﻿<?xml version="1.0" encoding="utf-8"?>
<Return returnVersion="2009v1.2" xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2011-01-20T16:15:11-07:00</Timestamp>
    <TaxPeriodEndDate>2010-06-30</TaxPeriodEndDate>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2009-07-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>750800692</EIN>
      <Name>
        <BusinessNameLine1>VISITING NURSE ASSOCIATION OF TEXAS</BusinessNameLine1>
      </Name>
      <NameControl>VISI</NameControl>
      <Phone>2146892691</Phone>
      <USAddress>
        <AddressLine1>1600 VICEROY DRIVE</AddressLine1>
        <AddressLine2>SUITE 400</AddressLine2>
        <City>Dallas</City>
        <State>TX</State>
        <ZIPCode>75235</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>Robert Carpenter</Name>
      <Title>President &amp; CEO</Title>
      <Phone>2146892691</Phone>
      <DateSigned>2011-01-21</DateSigned>
    </Officer>
    <TaxYear>2009</TaxYear>
    <BuildTS>2016-02-24 21:20:13Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="10">
    <IRS990 documentId="R000001" referenceDocumentId="R000008 R000010" softwareId="09000073" softwareVersion="v1.00">
      <AddressChange>X</AddressChange>
      <NameOfPrincipalOfficerPerson>ROBERT P CARPENTER</NameOfPrincipalOfficerPerson>
      <AddressPrincipalOfficerUS>
        <AddressLine1>1600 VICEROY DRIVE</AddressLine1>
        <City>DALLAS</City>
        <State>TX</State>
        <ZIPCode>75235</ZIPCode>
      </AddressPrincipalOfficerUS>
      <GrossReceipts>28202513</GrossReceipts>
      <GroupReturnForAffiliates>0</GroupReturnForAffiliates>
      <Organization501c typeOf501cOrganization="3">X</Organization501c>
      <WebSite>vnatexas.org</WebSite>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <YearFormation>1934</YearFormation>
      <StateLegalDomicile>TX</StateLegalDomicile>
      <ActivityOrMissionDescription>Caring for the sick and feeding the hungry</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>34</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>34</NbrIndependentVotingMembers>
      <TotalNbrEmployees>998</TotalNbrEmployees>
      <TotalNbrVolunteers>3280</TotalNbrVolunteers>
      <TotalGrossUBI>0</TotalGrossUBI>
      <NetUnrelatedBusinessTxblIncome>0</NetUnrelatedBusinessTxblIncome>
      <ContributionsGrantsPriorYear>4749364</ContributionsGrantsPriorYear>
      <ContributionsGrantsCurrentYear>3421671</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenuePriorYear>23942936</ProgramServiceRevenuePriorYear>
      <ProgramServiceRevenueCY>24376481</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>27754</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>11335</InvestmentIncomeCurrentYear>
      <OtherRevenuePriorYear>1638852</OtherRevenuePriorYear>
      <OtherRevenueCurrentYear>393026</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>30358906</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>28202513</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsPriorYear>0</GrantsAndSimilarAmntsPriorYear>
      <GrantsAndSimilarAmntsCY>0</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersPriorYear>0</BenefitsPaidToMembersPriorYear>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcPriorYear>18482589</SalariesEtcPriorYear>
      <SalariesEtcCurrentYear>17510188</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpPriorYear>0</TotalProfFundrsngExpPriorYear>
      <TotalProfFundrsngExpCY>0</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>222986</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>11824921</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>10288796</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>30307510</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>27798984</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>51396</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>403529</RevenuesLessExpensesCY>
      <TotalAssetsBOY>16254591</TotalAssetsBOY>
      <TotalAssetsEOY>16742643</TotalAssetsEOY>
      <TotalLiabilitiesBOY>2515652</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>2600176</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>13738939</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>14142467</NetAssetsOrFundBalancesEOY>
      <MissionDescription>Caring for the sick and feeding the hungry</MissionDescription>
      <SignificantNewProgramServices>0</SignificantNewProgramServices>
      <SignificantChange>0</SignificantChange>
      <Expense>7122605</Expense>
      <Grants>0</Grants>
      <Revenue>7648903</Revenue>
      <Description>Hospice Care provides care for terminally ill individuals and their families.</Description>
      <Activity2>
        <Expense>5783694</Expense>
        <Grants>0</Grants>
        <Revenue>6039717</Revenue>
        <Description>Home Health Care provides skilled nursing, physical, speech, occupational therapy, and social work in the home.</Description>
      </Activity2>
      <Activity3>
        <Expense>6304854</Expense>
        <Grants>533903</Grants>
        <Revenue>5432649</Revenue>
        <Description>Home Delivered Meals provide nutritional meals delivered to frail or home bound individuals.</Description>
      </Activity3>
      <ActivityOther>
        <Expense>5174985</Expense>
        <Grants>0</Grants>
        <Revenue>5255212</Revenue>
        <Description>In Home Assistance Programs provide personal care services for individuals in a non-institutional environment.</Description>
      </ActivityOther>
      <TotalOfOtherProgramServiceExp>5174985</TotalOfOtherProgramServiceExp>
      <TotalOfOtherProgramServiceGrnt>0</TotalOfOtherProgramServiceGrnt>
      <TotalOfOtherProgramServiceRev>5255212</TotalOfOtherProgramServiceRev>
