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      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 3</ReturnReference>
        <Explanation>THE VICE PRESIDENT OF FINANCE POSITION IS BEING FILLED ON AN INTERIM BASIS BY AN OUTSIDE CONSULTANT.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 6</ReturnReference>
        <Explanation>THE SOLE MEMBER OF THE ORGANIZATION IS BAY STATE VISITING NURSE ASSOCIATION AND HOSPICE, INC. ("BAY STATE"). THE BYLAWS OF THE ORGANIZATION ALLOW FOR BAY STATE TO ELECT NO LESS THAN 15% AND NO GREATER THAN 30% OF THE ELECTED DIRECTORS TO THE BOARD OF DIRECTORS OF THE ORGANIZATION. THE ORGANIZATION MAY ELECT NO LESS THAN 70% AND NO GREATER THAN 85% OF THE ELECTED DIRECTORS TO THE BOARD OF DIRECTORS OF THE ORGANIZATION.</Explanation>
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      <GeneralExplanation>
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      <GeneralExplanation>
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      <GeneralExplanation>
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        <Explanation>THE FORM 990 WAS REVIEWED BY THE VICE PRESIDENT OF FINANCE WHO THEN SUBMITTED A NARRATIVE EXPLAINING THE FORM 990 ALONG WITH A COPY OF THE FORM 990 TO ALL BOARD MEMBERS. THE MEMBERS OF THE BOARD OF DIRECTORS APPROVED THE FORM 990 FOR FILING WITH THE IRS.</Explanation>
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      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>EMPLOYEES ARE INITIALLY REQUIRED TO DISCLOSE ANY INTERESTS THAT MAY CAUSE CONFLICT UPON BEING HIRED. AFTER THE INITIAL DISCLOSURE, EMPLOYEES ARE RESPONSIBLE FOR UPDATING THE APPROPRIATE PERSON WITHIN THE ORGANIZATION IF A SITUATION ARISES THAT COULD CAUSE CONFLICT.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
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        <Explanation>THE PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL INCLUDES REVIEW OF COMPARABILITY DATA. COMPENSATION DECISIONS ARE REVIEWED BY MEMBERS OF THE ORGANIZATION'S BOARD OF DIRECTORS WITH FINAL COMPENSATION AMOUNTS SUBJECT TO APPROVAL OF THE BOARD CHAIRMAN. COMPENSATION POLICIES ARE ALSO REVIEWED AND ESTABLISHED BY MEMBERS OF THE ORGANIZATION'S BOARD FOR OTHER KEY MANAGEMENT PERSONNEL OF THE ORGANIZATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>NET UNREALIZED GAINS ON INVESTMENTS: 298,509.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OVERSIGHT OF AUDIT</Identifier>
        <ReturnReference>FORM 990, PART XII, LINE 2C:</ReturnReference>
        <Explanation>THE OVERSIGHT PROCESS OVER THE AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS HAS NOT CHANGED FROM THE PREVIOUS YEAR.</Explanation>
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          <BusinessNameLine1>BAY STATE VISITING NURSE ASSOCIATION AND HOSPICE INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>500 BELMONT STREET</AddressLine1>
          <City>BROCKTON</City>
          <State>MA</State>
          <ZIPCode>02301</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HOSPICE SERVICES</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>509(A)(2)</PublicCharityStatus>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>0</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>0</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>0</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>0</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>