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    <Timestamp>2011-11-02T16:19:10-05:00</Timestamp>
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      <Name>MICHAEL A SERLUCO CPA</Name>
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        <CurrentTaxYearMinus1Year>0</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>0</CurrentTaxYear>
        <Total>0</Total>
      </AmtsFromSubstContributors>
      <SupportFromDQPsEtc>
        <CurrentTaxYearMinus4Years>0</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>0</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>0</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>0</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>0</CurrentTaxYear>
        <Total>0</Total>
      </SupportFromDQPsEtc>
      <PublicSupportTotal509>358187990</PublicSupportTotal509>
      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus4Years>904323</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>801264</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>322473</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>208806</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>129330</CurrentTaxYear>
        <Total>2366196</Total>
      </GrossInvestmentIncome509>
      <InvestmentIncomeAndUBTI>
        <CurrentTaxYearMinus4Years>904323</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>801264</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>322473</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>208806</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>129330</CurrentTaxYear>
        <Total>2366196</Total>
      </InvestmentIncomeAndUBTI>
      <OtherIncome509>
        <CurrentTaxYearMinus4Years>454238</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>633433</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>545093</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>574284</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>548141</CurrentTaxYear>
        <Total>2755189</Total>
      </OtherIncome509>
      <TotalSupportTotal>
        <CurrentTaxYearMinus4Years>61936779</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>66895269</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>73249123</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>77733801</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>83494403</CurrentTaxYear>
        <Total>363309375</Total>
      </TotalSupportTotal>
      <PublicSupportPercentage509>0.98590</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.98409</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.00651</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.00804</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <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>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
      <TotalGrassrootsLobbying />
      <TotalDirectLobbying />
      <TotalLobbyingExpenditures />
      <OtherExemptPurposeExpenditures />
      <TotalExemptPurposeExpenditures />
      <LobbyingNontaxableAmount />
      <GrassrootsNontaxableAmount />
      <TotLobbyingGrassrootMinusNonTx />
      <TotLobbyExpendMnsLobbyingNontx />
      <Volunteers>true</Volunteers>
      <PaidStaffOrManagement>true</PaidStaffOrManagement>
      <MediaAdvertisements>false</MediaAdvertisements>
      <MailingsMembers>false</MailingsMembers>
      <PublicationsOrBroadcast>false</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>false</GrantsOtherOrganizations>
      <DirectContactLegislators>true</DirectContactLegislators>
      <DirectContactLegislatorsAmount>0</DirectContactLegislatorsAmount>
      <RalliesDemonstrations>false</RalliesDemonstrations>
      <OtherActivities>false</OtherActivities>
      <TotalLobbyingExpendituresIIB>0</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>false</NotDescribedIn501c3>
      <Form990ScheduleCPartIV>
        <Identifier>SCH C, PART II-B, LINE 1</Identifier>
