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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>SEVERANCE PAYMENTS MARY ANN CHRISTOPHER: 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>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART 1, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>SUPPLEMENTAL RETIREMENT PLAN MARKI FLANNERY: $30,300 (PAID FOR BY RELATED ORGANIZATION - VISITING NURSE SERVICE OF NEW YORK) SAMUEL HELLER: $55,631 (PAID FOR BY RELATED ORGANIZATION - VISITING NURSE SERVICE OF NEW YORK) REGINA HAWKEY: $44,358 (PAID FOR BY RELATED ORGANIZATION - VISITING NURSE SERVICE OF NEW YORK)</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part I, line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>THE VISITING NURSE SERVICE OF NEW YORK (VNSNY) FOCUSES ON PROMOTING THE HEALTH AND WELL-BEING OF PATIENTS AND FAMILIES BY PROVIDING HIGH-QUALITY, COST-EFFECTIVE HEALTH CARE TO VULNERABLE INDIVIDUALS IN THEIR HOMES AND COMMUNITIES. VNSNY IS COMMITTED TO SERVING COMMUNITIES IN NEED, SUCH AS THOSE WITH HIGH MEDICAID PENETRATION AND NEIGHBORHOODS THAT ARE HOME TO THE UNDER- OR UNINSURED. IN OUR HISTORIC ROLE AS A SAFETY NET PROVIDER, WE ADDRESS THE COMPREHENSIVE CARE NEEDS OF VULNERABLE POPULATIONS, HELPING, AMONG OTHER THINGS, TO KEEP THEM OUT OF HOSPITALS, BECOME MORE EFFECTIVE AND NURSING PARENTS, AGE IN PLACE SUCCESSFULLY, GET APPROPRIATE TREATMENT FOR BEHAVIORAL HEALTH AND MENTAL HEALTH ISSUES, AND SELF-MANAGE CHRONIC MEDICAL CONDITIONS. IN 2015, VNSNY PROVIDED $19 MILLION IN CHARITABLE CARE AND COMMUNITY BENEFIT, WHICH INCLUDED $9.4 MILLION TO PROVIDE DIRECT HOME CARE TO MORE THAN 6,700 NEW YORKERS WHO OTHERWISE MIGHT NOT HAVE RECEIVED THESE SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>VNSNY HOME CARES MISSION: PROVIDE QUALITY, COST-EFFECTIVE HOME- AND COMMUNITY-BASED HEALTH CARE SERVICES TO VULNERABLE INDIVIDUALS AND COMMUNITIES, INCLUDING THOSE WHO MAY BE UNDER- OR UNINSURED WHO MIGHT NOT HAVE RECEIVED THE SERVICES THEY NEEDED. IT SHARES THIS MISSION 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.) VNSNY HOME CARE IS A NEW YORK STATE CERTIFIED HOME HEALTH AGENCY THAT PROVIDES SKILLED NURSING CARE, REHABILITATION THERAPY, SOCIAL WORK, AND HOME HEALTH AIDE SERVICES. IN 2015, VNSNYS FRONTLINE STAFF PROVIDED CARE TO MORE THAN 151,365 PATIENTS, FROM NEWBORN INFANTS TO THE VERY ELDERLY AS WELL AS THOSE AT THE END OF LIFE. THESE SERVICES WERE PROVIDED BY SUCH PROGRAMS WITHIN VNSNY HOME CARE AS OUR CHHA, CHILDREN AND FAMILY SERVICES, COMMUNITY MENTAL HEALTH, AND THE VISITING MD PROGRAM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CHHA PROGRAM IS THE LARGEST WITHIN VNSNY HOME CARE. WITH 124,712 PATIENTS SERVED IN 2015, IT REPRESENTS 82% OF VNSNY'S HOME CARE POPULATION. VNSNY STRIVES TO PROMOTE THE HEALTH AND WELL-BEING OF INDIVIDUALS AND FAMILIES BY PROVIDING HIGH-QUALITY, COST-EFFECTIVE HEALTH CARE TO VULNERABLE INDIVIDUALS IN NEED WHO MIGHT OTHERWISE NOT RECEIVE THE CARE THEY NEED. IN 2015, NEARLY $9.4 MILLION WAS SPENT ON PROVIDING NURSING AND OTHER HEALTH