      <TotalProgramServiceExpense>24386138</TotalProgramServiceExpense>
      <DescribedIn501C3 referenceDocumentId="R000002">1</DescribedIn501C3>
      <ScheduleBRequired referenceDocumentId="R000003">1</ScheduleBRequired>
      <PoliticalActivities>0</PoliticalActivities>
      <LobbyingActivities>0</LobbyingActivities>
      <DonorAdvisedFunds>0</DonorAdvisedFunds>
      <ConservationEasements>0</ConservationEasements>
      <CollectionsOfArt>0</CollectionsOfArt>
      <CreditCounseling>0</CreditCounseling>
      <TermOrPermanentEndowments>0</TermOrPermanentEndowments>
      <BalanceSheetAmountsReported referenceDocumentId="R000004">1</BalanceSheetAmountsReported>
      <IndependentAuditFinancialStmt referenceDocumentId="R000004">0</IndependentAuditFinancialStmt>
      <ConsolidatedAuditFinancialStmt referenceDocumentId="R000004">1</ConsolidatedAuditFinancialStmt>
      <School>0</School>
      <ForeignOffice>0</ForeignOffice>
      <ForeignActivities>0</ForeignActivities>
      <MoreThan5000KToOrganizations>0</MoreThan5000KToOrganizations>
      <MoreThan5000KToIndividuals>0</MoreThan5000KToIndividuals>
      <ProfessionalFundraising>0</ProfessionalFundraising>
      <FundraisingActivities referenceDocumentId="R000005">1</FundraisingActivities>
      <Gaming>0</Gaming>
      <Hospital>0</Hospital>
      <GrantsToOrganizations>0</GrantsToOrganizations>
      <GrantsToIndividuals>0</GrantsToIndividuals>
      <ScheduleJRequired referenceDocumentId="R000006">1</ScheduleJRequired>
      <TaxExemptBonds>0</TaxExemptBonds>
      <ExcessBenefitTransaction>0</ExcessBenefitTransaction>
      <PriorExcessBenefitTransaction>0</PriorExcessBenefitTransaction>
      <LoanToOfficerOrDQP>0</LoanToOfficerOrDQP>
      <GrantToRelatedPerson>0</GrantToRelatedPerson>
      <BsnssRltnshpWithOrganization>0</BsnssRltnshpWithOrganization>
      <BsnssRltnshpThruFamilyMember>0</BsnssRltnshpThruFamilyMember>
      <OfficerEntityWithBsnssRltnshp referenceDocumentId="R000007">1</OfficerEntityWithBsnssRltnshp>
      <DeductibleNonCashContributions>0</DeductibleNonCashContributions>
      <DeductibleContributionsOfArt>0</DeductibleContributionsOfArt>
      <Terminated>0</Terminated>
      <PartialLiquidation>0</PartialLiquidation>
      <DisregardedEntity>0</DisregardedEntity>
      <RelatedEntity referenceDocumentId="R000009">1</RelatedEntity>
      <RelatedOrgControlledEntity referenceDocumentId="R000009">1</RelatedOrgControlledEntity>
      <TransfersToExemptNonChrtblOrg>0</TransfersToExemptNonChrtblOrg>
      <ActivitiesConductedPartnership>0</ActivitiesConductedPartnership>
      <ScheduleORequired>1</ScheduleORequired>
      <NumberFormsTransmittedWith1096>94</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <NumberOfEmployees>998</NumberOfEmployees>
      <EmploymentTaxReturnsFiled>1</EmploymentTaxReturnsFiled>
      <UnrelatedBusinessIncome>0</UnrelatedBusinessIncome>
      <ForeignFinancialAccount>0</ForeignFinancialAccount>
      <ProhibitedTaxShelterTrans>0</ProhibitedTaxShelterTrans>
      <TaxablePartyNotification>0</TaxablePartyNotification>
      <NonDeductibleContributions>1</NonDeductibleContributions>
      <NonDeductibleDisclosure>1</NonDeductibleDisclosure>
      <QuidProQuoContributions>0</QuidProQuoContributions>
      <Form8282PropertyDisposedOf>0</Form8282PropertyDisposedOf>
      <FundsToPayPremiums>0</FundsToPayPremiums>
      <PremiumsPaid>0</PremiumsPaid>
      <Form8899Filed>1</Form8899Filed>
      <Form1098CFiled>1</Form1098CFiled>
      <NbrVotingGoverningBodyMembers>34</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>34</NumberIndependentVotingMembers>
      <FamilyOrBusinessRelationship>1</FamilyOrBusinessRelationship>
      <DelegationOfManagementDuties>0</DelegationOfManagementDuties>
      <ChangesToOrganizingDocs>0</ChangesToOrganizingDocs>
      <MaterialDiversionOrMisuse>0</MaterialDiversionOrMisuse>
      <MembersOrStockholders>0</MembersOrStockholders>
      <ElectionOfBoardMembers>1</ElectionOfBoardMembers>
      <DecisionsSubjectToApproval>0</DecisionsSubjectToApproval>
      <MinutesOfGoverningBody>1</MinutesOfGoverningBody>
      <MinutesOfCommittees>1</MinutesOfCommittees>
      <OfficerMailingAddress>0</OfficerMailingAddress>
      <LocalChapters>1</LocalChapters>
      <PoliciesReferenceChapters>1</PoliciesReferenceChapters>
      <Form990ProvidedToGoverningBody>1</Form990ProvidedToGoverningBody>
      <ConflictOfInterestPolicy>1</ConflictOfInterestPolicy>
      <AnnualDisclosureCoveredPersons>1</AnnualDisclosureCoveredPersons>
      <RegularMonitoringEnforcement>1</RegularMonitoringEnforcement>
      <WhistleblowerPolicy>1</WhistleblowerPolicy>
      <DocumentRetentionPolicy>1</DocumentRetentionPolicy>
      <CompensationProcessCEO>1</CompensationProcessCEO>
      <CompensationProcessOther>1</CompensationProcessOther>
      <InvestmentInJointVenture>0</InvestmentInJointVenture>
      <OwnWebsite>X</OwnWebsite>
      <OtherWebsite>X</OtherWebsite>
      <UponRequest>X</UponRequest>
      <TheBooksAreInCareOf>
        <NameBusiness>
          <BusinessNameLine1>Visiting Nurse Association of Texas</BusinessNameLine1>
        </NameBusiness>
        <TelephoneNumber>2146892691</TelephoneNumber>
        <AddressUS>
          <AddressLine1>1440 W Mockingbird Lane</AddressLine1>
          <City>Dallas</City>
          <State>TX</State>
          <ZIPCode>752474975</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <Form990PartVIISectionA>
        <NamePerson>Henry Gilchrist</NamePerson>
        <Title>Life Board Member</Title>
        <AverageHoursPerWeek>0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Patrick E Haggerty Jr</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>1</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Mitch Jericho</NamePerson>
