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        <ReturnReference>PART X:</ReturnReference>
        <Explanation>THE SYSTEM HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. PERIODS ENDING DECEMBER 31, 2007 AND SUBSEQUENT REMAIN SUBJECT TO EXAMINATION BY APPLICABLE TAXING AUTHORITIES.</Explanation>
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        <BonusFilingOrg>113300</BonusFilingOrg>
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        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
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        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
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      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 7</ReturnReference>
        <Explanation>MARY JANE GIGATTI RECEIVED A BONUS OF $100,000 APPROVED BY THE BOARD OF DIRECTORS.</Explanation>
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    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 4</Identifier>
        <Explanation>THE BYLAWS WERE REVISED ON DECEMBER 21, 2010. THE REVISED BY-LAWS CLARIFIED THAT VISITING NURSE REGIONAL HEALTH CARE SYSTEM, INC.("VNR") IS TO BE ORGANIZED TO SOLELY BENEFIT VISITING NURSE ASSOCIATION OF BROOKLYN, INC., EMPIRE STATE HOME CARE SERVICES, INC. AND BROOKLYN VISITING NURSE FOUNDATION, INC AND THAT VNR HAS THE POWER TO SOLICIT GRANTS AND CONTRIBUTIONS AND MAINTAIN PROPERTY FOR ANY CORPORATE PURPOSES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION B, LINE 11</Identifier>
        <Explanation>DRAFTS OF THE COMPLETED RETURNS ARE REVIEWED BY SENIOR FINANCE STAFF. ANY COMMENTS ARISING FROM THEIR REVIEW ARE DISCUSSED AND IF REQUIRED, CHANGES ARE MADE TO THE DRAFT. THAT DRAFT WILL BE SUBMITTED TO AN AD HOC SUBCOMMITTEE OF THE BOARD FOR ITS REVIEW AND APROVAL. ONCE THE AD HOC SUBCOMMITTEE HAS COMPLETED ITS REVIEW COPIES OF THE RETURNS WILL BE PROVIDED TO ALL BOARD MEMBERS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>ALL BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES ARE REQUIRED TO FILL OUT A NEW CONFLICT OF INTEREST FORM BY THE ANNUAL SPRING BOARD MEETING. THESE FORMS ARE THEN REVIEWED BY THE COMPLIANCE OFFICER TO ENSURE THAT ANY CONFLICTS OF INTEREST IF APPLICABLE ARE MONITORED. IF A CONFLICT EXISTS, THE PERSON HAVING THE CONFLICT WILL LEAVE OR NOT PARTICIPATE IN DISCUSSION OR DECISIONS INVOLVING THE CONFLICT.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>THE COMPENSATION PACKAGE WILL BE APPROVED ONLY UPON A FINDING THAT THE TOTAL COMPENSATION TO BE PAID TO THE INDIVIDUAL WILL CONSTITUTE NO MORE THAN REASONABLE COMPENSATION FOR SERVICES RENDERED. THE COMPENSATION PACKAGE WILL BE APPROVED IN ADVANCE BY A BODY OF AT LEAST THREE DIRECTORS, NOT INCLUDING THE INDIVIDUAL IN QUESTION, AND NONE OF WHOM ARE AFFILITATED WITH THE INDIVIDUAL IN QUESTION. REASONABLE COMPENSATION IS DETERMINED BY COMPARING THE PAY RATES THAT WERE USED BY SIMILAR NOT FOR PROFIT HOME HEALTH AGENCIES. THE PROCESS APPLIES TO THE CEO, CFO AND SENIOR VP OF CLINICAL OPERATIONS POSITIONS. THIS PROCESS WAS LAST PERFORMED ON JANUARY 1, 2008.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 18</ReturnReference>
        <Explanation>THE ORGANIZATION MAKES ITS FORM 1023 AND 990 AVAILABLE TO THE PUBLIC UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.</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: 1,077,512.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART XII, LINE 2C</ReturnReference>
        <Explanation>THE ORGANIZATION HAS AN AUDIT COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ALLOCATION OF HOURS TO RELATED ENTITIES</Identifier>
        <ReturnReference>FORM 990, PART VII, PART 1</ReturnReference>
        <Explanation>MARY JANE GIGATTI, CEO TOTAL: 3 HOURS PER NANCY O'CONNOR, CFO TOTAL: 3 HOURS PER WEEK THOMAS ALBERTO, CHAIRMAN TOTAL: 3 HOURS PER WEEK MICHAEL TAUNTON, TREASURER TOTAL: 1 HOUR PER WEEK IDA CLARK, SECRETARY TOTAL: 2 HOURS PER WEEK THOMAS MANNING, BOARD MEMBER TOTAL: 1 HOUR PER WEEK STANLEY FRIEDMAN, MD, BOARD MEMBER TOTAL: 2 HOURS PER WEEK THOMAS LAWLOR, BOARD MEMBER TOTAL: 2 HOURS PER WEEK HON. MICHAEL PESCE, BOARD MEMBER TOTAL: 2 HOURS PER WEEK TARA CORTES, BOARD MEMBER TOTAL: 2 HOURS PER WEEK</Explanation>
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          <City>BROOKLYN</City>
          <State>NY</State>
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        <PrimaryActivities>HOME HEALTH CARE</PrimaryActivities>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>EMPIRE STATE HOME CARE SERVICES INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>15 METROTECH CENTER</AddressLine1>
          <City>BROOKLYN</City>
          <State>NY</State>
          <ZIPCode>11201</ZIPCode>
        </AddressUS>
        <EIN>113618585</EIN>
        <PrimaryActivities>HOME HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>BROOKLYN VISITING NURSE FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>15 METROTECH CENTER</AddressLine1>
          <City>BROOKLYN</City>
          <State>NY</State>
          <ZIPCode>11201</ZIPCode>
        </AddressUS>
        <EIN>113312248</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11B,TYPE II</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>0</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>1</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>1</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>1</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>0</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>0</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>0</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>