CARE TO 6,700 PEOPLE WITHOUT INSURANCE OR WITH INADEQUATE INSURANCE. THIS CARE INCLUDED QUALITY-OF-LIFE NECESSITIES, SUCH AS FREE MEDICATIONS, TRANSPORTATION TO PHYSICIAN VISITS, FREE HEALTH SCREENINGS, FREE WIGS AND FITTINGS FOR CANCER PATIENTS, AND AIR CONDITIONERS AND MATTRESSES FOR THOSE IN NEED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY MENTAL HEALTH SERVICES ADMINISTERS 25 PROGRAMS AND AN ARTICLE 31 MENTAL HEALTH CLINIC, WITH 340 FULL-TIME, PART-TIME AND PER DIEM STAFF. THESE PROGRAMS DELIVER CARE TO APPROXIMATELY 11,000 PATIENTS ANNUALLY THROUGHOUT NEW YORK CITY PROVIDING CLOSE TO 200,000 HOME VISITS ANNUALLY. COMMUNITY MENTAL HEALTH PROGRAMS PROVIDE CARE TO A SPECTRUM OF UNDERSERVED INDIVIDUALS, INCLUDING THOSE WITH ACUTE AND CHRONIC MENTAL ILLNESS, THE GERIATRIC POPULATION, CHILDREN WITH EMOTIONAL AND PSYCHIATRIC DISORDERS, THE HOMELESS AND INDIVIDUALS WITH SUBSTANCE USE DISORDERS. IN 2015, THE ADULT AND CHILDRENS MOBILE CRISIS, PARACHUTE, HOME-BASED CRISIS INTERVENTION, IN-HOME GERIATRIC MENTAL HEALTH, COMPREHENSIVE CASE MANAGEMENT, HEALTH HOME CARE MANAGEMENT AND ASSERTIVE COMMUNITY TREATMENT PROGRAMS, AND THE FRIENDS CLINIC PROVIDED A RANGE OF MENTAL HEALTH SERVICES TO MENTALLY ILL, EMOTIONALLY DISTURBED, AND AT-RISK NEW YORKERS OF ALL AGES AND THEIR FAMILIES. VNSNY HOME CARE'S ARTICLE 31 FRIENDS CLINIC IN THE SOUTH BRONX SERVES CHILDREN AND ADOLESCENTS AND PROVIDES INDIVIDUAL, FAMILY AND GROUP THERAPY, PSYCHIATRIC ASSESSMENT AND TREATMENT, PSYCHOLOGICAL TESTING, CRISIS INTERVENTION AND CASE MANAGEMENT SERVICES. THE CLINIC WORKS COLLABORATIVELY WITH THE GRANT FUNDED FRIENDS PROGRAM TO PROVIDE BOTH SITE AND HOME BASED CARE TO THE CHILDREN AND FAMILIES THEY SERVE. THE FRIENDS SYSTEM OF CARE SERVED OVER 700 CHILDREN AND THEIR FAMILIES IN 2015, WITH AN AVERAGE DAILY CENSUS OF 300. IT PROVIDED OVER 9,000 CRISIS CONTACTS TO CHILDREN AND FAMILIES, APPROXIMATELY 13,000 HOURS OF HOME BASED CRISIS SERVICES, OVER 5,000 OUTPATIENT CLINIC VISITS, WHILE ALSO OFFERING OVER 75 WORKSHOPS AND GROUPS. CMHS EXPANDED CHILDREN'S MOBILE CRISIS SERVICES IN BROOKLYN AND QUEENS IN 2015 TO PROVIDE COVERAGE FOR THESE ENTIRE BOROUGHS. THIS PROGRAM PROVIDES RAPID RESPONSE TO CHILDREN AND FAMILIES IN CRISIS. ALSO IN 2015, THE PARACHUTE PROGRAM, WHICH WAS ORIGINALLY FUNDED UNDER THE ADULT MOBILE CRISIS PROGRAM GRANT BY NYC DOHMH, WAS AWARDED SEPARATE GRANTS BY NYS OMH, ALLOWING THE PROGRAM TO HIRE ADDITIONAL DEDICATED STAFF AND SERVE A LARGER NUMBER OF CLIENTS. IN ADDITION, THE NYC HUMAN RESOURCES ADMINISTRATION EXPANDED THE COMPREHENSIVE CARE MANAGEMENT PROGRAM TO INCLUDE HOUSING SPECIALISTS TO ASSIST THE POPULATION OF NYC RESIDENTS LIVING IN POOR QUALITY, UNREGULATED THREE QUARTER HOUSING UNITS RELOCATE TO BETTER LIVING SITUATIONS. SINCE ITS INCEPTION IN 2012, THE HEALTH HOME HAS SUCCESSFULLY IMPLEMENTED AN INNOVATIVE MODEL OF CARE COORDINATION FOR THE COMPLEX CHRONICALLY ILL POPULATION OF ADULTS ON MEDICAID WITH PHYSICAL AND BEHAVIORAL HEALTH CO-MORBIDITIES. THIS MODEL OF INTEGRATED BEHAVIORAL AND PHYSICAL HEALTHCARE HAS THE GOAL OF IMPROVING OVERALL HEALTH OUTCOMES AND REDUCING INPATIENT HOSPITALIZATION RATES AND EMERGENCY DEPARTMENT USAGE. THE HEALTH HOME CARE MANAGEMENT PROGRAM SERVED OVER 2000 MEMBERS IN 2015 IN THE BOROUGHS OF MANHATTAN, BRONX, BROOKLYN AND QUEENS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, line 4c</FormAndLineReferenceDesc>