        <Title>Life Board Member</Title>
        <AverageHoursPerWeek>0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Howard Johnsen</NamePerson>
        <Title>Life Board Member</Title>
        <AverageHoursPerWeek>0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Buddy Barnes</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>1</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Ruth Altshuler</NamePerson>
        <Title>Life Board Member</Title>
        <AverageHoursPerWeek>0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Carmen M Michael Phd</NamePerson>
        <Title>Life Board Member</Title>
        <AverageHoursPerWeek>0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Robert S Strauss</NamePerson>
        <Title>Life Board Member</Title>
        <AverageHoursPerWeek>0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Lynn McBee</NamePerson>
        <Title>Life Board Member</Title>
        <AverageHoursPerWeek>0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Rust E Reid</NamePerson>
        <Title>Life Board Member</Title>
        <AverageHoursPerWeek>0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Lyda Hill</NamePerson>
        <Title>Life Board Member</Title>
        <AverageHoursPerWeek>1</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Gordon Hosford MD</NamePerson>
        <Title>Life Board Member</Title>
        <AverageHoursPerWeek>1</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Shirley Tobolowsky</NamePerson>
        <Title>Life Board Member</Title>
        <AverageHoursPerWeek>0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Joe Nathan Wright</NamePerson>
        <Title>Life Board Member</Title>
        <AverageHoursPerWeek>0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Ralph Wood</NamePerson>
        <Title>Life Board Member</Title>
        <AverageHoursPerWeek>0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Janet Ryan</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>1</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Deborah Cannon</NamePerson>
        <Title>Life Board Member</Title>
        <AverageHoursPerWeek>0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Nancy Gopez</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>1</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Mary Barthelow</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>1</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Philip Henderson</NamePerson>
        <Title>Life Board Member</Title>
        <AverageHoursPerWeek>0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Teresa Haggerty Parravano</NamePerson>
        <Title>Life Board Member</Title>
        <AverageHoursPerWeek>0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Lori Whitlow</NamePerson>
        <Title>Assistant Secretary</Title>
        <AverageHoursPerWeek>1</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Sam Holmes Jr</NamePerson>
        <Title>Life Board Member</Title>
        <AverageHoursPerWeek>0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Eric Gambrell</NamePerson>
        <Title>Secretary</Title>
        <AverageHoursPerWeek>1</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Jerry P Knippa</NamePerson>
        <Title>Life Board Member</Title>
        <AverageHoursPerWeek>0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Lucy Polter</NamePerson>
        <Title>Life Board Member</Title>
        <AverageHoursPerWeek>0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Jane Webb</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>1</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Molly Byrne</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>1</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Natalie Dossett</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>1</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Robert Ted Enloe III</NamePerson>
        <Title>Vice Chairman</Title>
        <AverageHoursPerWeek>1</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Pat Holden Huchton</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>1</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Jan McClendon</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>1</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Peggy Flaxman Millheiser</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>1</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Gary Patsley</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>1</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Chris Popolo</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>1</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Gayle Sands</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Pat Schenkel</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>1</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Sue Wayne Strauss</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>1</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Deborah Tapler PhD</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>1</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Robin Bagwell</NamePerson>
        <Title>Board Memeber</Title>
        <AverageHoursPerWeek>0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Nita Prothro Clark</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>1</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Susan Fraser Crimson</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>1</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Claire Dewar</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>1</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Rebecca Enloe Fletcher</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>1</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Ann Hobson</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>1</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Charles Wills</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>1</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Lita Alessandra</NamePerson>
