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        <FormAndLineReferenceDesc>Schedule D, Part X, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>FIN 48 DISCLOSURE VNS CHOICE WAS INCLUDED IN THE VNS CHOICE AND SUBSIDIARY FINANCIAL STATEMENT AUDIT WITH VNS CHOICE COMMUNITY CARE AND THE FOLLOWING STATEMENT IS FROM THE VNS CHOICE AND SUBSIDIARY AUDITED FINANCIAL STATEMENTS. VNS Choice and its subsidiary have been determined by the Internal Revenue Service to be organizations described in Internal Revenue Code (the Code) Section 501(c)(3), and therefore are exempt from Federal income taxes on related income pursuant to Section 501(a) of the Code. VNSNY Choice recognizes income tax positions when it is more-likely than-not that the position will be sustainable based on the merits of the position. Management has concluded that there are no material uncertain tax positions or tax liabilities that need to be recorded as of December 31, 2017 and 2016. H.R. 1, originally known as the Tax Cuts and Jobs Act (the Act), was signed into law on December 22, 2017. The Act contains various provisions affecting not-for-profit entities. Tax-exempt entities are impacted in part by the inclusion of a new excise tax on excess compensation for covered employees and changes to unrelated business income. The Acts provisions may also impact donor incentives for charitable giving. Management of VNS CHOICE's preliminary assessment is that there is no impact on the consolidated financial statements as of December 31 2017 but is currently assessing the overall impact of the Act and its impact on the consolidated financial statements, including for 2018.</ExplanationTxt>
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        <PersonNm>CHRISTOPHER T OLIVIA MD</PersonNm>
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        <PersonNm>HANY ABDELAAL</PersonNm>
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        <PersonNm>DINA SOROKA</PersonNm>
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        <PersonNm>JOHN MURTHA</PersonNm>
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        <PersonNm>JAMES SWEENEY</PersonNm>
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        <PersonNm>NANCY VITALE</PersonNm>
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        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>SEVERANCE PAYMENT JOHN MURTHA - VNS CHOICE AGREED TO PAY JOHN MURTHA 52 WEEKS OF SALARY AT THE TIME OF SEPARATION FROM VNSNY IN JULY 2017. THE TOTAL AMOUNT PAID IN 2017 WAS $145,961.56. THE BALANCE OF THE SEVERANCE DUE WILL BE PAID IN 2018. SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL RETIREMENT PLAN HANY ABDELAAL: $66,000 (INCLUDED IN PART II, COLUMN B(III))</ExplanationTxt>
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        <ExplanationTxt>DURING THE TAX YEAR, EMPLOYEES OF THE ORGANIZATION WERE PAID NON-FIXED BONUSES BASED ON PERFORMANCE. THESE BONUSES ARE PROPERTY DISCLOSED ON SCHEDULE J, PART II, COLUMN (B)(II).</ExplanationTxt>
