﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xsi:schemaLocation="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2013v3.1">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2014-10-28T14:15:11-05:00</ReturnTs>
    <TaxPeriodEndDt>2013-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmName>
        <BusinessNameLine1>WITHUMSMITHBROWNPC</BusinessNameLine1>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1>331 NEWMAN SPRINGS RD STE 125</AddressLine1>
        <City>RED BANK</City>
        <State>NJ</State>
        <ZIPCode>077016765</ZIPCode>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2013-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>133634734</EIN>
      <BusinessName>
        <BusinessNameLine1>HOSPICE - VNSWWPHC INC</BusinessNameLine1>
      </BusinessName>
      <InCareOfNm>% TIMOTHY RIORDAN</InCareOfNm>
      <BusinessNameControlTxt>HOSP</BusinessNameControlTxt>
      <PhoneNum>9146821484</PhoneNum>
      <USAddress>
        <AddressLine1>311 North Street</AddressLine1>
        <AddressLine2>Suite 204</AddressLine2>
        <City>WHITE PLAINS</City>
        <State>NY</State>
        <ZIPCode>10605</ZIPCode>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>TIMOTHY RIORDAN</PersonNm>
      <PersonTitleTxt>DIRECTOR OF FINANCE</PersonTitleTxt>
      <PhoneNum>9146821484</PhoneNum>
      <SignatureDt>2014-10-23</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <PreparerPersonGrp>
      <PreparerPersonNm>MICHAEL A SERLUCO CPA</PreparerPersonNm>
      <PTIN>P00960315</PTIN>
      <PhoneNum>9146821484</PhoneNum>
    </PreparerPersonGrp>
    <TaxYr>2013</TaxYr>
    <BuildTS>2015-11-30 17:44:51Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="9">
    <IRS990 documentId="IRS990" referenceDocumentId="IRS990ScheduleO">
      <DoingBusinessAsName>
        <BusinessNameLine1>HOSPICE&amp;PALLIATIVE CARE WESTCHESTER</BusinessNameLine1>
      </DoingBusinessAsName>
      <PrincipalOfficerNm>MARY SPENGLER</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1>311 NORTH STREET</AddressLine1>
        <City>WHITE PLAINS</City>
        <State>NY</State>
        <ZIPCode>10605</ZIPCode>
      </USAddress>
      <GrossReceiptsAmt>18104535</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.HOSPICEOFWESTCHESTER.COM</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1991</FormationYr>
      <LegalDomicileStateCd>NY</LegalDomicileStateCd>
      <ActivityOrMissionDesc>HOSPICE &amp; PALLIATIVE CARE OF WESTCHESTER strives to provide EXTRAORDINARY &amp; DIGNIFIED COMFORT,CARE &amp; COMPASSION to individuals &amp; FAMILIES FACING A SERIOUS OR LIFE-LIMITING ILLNESS.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>15</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>12</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>72</TotalEmployeeCnt>
      <TotalVolunteersCnt>65</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <PYContributionsGrantsAmt>383951</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>427149</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>10683375</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>10364941</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>87832</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>282342</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>65183</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>71563</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>11220341</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>11145995</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>0</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>0</CYGrantsAndSimilarPaidAmt>
      <PYBenefitsPaidToMembersAmt>0</PYBenefitsPaidToMembersAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>4975896</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>4715867</CYSalariesCompEmpBnftPaidAmt>
      <PYTotalProfFndrsngExpnsAmt>0</PYTotalProfFndrsngExpnsAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>117050</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>6663560</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>6418368</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>11639456</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>11134235</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>-419115</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>11760</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>6722678</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>6409685</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>1904593</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>1367353</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>4818085</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>5042332</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>HOSPICE &amp; PALLIATIVE CARE OF WESTCHESTER STRIVES TO PROVIDE EXTRAORDINARY AND DIGNIFIED COMFORT, CARE AND COMPASSION to individuals AND FAMILIES FACING A SERIOUS OR LIFE-LIMITING ILLNESS. THE ORGANIZATION PROVIDES PHYSICAL, PSYCHOSOCIAL, MEDICAL AND SPIRITUAL CARE WHEREVER PATIENTS RESIDE, INCLUDING PRIVATE HOMES, ASSISTED LIVING RESIDENCES, NURSING HOMES OR HOSPITALS. WORKING WITH PRIMARY CARE PHYSICIANS, THE ORGANIZATION PROVIDES A TEAM OF EXPERTS THAT INCLUDES A MEDICAL DIRECTOR, NURSES, SOCIAL WORKERS, COUNSELORS, VOLUNTEERS AND HOME HEALTH AIDES. ALL STAFF ARE TRAINED IN COMPASSIONATE END-OF-LIFE CARE AND SUPPORT.</MissionDesc>
      <SignificantNewProgramSrvcInd>true</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>9310817</ExpenseAmt>
      <GrantAmt>0</GrantAmt>
      <RevenueAmt>10364941</RevenueAmt>
      <Desc>Hospice Services: Home Health Aide Services - 20,932 visits Social Services - 2,870 visits Counseling Services - 1,338 visits Therapeutic Services - 57 visits Complementary Care Services - 733 visits Skilled Nursing Services - 7,975 visits Bereavement Services - 544 one-on-one visits</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>37588</ExpenseAmt>
        <GrantAmt>0</GrantAmt>
        <RevenueAmt>0</RevenueAmt>