        <Title>Treasurer</Title>
        <AverageHoursPerWeek>1</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Victor Elmore</NamePerson>
        <Title>Chairman</Title>
        <AverageHoursPerWeek>1</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Daniel Polter MD</NamePerson>
        <Title>Second Vice Chairman</Title>
        <AverageHoursPerWeek>1</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Carlton Holland</NamePerson>
        <Title>VP &amp; CFO</Title>
        <AverageHoursPerWeek>40</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>174694</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>6736</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Barbara Muntz</NamePerson>
        <Title>Vice President</Title>
        <AverageHoursPerWeek>40</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>170491</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>6537</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Thomas Riccardelli</NamePerson>
        <Title>VP &amp; General Counsel</Title>
        <AverageHoursPerWeek>40</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>183154</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>23389</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Robert P Carpenter</NamePerson>
        <Title>President</Title>
        <AverageHoursPerWeek>40</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>330916</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>13198</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Nancy Crowe</NamePerson>
        <Title>Vice President of Operations</Title>
        <AverageHoursPerWeek>40</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>205955</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>7956</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>1065210</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>0</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>57816</TotalOtherCompensation>
      <NumberIndividualsGT100K>5</NumberIndividualsGT100K>
      <FormersListed>0</FormersListed>
      <TotalCompGT150K>1</TotalCompGT150K>
      <CompensationFromOtherSources>0</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>Neeta Nayak MD</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>4804 Appleridge Drive</AddressLine1>
            <City>Richardson</City>
            <State>TX</State>
            <ZIPCode>75082</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Physician</DescriptionOfServices>
        <Compensation>161902</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>1</NumberOfContractorsGT100K>
      <FederatedCampaigns>0</FederatedCampaigns>
      <MembershipDues>0</MembershipDues>
      <FundraisingEvents>451002</FundraisingEvents>
      <RelatedOrganizations>0</RelatedOrganizations>
      <GovernmentGrants>533903</GovernmentGrants>
      <AllOtherContributions>2436766</AllOtherContributions>
      <NoncashContributions>0</NoncashContributions>
      <TotalContributions>3421671</TotalContributions>
      <ProgramServiceRevenue>
        <Description>Medicare</Description>
        <BusinessCode>621610</BusinessCode>
        <TotalRevenueColumn>11309610</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>11309610</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>Medicaid</Description>
        <BusinessCode>621610</BusinessCode>
        <TotalRevenueColumn>802477</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>802477</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>Private Pay &amp; Insurance</Description>
        <BusinessCode>621610</BusinessCode>
        <TotalRevenueColumn>1639834</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>1639834</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>Titles XIX,XX, &amp; III</Description>
        <BusinessCode>621610</BusinessCode>
        <TotalRevenueColumn>10624560</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>10624560</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </ProgramServiceRevenue>
      <TotalOthProgramServiceRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>0</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </TotalOthProgramServiceRevenue>
      <TotalProgramServiceRevenue>24376481</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>11335</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>11335</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </InvestmentIncome>
      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>0</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>0</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </IncomeFromInvestBondProceeds>
      <RoyaltiesRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>0</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </RoyaltiesRevenue>
      <RentalIncomeOrLoss>
        <Real>0</Real>
        <Personal>0</Personal>
      </RentalIncomeOrLoss>
      <GainOrLoss>
        <Securities>0</Securities>
        <Other>0</Other>
      </GainOrLoss>
      <CntrbtnsRprtdFundraisingEvents>451002</CntrbtnsRprtdFundraisingEvents>
      <OtherRevenueMisc>
        <Description>Rebates and Insurance Refunds</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>393026</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>393026</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </OtherRevenueMisc>
      <MiscellaneousRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>0</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </MiscellaneousRevenue>
