﻿<?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>2011-11-04T15:37:45-05:00</Timestamp>
    <TaxPeriodEndDate>2010-12-31</TaxPeriodEndDate>
    <PreparerFirm>
      <PreparerFirmBusinessName>
        <BusinessNameLine1>BRAD BORBIDGE PA</BusinessNameLine1>
      </PreparerFirmBusinessName>
      <PreparerFirmUSAddress>
        <AddressLine1>197 LOUDON ROAD STE 350</AddressLine1>
        <City>CONCORD</City>
        <State>NH</State>
        <ZIPCode>03301</ZIPCode>
      </PreparerFirmUSAddress>
    </PreparerFirm>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2010-01-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>042176769</EIN>
      <Name>
        <BusinessNameLine1>PARMENTER VNA AND COMMUNITY CARE INC</BusinessNameLine1>
      </Name>
      <NameControl>PARM</NameControl>
      <Phone>5083583000</Phone>
      <USAddress>
        <AddressLine1>266 COCHITUATE ROAD</AddressLine1>
        <City>WAYLAND</City>
        <State>MA</State>
        <ZIPCode>01778</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>CYNTHIA MAYHER</Name>
      <Title>CHIEF EXECUTIVE OFFICER</Title>
      <Phone>5083583000</Phone>
      <DateSigned>2011-11-10</DateSigned>
      <AuthorizeThirdParty>1</AuthorizeThirdParty>
    </Officer>
    <Preparer>
      <Name>DIMITRIOS PANACOPOULOS CPA</Name>
      <Phone>6032240849</Phone>
    </Preparer>
    <TaxYear>2010</TaxYear>
    <BuildTS>2016-03-07 17:11:31Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="5">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <NameOfPrincipalOfficerPerson>CYNTHIA MAYHER</NameOfPrincipalOfficerPerson>
      <AddressPrincipalOfficerUS>
        <AddressLine1>266 COCHITUATE ROAD</AddressLine1>
        <City>WAYLAND</City>
        <State>MA</State>
        <ZIPCode>01778</ZIPCode>
      </AddressPrincipalOfficerUS>
      <GrossReceipts>4833453</GrossReceipts>
      <GroupReturnForAffiliates>0</GroupReturnForAffiliates>
      <Organization501c3>X</Organization501c3>
      <WebSite>WWW.PARMENTER.ORG</WebSite>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <YearFormation>1949</YearFormation>
      <StateLegalDomicile>MA</StateLegalDomicile>
      <ActivityOrMissionDescription>PARMENTER COMMUNITY HEALTH PROVIDES ALL RESIDENTS OF OUR COMMUNITY WITH EXCEPTIONAL HOME CARE, HOSPICE AND SUPPORTIVE SERVICES ENABLING OUR CLIENTS TO MAINTAIN OR IMPROVE THEIR CURRENT LEVELS OF FUNCTION IN THE FACE OF DISEASE DISABILITY OR THE AGING PROCESS. FURTHERMORE, WE ENABLE THE DYING AND THEIR FAMILES TO FACE THE END OF LIFE WITH COMFORT AND DIGNITY.</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>18</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>18</NbrIndependentVotingMembers>
      <TotalNbrEmployees>85</TotalNbrEmployees>
      <TotalNbrVolunteers>130</TotalNbrVolunteers>
      <TotalGrossUBI>0</TotalGrossUBI>
      <NetUnrelatedBusinessTxblIncome>0</NetUnrelatedBusinessTxblIncome>
      <ContributionsGrantsPriorYear>610077</ContributionsGrantsPriorYear>
      <ContributionsGrantsCurrentYear>833172</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenuePriorYear>3663764</ProgramServiceRevenuePriorYear>
      <ProgramServiceRevenueCY>3605914</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>411896</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>394367</InvestmentIncomeCurrentYear>
      <OtherRevenuePriorYear>0</OtherRevenuePriorYear>
      <OtherRevenueCurrentYear>0</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>4685737</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>4833453</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsPriorYear>0</GrantsAndSimilarAmntsPriorYear>
      <GrantsAndSimilarAmntsCY>0</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersPriorYear>0</BenefitsPaidToMembersPriorYear>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcPriorYear>3037370</SalariesEtcPriorYear>
      <SalariesEtcCurrentYear>3199402</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpPriorYear>0</TotalProfFundrsngExpPriorYear>
      <TotalProfFundrsngExpCY>0</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>112638</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>1075864</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>1229469</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>4113234</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>4428871</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>572503</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>404582</RevenuesLessExpensesCY>
      <TotalAssetsBOY>3673246</TotalAssetsBOY>
      <TotalAssetsEOY>4278398</TotalAssetsEOY>
