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      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
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    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmountsGrp />
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        <Desc>RESTRICTED ESCROW FUND</Desc>
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      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO AFFILIATES</Desc>
        <Amt>190044511</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED MEDICAL CLAIMS</Desc>
        <Amt>99610226</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>3RD PARTY PAYABLE</Desc>
        <Amt>1596927</Amt>
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      <TotalLiabilityAmt>291251664</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part X, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>FIN 48 DISCLOSURE VNSNY CHOICE WAS INCLUDED IN THE VNS CHOICE AND SUBSIDIARY FINANCIAL STATEMENT AUDIT WITH VNSNY CHOICE COMMUNITY CARE AND THE FOLLOWING STATEMENT IS FROM THE VNS CHOICE AND SUBSIDIARY AUDITED FINANCIAL STATEMENTS. VNSNY 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 tax liabilities that need to be recorded as of December 31, 2015 and 2014.</ExplanationTxt>
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      <CompensationCommitteeInd>X</CompensationCommitteeInd>
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        <PersonNm>MARY ANN CHRISTOPHER</PersonNm>
        <TitleTxt>PRESIDENT &amp; CHIEF EXEC OFFICER</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <PersonNm>HANY ABDELAAL</PersonNm>
        <TitleTxt>PRESIDENT (AS OF 2/21/15)</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHRISTOPHER PALMIERI</PersonNm>
        <TitleTxt>PRESIDENT (THROUGH 1/1/15)</TitleTxt>
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        <BonusFilingOrganizationAmount>132651</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>63048</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>5060</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>200759</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ERIC PRICE</PersonNm>
        <TitleTxt>SVP &amp; GM (THROUGH 1/16/2015)</TitleTxt>
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        <OtherCompensationFilingOrgAmt>49314</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>8780</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>6421</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>188762</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DINA SOROKA</PersonNm>
        <TitleTxt>VP, FINANCE, HEALTH PLANS</TitleTxt>
        <BaseCompensationFilingOrgAmt>272651</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5931</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>300761</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MAZIN FARRAJ</PersonNm>
        <TitleTxt>VP, MEDICARE MARKET DEV.</TitleTxt>
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        <BonusFilingOrganizationAmount>24480</BonusFilingOrganizationAmount>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>302691</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LISA GEORGE</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR, HEALTH PLANS</TitleTxt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RUBEN MERCEDES</PersonNm>
        <TitleTxt>SR. COMM LIAISON, MEDICARE ADV</TitleTxt>
        <BaseCompensationFilingOrgAmt>73422</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1050</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>12917</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>257279</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ARIK OLSON</PersonNm>
        <TitleTxt>LD. MED DIR. (THROUGH 4/17/15)</TitleTxt>
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        <PersonNm>BARRY WASHINGTON</PersonNm>
        <TitleTxt>SR. COMM LIAISON, MEDICARE ADV</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>600</OtherCompensationFilingOrgAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>SEVERANCE PAYMENTS MARY ANN CHIRSTOPHER: VNSNY AGREED TO PAY MARY ANN CHRISTOPHER TWELVE (12) MONTHS OF FULL SALARY PLUS AN ADDITIONAL $250,000 (MINUS ANY EXTERNAL EARNINGS MS. CHRISTOPHER MAY HAVE EARNED BETWEEN 12/15 AND 5/16), PAYABLE OVER SIX (6) MONTHS BEGINNING IN 12/15. IN ADDITION, MS. CHRISTOPHER WILL RECEIVE FIVE (5) PAYMENTS OF $41,667 (MINUS ANY EXTERNAL EARNINGS MS. CHRISTOPHER MAY HAVE EARNED BETWEEN 1/16 AND 5/16) TO BE PAID IN 2016. TOTAL AMOUNT PAID IN 2015 WAS $754,290. REGINA HAWKEY: VNSNY AGREED TO PAY REGINA HAWKEY NINE (9) MONTHS OF SALARY AT THE TIME OF SEPARATION FROM VNSNY. SIX (6) MONTHS TO BE PAID IN 2015 AND THREE (3) MONTHS TO BE PAID IN 2016. TOTAL AMOUNT PAID IN 2015 WAS $173,908.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>SUPPLEMENTAL RETIREMENT PLAN HANY ABDELAAL: $95,888 CHRISTOPHER PALMIERI: $63,048 REGINA HAWKEY: $44,358</ExplanationTxt>
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    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>SUSAN UNDERWOOD</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DAUGHTER OF E. GROSS</RelationshipDescriptionTxt>
