﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2010v3.4">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2011-11-07T12:20:46-06:00</Timestamp>
    <TaxPeriodEndDate>2010-12-31</TaxPeriodEndDate>
    <PreparerFirm>
      <PreparerFirmBusinessName>
        <BusinessNameLine1>RSM MCGLADREY INC</BusinessNameLine1>
      </PreparerFirmBusinessName>
      <PreparerFirmUSAddress>
        <AddressLine1>80 CITY SQUARE</AddressLine1>
        <City>BOSTON</City>
        <State>MA</State>
        <ZIPCode>021293742</ZIPCode>
      </PreparerFirmUSAddress>
    </PreparerFirm>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2010-01-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>042105800</EIN>
      <Name>
        <BusinessNameLine1>VISITING NURSE ASSOCIATION OF BOSTON INC</BusinessNameLine1>
      </Name>
      <NameControl>VISI</NameControl>
      <Phone>6178866500</Phone>
      <USAddress>
        <AddressLine1>500 RUTHERFORD AVENUE SUITE 101</AddressLine1>
        <City>CHARLESTOWN</City>
        <State>MA</State>
        <ZIPCode>02129</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>RSM MCGLADREY INC</Name>
      <Title>PRESIDENT &amp; CEO</Title>
      <Phone>6178866500</Phone>
      <DateSigned>2011-11-07</DateSigned>
      <AuthorizeThirdParty>1</AuthorizeThirdParty>
    </Officer>
    <Preparer>
      <Phone>6179129000</Phone>
    </Preparer>
    <TaxYear>2010</TaxYear>
    <BuildTS>2016-02-24 21:20:13Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="8">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <NameOfPrincipalOfficerPerson>REYNOLD G SPADONI</NameOfPrincipalOfficerPerson>
      <AddressPrincipalOfficerUS>
        <AddressLine1>500 RUTHERFORD AVENUE NO 101</AddressLine1>
        <City>CHARLESTOWN</City>
        <State>MA</State>
        <ZIPCode>02129</ZIPCode>
      </AddressPrincipalOfficerUS>
      <GrossReceipts>47808158</GrossReceipts>
      <GroupReturnForAffiliates>0</GroupReturnForAffiliates>
      <Organization501c3>X</Organization501c3>
      <WebSite>WWW.BOSTONVNA.ORG</WebSite>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <YearFormation>1944</YearFormation>
      <StateLegalDomicile>MA</StateLegalDomicile>
      <ActivityOrMissionDescription>TO PROVIDE HEALTHCARE AND SUPPORTIVE SERVICES TO INDIVIDUALS AT THEIR HOMES WITHIN BOSTON AND SURROUNDING COMMUNITIES WITH CARE THAT WILL MAXIMIZE THEIR HEALTH, INDEPENDENCE AND QUALITY OF LIFE. THE ORGANIZATION PROVIDED MORE THAN 237,000 HOME CARE VISITS DURING THE YEAR ENDED DECEMBER 31, 2010.</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>17</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>17</NbrIndependentVotingMembers>
      <TotalNbrEmployees>373</TotalNbrEmployees>
      <TotalNbrVolunteers>0</TotalNbrVolunteers>
      <TotalGrossUBI>0</TotalGrossUBI>
      <NetUnrelatedBusinessTxblIncome>0</NetUnrelatedBusinessTxblIncome>
      <ContributionsGrantsPriorYear>250689</ContributionsGrantsPriorYear>
      <ContributionsGrantsCurrentYear>525549</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenuePriorYear>38834505</ProgramServiceRevenuePriorYear>
      <ProgramServiceRevenueCY>39024552</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>27200</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>835294</InvestmentIncomeCurrentYear>
      <OtherRevenuePriorYear>87054</OtherRevenuePriorYear>
      <OtherRevenueCurrentYear>233221</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>39199448</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>40618616</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsPriorYear>0</GrantsAndSimilarAmntsPriorYear>
      <GrantsAndSimilarAmntsCY>0</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersPriorYear>0</BenefitsPaidToMembersPriorYear>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcPriorYear>27940865</SalariesEtcPriorYear>
      <SalariesEtcCurrentYear>28910865</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpPriorYear>0</TotalProfFundrsngExpPriorYear>
      <TotalProfFundrsngExpCY>0</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>18327</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>10793051</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>11163091</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>38733916</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>40073956</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>465532</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>544660</RevenuesLessExpensesCY>
      <TotalAssetsBOY>56129590</TotalAssetsBOY>
      <TotalAssetsEOY>28075270</TotalAssetsEOY>
      <TotalLiabilitiesBOY>45072162</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>15394514</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>11057428</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>12680756</NetAssetsOrFundBalancesEOY>