        <Explanation>THE ORGANIZATION RECEIVES A SUBSTANTIAL PORTION OF ITS REVENUES FROM THE MEDICARE AND MEDICAID PROGRAMS AND FROM GRANTS AND CONTRACTS ISSUED BY FEDERAL, STATE AND LOCAL AGENCIES. THE HEALTH CARE INDUSTRY IS CONTINUALLY SUBJECT TO LEGISLATIVE CHANGES AND ADJUSTMENTS TO GOVERNMENT EXPENDITURES SUPPORTING HEALTH RELATED PROGRAMS. REPRESENTATIVES OF THE ORGANIZATION HAVE PARTICIPATED IN MEETINGS AND DISCUSSIONS WITH APPROPRIATE OFFICIALS ABOUT THE FINANCIAL AND ADMINISTRATIVE IMPACTS OF PROPOSED CHANGES. IN ADDITION, A PORTION OF MEMBERSHIP DUES PAID TO INDUSTRY ASSOCIATIONS BY THE ORGANIZATION ARE RELATED TO LOBBYING ACTIVITIES PERFORMED BY SUCH INDUSTRY ASSOCIATIONS ON BEHALF OF THEIR MEMBERS. THE ORGANIZATION DOES NOT BELIEVE THAT ITS COST FOR THESE ACTIVITIES ARE SUBSTANTIAL WITHIN THE MEANING OF IRC SECTION 501(C)(3).</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmts />
      <HeldWorksOfArtAmts />
      <Land>
        <OtherCostOrOtherBasis>1230002</OtherCostOrOtherBasis>
        <BookValue>1230002</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>9281385</OtherCostOrOtherBasis>
        <Depreciation>1722226</Depreciation>
        <BookValue>7559159</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>3367756</OtherCostOrOtherBasis>
        <Depreciation>747596</Depreciation>
        <BookValue>2620160</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>2157456</OtherCostOrOtherBasis>
        <Depreciation>1816924</Depreciation>
        <BookValue>340532</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>1718262</OtherCostOrOtherBasis>
        <Depreciation>691291</Depreciation>
        <BookValue>1026971</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>12776824</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>DUE FROM AFFILIATES</Description>
        <BookValue>3772611</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>ASSETS WHOSE USE IS LIMITED</Description>
        <BookValue>3154146</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>6926757</TotalBookValueOtherAssets>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>DUE TO THIRD-PARTY PAYORS</Description>
        <Amount>3859835</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>3859835</TotalOfAmounts>
      <TotalRevenue>83409062</TotalRevenue>
      <TotalExpenses>82181792</TotalExpenses>
      <ExcessOrDeficitForYear>1227270</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>325034</NetUnrealizedGLOnInvestments>
      <OtherAmount>205047</OtherAmount>
      <TotalAdjustments>530081</TotalAdjustments>
      <ExcessOrDeficitPerFS>1757351</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>84024484</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>325034</NetUnrealizedGainsInvestments>
      <OtherRevenues>290388</OtherRevenues>
      <RevenueNotRptdF990>615422</RevenueNotRptdF990>
      <RevenueSubtotal>83409062</RevenueSubtotal>
      <TotalRevenuePerForm990>83409062</TotalRevenuePerForm990>
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      <OtherExpensesIncluded>85341</OtherExpensesIncluded>
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      <ExpensesSubtotal>82181792</ExpensesSubtotal>
      <TotalExpensesPerForm990>82181792</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XI, LINE 8</Identifier>
        <Explanation>CHANGE IN PENSION BENEFIT LIABILITY TO BE RECOGNIZED IN FUTURE PERIODS $ 205,047</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XIII, LINE 2D</Identifier>
        <Explanation>LOSS ON SALES OF SECURITIES $ 85,341 (990, PT VIII, LN 7C)</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XII, LINE 2D</Identifier>
        <Explanation>LOSS ON SALES OF SECURITIES $ 85,341 (990, PT VIII, LN 7C) CHANGE IN PENSION BENEFIT LIABILITY TO BE RECOGNIZED IN FUTURE PERIODS $ 205,047 Total $ 290,388</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART X, LINE 2</Identifier>
        <Explanation>THE FOLLOWING REPRESENTS THE FIN 48 (ASC 740) FOOTNOTE DISCLOSURE INCLUDED IN THE COMBINED AUDITED FINANCIAL STATEMENTS OF VISITING NURSE ASSOCIATION HEALTH GROUP, INC. AND AFFILIATES FOR THE YEARS ENDED DECEMBER 31, 2010 AND 2009: HEALTH GROUP AND AFFILIATES, WHICH INCLUDES THE ORGANIZATION, EVALUATE UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC 740 "INCOME TAXES". PURSUANT TO THE GUIDANCE IN THIS ACCOUNTING PRONOUNCEMENT, HEALTH GROUP AND AFFILIATES HAVE DETERMINED THAT NO UNRECOGNIZED TAX BENEFITS EXIST AS OF DECEMBER 31, 2010 AND 2009 AND DOES NOT EXPECT THIS TO CHANGE SIGNIFICANTLY OVER THE NEXT 12 MONTHS.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>true</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>MARY ANN CHRISTOPHER</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>349026</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>72432</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>966</OtherCompensationRelatedOrgs>