        <TransactionAmt>182459</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:</FormAndLineReferenceDesc>
        <ExplanationTxt>(A) NAME OF PERSON: SUSAN UNDERWOOD (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: SUSAN UNDERWOOD IS A FAMILY MEMBER OF E. GROSS - DIRECTOR. (D) DESCRIPTION OF TRANSACTION: SUSAN UNDERWOOD'S EMPLOYMENT WITH VNSNY CHOICE COMMUNITY CARE PREDATES BETSY GROSS' SERVICES AS A DIRECTOR.</ExplanationTxt>
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    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part I, Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Description of Organization Mission VNSNY's choice mission, as an affiliate of Visiting Nurse Service of New York ("VNSNY"), 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>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <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. It 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 2015, VNSNY and its affiliates provided $19 million in charitable care and community benefit services. (see VNSNY Form 990 for complete list of charitable programs.)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III - PROGRAM SERVICE, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>VNSNY CHOICE, A MANAGED CARE ORGANIZATION LICENSED UNDER ARTICLE 44 OF THE NEW YORK STATE HEALTH LAWS, OPERATES A MANAGED LONG-TERM CARE ("MLTC") PROGRAM. 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, VNSNY CHOICE HAS OVER 13,900 MEMBERS AND SERVES ALL BOROUGHS OF NEW YORK CITY PLUS NASSAU, SUFFOLK, WESTCHESTER, DUTCHESS, ORANGE, ROCKLAND, SULLIVAN, ULSTER AND PUTNAM COUNTIES. VNSNY 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III - PROGRAM SERVICE, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>VNSNY CHOICE, A MANAGED CARE ORGANIZATION LICENSED UNDER ARTICLE 44 OF THE NEW YORK STATE HEALTH LAWS, OPERATES A MEDICARE ADVANTAGE SPECIAL NEEDS PLAN (VNSNY CHOICE MEDICARE), FOCUSED ON CARE MANAGEMENT OF PEOPLE ELIGIBLE FOR BOTH MEDICARE AND MEDICAID AND A MEDICARE PLAN FOR BENEFICIARIES WHO DO NOT QUALIFY FOR MEDICAID. VNSNY CHOICE MEDICARE SERVES ALL 5 BOROUGHS OF NYC NASSAU, SUFFOLK, AND WESTCHESTER, AS WELL AS UPSTATE COUNTIES OF RENSSELAER, SARATOGA AND SCHNECTADY AND HAS OVER 17,200 ENROLLEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III - PROGRAM SERVICE, LINE 4C</FormAndLineReferenceDesc>
        <ExplanationTxt>IN 2012, VNSNY CHOICE, A MANAGED CARE ORGANIZATION LICENSED UNDER ARTICLE 44 OF THE NEW YORK STATE HEALTH LAWS, ACQUIRED A MEDICAID HIV SPECIAL NEEDS PLAN (VNSNY CHOICE SELECTHEALTH). VNSNY CHOICE SELECTHEALTH SERVES 3,900 ENROLLEES DIAGNOSED WITH HIV AND AIDS, AS WELL AS THEIR DEPENDENT CHILDREN (REGARDLESS OF HIV STATUS) WHO RESIDE IN NEW YORK CITY. IT PROVIDES A FULL RANGE OF MEDICAID-COVERED SERVICES TO THE ENROLLEES, INCLUDING COMPREHENSIVE MEDICAL CARE, PERSONAL CARE SERVICES, AND PRESCRIPTION DRUGS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III - PROGRAM SERVICE, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>IN 2015, VNSNY CHOICE, A MANAGED CARE ORGANIZATION LICENSED UNDER ARTICLE 44 OF THE NEW YORK STATE HEALTH LAWS, OPERATES 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 2,400 ENROLLEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>RONALD VANCE BEGAN HIS TERM AS CHIEF OPERATING OFFICER IN THE BEGINNING OF 2015. RONALD VANCE IS A MANAGING DIRECTOR WITH ALVAREZ &amp; MARSAL, AND HIS SERVICES AS CHIEF OPERATING OFFICER WERE PROVIDED PURSUANT TO A CONTRACT WITH ALVAREZ &amp; MARSAL. VNS CHOICE HAD A PRIOR BUSINESS RELATIONSHIP WITH ALVAREZ &amp; MARSAL THAT PRECEDED RONALD VANCE'S APPOINTMENT AS CHIEF OPERATING OFFICER. RONALD VANCE RECUSED HIMSELF FROM ANY DISCUSSIONS THAT THE MANAGEMENT OF VNS CHOICE HAD REGARDING CONTRACTS WITH ALVAREZ &amp; MARSAL. IN 2015, ALVAREZ &amp; MARSAL WAS PAID $966,355 FOR THE SERVICES PROVIDED BY RONALD VANCE AS CHIEF OPERATING OFFICER OF VNS CHOICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>VNS CONTINUING CARE DEVELOPMENT CORPORATION IS THE SOLE CORPORATE MEMBER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBER MAY ELECT THE DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <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>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AUDIT COMMITTEE OF VNSNY AND ITS AFFILIATED ORGANIZATIONS REVIEWED THE FORM 990. THE FORM 990 WAS MADE AVAILABLE TO THE BOARD OF DIRECTORS AND DISCUSSED AT A VNSNY BOARD MEETING. 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>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE TAXPAYER DOES NOT HAVE A SEPERATE POLICY BUT DOES FOLLOW THE POLICIES AND PROCEDURES OF VNSNY. THE PROCEDURES UNDERTAKEN AT THE VNSNY LEVEL ARE DESCRIBED BELOW. THE COMPLIANCE OFFICER REVIEWS THE DISCLOSURE STATEMENTS COMPLETED ANNUALLY BY EACH OFFICER, DIRECTOR, AND KEY EMPLOYEE, AND CONSULTS WITH THE SENIOR VICE PRESIDENT FOR LEGAL AND GOVERNMENT AFFAIRS AS APPROPRIATE. ANY POTENTIAL CONFLICTS ARE VETTED WITH THE CEO, SENIOR VICE PRESIDENT FOR LEGAL AND GOVERNMENT AFFAIRS AND, AS APPROPRIATE, THE CHAIRMAN. SPECIFIC FOLLOW-UP ACTION IS TAKEN ON A CASE-BY-CASE BASIS AS NECESSARY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Lines 13 &amp;14</FormAndLineReferenceDesc>
