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            <BusinessNameLine1>SUBURBAN HOMEMAKING SERVICES INC</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>1050 COMMONWEALTH AVENUE</AddressLine1>
            <City>BOSTON</City>
            <State>MA</State>
            <ZIPCode>02215</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>HOME HEALTH AID STAFFING</DescriptionOfServices>
        <Compensation>753314</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>BOSTON CAB DISPATCH INC</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>60 KILMARNOCK STREET</AddressLine1>
            <City>BOSTON</City>
            <State>MA</State>
            <ZIPCode>02215</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>SECURITY/ ESCORT SERVICES</DescriptionOfServices>
        <Compensation>393996</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>CROSS COUNTRY STAFFING</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 404674</AddressLine1>
            <City>ATLANTA</City>
            <State>GA</State>
            <ZIPCode>30384</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>THERAPY SERVICES</DescriptionOfServices>
        <Compensation>295895</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>FAZZI ASSOCIATES</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>243 KING STREET SUITE 246</AddressLine1>
            <City>NORTHAMPTON</City>
            <State>MA</State>
            <ZIPCode>01060</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>CONSULTING SERVICES</DescriptionOfServices>
        <Compensation>104008</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>GOODWIN PROCTOR LLP</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>EXCHANGE PLACE</AddressLine1>
            <City>BOSTON</City>
            <State>MA</State>
            <ZIPCode>02109</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>LEGAL SERVICES</DescriptionOfServices>
        <Compensation>103671</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>6</NumberOfContractorsGT100K>
      <FederatedCampaigns>391655</FederatedCampaigns>
      <FundraisingEvents>171450</FundraisingEvents>
      <AllOtherContributions>151697</AllOtherContributions>
      <TotalContributions>714802</TotalContributions>
      <ProgramServiceRevenue>
        <Description>MEDICARE/MEDICAID PMTS</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>32406569</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>32406569</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>NET PATIENT SVC REV</Description>
        <BusinessCode>624100</BusinessCode>
        <TotalRevenueColumn>188077</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>188077</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
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        <BusinessCode>624100</BusinessCode>
        <TotalRevenueColumn>93544</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>93544</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
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        <TotalRevenueColumn>475</TotalRevenueColumn>
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      </ProgramServiceRevenue>
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        <ExclusionAmount>529237</ExclusionAmount>
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      <GrossIncomeFundraisingEvents>38661</GrossIncomeFundraisingEvents>
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      <TotalRevenue>
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      <CompCurrentOfficersDirectors>
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        <ManagementAndGeneral>5266</ManagementAndGeneral>
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      <OtherSalariesAndWages>
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        <ProgramServices>18162515</ProgramServices>
        <ManagementAndGeneral>2643879</ManagementAndGeneral>
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      <PensionPlanContributions>
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        <ProgramServices>667165</ProgramServices>
        <ManagementAndGeneral>97311</ManagementAndGeneral>
        <Fundraising>6965</Fundraising>
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      <OtherEmployeeBenefits>
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        <ManagementAndGeneral>303297</ManagementAndGeneral>
        <Fundraising>31827</Fundraising>
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      <PayrollTaxes>
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        <ProgramServices>1318010</ProgramServices>
        <ManagementAndGeneral>192242</ManagementAndGeneral>
        <Fundraising>13759</Fundraising>
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      <FeesForServicesManagement>
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        <ManagementAndGeneral>5752583</ManagementAndGeneral>
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      <FeesForServicesLegal>
        <Total>112151</Total>
        <ManagementAndGeneral>112151</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesInvstMgmntFees>
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        <ProgramServices>105234</ProgramServices>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