      <TotalLiabilitiesBOY>467000</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>667570</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>3206246</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>3610828</NetAssetsOrFundBalancesEOY>
      <InfoInScheduleOPartIII>X</InfoInScheduleOPartIII>
      <MissionDescription>PARMENTER COMMUNITY HEALTH PROVIDES ALL RESIDENTS OF OUR COMMUNITY WITH EXCEPTIONAL HOME CARE, HOSPICE AND SUPPORTIVE SERVICES ENABLING OUR CLIENTS TO MAINTAIN OR IMPROVE THEIR CURRENT LEVELS OF FUNCTION IN THE FACE OF DISEASE DISABILITY OR THE AGING PROCESS. FURTHERMORE, WE ENABLE THE DYING AND THEIR FAMILES TO FACE THE END OF LIFE WITH COMFORT AND DIGNITY.</MissionDescription>
      <SignificantNewProgramServices>0</SignificantNewProgramServices>
      <SignificantChange>0</SignificantChange>
      <Expense>3340368</Expense>
      <Revenue>3605914</Revenue>
      <Description>TO PROVIDE HOME HEALTH, HOSPICE, AND OTHER HEALTHCARE RELATED SERVICES TO THE RESIDENTS OF WAYLAND MASSACHUSETTS AND ITS SURROUNDING COMMUNITIES.</Description>
      <TotalProgramServiceExpense>3340368</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">1</TermOrPermanentEndowments>
      <ReportLandBldgEquip referenceDocumentId="RetDoc1040000001">1</ReportLandBldgEquip>
      <ReportInvestOthSecurities referenceDocumentId="RetDoc1040000001">0</ReportInvestOthSecurities>
      <ReportProgRelInvest referenceDocumentId="RetDoc1040000001">0</ReportProgRelInvest>
      <ReportOtherAssets referenceDocumentId="RetDoc1040000001">1</ReportOtherAssets>
      <ReportOtherLiabilities referenceDocumentId="RetDoc1040000001">1</ReportOtherLiabilities>
      <ReportFin48Footnote referenceDocumentId="RetDoc1040000001">1</ReportFin48Footnote>
      <IndependentAuditFinancialStmt referenceDocumentId="RetDoc1040000001">1</IndependentAuditFinancialStmt>
      <ConsolidatedAuditFinancialStmt referenceDocumentId="RetDoc1040000001">0</ConsolidatedAuditFinancialStmt>
      <School>0</School>
      <ForeignOffice>0</ForeignOffice>
      <ForeignActivities>0</ForeignActivities>
      <MoreThan5000KToOrganizations>0</MoreThan5000KToOrganizations>
      <MoreThan5000KToIndividuals>0</MoreThan5000KToIndividuals>
      <ProfessionalFundraising>0</ProfessionalFundraising>
      <FundraisingActivities>0</FundraisingActivities>
      <Gaming>0</Gaming>
      <Hospital>0</Hospital>
      <GrantsToOrganizations>0</GrantsToOrganizations>
      <GrantsToIndividuals>0</GrantsToIndividuals>
      <ScheduleJRequired>0</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>0</DisregardedEntity>
      <RelatedEntity>0</RelatedEntity>
      <RelatedOrgControlledEntity>0</RelatedOrgControlledEntity>
      <TransactionRelatedEntity>0</TransactionRelatedEntity>
      <TransfersToExemptNonChrtblOrg>0</TransfersToExemptNonChrtblOrg>
      <ActivitiesConductedPartnership>0</ActivitiesConductedPartnership>
      <ScheduleORequired>1</ScheduleORequired>
      <NumberFormsTransmittedWith1096>25</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <ComplianceWithBackupWitholding>1</ComplianceWithBackupWitholding>
      <NumberOfEmployees>85</NumberOfEmployees>
      <EmploymentTaxReturnsFiled>1</EmploymentTaxReturnsFiled>
      <UnrelatedBusinessIncome>0</UnrelatedBusinessIncome>
      <ForeignFinancialAccount>0</ForeignFinancialAccount>
      <ProhibitedTaxShelterTrans>0</ProhibitedTaxShelterTrans>
      <TaxablePartyNotification>0</TaxablePartyNotification>
      <NonDeductibleContributions>0</NonDeductibleContributions>
      <QuidProQuoContributions>1</QuidProQuoContributions>
      <QuidProQuoDisclosure>1</QuidProQuoDisclosure>
      <Form8282PropertyDisposedOf>0</Form8282PropertyDisposedOf>
      <FundsToPayPremiums>0</FundsToPayPremiums>
      <PremiumsPaid>0</PremiumsPaid>
      <IndoorTanningServices>0</IndoorTanningServices>
      <InfoInScheduleOPartVI>X</InfoInScheduleOPartVI>
      <NbrVotingGoverningBodyMembers>18</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>18</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>
        <NameBusiness>
          <BusinessNameLine1>CASSANDRA PERFETTI</BusinessNameLine1>
        </NameBusiness>
        <TelephoneNumber>5083583000</TelephoneNumber>
        <AddressUS>
          <AddressLine1>266 COCHITUATE ROAD</AddressLine1>
          <City>WAYLAND</City>
          <State>MA</State>
          <ZIPCode>01778</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <Form990PartVIISectionA>
        <NamePerson>THOMAS SELLDORF</NamePerson>