        <ExplanationTxt>VNSNY HELPS SUPPORT THE COSTS OF OPERATING SEVERAL PEDIATRIC AND FAMILY PROGRAMS (CHILDREN AND FAMILY SERVICES). ONE ONGOING PROGRAM, THE NURSE FAMILY PARTNERSHIP PROGRAM, PAIRS SPECIALLY TRAINED NURSES WITH FIRST-TIME, LOW-INCOME MOTHERS FROM PREGNANCY THROUGH THE CHILD'S SECOND BIRTHDAY. THIS PROGRAM PROVIDES SERVICES IN THE BRONX AND IN NASSAU COUNTY. ANOTHER ESTABLISHED PROGRAM, THE FATHERHOOD PROGRAM, SUPPORTS DISADVANTAGED FATHERS, HELPING THEM MAINTAIN A PRESENCE IN THE LIVES OF THEIR CHILDREN. PEDIATRIC PALLIATIVE CARE SERVICES ARE PROVIDED TO CHILDREN IN BROOKLYN, QUEENS, THE BRONX AND MANHATTAN. IT FOCUSED ON COORDINATING AND PROVIDING COMPREHENSIVE HEALTH CARE SERVICES TO CHILDREN WITH LIFE LIMITING OR LIFE THREATENING CONDITIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d, Other Program Services</FormAndLineReferenceDesc>
        <ExplanationTxt>VNSNY HAS BUILT A CLINICAL SUPPORT SERVICES TEAM WHICH HANDLES UTILIZATION MANAGEMENT, CARE MANAGEMENT AND POPULATION HEALTH, AS WELL AS TELEHEALTH, CODING, ASSESSMENT PERFORMANCE AND REVIEW, AND EDUCATION AND DEVELOPMENT. IN THIS CAPACITY VNSNY HAS BEEN ABLE TO ENTER INTO A CMS BUNDLE PAYMENT FOR CARE IMPROVEMENT (BPCI) MODEL 3 RISK SHARING ARRANGEMENT FOR CONGESTIVE HEART FAILURE AND ACUTE MYOCARDIAL INFARCTION PATIENTS UNDER A 90 DAY POST-ACUTE BUNDLE. WE ARE ALSO A CLINICAL PARTNER FOR 3 OTHER HEALTH SYSTEMS IN THEIR BPCI BUNDLES. THE DEVELOPMENT OF THE CLINICAL SUPPORT SERVICES TEAM HAS ALSO ALLOWED US TO ENTER INTO CASE RATE ARRANGEMENTS WITH MANAGED CARE PAYERS, WHERE WE INTERNALLY MANAGE THE UTILIZATION OF SERVICES WITHOUT REQUIRING AUTHORIZATION FROM THE PLAN, FOR WHICH WE MANAGE THE CARE OF THE PATIENT BEYOND THE CERTIFIED HOME HEALTH EPISODE FOR A TOTAL PERIOD OF 60 DAYS. ADDITIONALLY, THE CLINICAL SUPPORT SERVICES TEAM ALLOWS US TO BRING THE ALL OF THE CLINICAL ASSETS ACROSS THE VNSNY BUSINESSES INTO A SERVICE DELIVERY MODEL TO SUPPORT ALTERNATIVE PAYMENT MODELS AND NY STATE DSRIP PROGRAMS. FINALLY, WE ARE ENTERING INTO CLINICAL PARTNERSHIPS WITH SUB-ACUTE PROVIDERS AND OTHER PROVIDERS OF CARE IN THE POST-ACUTE SPACE, TO CREATE CONTINUUMS OF CARE AND ALIGNED CLINICAL PATHWAYS, WHICH HAVE NOT PREVIOUSLY EXISTED OUTSIDE OF INTEGRATED DELIVERY SYSTEMS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>Visiting Nurse Service of New York 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>Visiting Nurse Service of New York ("VNSNY") 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 12</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 Statement 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 Chair of the Board. Specific follow-up action is taken on a case-by-case basis of the Board.