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        <ExplanationTxt>(A) NAME OF PERSON: SUSAN UNDERWOOD (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: SUSAN UNDERWOOD IS A FAMILY MEMBER OF BETTY M. GROSS - DIRECTOR. (C) DESCRIPTION OF TRANSACTION: SUSAN UNDERWOOD'S EMPLOYMENT WITH VNS CHOICE COMMUNITY CARE PREDATES BETTY M. GROSS' SERVICES AS A DIRECTOR.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part I, Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>BRIEF DESCRIPTION OF ORGANIZATION MISSION The mission of VNS Choice, as an affiliate, IS TO HELP ENROLLEES CONTINUE TO LIVE INDEPENDENTLY IN THEIR OWN HOMES AND COMMUNITIES; PROMOTE CHOICE IN HEALTH AND LONG TERM CARE AND TO PROVIDE INNOVATIVE HEALTH AND LONG TERM CARE SOLUTIONS THAT ARE BENEFICIAL, COST EFFECTIVE, AND SERVE EACH ENROLLEE'S NEEDS.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part III, Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Description of organization mission HELP MEMBERS CONTINUE TO LIVE INDEPENDENTLY IN THEIR OWN HOME AND COMMUNITIES FOR AS LONG AS POSSIBLE; PROMOTE CHOICE IN HEALTH AND LONG TERM CARE BY DIRECTLY INVOLVING MEMBERS IN THEIR CARE, AND BY OFFERING A WIDE RANGE OF FLEXIBLE SERVICES TO MEET MEMBERS' NEEDS; AND PROVIDE INNOVATIVE HEALTH AND LONG TERM CARE SOLUTIONS THAT ARE BENEFICIAL, COST EFFECTIVE, AND SERVE EACH MEMBER'S NEEDS. VNS CHOICE SHARES THE EMBEDDED VALUES OF MAINTAINING INDEPENDENCE AND DIGNITY THROUGH CHOICE WITH VNSNY AND ITS RELATED 501(C)(3) CORPORATIONS AND RECEIVES SIGNIFICANT ASSISTANCE FROM VNSNY FOR ITS PROGRAMS. THIS ASSISTANCE INCLUDES GRANTS OF PHILANTHROPIC DOLLARS (MONIES FROM DONORS AND FROM VNSNY'S OWN RESERVES) FOR ITS CHARITABLE INITIATIVES. IN 2017, VNSNY AND ITS AFFILIATES - TOGETHER WITH ITS GENEROUS SUPPORTERS AND COMMUNITY PARTNERS - PROVIDED OVER $47 MILLION IN CHARITABLE CARE AND COMMUNITY BENEFITS PROGRAMS. THESE WIDE-RANGING PROGRAMS IMPROVED THE LIVES OF TENS OF THOUSANDS OF NEW YORKERS, YOUNG AND OLD, AND PROVIDED FREE AND DISCOUNTED DIRECT HOME CARE SERVICES TO MORE THAN 8,500 UNDER- AND UNINSURED INDIVIDUALS. (SEE VNSNY FORM 990 FOR COMPLETE LIST OF CHARITABLE PROGRAMS.)</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III - PROGRAM SERVICE, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>VNS CHOICE, A MANAGED CARE ORGANIZATION LICENSED UNDER ARTICLE 44 OF THE NEW YORK STATE HEALTH LAWS, OPERATES A MANAGED LONG-TERM CARE ("MLTC") AND MLTC PLUS PROGRAMS. IT IS A CAPITATED MEDICAID PROGRAM THAT ARRANGES FOR AND MANAGES INDIVIDUALLY TAILORED CARE FOR MEDICAID-ELIGIBLES WHO WISH TO LIVE AT HOME BUT BECAUSE OF MULTIPLE CLINICAL DIAGNOSES NEED DAY-TO-DAY ASSISTANCE. ONE OF THE LARGEST MLTC PROGRAM IN NEW YORK STATE, VNS CHOICE HAS OVER 14,381 MEMBERS AND SERVES ALL BOROUGHS OF NEW YORK CITY PLUS NASSAU, SUFFOLK, WESTCHESTER, DUTCHESS, ORANGE, ROCKLAND, SULLIVAN, ULSTER AND PUTNAM COUNTIES. VNS CHOICE MLTC EXPANDED ITS SERVICE AREA IN 2013 TO UPSTATE NEW YORK AND NOW HAS ENROLLMENT IN MULTIPLE COUNTIES, INCLUDING: ALBANY, COLUMBIA, ERIE, GREENE, MONROE, MONTGOMERY, RENSSELAER, SARATOGA, SCHNECTADY, SCHOHARIE, WARREN, WASHINGTON, ONEIDA, AND ONONDAGA COUNTIES. FORM 990, PART III - PROGRAM SERVICE, LINE 4D FULLY INTEGRATED DUAL ADVANTAGE: IN 2015, VNS CHOICE, A MANAGED CARE ORGANIZATION LICENSED UNDER ARTICLE 44 OF THE NEW YORK STATE HEALTH LAWS, STARTED OPERATING AN INTEGRATED MEDICARE ADVANTAGE/MEDICAID MANAGED LONG-TERM CARE PLAN ALSO KNOWN AS FULLY INTEGRATED DUAL ADVANTAGE(FIDA), WHICH PROVIDES HEALTH COVERAGE TO INDIVIDUALS WHO ARE ELIGIBLE FOR BOTH MEDICARE AND MLTC BENEFITS. FIDA SERVES ALL 5 BOROUGHS OF NYC AND HAS OVER 1,437 ENROLLEES.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>VNS CONTINUING CARE DEVELOPMENT CORPORATION IS THE SOLE CORPORATE MEMBER.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBER MAY ELECT THE DIRECTORS.