      <InfoInScheduleOPartIII>X</InfoInScheduleOPartIII>
      <MissionDescription>THE VISITING NURSE ASSOCIATION OF BOSTON, A NON-PROFIT ORGANIZATION, IS THE OLDEST AND LARGEST PROVIDER OF COMPREHENSIVE AND COMPASSIONATE HOME HEALTH CARE AND HOSPICE SERVICES IN GREATER BOSTON. EVERYDAY, OUR EXPERIENCED CLINICIANS CARE FOR THOUSANDS OF PATIENTS AND FAMILIES FROM INFANTS TO ELDERS IN A RANGE OF SOCIOECONOMIC GROUPS. AND, WE ARE THE LARGEST PROVIDER OF SERVICES TO THOSE WHO CANNOT AFFORD THEM.THE VISITING NURSE ASSOCIATION OF BOSTON &amp; AFFILIATES PROVIDES HOME HEALTHCARE THROUGH THE VNA OF BOSTON, PRIVATE PAY SERVICES THROUGH VNA PRIVATE CARE, AND END-OF-LIFE SUPPORT THROUGH VNA HOSPICE CARE. WE COORDINATE SUPERIOR CARE ACROSS THE CONTINUUM - FOR ALL AGES, HEALTHCARE NEEDS, AND INCOME LEVELS - SO THAT OUR PATIENTS AND THEIR FAMILIES THROUGHOUT GREATER BOSTON HAVE PEACE OF MIND AND, MOST IMPORTANTLY, CAN LIVE INDEPENDENTLY AT HOME.</MissionDescription>
      <SignificantNewProgramServices>0</SignificantNewProgramServices>
      <SignificantChange>0</SignificantChange>
      <Expense>29882824</Expense>
      <Revenue>39179286</Revenue>
      <Description>PROVIDING RESIDENTS OF BOSTON AND SURROUNDING COMMUNITIES WITH CARE THAT WILL MAXIMIZE THEIR HEALTH, INDEPENDENCE AND QUALITY OF LIFE. THE ORGANIZATION PROVIDED MORE THAN 237,000 HOME CARE VISITS DURING THE YEAR ENDED DECEMBER 31, 2010.</Description>
      <TotalProgramServiceExpense>29882824</TotalProgramServiceExpense>
      <DescribedIn501C3 referenceDocumentId="RetDoc1039100001">1</DescribedIn501C3>
      <ScheduleBRequired referenceDocumentId="RetDoc1234500001">1</ScheduleBRequired>
      <PoliticalActivities>0</PoliticalActivities>
      <LobbyingActivities>0</LobbyingActivities>
      <DonorAdvisedFunds referenceDocumentId="RetDoc1040000001">0</DonorAdvisedFunds>
      <ConservationEasements referenceDocumentId="RetDoc1040000001">0</ConservationEasements>
      <CollectionsOfArt referenceDocumentId="RetDoc1040000001">0</CollectionsOfArt>
      <CreditCounseling referenceDocumentId="RetDoc1040000001">0</CreditCounseling>
      <TermOrPermanentEndowments referenceDocumentId="RetDoc1040000001">0</TermOrPermanentEndowments>
      <ReportLandBldgEquip referenceDocumentId="RetDoc1040000001">1</ReportLandBldgEquip>
      <ReportInvestOthSecurities referenceDocumentId="RetDoc1040000001">0</ReportInvestOthSecurities>
      <ReportProgRelInvest referenceDocumentId="RetDoc1040000001">0</ReportProgRelInvest>
      <ReportOtherAssets referenceDocumentId="RetDoc1040000001">0</ReportOtherAssets>
      <ReportOtherLiabilities referenceDocumentId="RetDoc1040000001">1</ReportOtherLiabilities>
      <ReportFin48Footnote referenceDocumentId="RetDoc1040000001">1</ReportFin48Footnote>
      <IndependentAuditFinancialStmt referenceDocumentId="RetDoc1040000001">0</IndependentAuditFinancialStmt>
      <ConsolidatedAuditFinancialStmt referenceDocumentId="RetDoc1040000001">1</ConsolidatedAuditFinancialStmt>
      <School>0</School>
      <ForeignOffice>0</ForeignOffice>
      <ForeignActivities>0</ForeignActivities>
      <MoreThan5000KToOrganizations>0</MoreThan5000KToOrganizations>
      <MoreThan5000KToIndividuals>0</MoreThan5000KToIndividuals>
      <ProfessionalFundraising>0</ProfessionalFundraising>
      <FundraisingActivities>1</FundraisingActivities>
      <Gaming>0</Gaming>
      <Hospital>0</Hospital>
      <GrantsToOrganizations>0</GrantsToOrganizations>
      <GrantsToIndividuals>0</GrantsToIndividuals>
      <ScheduleJRequired referenceDocumentId="RetDoc1042400001">1</ScheduleJRequired>
      <TaxExemptBonds>0</TaxExemptBonds>
      <ExcessBenefitTransaction>0</ExcessBenefitTransaction>
      <PriorExcessBenefitTransaction>0</PriorExcessBenefitTransaction>
      <LoanToOfficerOrDQP>0</LoanToOfficerOrDQP>
      <GrantToRelatedPerson>0</GrantToRelatedPerson>
      <BsnssRltnshpWithOrganization>0</BsnssRltnshpWithOrganization>
      <BsnssRltnshpThruFamilyMember>0</BsnssRltnshpThruFamilyMember>
      <OfficerEntityWithBsnssRltnshp>0</OfficerEntityWithBsnssRltnshp>
      <DeductibleNonCashContributions>0</DeductibleNonCashContributions>
      <DeductibleContributionsOfArt>0</DeductibleContributionsOfArt>
      <Terminated>0</Terminated>
      <PartialLiquidation>0</PartialLiquidation>
      <DisregardedEntity referenceDocumentId="RetDoc1043400001">0</DisregardedEntity>
      <RelatedEntity referenceDocumentId="RetDoc1043400001">1</RelatedEntity>
      <RelatedOrgControlledEntity>0</RelatedOrgControlledEntity>
      <TransactionRelatedEntity referenceDocumentId="RetDoc1043400001">0</TransactionRelatedEntity>
      <TransfersToExemptNonChrtblOrg referenceDocumentId="RetDoc1043400001">0</TransfersToExemptNonChrtblOrg>
      <ActivitiesConductedPartnership referenceDocumentId="RetDoc1043400001">0</ActivitiesConductedPartnership>