      <TotalOtherRevenue>393026</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>28202513</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>24780842</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>866855</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>858186</ManagementAndGeneral>
        <Fundraising>8669</Fundraising>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>13719484</Total>
        <ProgramServices>12845965</ProgramServices>
        <ManagementAndGeneral>736325</ManagementAndGeneral>
        <Fundraising>137194</Fundraising>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>626511</Total>
        <ProgramServices>385114</ProgramServices>
        <ManagementAndGeneral>235132</ManagementAndGeneral>
        <Fundraising>6265</Fundraising>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>1209753</Total>
        <ProgramServices>1074845</ProgramServices>
        <ManagementAndGeneral>122811</ManagementAndGeneral>
        <Fundraising>12097</Fundraising>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>1087585</Total>
        <ProgramServices>975191</ProgramServices>
        <ManagementAndGeneral>101519</ManagementAndGeneral>
        <Fundraising>10875</Fundraising>
      </PayrollTaxes>
      <FeesForServicesAccounting>
        <Total>170059</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>168358</ManagementAndGeneral>
        <Fundraising>1701</Fundraising>
      </FeesForServicesAccounting>
      <Advertising>
        <Total>239976</Total>
        <ProgramServices>223741</ProgramServices>
        <ManagementAndGeneral>13835</ManagementAndGeneral>
        <Fundraising>2400</Fundraising>
      </Advertising>
      <OfficeExpenses>
        <Total>80712</Total>
        <ProgramServices>39907</ProgramServices>
        <ManagementAndGeneral>39998</ManagementAndGeneral>
        <Fundraising>807</Fundraising>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>431703</Total>
        <ProgramServices>295307</ProgramServices>
        <ManagementAndGeneral>132079</ManagementAndGeneral>
        <Fundraising>4317</Fundraising>
      </InformationTechnology>
      <Occupancy>
        <Total>911163</Total>
        <ProgramServices>737889</ProgramServices>
        <ManagementAndGeneral>164163</ManagementAndGeneral>
        <Fundraising>9111</Fundraising>
      </Occupancy>
      <Travel>
        <Total>521183</Total>
        <ProgramServices>501129</ProgramServices>
        <ManagementAndGeneral>14842</ManagementAndGeneral>
        <Fundraising>5212</Fundraising>
      </Travel>
      <ConferencesMeetings>
        <Total>65267</Total>
        <ProgramServices>45363</ProgramServices>
        <ManagementAndGeneral>19251</ManagementAndGeneral>
        <Fundraising>653</Fundraising>
      </ConferencesMeetings>
      <DepreciationDepletion>
        <Total>818587</Total>
        <ProgramServices>686443</ProgramServices>
        <ManagementAndGeneral>127156</ManagementAndGeneral>
        <Fundraising>4988</Fundraising>
      </DepreciationDepletion>
      <Insurance>
        <Total>297124</Total>
        <ProgramServices>254610</ProgramServices>
        <ManagementAndGeneral>39543</ManagementAndGeneral>
        <Fundraising>2971</Fundraising>
      </Insurance>
      <OtherExpenses>
        <Description>Professional Fees</Description>
        <Total>493654</Total>
        <ProgramServices>402312</ProgramServices>
        <ManagementAndGeneral>86405</ManagementAndGeneral>
        <Fundraising>4937</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Patient Supplies &amp; DME</Description>
        <Total>1961988</Total>
        <ProgramServices>1961476</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>512</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Meals on Wheels Food</Description>
        <Total>3269824</Total>
        <ProgramServices>3269824</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Telecommunications and Equipment</Description>
        <Total>784446</Total>
        <ProgramServices>539416</ProgramServices>
        <ManagementAndGeneral>237186</ManagementAndGeneral>
        <Fundraising>7844</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Miscellaneous</Description>
        <Total>243110</Total>
        <ProgramServices>147606</ProgramServices>
        <ManagementAndGeneral>93071</ManagementAndGeneral>
        <Fundraising>2433</Fundraising>
      </OtherExpenses>
      <TotalFunctionalExpenses>
        <Total>27798984</Total>
        <ProgramServices>24386138</ProgramServices>
        <ManagementAndGeneral>3189860</ManagementAndGeneral>
        <Fundraising>222986</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>3425194</BOY>
        <EOY>4028333</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>80945</BOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <BOY>317351</BOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>2208279</BOY>
        <EOY>2274769</EOY>
      </AccountsReceivable>
      <PrepaidExpensesDeferredCharges>
        <BOY>382959</BOY>
        <EOY>382406</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>14943730</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>6303838</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>8639882</BOY>
        <EOY>8639892</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsOtherSecurities>
        <BOY>1012025</BOY>
        <EOY>1198529</EOY>
      </InvestmentsOtherSecurities>
      <OtherAssetsTotal>
        <BOY>187956</BOY>
        <EOY>218714</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>16254591</BOY>
        <EOY>16742643</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>2515652</BOY>
        <EOY>2600176</EOY>