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        <ProgramServices>1857144</ProgramServices>
        <ManagementAndGeneral>128907</ManagementAndGeneral>
        <Fundraising>7257</Fundraising>
      </FeesForServicesOther>
      <Advertising>
        <Total>6875</Total>
        <ProgramServices>6875</ProgramServices>
      </Advertising>
      <OfficeExpenses>
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        <ProgramServices>179233</ProgramServices>
        <ManagementAndGeneral>171910</ManagementAndGeneral>
        <Fundraising>11045</Fundraising>
      </OfficeExpenses>
      <Occupancy>
        <Total>900282</Total>
        <ProgramServices>900282</ProgramServices>
      </Occupancy>
      <Travel>
        <Total>944</Total>
        <ProgramServices>944</ProgramServices>
      </Travel>
      <ConferencesMeetings>
        <Total>9470</Total>
        <ProgramServices>9167</ProgramServices>
        <ManagementAndGeneral>150</ManagementAndGeneral>
        <Fundraising>153</Fundraising>
      </ConferencesMeetings>
      <Interest>
        <Total>39667</Total>
        <ProgramServices>39667</ProgramServices>
      </Interest>
      <DepreciationDepletion>
        <Total>261847</Total>
        <ProgramServices>261847</ProgramServices>
      </DepreciationDepletion>
      <OtherExpenses>
        <Description>MEDICAL SUPPLIES</Description>
        <Total>410601</Total>
        <ProgramServices>410601</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>BAD DEBT EXPENSE</Description>
        <Total>193117</Total>
        <ProgramServices>193117</ProgramServices>
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      <OtherExpenses>
        <Description>EQUIPMENT RENTAL</Description>
        <Total>62441</Total>
        <ProgramServices>4551</ProgramServices>
        <ManagementAndGeneral>57890</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>RECORD STORAGE</Description>
        <Total>17915</Total>
        <ProgramServices>1491</ProgramServices>
        <ManagementAndGeneral>16424</ManagementAndGeneral>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>369250</Total>
        <ProgramServices>354651</ProgramServices>
        <ManagementAndGeneral>898</ManagementAndGeneral>
        <Fundraising>13701</Fundraising>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>36573324</Total>
        <ProgramServices>26816100</ProgramServices>
        <ManagementAndGeneral>9482908</ManagementAndGeneral>
        <Fundraising>274316</Fundraising>
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      <CashNonInterestBearing>
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        <EOY>2375888</EOY>
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      <SavingsAndTempCashInvestments>
        <BOY>2232073</BOY>
        <EOY>935128</EOY>
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      <LandBuildingsEquipmentBasis>1501573</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>1138650</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>620400</BOY>
        <EOY>362923</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
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        <EOY>13685805</EOY>
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        <EOY>715196</EOY>
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      <OtherAssetsTotal>
        <BOY>1274612</BOY>
        <EOY>1112863</EOY>
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      <TotalAssets>
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        <EOY>24880376</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>2971120</BOY>
        <EOY>3048943</EOY>
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      <DeferredRevenue>
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        <EOY>1570756</EOY>
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      <MortNotesPyblSecuredInvestProp>
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        <EOY>274993</EOY>
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      <OtherLiabilities>
        <BOY>8524389</BOY>
        <EOY>10614368</EOY>
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      <TotalLiabilities>
        <BOY>15394514</BOY>
        <EOY>15509060</EOY>
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      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>11415901</BOY>
        <EOY>8096961</EOY>
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      <TemporarilyRestrictedNetAssets>
        <BOY>83852</BOY>
        <EOY>90937</EOY>
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      <PermanentlyRestrictedNetAssets>
        <BOY>1181003</BOY>
        <EOY>1183418</EOY>
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      <TotalNetAssetsFundBalances>
        <BOY>12680756</BOY>
        <EOY>9371316</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>28075270</BOY>
        <EOY>24880376</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>-2047586</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>-1261854</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