</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 BAISIS. THE LAST COMPREHENSIVE REVIEW TOOK PLACE IN 2014. THE PROCESS FOR DETERMINING THE INDIVIDUAL COMPENSATION LEVELS OF VNSNYS 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 SIX DIRECTORS WHO ARE INDEPENDENT OF MANAGEMENT AND VNSNY, AND FREE OF ANY CONFLICTS OF INTEREST THAT WOULD INTERFERE WITH THEIR EXERCISE OF INDEPENDENT JUDGEMENT. 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:27052431</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:PIC TOTAL FEES:25884207</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:INTERCO CONTRACT PARA EXP-PIC TOTAL FEES:10152368</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:INERCO CONTRACT PARA EX-NONPIC TOTAL FEES:8962156</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:CONSULTANTS TOTAL FEES:4804477</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:TEMPORARY HELP TOTAL FEES:1112472</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:OTHER TOTAL FEES:1779537</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Visiting Nurse Service of New York</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>5 Penn Plaza 12th Fl</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>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VNS Continuing Care Development Corp</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>5 Penn Plaza 12th Fl</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>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VNSNY</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VNS CHOICE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>5 Penn Plaza 12th Fl</AddressLine1Txt>
          <CityNm>New York</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10001</ZIPCd>
        </USAddress>
        <EIN>133951057</EIN>
        <PrimaryActivitiesTxt>CAPITATED PG.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>9</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VCCDC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VNS CHOICE Community Care</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>5 Penn Plaza 12th Fl</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>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VNSNY Hospice Care</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>5 Penn Plaza 12th Fl</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>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VNSNY</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>New Partners Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>5 Penn Plaza 12th Fl</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>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VNSNY</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Family Care Services Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>355 East 149th 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>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</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>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>