        <Title>BOARD MEMBER</Title>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>STUART HAMILTON</NamePerson>
        <Title>PRESIDENT</Title>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MICHAEL HALLORAN</NamePerson>
        <Title>TREASURER</Title>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>LLOYD RAPOPORT</NamePerson>
        <Title>BOARD MEMBER</Title>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>KAREN BACK MD</NamePerson>
        <Title>BOARD MEMBER</Title>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ANTOINETTE HAYS</NamePerson>
        <Title>BOARD MEMBER</Title>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>NED CULVER</NamePerson>
        <Title>BOARD MEMBER</Title>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>V WILLIAM EFTHIM</NamePerson>
        <Title>BOARD MEMBER</Title>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>TOM TRAVERS</NamePerson>
        <Title>BOARD MEMBER</Title>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MARILYN WALTERS</NamePerson>
        <Title>VICE PRESIDENT</Title>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ISRAEL HURWITZ MD</NamePerson>
        <Title>BOARD MEMBER</Title>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ROBERT JOHNSON</NamePerson>
        <Title>BOARD MEMBER</Title>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>PHYLLIS KAUFMAN</NamePerson>
        <Title>CLERK</Title>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>NANCY CARAPEZZA</NamePerson>
        <Title>BOARD MEMBER</Title>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>CATHERINE NICHOLSON</NamePerson>
        <Title>BOARD MEMBER</Title>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>RUTH CHAMBERLAIN</NamePerson>
        <Title>BOARD MEMBER</Title>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>GEORGE NORTON</NamePerson>
        <Title>BOARD MEMBER</Title>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>VIRGINIA HOWARD</NamePerson>
        <Title>BOARD MEMBER</Title>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>CYNTHIA MAYHER</NamePerson>
        <Title>CHIEF EXECUTIVE OFFICER</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>112279</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>2904</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>CASSANDRA PERFETTI</NamePerson>
        <Title>CHIEF FINANCIAL OFFICER</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>110489</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>2378</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>222768</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>0</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>5282</TotalOtherCompensation>
      <NumberIndividualsGT100K>2</NumberIndividualsGT100K>
      <FormersListed>0</FormersListed>
      <TotalCompGT150K>0</TotalCompGT150K>
      <CompensationFromOtherSources>0</CompensationFromOtherSources>
      <NumberOfContractorsGT100K>0</NumberOfContractorsGT100K>
      <GovernmentGrants>51347</GovernmentGrants>
      <AllOtherContributions>781825</AllOtherContributions>
      <TotalContributions>833172</TotalContributions>
      <ProgramServiceRevenue>
        <Description>HOME HEALTH SERVICES</Description>
        <BusinessCode>621610</BusinessCode>
        <TotalRevenueColumn>3605914</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>3605914</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>3605914</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>119006</TotalRevenueColumn>
        <ExclusionAmount>119006</ExclusionAmount>
      </InvestmentIncome>
      <GrossAmountSalesAssets>
        <Securities>275361</Securities>
      </GrossAmountSalesAssets>
      <GainOrLoss>
        <Securities>275361</Securities>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>275361</TotalRevenueColumn>
        <ExclusionAmount>275361</ExclusionAmount>
      </NetGainOrLossInvestments>
      <TotalRevenue>
        <TotalRevenueColumn>4833453</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>3605914</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>394367</ExclusionAmount>
      </TotalRevenue>
      <CompCurrentOfficersDirectors>
        <Total>228050</Total>
        <ManagementAndGeneral>228050</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <OtherSalariesAndWages>
        <Total>2522674</Total>
        <ProgramServices>2059431</ProgramServices>
        <ManagementAndGeneral>393498</ManagementAndGeneral>
        <Fundraising>69745</Fundraising>
      </OtherSalariesAndWages>
      <OtherEmployeeBenefits>
        <Total>229043</Total>