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>VNS CONTINUING CARE DEVELOPMENT CORPORATION IS THE SOLE CORPORATE MEMBER. THE MEMBER HOLDS ANNUAL MEETINGS TO ELECT THE DIRECTORS, AND THE MEMBER MAY TAKE ACTION AS REQUIRED OR PERMITTED UNDER THE ORGANIZATION'S BYLAWS OR UNDER ANY PROVISION OF LAW.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AUDIT COMMITTEE OF VNSNY AND ITS AFFILIATED ORGANIZATIONS REVIEWED THE FORM 990. A COMPLETE COPY OF THE ORGANIZATION'S FINAL FORM 990, INCLUDING ALL REQUIRED SCHEDULES, AS ULTIMATELY FILED WITH THE IRS, WAS PROVIDED TO EACH VOTING MEMBER OF THE BOARD BEFORE ITS FILING WITH THE IRS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE TAXPAYER DOES NOT HAVE A SEPERATE POLICY BUT HAS ADOPTED THE POLICIES AND PROCEDURES OF VNSNY. THE PROCEDURES UNDERTAKEN AT THE VNSNY LEVEL ARE DESCRIBED BELOW. THE CHIEF AND PRIVACY COMPLIANCE OFFICER REVIEWS THE DISCLOSURE STATEMENTS COMPLETED ANNUALLY BY EACH OFFICER, DIRECTOR, AND KEY EMPLOYEE, AND CONSULTS WITH THE EXECUTIVE VICE PRESIDENT, GENERAL COUNSEL &amp; CHIEF RISK OFFICER AS APPROPRIATE. ANY POTENTIAL CONFLICTS ARE VETTED WITH THE CEO, EXECUTIVE VICE PRESIDENT, GENERAL COUNSEL &amp; CHIEF RISK OFFICER AND, AS APPROPRIATE, THE CHAIR OF THE BOARD. SPECIFIC FOLLOW-UP ACTION IS TAKEN ON A CASE-BY-CASE BASIS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Lines 13 &amp; 14</FormAndLineReferenceDesc>
        <ExplanationTxt>THE TAXPAYER DOES NOT HAVE A SEPARATE WHISTLEBLOWER OR DOCUMENT RETENTION AND DESTRUCTION POLICY, BUT DOES FOLLOW THE POLICIES AND PROCEDURES OF VNSNY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A &amp; 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE TAXPAYER DOES NOT HAVE A SEPERATE POLICY BUT HAS ADOPTED THE POLICIES AND PROCEDURES OF VNSNY. THE PROCEDURES UNDERTAKEN AT THE VNSNY LEVEL ARE DESCRIBED BELOW. VNSNY REVIEWS ITS OVERALL EXECUTIVE COMPENSATION PROGRAM ON A PERIODIC BASIS. THE LAST COMPREHENSIVE REVIEW TOOK PLACE IN 2016. THE PROCESS FOR DETERMINING THE INDIVIDUAL COMPENSATION LEVELS OF VNSNY'S TOP MANAGEMENT, INCLUDING THE CEO, AND ALL OFFICERS MEETS THE THREE REQUIREMENTS OF THE REBUTTABLE PRESUMPTION UNDER TREAS. REG. 53.4958-6. A COMPENSATION COMMITTEE IS APPOINTED BY THE BOARD OF DIRECTORS FOR THE PURPOSE OF ASSISTING THE BOARD TO FULFILL ITS RESPONSIBILITY TO VNSNY AND THE COMMUNITY TO ENSURE THE COMPENSATION IS IN ACCORDANCE WITH VNSNY'S POLICIES. THE COMMITTEE IS COMPRISED OF FOUR DIRECTORS WHO ARE INDEPENDENT OF MANAGEMENT AND VNSNY AND FREE OF ANY CONFLICTS OF INTEREST THAT WOULD INTERFERE WITH THEIR EXERCISE OF INDEPENDENT JUDGMENT. PRIOR TO MAKING COMPENSATION DECISIONS, THE COMMITTEE OBTAINS AND RELIES UPON APPROPRIATE DATA AS TO COMPARABILITY. THE COMMITTEE RETAINS AN INDEPENDENT COMPENSATION CONSULTANT AND UTILIZES LOCAL AND NATIONAL COMPENSATION SURVEYS TO ASSIST IN SETTING COMPENSATION LEVELS. THE COMPENSATION COMMITTEE ADEQUATELY AND ON A TIMELY BASIS DOCUMENTS THE BASIS FOR SETTING COMPENSATION WITH THE MAKING OF THE DETERMINATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>DOCUMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER CHANGES IN NET ASSETS OR FUND BALANCE FAMILY CARE SERVICES PAYABLE WRITE-OFF $ (4,245)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:CONTRACTED HHA/HA PROVIDERS TOTAL FEES:XXX-XX-XXXX</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:CONTRACTED HEALTH SVC PROVIDER TOTAL FEES:XXX-XX-XXXX</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:OTHER PROFESSIONAL SERVICES TOTAL FEES:42474417</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:TEMPORARY HELP TOTAL FEES:1250155</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Visiting Nurse Service of New York</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>220 EAST 42ND STREET 6TH FLOOR</AddressLine1Txt>