      <ScheduleORequired>1</ScheduleORequired>
      <NumberFormsTransmittedWith1096>38</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <NumberOfEmployees>373</NumberOfEmployees>
      <EmploymentTaxReturnsFiled>1</EmploymentTaxReturnsFiled>
      <UnrelatedBusinessIncome>0</UnrelatedBusinessIncome>
      <ForeignFinancialAccount>0</ForeignFinancialAccount>
      <ProhibitedTaxShelterTrans>0</ProhibitedTaxShelterTrans>
      <TaxablePartyNotification>0</TaxablePartyNotification>
      <NonDeductibleContributions>0</NonDeductibleContributions>
      <QuidProQuoContributions>0</QuidProQuoContributions>
      <Form8282PropertyDisposedOf>0</Form8282PropertyDisposedOf>
      <FundsToPayPremiums>0</FundsToPayPremiums>
      <PremiumsPaid>0</PremiumsPaid>
      <IndoorTanningServices>0</IndoorTanningServices>
      <InfoInScheduleOPartVI>X</InfoInScheduleOPartVI>
      <NbrVotingGoverningBodyMembers>17</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>17</NumberIndependentVotingMembers>
      <FamilyOrBusinessRelationship>0</FamilyOrBusinessRelationship>
      <DelegationOfManagementDuties>0</DelegationOfManagementDuties>
      <ChangesToOrganizingDocs>0</ChangesToOrganizingDocs>
      <MaterialDiversionOrMisuse>0</MaterialDiversionOrMisuse>
      <MembersOrStockholders>0</MembersOrStockholders>
      <ElectionOfBoardMembers>0</ElectionOfBoardMembers>
      <DecisionsSubjectToApproval>0</DecisionsSubjectToApproval>
      <MinutesOfGoverningBody>1</MinutesOfGoverningBody>
      <MinutesOfCommittees>1</MinutesOfCommittees>
      <OfficerMailingAddress>0</OfficerMailingAddress>
      <LocalChapters>0</LocalChapters>
      <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>
      <StatesWhereCopyOfReturnIsFiled>MA</StatesWhereCopyOfReturnIsFiled>
      <OtherWebsite>X</OtherWebsite>
      <UponRequest>X</UponRequest>
      <TheBooksAreInCareOf>
        <NamePerson>JUDY TOY CONTROLLER</NamePerson>
        <TelephoneNumber>6178866500</TelephoneNumber>
        <AddressUS>
          <AddressLine1>500 RUTHERFORD AVENUE SUITE 101</AddressLine1>
          <City>CHARLESTOWN</City>
          <State>MA</State>
          <ZIPCode>02129</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <Form990PartVIISectionA>
        <NamePerson>BRIAN D BIXBY ESQ</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JUERGEN BLUDAU MD CMD</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>GEORGIA BUCK</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>RENARD CHARITY</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>LINDA HOPE-SPRINGER</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JOHN W MACDUFFIE</NamePerson>
        <Title>VICE CHAIRMAN/TREASURER</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>FREDERIC C MARKEY</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>PAULA MCNICHOLS</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>LORIANN MEAGHER</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JOHN E MURPHY</NamePerson>
        <Title>CHAIRMAN</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>LIZETTE PEREZ-DEISBOECK</NamePerson>
        <Title>CLERK</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>LINDA PERLMUTTER</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>SHEPARD REMIS</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ALEXANDRA SCHWEITZER</NamePerson>
        <Title>VICE CHAIRMAN</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>HELENE SOLOMON</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>VALERIE SULLIVAN</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ROBERT A WITZBURG MD</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>REYNOLD G SPADONI</NamePerson>
        <Title>PRESIDENT &amp; CEO</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>275327</ReportableCompFromRelatedOrgs>
        <OtherCompensation>44065</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>H KENNETH MCNULTY</NamePerson>
        <Title>VP OF FINANCE/CFO</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>163512</ReportableCompFromRelatedOrgs>
        <OtherCompensation>58423</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>KEREN DIAMOND</NamePerson>
        <Title>VP OF OPERATIONS</Title>
        <AverageHoursPerWeek>37.50</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>134857</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>55399</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>PAUL ALBUSHIES</NamePerson>
        <Title>CHN 1 - ADMISSIONS</Title>
        <AverageHoursPerWeek>37.50</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>133712</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>42183</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DAVID DIMATTEO</NamePerson>
        <Title>PHYSICAL THERAPIST - PER VISIT</Title>