        <ProgramServices>171805</ProgramServices>
        <ManagementAndGeneral>51285</ManagementAndGeneral>
        <Fundraising>5953</Fundraising>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>219635</Total>
        <ProgramServices>164748</ProgramServices>
        <ManagementAndGeneral>49308</ManagementAndGeneral>
        <Fundraising>5579</Fundraising>
      </PayrollTaxes>
      <FeesForServicesLegal>
        <Total>4397</Total>
        <ManagementAndGeneral>4397</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>32500</Total>
        <ManagementAndGeneral>32500</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesOther>
        <Total>244397</Total>
        <ProgramServices>192988</ProgramServices>
        <ManagementAndGeneral>51409</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>45296</Total>
        <ProgramServices>33977</ProgramServices>
        <ManagementAndGeneral>11319</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>32716</Total>
        <ProgramServices>24540</ProgramServices>
        <ManagementAndGeneral>8176</ManagementAndGeneral>
      </OfficeExpenses>
      <Occupancy>
        <Total>195404</Total>
        <ProgramServices>146573</ProgramServices>
        <ManagementAndGeneral>48831</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>77937</Total>
        <ProgramServices>73300</ProgramServices>
        <ManagementAndGeneral>4637</ManagementAndGeneral>
      </Travel>
      <ConferencesMeetings>
        <Total>18066</Total>
        <ProgramServices>13551</ProgramServices>
        <ManagementAndGeneral>4515</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>2148</Total>
        <ProgramServices>1611</ProgramServices>
        <ManagementAndGeneral>537</ManagementAndGeneral>
      </Interest>
      <DepreciationDepletion>
        <Total>109227</Total>
        <ProgramServices>81931</ProgramServices>
        <ManagementAndGeneral>27296</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>22332</Total>
        <ProgramServices>16751</ProgramServices>
        <ManagementAndGeneral>5581</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>PROGRAM SUPPLIES</Description>
        <Total>195495</Total>
        <ProgramServices>195495</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>TELEPHONE</Description>
        <Total>155311</Total>
        <ProgramServices>116499</ProgramServices>
        <ManagementAndGeneral>38812</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>FUNDRAISING</Description>
        <Total>31361</Total>
        <Fundraising>31361</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>OTHER EXPENSES</Description>
        <Total>28219</Total>
        <ProgramServices>21167</ProgramServices>
        <ManagementAndGeneral>7052</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>PRINTING AND PUBLICATIO</Description>
        <Total>23221</Total>
        <ProgramServices>17418</ProgramServices>
        <ManagementAndGeneral>5803</ManagementAndGeneral>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>11442</Total>
        <ProgramServices>8583</ProgramServices>
        <ManagementAndGeneral>2859</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>4428871</Total>
        <ProgramServices>3340368</ProgramServices>
        <ManagementAndGeneral>975865</ManagementAndGeneral>
        <Fundraising>112638</Fundraising>
      </TotalFunctionalExpenses>
      <SavingsAndTempCashInvestments>
        <BOY>179765</BOY>
        <EOY>23554</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
        <BOY>492350</BOY>
        <EOY>411905</EOY>
      </AccountsReceivable>
      <PrepaidExpensesDeferredCharges>
        <BOY>19640</BOY>
        <EOY>15265</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>2538300</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>1676695</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>323333</BOY>
        <EOY>861605</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>233585</BOY>
        <EOY>385369</EOY>
      </InvestmentsPubTradedSecurities>
      <OtherAssetsTotal>
        <BOY>2424573</BOY>
        <EOY>2580700</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>3673246</BOY>
        <EOY>4278398</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>301958</BOY>
        <EOY>463524</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>131408</BOY>
        <EOY>117794</EOY>
      </DeferredRevenue>
      <MortNotesPyblSecuredInvestProp>
        <EOY>52000</EOY>
      </MortNotesPyblSecuredInvestProp>
      <OtherLiabilities>
        <BOY>33634</BOY>
