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Exhibit 10.29
 CERTIFICATION
 OF
COMPLIANCE AGREEMENT
 BETWEEN
 THE OFFICE OF INSPECTOR GENERAL
 OF THE
 DEPARTMENT OF HEALTH AND HUMAN SERVICES
 AND
 CORAM, INC. AND CORAM ALTERNATE SITE SERVICES, INC.
 I. PREAMBLE
   II. INTEGRITY REQUIREMENTS
  Continued Implementation of Compliance Program
   Page 1 of 15




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Reporting of Overpayments 60 30 30
 Reportable Events
        Page 2 of 15




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Notification of Government Investigation or Legal Proceedings
 Annual Reporting Requirements
 
       Page 3 of 15




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Notifications and Submission of Annual Reports
  
  
  
  
   Page 4 of 15




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OIG Inspection Audit, and Review Rights
 Document and Record Retention
 III. Breach and Default Provisions
  Stipulated Penalties for Failure to Comply with Certain Obligations
     Page 5 of 15




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1
    
     1
    
    Annual training is not required for part-time or per diem employees, contractors,
subcontractors, agents and other persons who are not reasonably expected to work for Coram more
than 160 hours per year. Such individuals shall be required to receive the compliance training,
however, at the point when they work more than 160 hours during the calendar year.   Page 6 of 15




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1. Demand Letter.
 2. Response to Demand Letter. (ALJ)
 3. Form of Payment.
 4. Independence from Material Breach Determination.
   Page 7 of 15




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Definition of Material Breach.
    2. Notice of Material Breach and Intent to Exclude.
 Opportunity to Cure.
    (i)
    
    Coram has begun to take action to cure the material breach;(ii)
    
    Coram is pursuing such action with due diligence; and(iii)
    
    Coram has provided to OIG a reasonable timetable for curing
the material breach.
 4. Exclusion Letter.
   Page 8 of 15




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Review Rights.
 Stipulated Penalties Review.
 Exclusion Review.
     Page 9 of 15




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Finality of Decision.
 IV. EFFECTIVE AND BINDING AGREEMENT
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ON BEHALF OF CORAM, INC.
 /S/
    
    8/21/07Margaret F. BrownCorporate Compliance OfficerSenior Vice President, Quality, Ethics and Compliance/S/
    
    8/21/07Jonathan L. Diesenhaus,HOGAN& HARTSON, LLPCOUNSEL FOR CORAM, INC.
 ON BEHALF OF THE OFFICE OF INSPECTOR GENERAL
OF THE DEPARTMENT OF HEALTH AND HUMAN SERVICES
 /S/
    
    8/21/07GREGORY E. DEMSKEAssistant Inspector General for Legal AffairsOffice of Inspector GeneralUnited States Department of Health and Human Services
   Page 11 of 15




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Appendix A
DECLARATION
  1. Compliance Budget.
 2. Compliance Officer.
 3. Compliance Committee.
 4. Code of Conduct. 2
   Page 12 of 15




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5. Compliance Policies and Procedures.
 6. Compliance Training. 3
 2
    
    Certification need not be required of part-time or per diem employees, contractors,
subcontractors, agents and other persons who are not reasonably expected to work for Coram more
than 160 hours per year. Such individuals shall be required to receive the compliance training,
however, at the point when they work more than 160 hours during the calendar year.3
    
    Annual training is not required for part-time or per diem employees, contractors, subcontractors,
agents and other persons who are not reasonably expected to work for Coram more than 160 hours per
year. Such individuals shall be required to receive the compliance training, however, at the point
when they work more than 160 hours during
the calendar year.   Page 13 of 15




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Auditing and Monitoring
 Disclosure Program.
   Page 14 of 15




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9. Exclusion Checks. 4
 4
    
    An Ineligible Person is an individual or entity who: (i) is currently excluded, debarred,
suspended, or otherwise ineligible to participate in the Federal health care programs or in Federal
procurement or non-procurement programs; or (ii) has been convicted of a criminal offense that
falls within the ambit of 42 U.S.C. 51320a-7(a), but has not yet been excluded, debarred,
suspended, or otherwise declared ineligible.   st
 /S/Margaret F. BrownCorporate Compliance OfficerSenior Vice President, Quality, Ethics andComplianceCoram, Inc.
   Page 15 of 15