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        <TotalCompensationRelatedOrgs>485602</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>KEVIN G ROGERS</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>225742</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>39097</BonusRelatedOrgs>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>DANIEL E MITCHELL</NamePerson>
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        <BonusRelatedOrgs>0</BonusRelatedOrgs>
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        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>8848</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>201117</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>THOMAS G GUERIN</NamePerson>
        <BaseCompensationFilingOrg>173417</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>8816</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>182233</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MARIA VAZ</NamePerson>
        <BaseCompensationFilingOrg>159291</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>10</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>6372</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>165673</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>BEN MAGNO</NamePerson>
        <BaseCompensationFilingOrg>172344</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>12790</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>185134</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MARJORIE FORGANG</NamePerson>
        <BaseCompensationFilingOrg>140305</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>17291</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>976</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>5768</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>17932</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>182272</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MOHAMED A GHARIB</NamePerson>
        <BaseCompensationFilingOrg>153257</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>4311</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>157568</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>PART I, LINE 4B</Identifier>
        <Explanation>OFFICERS OF THE ORGANIZATION PARTICIPATE IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE AMOUNTS BELOW WERE ACCRUED DURING THE YEAR AND ARE REPORTED IN PART II AS DEFERRED COMPENSATION. MARY ANN CHRISTOPHER $45,013 KEVIN G. ROGERS $16,108</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>PART I, LINE 7</Identifier>
        <Explanation>MEMBERS OF THE ORGANIZATION'S SENIOR MANAGEMENT are eligible for A MANAGEMENT INCENTIVE PERFORMANCE (MIP) SALARY ADJUSTMENT. THE MIP IS RECOMMENDED BY THE ORGANIZATION'S COMPENSATION COMMITTEE AND APPROVED BY THE BOARD AFTER CONSIDERATION OF COMPENSATION ARRANGEMENTS PAID BY SIMILARLY SITUATED ORGANIZATIONS FOR SIMILAR SERVICES, COMPENSATION SURVEYS, AND OTHER MATTERS TO DETERMINE THAT NO MORE THAN REASONABLE COMPENSATION IS PAID. THE MIP PAYMENTS ARE REPORTED IN PART II.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>Part VI, SECTION B, Line 15</Identifier>
        <Explanation>VNA HEALTH GROUP, INC. (GROUP), THE SOLE CORPORATE MEMBER OF THE ORGANIZATION, HAS A COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES THAT IS RESPONSIBLE FOR REVIEWING AND APPROVING THE COMPENSATION OF THE CEO AND ALL VICE PRESIDENTS OF THE GROUP AND ITS AFFILIATED ORGANIZATIONS. ON AN ANNUAL BASIS, THIS COMMITTEE REVIEWS THE TOTAL COMPENSATION LEVELS FOR EACH EXECUTIVE. IN ADDITION, INDUSTRY COMPENSATION COMPARISONS ARE MADE BASED UPON DATA PROVIDED BY VARIOUS SOURCES INCLUDING PERIODIC INDEPENDENT THIRD PARTY CONSULTANT REVIEWS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PART VI, SECTION B, LINE 11B</Identifier>
        <Explanation>THE BOARD OF TRUSTEES OF THE ORGANIZATION HAS DELEGATED RESPONSIBILITY FOR REVIEWING THE form 990 TO THE AUDIT and executive committees of the organization. PRIOR TO THE FINAL COMPLETION OF THE FORM, THE AUDIT and executive committees of the organization RECEIVED PROGRESS UPDATES FROM MANAGEMENT. A COPY OF THE FORM 990 WAS REVIEWED BY THE AUDIT AND EXECUTIVE COMMITTEES OF THE ORGANIZATION AND PROVIDED TO THE full BOARD OF TRUSTEES PRIOR TO SUBMISSION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PART VI, SECTION B, LINE 12C</Identifier>