      </AccountsPayableAccruedExpenses>
      <TotalLiabilities>
        <BOY>2515652</BOY>
        <EOY>2600176</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>11957972</BOY>
        <EOY>13176314</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>1780967</BOY>
        <EOY>966153</EOY>
      </TemporarilyRestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>13738939</BOY>
        <EOY>14142467</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>16254591</BOY>
        <EOY>16742643</EOY>
      </TotalLiabNetAssetsFundBalances>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>1</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>1</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="R000002" softwareId="09000073" softwareVersion="v1.00">
      <PubliclySupportedOrg509a2>X</PubliclySupportedOrg509a2>
      <GiftsGrantsContribReceived509>
        <CurrentTaxYearMinus4Years>4780423</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>6357449</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>6055599</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>5334849</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>3510899</CurrentTaxYear>
        <Total>26039219</Total>
      </GiftsGrantsContribReceived509>
      <GrossReceiptsFromAdmissions>
        <CurrentTaxYearMinus4Years>25224780</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>25104660</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>25149171</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>23942936</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>24376481</CurrentTaxYear>
        <Total>123798028</Total>
      </GrossReceiptsFromAdmissions>
      <TaxRevLeviedForOrgBenefit509>
        <CurrentTaxYearMinus4Years>0</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>0</CurrentTaxYearMinus3Years>
        <Total>0</Total>
      </TaxRevLeviedForOrgBenefit509>
      <ValueOfSvcsFcltsFurnishdByGovt>
        <CurrentTaxYearMinus4Years>0</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>0</CurrentTaxYearMinus3Years>
        <Total>0</Total>
      </ValueOfSvcsFcltsFurnishdByGovt>
      <Total509>
        <CurrentTaxYearMinus4Years>30005203</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>31462109</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>31204770</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>29277785</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>27887380</CurrentTaxYear>
        <Total>149837247</Total>
      </Total509>
      <PublicSupportTotal509>149837247</PublicSupportTotal509>
      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus4Years>406869</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>232172</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>232172</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>27754</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>11335</CurrentTaxYear>
        <Total>910302</Total>
      </GrossInvestmentIncome509>
      <InvestmentIncomeAndUBTI>
        <CurrentTaxYearMinus4Years>406869</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>232172</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>232172</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>27754</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>11335</CurrentTaxYear>
        <Total>910302</Total>
      </InvestmentIncomeAndUBTI>
      <OtherIncome509>
        <CurrentTaxYearMinus4Years>0</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>0</CurrentTaxYearMinus3Years>
        <Total>0</Total>
      </OtherIncome509>
      <TotalSupportTotal>
        <CurrentTaxYearMinus4Years>30412072</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>31694281</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>31436942</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>29305539</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>27898715</CurrentTaxYear>
        <Total>150747549</Total>
      </TotalSupportTotal>
      <PublicSupportPercentage509>0.99396</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.99364</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.00604</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.00636</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="R000003" softwareId="09000073" softwareVersion="v1.00">
      <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="R000004" softwareId="09000073" softwareVersion="v1.00">
      <Land>
        <InvestmentCostOrOtherBasis>640499</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>0</OtherCostOrOtherBasis>
        <BookValue>640499</BookValue>
      </Land>
      <Buildings>
        <InvestmentCostOrOtherBasis>6369602</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>0</OtherCostOrOtherBasis>
        <Depreciation>480886</Depreciation>
        <BookValue>5888716</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <InvestmentCostOrOtherBasis>136166</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>0</OtherCostOrOtherBasis>
        <Depreciation>136090</Depreciation>
        <BookValue>76</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <InvestmentCostOrOtherBasis>7797463</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>0</OtherCostOrOtherBasis>
        <Depreciation>5686862</Depreciation>
        <BookValue>2110601</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <InvestmentCostOrOtherBasis>0</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>0</OtherCostOrOtherBasis>
        <Depreciation>0</Depreciation>
        <BookValue>0</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>8639892</TotalOfBookValueLandBuildings>
      <FinancialDerivatives>
        <BookValue>1198529</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </FinancialDerivatives>