        <EOY>34252</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>467000</BOY>
        <EOY>667570</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>781673</BOY>
        <EOY>1030128</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>105859</BOY>
        <EOY>261486</EOY>
      </TemporarilyRestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>2318714</BOY>
        <EOY>2319214</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>3206246</BOY>
        <EOY>3610828</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>3673246</BOY>
        <EOY>4278398</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>404582</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>0</ReconcilationOtherChanges>
      <InfoInScheduleOPartXII>X</InfoInScheduleOPartXII>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2>X</PubliclySupportedOrg509a2>
      <GiftsGrantsContribReceived509>
        <CurrentTaxYearMinus4Years>1081188</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>1412298</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>814072</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>610077</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>833172</CurrentTaxYear>
        <Total>4750807</Total>
      </GiftsGrantsContribReceived509>
      <GrossReceiptsFromAdmissions>
        <CurrentTaxYearMinus4Years>4038568</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>3878214</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>3799837</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>3663764</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>3605914</CurrentTaxYear>
        <Total>18986297</Total>
      </GrossReceiptsFromAdmissions>
      <Total509>
        <CurrentTaxYearMinus4Years>5119756</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>5290512</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>4613909</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>4273841</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>4439086</CurrentTaxYear>
        <Total>23737104</Total>
      </Total509>
      <AmtsRecdFromDisqualPersons>
        <CurrentTaxYearMinus2Years>49126</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>20000</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>90306</CurrentTaxYear>
        <Total>159432</Total>
      </AmtsRecdFromDisqualPersons>
      <AmtsFromSubstContributors>
        <Total>0</Total>
      </AmtsFromSubstContributors>
      <SupportFromDQPsEtc>
        <CurrentTaxYearMinus2Years>49126</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>20000</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>90306</CurrentTaxYear>
        <Total>159432</Total>
      </SupportFromDQPsEtc>
      <PublicSupportTotal509>23577672</PublicSupportTotal509>
      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus4Years>76583</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>142096</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>119209</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>91002</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>119006</CurrentTaxYear>
        <Total>547896</Total>
      </GrossInvestmentIncome509>
      <InvestmentIncomeAndUBTI>
        <CurrentTaxYearMinus4Years>76583</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>142096</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>119209</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>91002</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>119006</CurrentTaxYear>
        <Total>547896</Total>
      </InvestmentIncomeAndUBTI>
      <TotalSupportTotal>
        <CurrentTaxYearMinus4Years>5196339</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>5432608</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>4733118</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>4364843</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>4558092</CurrentTaxYear>
        <Total>24285000</Total>
      </TotalSupportTotal>
      <PublicSupportPercentage509>0.97090</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.97630</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.02260</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.01940</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <CurrentYear>
        <BeginningOfYearBalance>2184010</BeginningOfYearBalance>
        <Contributions>500</Contributions>
        <InvestmentEarningsOrLosses>172989</InvestmentEarningsOrLosses>
        <EndOfYearBalance>2357499</EndOfYearBalance>
      </CurrentYear>
      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>1642607</BeginningOfYearBalance>