        <AverageHoursPerWeek>37.50</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>128526</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>41536</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>CAROL BOURNE</NamePerson>
        <Title>PATIENT SERVICES MANAGER</Title>
        <AverageHoursPerWeek>37.50</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>126004</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>16203</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JOAN HURTON</NamePerson>
        <Title>CHN 1 - RN</Title>
        <AverageHoursPerWeek>37.50</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>120972</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>42854</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DONNA HOLT</NamePerson>
        <Title>CHN I - EVENINGS</Title>
        <AverageHoursPerWeek>37.50</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>120616</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>35157</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>764687</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>438839</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>335820</TotalOtherCompensation>
      <NumberIndividualsGT100K>70</NumberIndividualsGT100K>
      <FormersListed>0</FormersListed>
      <TotalCompGT150K>1</TotalCompGT150K>
      <CompensationFromOtherSources>0</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>SUBURBAN HOMEMAKING</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>1050 COMMONWEALTH AVE</AddressLine1>
            <City>BOSTON</City>
            <State>MA</State>
            <ZIPCode>02215</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>HOME HEALTH AID STAFFING</DescriptionOfServices>
        <Compensation>1025038</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/TRANSPORTATION</DescriptionOfServices>
        <Compensation>471224</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>403253</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>THE ALLIED GROUP</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>25 AMFLEX DRIVE</AddressLine1>
            <City>CRANSTON</City>
            <State>RI</State>
            <ZIPCode>02921</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>PRINTING SERVICES</DescriptionOfServices>
        <Compensation>108823</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>4</NumberOfContractorsGT100K>
      <FederatedCampaigns>420772</FederatedCampaigns>
      <AllOtherContributions>104777</AllOtherContributions>
      <TotalContributions>525549</TotalContributions>
      <ProgramServiceRevenue>
        <Description>MEDICARE/MEDICAID PMTS</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>38395334</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>38395334</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>NET PATIENT SVC REV</Description>
        <BusinessCode>624100</BusinessCode>
        <TotalRevenueColumn>395917</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>395917</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>CONSULTING SERVICES</Description>
        <BusinessCode>624100</BusinessCode>
        <TotalRevenueColumn>230627</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>230627</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>WELLNESS PROGRAM</Description>
        <BusinessCode>624100</BusinessCode>
        <TotalRevenueColumn>2674</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>2674</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>39024552</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>522815</TotalRevenueColumn>
        <ExclusionAmount>522815</ExclusionAmount>
      </InvestmentIncome>
      <GrossAmountSalesAssets>
        <Securities>7376317</Securities>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Securities>7063838</Securities>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Securities>312479</Securities>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>312479</TotalRevenueColumn>
        <ExclusionAmount>312479</ExclusionAmount>
      </NetGainOrLossInvestments>
      <GrossIncomeFundraisingEvents>204191</GrossIncomeFundraisingEvents>
      <FundraisingDirectExpenses>125704</FundraisingDirectExpenses>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>78487</TotalRevenueColumn>
        <ExclusionAmount>78487</ExclusionAmount>
      </NetIncomeFromFundraisingEvents>
      <OtherRevenueMisc>
        <Description>MISCELLANEOUS INCOME</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>154734</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>154734</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <TotalOtherRevenue>154734</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>40618616</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>39179286</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>913781</ExclusionAmount>