        <ExplanationTxt>THE TAXPAYER DOES NOT HAVE A SEPERATE 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 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE TAXPAYER DOES NOT HAVE A SEPERATE POLICY BUT DOES FOLLOW 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 2014. 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 6 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 IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:NON PIC HHA VENDORS TOTAL FEES:XXX-XX-XXXX</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:PIC TOTAL FEES:XXX-XX-XXXX</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:PHARMACY TOTAL FEES:XXX-XX-XXXX</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:HOSPITAL INPATIENT FACILITY TOTAL FEES:XXX-XX-XXXX</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:SNF/NURSING HOME TOTAL FEES:96950016</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:PHYSICIANS ON CONTRACT TOTAL FEES:31248456</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:TRANSPORT PATIENT NONEMERGENCY TOTAL FEES:26429980</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:HOME HEALTH CARE TOTAL FEES:20229660</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:OTHER TOTAL FEES:XXX-XX-XXXX</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Visiting Nurse Service of New York</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>5 Penn Plaza Fl 12</AddressLine1Txt>
          <CityNm>New York</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10001</ZIPCd>
        </USAddress>
        <EIN>133189926</EIN>
        <PrimaryActivitiesTxt>home health</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11,III-FI</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>na</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VISITING NURSE SVC OF NY Home Care II</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>5 Penn Plaza Fl 12</AddressLine1Txt>
          <CityNm>new york</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10001</ZIPCd>
        </USAddress>
        <EIN>131624211</EIN>
        <PrimaryActivitiesTxt>home health</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>9</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>vnsny</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VNS Continuing Care Development Corp</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>5 Penn Plaza Fl 12</AddressLine1Txt>
          <CityNm>new york</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10001</ZIPCd>
        </USAddress>
        <EIN>133974198</EIN>
        <PrimaryActivitiesTxt>supp. lt care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11,III-FI</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>vnsny</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VNS CHOICE Community Care</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>5 Penn Plaza Fl 12</AddressLine1Txt>
          <CityNm>New York</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10001</ZIPCd>
        </USAddress>
        <EIN>320053323</EIN>
        <PrimaryActivitiesTxt>home &amp; commu.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>9</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VNS Choice</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Visiting Nurse Svc of Ny Hospice care</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>5 Penn Plaza Fl 12</AddressLine1Txt>
          <CityNm>new york</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10001</ZIPCd>
        </USAddress>
        <EIN>300006817</EIN>
        <PrimaryActivitiesTxt>hospice care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>9</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>vnsny</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>New Partners Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>5 Penn Plaza Fl 12</AddressLine1Txt>
          <CityNm>New York</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10001</ZIPCd>
        </USAddress>
        <EIN>133885148</EIN>
        <PrimaryActivitiesTxt>home health</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>9</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>vnsny</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Family Care Services Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>355 East 149 St</AddressLine1Txt>
          <CityNm>Bronx</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10455</ZIPCd>
        </USAddress>
        <EIN>133213081</EIN>
        <PrimaryActivitiesTxt>home health</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>9</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>38688410</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>VNS CHOICE COMMUNITY CARE</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>1237626</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
