseCompensationFilingOrg>208754</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>2150</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>620</DeferredCompFilingOrg>
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        <NontaxableBenefitsFilingOrg>22460</NontaxableBenefitsFilingOrg>
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        <NamePerson>KEREN DIAMOND</NamePerson>
        <Title>VP OF OPERATIONS</Title>
        <BaseCompensationFilingOrg>177710</BaseCompensationFilingOrg>
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        <BonusFilingOrg>1808</BonusFilingOrg>
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        <NamePerson>ANN MARIE O'CONNELL</NamePerson>
        <Title>VP OF HUMAN RESOURCES</Title>
        <BaseCompensationFilingOrg>142034</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>1395</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>5570</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>4220</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartIII>
        <Identifier>SUPPLEMENTAL INFORMATION</Identifier>
        <ReturnReference>PART III</ReturnReference>
        <Explanation>SCH J, PART II, LINE 1, COLUMN (B)(II): REYNOLD SPADONI'S INCENTIVE COMPENSATION IS EVALUATED BY THE BOARD BASED ON PERFORMANCE AT HIS EMPLOYMENT ANNIVERSARY WHICH IS OCTOBER 31ST. IN FY12, THE INCENTIVE COMPENSATION FOR THE PERIOD ENDING OCTOBER 31, 2011 WAS PAID OUT IN JANUARY 2012 AND INCENTIVE COMPENSATION FOR THE PERIOD ENDING OCTOBER 31, 2012 WAS PAID OUT IN DECEMBER 2012.</Explanation>
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    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>THE COMPLETED FORM 990 IS REVIEWED BY THE CFO AND CONTROLLER. THE FORM 990 IS REVIEWED WITH THE FINANCE COMMITTEE AT THE NEXT MONTHLY BOARD MEETING. THE FINANCE COMMITTEE HAS THREE MEMBERS WHO ARE CONSIDERED TO BE FINANCIAL EXPERTS. THE FINAL FORM 990 IS POSTED TO A SECURE WEBSITE AND IS MADE AVAILABLE TO ALL BOARD MEMBERS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>ALL BOARD MEMBERS ARE REQUIRED TO READ AND SIGN A CONFLICT OF INTEREST POLICY ANNUALLY AT THE COMPANY'S ANNUAL BOARD MEETING. ALL MANAGERS ARE REQUIRED TO READ AND SIGN A CONFLICT OF INTEREST POLICY ANNUALLY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>THE VNA OF BOSTON ENGAGED AN OUTSIDE EXECUTIVE COMPENSATION CONSULTANT, OLNEY &amp; ASSOCIATES, TO CONDUCT AN EXECUTIVE COMPENSATION SURVEY FOR THE POSITIONS OF CEO, CFO, VICE PRESIDENT OF OPERATIONS, EXECUTIVE DIRECTOR OF VNA HOSPICE, EXECUTIVE DIRECTOR OF VNA PRIVATE CARE, INC., DIRECTOR OF HUMAN RESOURCE, CHIEF INFORMATION OFFICER, DIRECTOR OF DEVELOP/COMMUNICATIONS; DIRECTOR OF PROVIDER RELATIONS, DIRECTOR OF RISK, QUALITY AND REGULATORY AFFAIRS. HOMECARE AGENCIES FROM ACROSS THE COUNTRY OF SIMILAR SIZE AND BUDGET WERE INVITED TO PARTICIPATE. OF 19 INVITED AGENCIES, 18, SUBMITTED DATA ON BASE SALARY, BONUS, BENEFITS, PERQUISITES AND TOTAL COMPENSATION. FINDINGS WERE PRESENTED TO EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS IN MAY 2007. THE CONSULTANT COMMUNICATED DIRECTLY WITH THE BOARD CHAIR. CEO DATA AND RECOMMENDATIONS WERE PROVIDED DIRECTLY TO THE BOARD COMMITTEE. ALL IS DOCUMENTED IN MINUTES WITH COMPARABILITY REPORT AND EXPLANATION OF VARIANCES FROM THE MARKET DATA (E.G. PAY POLICY DECISION, ADDITIONAL RESPONSIBILITY, PERFORMANCE AND SENIORITY, STRATEGIC REQUIREMENTS, BOSTON COST OF LIVING). SOME ADJUSTMENTS WERE MADE IN PAY AS A RESULT OF THE SURVEY. THE AGENCY USES SURVEYS CONDUCTED BY WESTMINSTER ASSOCIATES FOR THE HOME HEALTH ALLIANCE AND PARTICIPATES IN OTHER SURVEYS CONDUCTED BY LARGE SIZED AGENCIES IN THE COUNTRY TO PROVIDE COMPARATIVE SALARY DATA FOR ALL SENIOR POSITIONS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, FORM 990, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. IN ADDITION, THE FORM 990 IS AVAILABLE VIA GUIDESTAR AND THE MASSACHUSETTS ATTORNEY GENERAL'S WEBSITE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER FEES</Identifier>
        <ReturnReference>FORM 990, PART IX, LINE 11G</ReturnReference>
        <Explanation>TEMPORARY STAFF: PROGRAM SERVICE EXPENSES 421. MANAGEMENT AND GENERAL EXPENSES 12,311. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,732. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 200,345. MANAGEMENT AND GENERAL EXPENSES 909. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 201,254. COMPUTER SERVICE FEES: PROGRAM SERVICE EXPENSES 413,615. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 413,615. CONSULTANTS - DATA PROCESSING: PROGRAM SERVICE EXPENSES 8,687. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,687. CONSULTANTS: PROGRAM SERVICE EXPENSES 15,000. MANAGEMENT AND GENERAL EXPENSES 122,569. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 137,569.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 9:</ReturnReference>
        <Explanation>LOSS ON EQUITY INVESTMENT -3,871.</Explanation>
      </GeneralExplanation>
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          <AddressLine1>500 RUTHERFORD AVENUE SUITE 200</AddressLine1>
          <City>CHARLESTOWN</City>
          <State>MA</State>
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          <City>WOBURN</City>
          <State>MA</State>
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