      </TotalRevenue>
      <CompCurrentOfficersDirectors>
        <Total>154919</Total>
        <ManagementAndGeneral>154919</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <OtherSalariesAndWages>
        <Total>23515772</Total>
        <ProgramServices>20703795</ProgramServices>
        <ManagementAndGeneral>2811977</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>870999</Total>
        <ProgramServices>766928</ProgramServices>
        <ManagementAndGeneral>104071</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>2648767</Total>
        <ProgramServices>2331843</ProgramServices>
        <ManagementAndGeneral>316924</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>1720408</Total>
        <ProgramServices>1506048</ProgramServices>
        <ManagementAndGeneral>214360</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>6071265</Total>
        <ManagementAndGeneral>6071265</ManagementAndGeneral>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>77412</Total>
        <ManagementAndGeneral>77412</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesInvstMgmntFees>
        <Total>96700</Total>
        <ProgramServices>96700</ProgramServices>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>2515104</Total>
        <ProgramServices>2369978</ProgramServices>
        <ManagementAndGeneral>144739</ManagementAndGeneral>
        <Fundraising>387</Fundraising>
      </FeesForServicesOther>
      <Advertising>
        <Total>2021</Total>
        <ProgramServices>2021</ProgramServices>
      </Advertising>
      <OfficeExpenses>
        <Total>338772</Total>
        <ProgramServices>133357</ProgramServices>
        <ManagementAndGeneral>198261</ManagementAndGeneral>
        <Fundraising>7154</Fundraising>
      </OfficeExpenses>
      <Occupancy>
        <Total>856445</Total>
        <ProgramServices>856445</ProgramServices>
      </Occupancy>
      <Travel>
        <Total>1711</Total>
        <ProgramServices>1711</ProgramServices>
      </Travel>
      <ConferencesMeetings>
        <Total>33910</Total>
        <ProgramServices>31055</ProgramServices>
        <ManagementAndGeneral>2855</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>59512</Total>
        <ProgramServices>59512</ProgramServices>
      </Interest>
      <DepreciationDepletion>
        <Total>298311</Total>
        <ProgramServices>298311</ProgramServices>
      </DepreciationDepletion>
      <OtherExpenses>
        <Description>MEDICAL SUPPLIES</Description>
        <Total>565605</Total>
        <ProgramServices>565605</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>BAD DEBT EXPENSE</Description>
        <Total>134674</Total>
        <ProgramServices>134674</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>EQUIPMENT RENTAL AND MA</Description>
        <Total>62112</Total>
        <ProgramServices>4775</ProgramServices>
        <ManagementAndGeneral>57337</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>SPECIAL EVENTS EXPENSE</Description>
        <Total>15859</Total>
        <ProgramServices>3618</ProgramServices>
        <ManagementAndGeneral>1455</ManagementAndGeneral>
        <Fundraising>10786</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>CONTINUING EDUCATION</Description>
        <Total>14722</Total>
        <ProgramServices>14722</ProgramServices>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>18956</Total>
        <ProgramServices>1726</ProgramServices>
        <ManagementAndGeneral>17230</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>40073956</Total>
        <ProgramServices>29882824</ProgramServices>
        <ManagementAndGeneral>10172805</ManagementAndGeneral>
        <Fundraising>18327</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>3338282</BOY>
        <EOY>3514823</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>2230098</BOY>
        <EOY>2232073</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
        <BOY>5536570</BOY>
        <EOY>5485940</EOY>
      </AccountsReceivable>
      <OtherNotesLoansReceivableNet>
        <BOY>60249</BOY>
      </OtherNotesLoansReceivableNet>
      <PrepaidExpensesDeferredCharges>
        <BOY>489601</BOY>
        <EOY>297524</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>1497202</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>876802</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>670885</BOY>
        <EOY>620400</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>12189626</BOY>
        <EOY>13937117</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <BOY>701363</BOY>
        <EOY>712781</EOY>
      </InvestmentsOtherSecurities>
      <OtherAssetsTotal>
        <BOY>30912916</BOY>
        <EOY>1274612</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>56129590</BOY>