          <CityNm>New York</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10017</ZIPCd>
        </USAddress>
        <EIN>133189926</EIN>
        <PrimaryActivitiesTxt>home health</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12,III-FI</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>na</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VISITING NURSE SVC OF NY Home Care II</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>220 EAST 42ND STREET 6TH FLOOR</AddressLine1Txt>
          <CityNm>new york</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10017</ZIPCd>
        </USAddress>
        <EIN>131624211</EIN>
        <PrimaryActivitiesTxt>home health</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>vnsny</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VNS Continuing Care Development Corp</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>220 EAST 42ND STREET 6TH FLOOR</AddressLine1Txt>
          <CityNm>new york</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10017</ZIPCd>
        </USAddress>
        <EIN>133974198</EIN>
        <PrimaryActivitiesTxt>lt care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12,III-FI</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>vnsny</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VNS CHOICE Community Care</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>220 EAST 42ND STREET 6TH FLOOR</AddressLine1Txt>
          <CityNm>New York</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10017</ZIPCd>
        </USAddress>
        <EIN>320053323</EIN>
        <PrimaryActivitiesTxt>home &amp; commu.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VNS Choice</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Visiting Nurse Svc of Ny Hospice care</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>220 EAST 42ND STREET 6TH FLOOR</AddressLine1Txt>
          <CityNm>new york</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10017</ZIPCd>
        </USAddress>
        <EIN>300006817</EIN>
        <PrimaryActivitiesTxt>hospice care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>vnsny</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>New Partners Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>220 EAST 42ND STREET 6TH FLOOR</AddressLine1Txt>
          <CityNm>New York</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10017</ZIPCd>
        </USAddress>
        <EIN>133885148</EIN>
        <PrimaryActivitiesTxt>home health</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>vnsny</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Family Care Services Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>220 EAST 42ND STREET 6TH FLOOR</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10017</ZIPCd>
        </USAddress>
        <EIN>133213081</EIN>
        <PrimaryActivitiesTxt>home health</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VNSNY</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>VNS CHOICE COMMUNITY CARE</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>928894</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>VNS CHOICE COMMUNITY CARE</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>990803</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