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        <CurrentTaxYearMinus3Years>159878</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>250689</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>525549</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>714802</CurrentTaxYear>
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      <GrossReceiptsFromAdmissions>
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        <CurrentTaxYearMinus3Years>38603024</CurrentTaxYearMinus3Years>
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        <CurrentTaxYearMinus1Year>39024552</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>32698102</CurrentTaxYear>
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      <Total509>
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        <CurrentTaxYearMinus3Years>38762902</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>39085194</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>39550101</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>33412904</CurrentTaxYear>
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      </Total509>
      <AmtsRecdFromDisqualPersons>
        <CurrentTaxYear>5000</CurrentTaxYear>
        <Total>5000</Total>
      </AmtsRecdFromDisqualPersons>
      <AmtsFromSubstContributors>
        <Total>0</Total>
      </AmtsFromSubstContributors>
      <SupportFromDQPsEtc>
        <CurrentTaxYear>5000</CurrentTaxYear>
        <Total>5000</Total>
      </SupportFromDQPsEtc>
      <PublicSupportTotal509>190060438</PublicSupportTotal509>
      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus4Years>664526</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>614424</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>562769</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>522815</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>529237</CurrentTaxYear>
        <Total>2893771</Total>
      </GrossInvestmentIncome509>
      <InvestmentIncomeAndUBTI>
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        <CurrentTaxYearMinus3Years>614424</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>562769</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>522815</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>529237</CurrentTaxYear>
        <Total>2893771</Total>
      </InvestmentIncomeAndUBTI>
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        <CurrentTaxYearMinus4Years>58495</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>123180</CurrentTaxYearMinus3Years>
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        <CurrentTaxYearMinus1Year>358925</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>38661</CurrentTaxYear>
        <Total>788900</Total>
      </OtherIncome509>
      <TotalSupportTotal>
        <CurrentTaxYearMinus4Years>39977358</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>39500506</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>39857602</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>40431841</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>33980802</CurrentTaxYear>
        <Total>193748109</Total>
      </TotalSupportTotal>
      <PublicSupportPercentage509>0.98100</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.98080</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.01490</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.01510</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">
      <CurrentYear>
        <BeginningOfYearBalance>538766</BeginningOfYearBalance>
        <InvestmentEarningsOrLosses>44490</InvestmentEarningsOrLosses>
        <OtherExpenditures>25860</OtherExpenditures>
        <EndOfYearBalance>557396</EndOfYearBalance>
      </CurrentYear>
      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>543472</BeginningOfYearBalance>
        <InvestmentEarningsOrLosses>21110</InvestmentEarningsOrLosses>
        <OtherExpenditures>25816</OtherExpenditures>
        <EndOfYearBalance>538766</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <CurrentYearMinus2Years>
        <BeginningOfYearBalance>583385</BeginningOfYearBalance>
        <InvestmentEarningsOrLosses>-3587</InvestmentEarningsOrLosses>
        <OtherExpenditures>36326</OtherExpenditures>
        <EndOfYearBalance>543472</EndOfYearBalance>
      </CurrentYearMinus2Years>
      <CurrentYearMinus3Years>
        <BeginningOfYearBalance>541740</BeginningOfYearBalance>
        <InvestmentEarningsOrLosses>62695</InvestmentEarningsOrLosses>
        <OtherExpenditures>21050</OtherExpenditures>
        <EndOfYearBalance>583385</EndOfYearBalance>
      </CurrentYearMinus3Years>
      <PermanentEndowmentEOYBalance>0.89350</PermanentEndowmentEOYBalance>
      <TermEndowmentEOYBalance>0.10650</TermEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>0</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>0</EndowmentsHeldByRelatedOrgs>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>303483</OtherCostOrOtherBasis>
        <Depreciation>176740</Depreciation>
        <BookValue>126743</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>1198090</OtherCostOrOtherBasis>
        <Depreciation>961910</Depreciation>
        <BookValue>236180</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>362923</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>ANNUITY PAYABLE</Description>