        <EOY>28075270</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>2897478</BOY>
        <EOY>2971120</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>2015143</BOY>
        <EOY>1805046</EOY>
      </DeferredRevenue>
      <MortNotesPyblSecuredInvestProp>
        <BOY>2671265</BOY>
        <EOY>2093959</EOY>
      </MortNotesPyblSecuredInvestProp>
      <OtherLiabilities>
        <BOY>37488276</BOY>
        <EOY>8524389</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>45072162</BOY>
        <EOY>15394514</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>9842413</BOY>
        <EOY>11415901</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>43039</BOY>
        <EOY>83852</EOY>
      </TemporarilyRestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>1171976</BOY>
        <EOY>1181003</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>11057428</BOY>
        <EOY>12680756</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>56129590</BOY>
        <EOY>28075270</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>544660</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>1078668</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2>X</PubliclySupportedOrg509a2>
      <GiftsGrantsContribReceived509>
        <CurrentTaxYearMinus4Years>285008</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>230777</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>159878</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>250689</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>525549</CurrentTaxYear>
        <Total>1451901</Total>
      </GiftsGrantsContribReceived509>
      <GrossReceiptsFromAdmissions>
        <CurrentTaxYearMinus4Years>38093081</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>39023560</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>38603024</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>38834505</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>39024552</CurrentTaxYear>
        <Total>193578722</Total>
      </GrossReceiptsFromAdmissions>
      <Total509>
        <CurrentTaxYearMinus4Years>38378089</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>39254337</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>38762902</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>39085194</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>39550101</CurrentTaxYear>
        <Total>195030623</Total>
      </Total509>
      <AmtsRecdFromDisqualPersons>
        <Total>0</Total>
      </AmtsRecdFromDisqualPersons>
      <AmtsFromSubstContributors>
        <Total>0</Total>
      </AmtsFromSubstContributors>
      <SupportFromDQPsEtc>
        <Total>0</Total>
      </SupportFromDQPsEtc>
      <PublicSupportTotal509>195030623</PublicSupportTotal509>
      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus4Years>629437</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>664526</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>614424</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>562769</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>522815</CurrentTaxYear>
        <Total>2993971</Total>
      </GrossInvestmentIncome509>
      <InvestmentIncomeAndUBTI>
        <CurrentTaxYearMinus4Years>629437</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>664526</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>614424</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>562769</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>522815</CurrentTaxYear>
        <Total>2993971</Total>
      </InvestmentIncomeAndUBTI>
      <OtherIncome509>
        <CurrentTaxYearMinus4Years>72115</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>58495</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>123180</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>209639</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>358925</CurrentTaxYear>
        <Total>822354</Total>
      </OtherIncome509>
      <TotalSupportTotal>
        <CurrentTaxYearMinus4Years>39079641</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>39977358</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>39500506</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>39857602</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>40431841</CurrentTaxYear>
        <Total>198846948</Total>
      </TotalSupportTotal>
      <PublicSupportPercentage509>0.98080</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.98280</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.01510</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.01440</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">
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>302105</OtherCostOrOtherBasis>
        <Depreciation>152311</Depreciation>