        <Explanation>THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY IN PLACE TO ADDRESS ANY AND ALL CONFLICTS THAT ARISE, ARE REPORTED OR ARE OTHERWISE DISCOVERED. ON AN ANNUAL BASIS, ALL MEMBERS OF THE BOARD OF TRUSTEES ALONG WITH ALL MEMBERS OF THE MANAGEMENT TEAM AND CERTAIN OTHER EMPLOYEES ARE PROVIDED A CURRENT COPY OF THE POLICY AND ARE ALSO REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE. THESE QUESTIONNAIRES ARE REVIEWED BY THE PRESIDENT/CEO AND CHIEF COMPLIANCE OFFICER TO IDENTIFY THE NUMBER, MAGNITUDE AND NATURE OF ALL DISCLOSED CONFLICTS. ANY CONFLICTS ARE THEN REFERRED TO THE BOARD OF TRUSTEES FOR DISCUSSION AND RESOLUTION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PART IV, LINE 28</Identifier>
        <Explanation>Based on the instructions to Form 990, the organization believes that part IV, question 28 can be answered no, and that the organization does not need to complete schedule l, part iv. in the interest of complete disclosure, however, the following information is provided: Daniel J. Messina is a trustee of the Organization. Centrastate Medical Center, a section 501(c)(3) Organization, was paid $295,936 by the Organization for Medical and other Services in 2010. Daniel Messina is the Chief operating officer of Centrastate healthcare system, inc., an affiliate of centrastate medical center. Kenneth w. faistl, m.d., is a trustee of the organization. Kenneth Faistl is on the board of trustees of centrastate medical center, a section 501(c)(3) organization. the organization paid an amount of $295,936 to centrastate medical center for medical and other services in 2010. Dr. Faistl also maintains a private medical practice called "family practice of central jersey". family practice of central jersey was paid $29,581 for medical and other services in 2010 by the organization. alfred glover is a trustee of the organization. Saint Peter's University Hospital, a section 501(c)(3) organization was paid $30,600 by the organization for rent in 2010. Alfred Glover was the president of Saint Peter's university hospital during 2010. Raimonda Clark was a trustee of the organization during 2010. Bayshore Healthcare Center, a section 501(c)(3) organization, was paid $253,722 by the organization for medical services in 2010. Raimonda Clark was the President and chief executive officer of bayshore community hospital, an affiliate of bayshore healthcare center during 2010.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PART VI, SECTION C, LINE 19</Identifier>
        <Explanation>THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS OF THE ORGANIZATION ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST, ON A DISCRETIONARY BASIS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PART VI, SECTION A, LINES 2, 6, 7A &amp; 7B</Identifier>
        <Explanation>VISITING NURSE ASSOCIATION HEALTH GROUP, INC. (GROUP) IS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION. AS SUCH, THE GROUP ELECTS MEMBERS OF THE GOVERNING BODY OF THE ORGANIZATION AND APPROVES DECISIONS OF THE GOVERNING BODY. CERTAIN MEMBERS OF THE GOVERNING BODY ARE OFFICERS, TRUSTEES OR CONSULTANTS OF OTHER HEALTH CARE ORGANIZATIONS AND MAY HAVE BUSINESS RELATIONSHIPS AMONG THEMSELVES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PART XI, LINE 5</Identifier>
        <ReturnReference>OTHER CHANGES IN NET ASSETS</ReturnReference>
        <Explanation>NET UNREALIZED GAIN ON INVESTMENTS $325,034 CHANGE IN PENSION BENEFIT LIABILITY TO BE RECOGNIZED IN FUTURE PERIODS 205,047 TOTAL $530,081</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PART VI, SECTION A, LINE 3</Identifier>