        <Amount>80726</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DUE TO AFFILIATE, VNA OF BOSTON FOUNDATION, INC.</Description>
        <Amount>2276442</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DUE TO AFFILIATE, VNA HOSPICE CARE, INC.</Description>
        <Amount>8257200</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>10614368</TotalOfAmounts>
      <TotalRevenue>34525738</TotalRevenue>
      <TotalExpenses>36573324</TotalExpenses>
      <ExcessOrDeficitForYear>-2047586</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>-1214422</NetUnrealizedGLOnInvestments>
      <OtherAmount>-47432</OtherAmount>
      <TotalAdjustments>-1261854</TotalAdjustments>
      <ExcessOrDeficitPerFS>-3309440</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>33374015</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>-1214422</NetUnrealizedGainsInvestments>
      <OtherRevenues>-47432</OtherRevenues>
      <RevenueNotRptdF990>-1261854</RevenueNotRptdF990>
      <RevenueSubtotal>34635869</RevenueSubtotal>
      <OtherRevenuesNotIncluded>-110131</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>-110131</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>34525738</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>36683455</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>110131</OtherExpensesIncluded>
      <ExpensesNotRptdF990>110131</ExpensesNotRptdF990>
      <ExpensesSubtotal>36573324</ExpensesSubtotal>
      <ExpensesNotRptdOnFinStmt>0</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>36573324</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:</Identifier>
        <ReturnReference>PART V, LINE 4:</ReturnReference>
        <Explanation>ENDOWMENT FUNDS ARE TO COVER OPERATING EXPENSES AND TO HELP COVER THE COSTS RELATED TO THE CHARITY CARE THE ORGANIZATION PROVIDES TO THOSE INDIVIDUALS WHO ARE UNABLE TO PAY FOR SERVICES.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:</Identifier>
        <ReturnReference>PART X:</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 2008. THE ORGANIZATION WILL ACCOUNT FOR INTEREST AND PENALTIES RELATED TO UNCERTAIN TAX POSITIONS, IF ANY, AS A PART OF TAX EXPENSE.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XI, LINE 8 - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>RESIDUAL LOSS FROM DEMUTUALIZATION OF EMPLOYEE BENEFIT PLANS -68,477. NET UNREALIZED GAIN ON PERMANENTLY RESTRICTED ASSETS 18,630. GAIN ON BENEFICIAL INTEREST IN PERPETUAL TRUST 7,482. CHANGES IN PERMANENTLY RESTRICTED NET ASSETS -5,067. TOTAL TO SCHEDULE D, PART XI, LINE 8: -47,432.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XII, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>RESIDUAL LOSS FROM DEMUTUALIZATION OF EMPLOYEE BENEFIT PLANS -68,477. NET UNREALIZED GAIN ON PERMANENTLY RESTRICTED ASSETS 18,630. GAIN ON BENEFICIAL INTEREST IN PERPETUAL TRUST 7,482. CHANGES IN PERMANENTLY RESTRICTED NET ASSETS -5,067.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XII, LINE 4B - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>FUNDRAISING EXPENSE REPORTED ON FORM 990, PART VIII, LINE 8B -110,131.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XIII, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>FUNDRAISING EXPENSE REPORTED ON FORM 990, PART VIII, LINE 8B 110,131.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <EventsInformation>
        <NameOfEvent1>GALA EVENT</NameOfEvent1>
        <GrossReceiptsEvent1>210111</GrossReceiptsEvent1>
        <CharitableContributionsEvent1>171450</CharitableContributionsEvent1>
        <GrossRevenueEvent1>38661</GrossRevenueEvent1>
        <RentFacilityCostsEvent1>56945</RentFacilityCostsEvent1>
        <OtherDirectExpensesEvent1>53186</OtherDirectExpensesEvent1>
        <GrossReceiptsTotal>210111</GrossReceiptsTotal>
        <CharitableContributionsTotal>171450</CharitableContributionsTotal>
        <GrossRevenueTotalEvents>38661</GrossRevenueTotalEvents>
        <RentFacilityCostsTotalEvents>56945</RentFacilityCostsTotalEvents>
        <OtherDirectExpensesTotalEvents>53186</OtherDirectExpensesTotalEvents>
        <DirectExpenseSummaryEvents>110131</DirectExpenseSummaryEvents>
        <NetIncomeSummary>-71470</NetIncomeSummary>
      </EventsInformation>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <Form990OfOtherOrganizations>X</Form990OfOtherOrganizations>
      <CompensationSurvey>X</CompensationSurvey>
      <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>CHRISTOPHER ATTAYA</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>161769</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>21996</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>1206</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>184971</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>KEREN DIAMOND</NamePerson>
        <BaseCompensationFilingOrg>5266</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>131787</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>645</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>26834</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>30080</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>5266</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>189346</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>REYNOLD G SPADONI</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>253833</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>643</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>18209</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>28882</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>301567</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JOAN HURTON</NamePerson>