        <Contributions>180131</Contributions>
        <InvestmentEarningsOrLosses>361272</InvestmentEarningsOrLosses>
        <EndOfYearBalance>2184010</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <CurrentYearMinus2Years>
        <BeginningOfYearBalance>1902720</BeginningOfYearBalance>
        <Contributions>292915</Contributions>
        <InvestmentEarningsOrLosses>-553028</InvestmentEarningsOrLosses>
        <EndOfYearBalance>1642607</EndOfYearBalance>
      </CurrentYearMinus2Years>
      <PermanentEndowmentEOYBalance>1.00000</PermanentEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>0</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>0</EndowmentsHeldByRelatedOrgs>
      <Land>
        <OtherCostOrOtherBasis>74366</OtherCostOrOtherBasis>
        <BookValue>74366</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>1266637</OtherCostOrOtherBasis>
        <Depreciation>592536</Depreciation>
        <BookValue>674101</BookValue>
      </Buildings>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>1197297</OtherCostOrOtherBasis>
        <Depreciation>1084159</Depreciation>
        <BookValue>113138</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>861605</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>ASSETS LIMITED AS TO USE</Description>
        <BookValue>2580700</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>2580700</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>DUE TO THIRD PARTY PAYERS</Description>
        <Amount>34252</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>34252</TotalOfAmounts>
      <TotalRevenue>4833453</TotalRevenue>
      <TotalExpenses>4428871</TotalExpenses>
      <ExcessOrDeficitForYear>404582</ExcessOrDeficitForYear>
      <TotalAdjustments>0</TotalAdjustments>
      <ExcessOrDeficitPerFS>404582</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>4657395</TotRevenueEtcAuditedFinclStmt>
      <RevenueNotRptdF990>0</RevenueNotRptdF990>
      <RevenueSubtotal>4657395</RevenueSubtotal>
      <OtherRevenuesNotIncluded>176058</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>176058</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>4833453</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>4252813</TotExpensesEtcAuditedFinclStmt>
      <ExpensesNotRptdF990>0</ExpensesNotRptdF990>
      <ExpensesSubtotal>4252813</ExpensesSubtotal>
      <OtherExpensesNotIncluded>176058</OtherExpensesNotIncluded>
      <ExpensesNotRptdOnFinStmt>176058</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>4428871</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:</Identifier>
        <ReturnReference>PART V, LINE 4:</ReturnReference>
        <Explanation>RESTRICTED BY THE DONOR TO BE MAINTAINED BY THE ASSOCIATION IN PERPETUITY</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Explanation>PART XII 4.B. AND PART XIII 4.B. - FUNDRAISING EXPENSE NETTED AGAINST INCOME.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Explanation>FORM 990. PART IV, LINE 11F. THE ASSOCIATION IS A PUBLIC CHARITY UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS A PUBLIC CHARITY, THE ASSOCIATION IS EXEMPT FROM STATE AND FEDERAL INCOME TAXES ON INCOME EARNED IN ACCORDANCE WITH THEIR TAX EXEMPT PURPOSE. UNRELATED BUSINESS INCOME IS SUBJECT TO STATE AND FEDERAL INCOME TAX. MANAGEMENT HAS EVALUATED THE ASSOCIATION'S TAX POSITION AND CONCLUDED THAT THERE IS NO UNRELATED BUSINESS INCOME OR UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION B, LINE 11</Identifier>
        <Explanation>THE CEO REVIEWS BEFORE SIGNING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>THE ORGANIZATION MONITORS THE POLICY THROUGH THE YEARLY DISCLOSURE FORM,</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>CEO IS REVIEWED BY A COMMITTEE OF THE BOARD OF TRUSTEES. KEY EMPLOYEES ARE SUBJECT TO A YEARLY PERFORMANCE REIVEW PROCESS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990. PART XII, LINE 2C.</ReturnReference>
        <Explanation>NO CHANGE FROM PRIOR YEAR.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990. PART IV, LINE 11F</ReturnReference>
        <Explanation>THE ASSOCIATION IS A PUBLIC CHARITY UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS A PUBLIC CHARITY, THE ASSOCIATION IS EXEMPT FROM STATE AND FEDERAL INCOME TAXES ON INCOME EARNED IN ACCORDANCE WITH THEIR TAX EXEMPT PURPOSE. UNRELATED BUSINESS INCOME IS SUBJECT TO STATE AND FEDERAL INCOME TAX. MANAGEMENT HAS EVALUATED THE ASSOCIATION'S TAX POSITION AND CONCLUDED THAT THERE IS NO UNRELATED BUSINESS INCOME OR UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>