        <BookValue>149794</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>1132200</OtherCostOrOtherBasis>
        <Depreciation>724491</Depreciation>
        <BookValue>407709</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>62897</OtherCostOrOtherBasis>
        <BookValue>62897</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>620400</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>ANNUITY PAYABLE</Description>
        <Amount>80726</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DUE TO AFFILIATE, VNA OF BOSTON FOUNDATION, INC.</Description>
        <Amount>2208103</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DUE TO AFFILIATE, VNA HOSPICE CARE, INC.</Description>
        <Amount>6235560</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>8524389</TotalOfAmounts>
      <TotalRevenue>40618616</TotalRevenue>
      <TotalExpenses>40073956</TotalExpenses>
      <ExcessOrDeficitForYear>544660</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>999170</NetUnrealizedGLOnInvestments>
      <OtherAmount>79498</OtherAmount>
      <TotalAdjustments>1078668</TotalAdjustments>
      <ExcessOrDeficitPerFS>1623328</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>41822988</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>999170</NetUnrealizedGainsInvestments>
      <OtherRevenues>79498</OtherRevenues>
      <RevenueNotRptdF990>1078668</RevenueNotRptdF990>
      <RevenueSubtotal>40744320</RevenueSubtotal>
      <OtherRevenuesNotIncluded>-125704</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>-125704</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>40618616</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>40199660</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>125704</OtherExpensesIncluded>
      <ExpensesNotRptdF990>125704</ExpensesNotRptdF990>
      <ExpensesSubtotal>40073956</ExpensesSubtotal>
      <ExpensesNotRptdOnFinStmt>0</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>40073956</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:</Identifier>
        <ReturnReference>PART X:</ReturnReference>
        <Explanation>THE ORGANIZATION FOLLOWS CURRENT ACCOUNTING STANDARDS FOR 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. THESE PROVISIONS BECAME EFFECTIVE FOR THE ORGANIZATION FOR THE YEAR ENDED DECEMBER 31, 2009 AND THERE WAS NO IMPACT TO THE CONSOLIDATED FINANCIAL STATEMENTS FOR THE ADOPTION OF THIS STANDARD. THE PROVISIONS WERE TO BE APPLIED TO ALL TAX POSITIONS UPON INITIAL APPLICATION OF THIS STANDARD, AND ONLY TAX POSITIONS THAT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD AT THE EFFECTIVE DATE COULD HAVE BEEN RECOGNIZED OR CONTINUED TO BE RECOGNIZED UPON ADOPTION. 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 INCOME FROM DEMUTUALIZATION OF EMPLOYEE BENEFIT PLANS 72,786. NET UNREALIZED LOSS ON PERMANENTLY RESTRICTED ASSETS -2,315. GAIN ON BENEFICIAL INTEREST IN PERPETUAL TRUST 16,254. CHANGES IN PERMANENTLY RESTRICTED NET ASSETS -7,227.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XII, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>RESIDUAL INCOME FROM DEMUTUALIZATION OF EMPLOYEE BENEFIT PLANS 72,786. NET UNREALIZED LOSS ON PERMANENTLY RESTRICTED ASSETS -2,315. GAIN ON BENEFICIAL INTEREST IN PERPETUAL TRUST 16,254. CHANGES IN PERMANENTLY RESTRICTED NET ASSETS -7,227.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XII, LINE 4B - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>FUNDRAISING EXPENSE REPORTED ON FORM 990, PART VIII, LINE 8B -125,704.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XIII, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>FUNDRAISING EXPENSE REPORTED ON FORM 990, PART VIII, LINE 8B 125,704.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <EventsInformation>
        <NameOfEvent1>GALA EVENT</NameOfEvent1>
        <GrossReceiptsEvent1>169242</GrossReceiptsEvent1>
        <GrossRevenueEvent1>169242</GrossRevenueEvent1>
        <RentFacilityCostsEvent1>66235</RentFacilityCostsEvent1>
        <OtherDirectExpensesEvent1>35660</OtherDirectExpensesEvent1>
        <NameOfEvent2>POLAR EXPRESS FESTIVAL</NameOfEvent2>
        <GrossReceiptsEvent2>34949</GrossReceiptsEvent2>
        <GrossRevenueEvent2>34949</GrossRevenueEvent2>
        <RentFacilityCostsEvent2>11807</RentFacilityCostsEvent2>
        <OtherDirectExpensesEvent2>12002</OtherDirectExpensesEvent2>
        <GrossReceiptsTotal>204191</GrossReceiptsTotal>
        <GrossRevenueTotalEvents>204191</GrossRevenueTotalEvents>
        <RentFacilityCostsTotalEvents>78042</RentFacilityCostsTotalEvents>
        <OtherDirectExpensesTotalEvents>47662</OtherDirectExpensesTotalEvents>
        <DirectExpenseSummaryEvents>125704</DirectExpenseSummaryEvents>