        <BaseCompensationFilingOrg>123841</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>166</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>20879</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>25475</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>170361</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>PAUL ALBUSHIES</NamePerson>
        <BaseCompensationFilingOrg>125217</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>157</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>34970</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>9408</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>169752</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
    </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>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>NET UNREALIZED LOSSES ON INVESTMENTS: -1,214,422. RESIDUAL LOSS FROM DEMUTUALIZATION OF EMPLOYEE BENEFIT PLANS -68,477. NET UNREALIZED GAIN ON PERMANENTLY RESTRICTED ASSETS 18,630. GAIN ON BENEFICIAL INTEREST IN PERPETUAL TRUST 7,482. CHANGES IN PERMANENTLY RESTRICTED NET ASSETS -5,067. TOTAL TO FORM 990, PART XI, LINE 5: -1,261,854.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VII, SECTION A, COLUMN B:</ReturnReference>
        <Explanation>CHRISTOPHER ATTAYA IS THE INTERIM CFO OF VISITING NURSE ASSOCIATION OF BOSTON FOUNDATION AND AFFILIATES AND WORKS AN AVERAGE OF 37.5 HOURS PER WEEK IN THIS CAPACITY. REYNOLD SPADONI IS THE PRESIDENT &amp; CEO OF VISITING NURSE ASSOCIATION OF BOSTON FOUNDATION AND AFFILIATES AND WORKS AN AVERAGE OF 37.5 HOURS PER WEEK IN THIS CAPACITY. KEREN DIAMOND IS THE VP OF OPERATIONS OF VISITING NURSE ASSOCIATION OF BOSTON FOUNDATION AND AFFILIATES AND WORKS AN AVERAGE OF 37.5 HOURS PER WEEK IN THIS CAPACITY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART III, LINE 1 CONTINUED:</ReturnReference>
        <Explanation>WE RESPECT AND VALUE THE SKILLS AND COMPASSION OF OUR STAFF, THE UNIQUE NEEDS OF OUR PATIENTS, THE DIVERSITY OF THE COMMUNITY WE SERVE AND OUR STAFF, AND THE COMMITMENT OF THOSE WHO SUPPORT OUR WORK. INTEGRITY IS ENGRAINED IN ALL WE DO. WE ARE COMMITTED TO CONTINUOUSLY FURTHER IMPROVE THE QUALITY OF OUR CARE THROUGH THE CREATION OF SUPERIOR PATIENT OUTCOMES -- ACHIEVED BY PROVIDING THE SERVICES AND PROGRAMS THAT ADDRESS THE NEEDS OF OUR PATIENTS, COMMUNITIES AND HEALTH CARE SYSTEM. WE BELIEVE IN PROVIDING THE BEST CUSTOMER SERVICE EXPERIENCE TO OUR PATIENTS, HEALTH CARE PARTNERS AND STAFF. WE STRIVE TO FOSTER A CULTURE THAT STIMULATES OPEN AND PRODUCTIVE COMMUNICATION THAT HELPS TO EXCEED THE EXPECTATIONS OF OUR INTERNAL AND EXTERNAL CUSTOMERS.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>VNAB FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>500 RUTHERFORD AVENUE SUITE 101</AddressLine1>
          <City>CHARLESTOWN</City>
          <State>MA</State>
          <ZIPCode>02129</ZIPCode>
        </AddressUS>
        <EIN>042880614</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 7</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>VNAB MANAGEMENT RESOURCES INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>500 RUTHERFORD AVENUE SUITE 101</AddressLine1>
          <City>CHARLESTOWN</City>
          <State>MA</State>
          <ZIPCode>02129</ZIPCode>
        </AddressUS>
        <EIN>042880108</EIN>
        <PrimaryActivities>MANAGEMENT SERVICES</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 9</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
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          <BusinessNameLine1>VNA HOSPICE CARE INC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>100 TRADECENTER SUITE G-500</AddressLine1>
          <City>WOBURN</City>
          <State>MA</State>
          <ZIPCode>01801</ZIPCode>
        </AddressUS>
        <EIN>042658051</EIN>
        <PrimaryActivities>HOSPICE CARE</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
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        <PublicCharityStatus>LINE 7</PublicCharityStatus>
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          <BusinessNameLine1>VNA PRIVATE CARE INC</BusinessNameLine1>
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          <AddressLine1>350 GRANITE ST STE 1104</AddressLine1>
          <City>BRAINTREE</City>
          <State>MA</State>
          <ZIPCode>02184</ZIPCode>
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        <EIN>201916670</EIN>
        <PrimaryActivity>PRIVATE DUTY HOME CARE</PrimaryActivity>
        <LegalDomicileState>MA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>1</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>1</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>1</SharingOfFacilities>
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      <ReimbursementPaidByOtherOrg>1</ReimbursementPaidByOtherOrg>
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