      <TotalOfBookValueSecurities>1198529</TotalOfBookValueSecurities>
      <OtherAssets>
        <Description>Intercompany VNF</Description>
        <BookValue>218714</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>218714</TotalBookValueOtherAssets>
      <TotalRevenue>28202513</TotalRevenue>
      <TotalExpenses>27798984</TotalExpenses>
      <ExcessOrDeficitForYear>403529</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>0</NetUnrealizedGLOnInvestments>
      <DonatedServicesAndFacilities>0</DonatedServicesAndFacilities>
      <InvestmentExpenses>0</InvestmentExpenses>
      <PriorPeriodAdjustments>0</PriorPeriodAdjustments>
      <OtherAmount>0</OtherAmount>
      <TotalAdjustments>0</TotalAdjustments>
      <ExcessOrDeficitPerFS>403529</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>28494996</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>0</NetUnrealizedGainsInvestments>
      <DonatedSrvcAndUseOfFacilities>0</DonatedSrvcAndUseOfFacilities>
      <RecoveriesOfPriorYearGrants>0</RecoveriesOfPriorYearGrants>
      <OtherRevenues>203255</OtherRevenues>
      <RevenueNotRptdF990>203255</RevenueNotRptdF990>
      <RevenueSubtotal>28291741</RevenueSubtotal>
      <InvestmentExpensesNotIncluded>0</InvestmentExpensesNotIncluded>
      <OtherRevenuesNotIncluded>-89228</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>-89228</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>28202513</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>27888212</TotExpensesEtcAuditedFinclStmt>
      <DonatedServicesUseOfFacilities>0</DonatedServicesUseOfFacilities>
      <PriorYearAdjustments>0</PriorYearAdjustments>
      <LossesReported>0</LossesReported>
      <OtherExpensesIncluded>89228</OtherExpensesIncluded>
      <ExpensesNotRptdF990>89228</ExpensesNotRptdF990>
      <ExpensesSubtotal>27798984</ExpensesSubtotal>
      <InvestmentExpensesNotIncluded2>0</InvestmentExpensesNotIncluded2>
      <OtherExpensesNotIncluded>0</OtherExpensesNotIncluded>
      <ExpensesNotRptdOnFinStmt>0</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>27798984</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>SchD_P12_S00_L02d</Identifier>
        <ReturnReference>Schedule D, Part XII, Line 2d</ReturnReference>
        <Explanation>Net Assets released from capital restrictions</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>SchD_P12_S00_L04b</Identifier>
        <ReturnReference>Schedule D, Part XII, Line 4b</ReturnReference>
        <Explanation>Amounts of special event expenses included in expenses in the audited financial statements, but a reduction of revenue in Form 990</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>SchD_P13_S00_L02d</Identifier>
        <ReturnReference>Schedule D, Part XIII, Line 2d</ReturnReference>
        <Explanation>Included in expenses in audited financial statements, but a reduction of revenue in form 990</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="R000005" softwareId="09000073" softwareVersion="v1.00">
      <EventsInformation>
        <NameOfEvent1>Wheels for Meals and More</NameOfEvent1>
        <GrossReceiptsEvent1>540230</GrossReceiptsEvent1>
        <CharitableContributionsEvent1>0</CharitableContributionsEvent1>
        <GrossRevenueEvent1>540230</GrossRevenueEvent1>
        <CashPrizesEvent1>0</CashPrizesEvent1>
        <NonCashPrizesEvent1>0</NonCashPrizesEvent1>
        <RentFacilityCostsEvent1>7500</RentFacilityCostsEvent1>
        <FoodAndBeverageEvent1>31673</FoodAndBeverageEvent1>
        <EntertainmentEvent1>1000</EntertainmentEvent1>
        <OtherDirectExpensesEvent1>49055</OtherDirectExpensesEvent1>
        <FoodAndBeverageOtherEvents>0</FoodAndBeverageOtherEvents>
        <EntertainmentOtherEvents>0</EntertainmentOtherEvents>
        <GrossReceiptsTotal>540230</GrossReceiptsTotal>
        <CharitableContributionsTotal>0</CharitableContributionsTotal>
        <GrossRevenueTotalEvents>540230</GrossRevenueTotalEvents>
        <CashPrizesTotalEvents>0</CashPrizesTotalEvents>
        <NonCashPrizesTotalEvents>0</NonCashPrizesTotalEvents>
        <RentFacilityCostsTotalEvents>7500</RentFacilityCostsTotalEvents>
        <FoodAndBeverageTotalEvents>31673</FoodAndBeverageTotalEvents>
        <EntertainmentTotalEvents>1000</EntertainmentTotalEvents>
        <OtherDirectExpensesTotalEvents>49055</OtherDirectExpensesTotalEvents>
        <DirectExpenseSummaryEvents>89228</DirectExpenseSummaryEvents>
        <NetIncomeSummary>451002</NetIncomeSummary>
      </EventsInformation>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="R000006" softwareId="09000073" softwareVersion="v1.00">
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>1</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>0</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>0</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>0</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>Nancy Crowe</NamePerson>
        <BaseCompensationFilingOrg>174455</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>15000</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>16500</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>7956</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>213911</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Robert P Carpenter</NamePerson>
        <BaseCompensationFilingOrg>294416</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>20000</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>16500</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>13198</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>344114</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Thomas Riccardelli</NamePerson>