        <NetIncomeSummary>78487</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>REYNOLD G SPADONI</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>240327</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>35000</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>16500</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>27565</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>319392</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>H KENNETH MCNULTY</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>157839</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>5673</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>33347</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>25076</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>221935</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>KEREN DIAMOND</NamePerson>
        <BaseCompensationFilingOrg>134857</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>27084</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>28315</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>190256</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>PAUL ALBUSHIES</NamePerson>
        <BaseCompensationFilingOrg>133712</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>32252</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>9931</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>175895</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DAVID DIMATTEO</NamePerson>
        <BaseCompensationFilingOrg>128526</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>31263</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>10273</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>170062</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JOAN HURTON</NamePerson>
        <BaseCompensationFilingOrg>119722</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>1250</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>20308</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>22546</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>163826</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DONNA HOLT</NamePerson>
        <BaseCompensationFilingOrg>120616</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>25095</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>10062</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>155773</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION B, LINE 11</Identifier>
        <Explanation>THE COMPLETED FORM 990 IS REVIEWED BY THE CEO, CFO AND CONTROLLER. THE 990 IS THEN PRESENTED TO THE FINANCE COMMITTEE TO BE REVIEWED AND APPROVED. THE FINANCE COMMITTEE IS MADE UP OF FOUR BOARD MEMBERS WHO HAVE BEEN DETERMINED TO BE FINANCIAL EXPERTS. THE APPROVED 990 WILL BE MADE AVAILABLE TO ALL BOARD MEMBERS AT THE NEXT SCHEDULED BOARD MEETING.</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 AT THEIR ANNUAL REVIEW.</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, VICE PRESIDENT OF FINANCE, VICE PRESIDENT OF OPERATIONS, EXECUTIVE DIRECT OF HOSPICE, EXECUTIVE DIRECTOR OF SENIOR CARE ALTERNATIVES, 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, CONFLICT OF INTEREST POLICY, 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 GAINS ON INVESTMENTS: 999,170. RESIDUAL INCOME FROM DEMUTUALIZATION OF EMPLOYEE BENEFIT PLANS 72,786. NET UNREALIZED LOSS ON PERMANENTLY RESTRICTED ASSETS -2,315. GAIN ON BENEFICIAL INTEREST IN PERPETUAL TRUST 16,254. CHANGES IN PERMANENTLY RESTRICTED NET ASSETS -7,227. TOTAL TO FORM 990, PART XI, LINE 5: 1,078,668.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VII, SECTION A, COLUMN B:</ReturnReference>
        <Explanation>H. KENNETH MCNULTY IS THE CFO &amp; VP OF FINANCE 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>
    </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 RESOURCE 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>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>VNA HOSPICE CARE INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <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>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 7</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>VNA PRIVATE CARE INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>44 WASHINGTON STREET SUITE 100</AddressLine1>
          <City>WELLESLEY HILLS</City>
          <State>MA</State>
          <ZIPCode>02481</ZIPCode>
        </AddressUS>
        <EIN>201916670</EIN>
        <PrimaryActivity>PRIVATE DUTY HOME CARE</PrimaryActivity>
        <LegalDomicileState>MA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <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>1</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>1</SharingOfFacilities>
      <SharingOfPaidEmployees>1</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>1</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>1</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>