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      <FSAudited>true</FSAudited>
      <AuditCommittee>false</AuditCommittee>
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        <Identifier>OTHER ADJUSTMENT</Identifier>
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        <Explanation>$1,258,564 TRANSFER TO RELATED ORGANIZATIONS</Explanation>
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        <Identifier>FIN48 FOOTNOTE</Identifier>
        <ReturnReference>SCHEDULE D, PART X, LINE 2</ReturnReference>
        <Explanation>MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.</Explanation>
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      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
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        <CompBasedOnRelatedOrgs>157070</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>56812</OtherCompensationRelatedOrgs>
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      <GeneralExplanation>
        <Identifier>MANAGEMENT CONTROL</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 3</ReturnReference>
        <Explanation>THE ORGANIZATION'S NON-PROFIT, EXEMPT, PARENT ORGANIZATION, COMMUNITY NURSES, INC., PROVIDES MANAGEMENT SERVICES TO COMMUNITY NURSES HOME HEALTH SUPPORT SERVICES, INC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>MEMBERS</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINES 6, 7A, &amp;7B</ReturnReference>
        <Explanation>THE ORGANIZATION'S PARENT ORGANIZATION IS COMMUNITY NURSES, INC. (CNI). AS THE PARENT ORGANIZATION, CNI APPOINTS THE ORGANIZATION'S BOARD OF DIRECTORS AND HAS FINAL APPROVAL RIGHTS OVER THE FOLLOWING ACTIONS THAT MAY BE TAKEN BY THE ORGANIZATION'S BOARD: APPROVE THE APPOINTMENT OF THE CHAIRMAN OF THE BOARD, APPROVE ANY AMENDMENTS TO THE ORGANIZATION'S ARTICLES OF INCORPORATION AND BYLAWS BEFORE THEY BECOME EFFECTIVE, APPROVE ALL OPERATING AND CAPITAL BUDGETS OF THE ORGANIZATION, AND APPROVE ANY MERGER CONSOLIDATION, DIVISION, LIQUIDATION, DISSOLUTION, WINDING UP, OR SALE OF ALL OR SUBSTANTIALLY ALL THE ASSETS OF THE ORGANIZATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990 REVIEW PROCESS</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11A</ReturnReference>
        <Explanation>A DRAFT OF THE 990 WILL BE THOROUGHLY REVIEWED BY THE CFO AND CEO. AFTER ALL CHANGES ARE MADE, IT WILL BE PRESENTED TO THE BOARD OF DIRECTORS BEFORE BEING FILED.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CONFLICT OF INTEREST POLICY COMPLIANCE</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTON B, LINE 12C</ReturnReference>
        <Explanation>EVERY YEAR, A QUESTIONNAIRE REGARDING BUSINESS AND FAMILY RELATIONSHIPS IS GIVEN TO THE BOARD OF DIRECTORS &amp; OFFICERS. THESE QUESTIONNAIRES ARE THEN REVIEWED AND ANY CONFLICTS ARE BROUGHT TO THE ATTENTION OF THE BOARD. ANY BOARD MEMBER WITH A CONFLICT OF INTEREST MUST ABSTAIN FROM VOTING ON ANY ISSUES RELATED TO THAT CONFLICT.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION DETERMINATION</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINES 15A &amp; 15B</ReturnReference>
        <Explanation>SALARIES ARE REVIEWED ANNUALLY DURING THE BUDGET PROCESS, COMPARED TO THE HOME CARE SALARY &amp; BENEFITS REPORT PRODUCED BY THE NATIONAL ASSOCIATION OF HOMECARE FOR REASONABLENESS, AND APPROVED BY THE BOARD OF DIRECTORS. THE CEO'S AND CFO'S COMPENSATION ARE SPECIFICALLY APPROVED BY THE BOARD.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>GOVERNING DOCUMENT AVAILABILITY</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE ARTICLES OF INCORPORATION ARE AVAILABLE ON THE PENNSYLVANIA DEPARTMENT OF STATE'S WEBSITE. ALL DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. OFFICER COMPENSATION FORM 990, FORM VII MARY LOU ROOS LEFT HER POSITION AS CEO ON JUNE 1, 2010. SHE WAS THEN CONTRACTED TO OVERSEE BRENDA PORTER, INTERIM CEO, UNTIL JULY 31, 2010. BEGINNING JANUARY 1, 2010, BRENDA PORTER WAS IN THE POSITION OF COO AT COMMUNITY NURSES, INC., PRIOR TO TAKING ON THE ROLE OF INTERIM CEO. PRIOR TO JANUARY 1, 2010, SHE WAS IN A POSITION AT COMMUNITY NURSES HOME HEALTH &amp; HOSPICE, INC. THE RELATED COMPENSATION IN COLUMN D AND ALL BENEFITS IN COLUMN E OF PART VI WERE FOR HER ROLE AT COMMUNITY NURSES HOME HEALTH &amp; HOSPICE, INC. HER BONUS WAS ACCRUED AND PAID OUT OF COMMUNITY NURSES, INC., BASED ON HER ROLE AT COMMUNITY NURSES HOME HEALTH &amp; HOSPICE, INC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CONSOLIDATED FINANCIAL STATEMENTS</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 2C</ReturnReference>
        <Explanation>THE ORGANIZATION RECEIVES AUDITED FINANCIAL STATEMENTS ON A CONSOLIDATED BASIS WITH ITS RELATED ORGANIZATIONS. THE ORGANIZATION'S TOP MANAGEMENT ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE CONSOLIDATED AUDIT, AS WELL AS THE CHOICE OF AN INDEPENDENT ACCOUNTANT.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
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          <City>ST MARYS</City>
          <State>PA</State>
          <ZIPCode>15857</ZIPCode>
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