        <Explanation>THE ORGANIZATION HAS ENTERED INTO A MANAGEMENT SERVICES AGREEMENT WITH VISITING NURSE ASSOCIATION HEALTH GROUP, INC. TO PERFORM CERTAIN MANAGEMENT DUTIES. SUCH SERVICES INCLUDE, AMONG OTHER ITEMS, THE PREPARATION OF ANNUAL BUDGETS; THE EXECUTION AND IMPLEMENTATION OF ALL POLICIES AND DIRECTIVES OF THE BOARD OF TRUSTEES; THE ESTABLISHMENT OF RATES AND CHARGES FOR SERVICES RENDERED; THE MAINTENANCE OF ALL PROPER AND APPROPRIATE BOOKS AND RECORDS REGARDING THE BUSINESS AND OPERATIONS; THE PAYMENT OF ALL BILLS FOR SERVICES RENDERED TO THE ORGANIZATION; THE ISSUANCE OF ALL BILLS FOR SERVICES RENDERED; THE PROVISION OF ALL GENERAL ADMINISTRATIVE SERVICES; THE PROPER MAINTENANCE AND IMPLEMENTATION OF ALL NECESSARY AND APPROPRIATE PAYROLL AND HUMAN RESOURCE RECORDS; THE PROVISION OF FINANCIAL AND OTHER REPORTS WITH RESPECT TO THE OPERATIONS OF THE ORGANIZATION; AND THE TIMELY PREPARATION AND SUBMISSION OF COST REPORTS, TAX RETURNS AND OTHER SUCH FILINGS AND SUBMISSIONS AS MAY BE REQUIRED UNDER APPLICABLE LAW.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:MARY ANN CHRISTOPHER TITLE:PRESIDENT/CEO HOURS:60</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:KEVIN G. ROGERS TITLE:VICE PRESIDENT/CFO HOURS:60</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>VNA OF CENTRAL JERSEY FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>176 RIVERSIDE AVENUE</AddressLine1>
          <City>RED BANK</City>
          <State>NJ</State>
          <ZIPCode>07701</ZIPCode>
        </AddressUS>
        <EIN>222500031</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>NJ</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>VNA HEALTH GROUP INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>176 RIVERSIDE AVENUE</AddressLine1>
          <City>RED BANK</City>
          <State>NJ</State>
          <ZIPCode>07701</ZIPCode>
        </AddressUS>
        <EIN>222500029</EIN>
        <PrimaryActivities>SUPPORT ORG</PrimaryActivities>
        <LegalDomicileState>NJ</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MCOSS VENTURES INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>176 RIVERSIDE AVENUE</AddressLine1>
          <City>RED BANK</City>
          <State>NJ</State>
          <ZIPCode>07701</ZIPCode>
        </AddressUS>
        <EIN>222873804</EIN>
        <PrimaryActivities>SUPPORT ORG</PrimaryActivities>
        <LegalDomicileState>NJ</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>VNA OF CENTRAL JERSEY PERSONAL CARE INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>176 RIVERSIDE AVENUE</AddressLine1>
          <City>RED BANK</City>
          <State>NJ</State>
          <ZIPCode>07701</ZIPCode>
        </AddressUS>
        <EIN>223186929</EIN>
        <PrimaryActivities>HOME HEALTH</PrimaryActivities>
        <LegalDomicileState>NJ</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>VNA OF CENTRAL JERSEY PROPERTIES INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>176 RIVERSIDE AVENUE</AddressLine1>
          <City>RED BANK</City>
          <State>NJ</State>
          <ZIPCode>07701</ZIPCode>
        </AddressUS>
        <EIN>223385863</EIN>
        <PrimaryActivities>HOLDING CO</PrimaryActivities>
        <LegalDomicileState>NJ</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>VISITING NURSE AND HOMEMAKER SVCS INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>204 CREEK CROSSING BLVD</AddressLine1>
          <City>HAINESPORT</City>
          <State>NJ</State>
          <ZIPCode>08036</ZIPCode>
        </AddressUS>
        <EIN>210723671</EIN>
        <PrimaryActivities>HOME HEALTH</PrimaryActivities>
        <LegalDomicileState>NJ</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ROBERT WOOD JOHNSON VISITING NURSES INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>972 SHOPPES BLVD</AddressLine1>
          <City>NO BRUNSWICK</City>
          <State>NJ</State>
          <ZIPCode>08902</ZIPCode>
        </AddressUS>
        <EIN>263659270</EIN>
        <PrimaryActivities>HOME HEALTH</PrimaryActivities>
        <LegalDomicileState>NJ</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CAPE VISITING NURSE ASSOCIATIONINC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1940 ROUTE 9 NORTH</AddressLine1>
          <City>SWAINTON</City>
          <State>NJ</State>
          <ZIPCode>08210</ZIPCode>
        </AddressUS>
        <EIN>800612629</EIN>
        <PrimaryActivities>HOME HEALTH</PrimaryActivities>
        <LegalDomicileState>NJ</LegalDomicileState>
        <ExemptCodeSection>APPLIED FOR</ExemptCodeSection>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>true</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>true</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>true</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>