        <BaseCompensationFilingOrg>156654</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>10000</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>16500</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>23389</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>206543</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Barbara Muntz</NamePerson>
        <BaseCompensationFilingOrg>143991</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>10000</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>16500</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>6537</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>177028</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Carlton Holland</NamePerson>
        <BaseCompensationFilingOrg>148194</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>10000</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>16500</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>6736</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>181430</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>SchJ_P01_S00_L04</Identifier>
        <ReturnReference>Schedule J, Part I, Line 4</ReturnReference>
        <Explanation>For Calendar Year 2010 an IRC Section 457(b) deferred Compensation plan was in effect for VNA's CEO and Vice Presidents. $16,500 was paid on behalf of the CEO and each of VNA's four Vice Presidents to an investment account managed by Mutual of America Insurance Company.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="R000007" softwareId="09000073" softwareVersion="v1.00">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>Davis Interventures LLC</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>Former Key Employee is Principal of Organization</Relationship>
        <AmountOfTransaction>76752</AmountOfTransaction>
        <DescriptionOfTransaction>Consulting</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="R000008" softwareId="09000073" softwareVersion="v1.00">
      <GeneralExplanation>
        <Identifier>F990_P06_S0A_L02</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 2</ReturnReference>
        <Explanation>Patrick Haggerty and Teresa Haggerty Parravano (both Board Members) are siblings.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0A_L07a</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 7a</ReturnReference>
        <Explanation>VNA's governing board is elected by its Board of Directors, with new Directors chosen and replacing outgoing directors at the end of respective terms.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L11</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 11</ReturnReference>
        <Explanation>The 990 is reviewed by the Executive Committee of the Board of Directors in a committee meeting before it is filed. Management is on hand to answer any questions and give feed back if requested.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L12c</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 12c</ReturnReference>
        <Explanation>Annually all officers and directors of VNA are required to complete a questionaire disclosing all possible conflicts of interest the individual may have with VNA.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L15</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 15</ReturnReference>
        <Explanation>An Executive Compensation review was performed by Longnecker and Associates of Houston, Texas under the direction of VNA's Compensation Committee. Longnecker analyzed CEO and all Vice Presidents of VNA compensation and presented its findings to VNA's Compensation Committee. From those findings the Compensation Committee determined the changes to current officer's salaries and benefits.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0C_L19</Identifier>
        <ReturnReference>Form 990, Part VI, Section C, Line 19</ReturnReference>
        <Explanation>Any information can be furnished to the public through a request on VNA's website, or through a phone, email, or mail request.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="R000009" softwareId="09000073" softwareVersion="v1.00">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Visiting Nurse Association Foundation</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1600 Viceroy Drive</AddressLine1>
          <AddressLine2>4th Floor</AddressLine2>
          <City>Dallas</City>
          <State>TX</State>
          <ZIPCode>75235</ZIPCode>
        </AddressUS>
        <EIN>751633963</EIN>
        <PrimaryActivities>Promote Community Health Services</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501 (c) 3</ExemptCodeSection>
        <PublicCharityStatus>509 (a)(3) Type 1</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </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>1</SharingOfFacilities>
      <SharingOfPaidEmployees>1</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>1</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Visiting Nurse Association Foundation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>m</TransactionType>
        <AmountInvolved>24000</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Visiting Nurse Association Foundation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>n</TransactionType>
        <AmountInvolved>30000</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Visiting Nurse Association Foundation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>p</TransactionType>
        <AmountInvolved>40000</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
    <ReasonableCauseExplanation documentId="R000010" softwareId="09000073" softwareVersion="v1.00">
      <Explanation>An extension of time was recieved and approved by the IRS</Explanation>
    </ReasonableCauseExplanation>
  </ReturnData>
</Return>