        <Desc>The Anna and Louis H. Shereff Caregiver Program: The target population of the program represents individuals who are otherwise eligible for admission to Hospice &amp; Palliative Care of Westchester but lack a primary caregiver who is able to provide the necessary care; and, who are not covered by private or governmental insurance programs that pay for such care; and, lack the financial resources to pay for a substitute caregiver. In circumstances where the Caregiver Needs Assessment Form identifies areas of patient need, Hospice &amp; Palliative Care Of Westchester will arrange for and pay directly for an agency aide. In addition, Hospice &amp; Palliative Care of Westchester will also include payment for a personal emergency response unit. The purpose of this program is to enable families to stay together in their home while on hospice and to avoid placement in a facility. The grant is most often used in circumstances where the caregiver is not well enough to care for the patient. The grant allows for care to be provided so that the patient's needs are attended to and the caregiver and patient can remain together at home. The Organization served 7 patients under the program during 2013. During 2012, the Caregiver Program was expanded to also support Complementary Care Services.</Desc>
      </ProgSrvcAccomActy2Grp>
      <TotalProgramServiceExpensesAmt>9348405</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="IRS990ScheduleA">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="IRS990ScheduleB">true</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd referenceDocumentId="IRS990ScheduleC">false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd referenceDocumentId="IRS990ScheduleC">true</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd referenceDocumentId="IRS990ScheduleC">false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="IRS990ScheduleD">false</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="IRS990ScheduleD">false</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="IRS990ScheduleD">false</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="IRS990ScheduleD">false</CreditCounselingInd>
      <TempOrPermanentEndowmentsInd referenceDocumentId="IRS990ScheduleD">false</TempOrPermanentEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="IRS990ScheduleD">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="IRS990ScheduleD">false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="IRS990ScheduleD">false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="IRS990ScheduleD">false</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="IRS990ScheduleD">false</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="IRS990ScheduleD">true</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="IRS990ScheduleD">true</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="IRS990ScheduleD">false</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd referenceDocumentId="IRS990ScheduleG">false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd referenceDocumentId="IRS990ScheduleG">true</FundraisingActivitiesInd>
      <GamingActivitiesInd referenceDocumentId="IRS990ScheduleG">false</GamingActivitiesInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <GrantsToOrganizationsInd>false</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="IRS990ScheduleJ">true</ScheduleJRequiredInd>
      <TaxExemptBondsInd>false</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd referenceDocumentId="IRS990ScheduleL">false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd referenceDocumentId="IRS990ScheduleL">false</PYExcessBenefitTransInd>
      <LoanOutstandingInd referenceDocumentId="IRS990ScheduleL">false</LoanOutstandingInd>
      <GrantToRelatedPersonInd referenceDocumentId="IRS990ScheduleL">false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd referenceDocumentId="IRS990ScheduleL">false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd referenceDocumentId="IRS990ScheduleL">false</BusinessRlnWithFamMemInd>
      <BusinessRlnWithOfficerEntInd referenceDocumentId="IRS990ScheduleL">true</BusinessRlnWithOfficerEntInd>
      <DeductibleNonCashContriInd>false</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd>false</DisregardedEntityInd>
      <RelatedEntityInd>false</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd>false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>36</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>true</BackupWthldComplianceInd>
      <EmployeeCnt>72</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>true</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>false</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>true</QuidProQuoContributionsInd>
      <QuidProQuoContriDisclInd>true</QuidProQuoContriDisclInd>
      <Form8282PropertyDisposedOfInd>false</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>false</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>false</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>15</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>12</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>false</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>true</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>false</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>true</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>true</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>true</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>true</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>true</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>true</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>false</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>false</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>NY</StatesWhereCopyOfReturnIsFldCd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <PersonNm>TIMOTHY RIORDAN</PersonNm>
        <PhoneNum>9146821484</PhoneNum>
        <USAddress>
          <AddressLine1>311 NORTH STREET</AddressLine1>
          <City>WHITE PLAINS</City>
          <State>NY</State>
          <ZIPCode>10605</ZIPCode>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEPHEN LANDON</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>2.0</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHELE GELLER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.0</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JENNIFER WATTS</PersonNm>
        <TitleTxt>CHAIRPERSON</TitleTxt>
        <AverageHoursPerWeekRt>2.0</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL J AMORUSO ESQ</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.0</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM FLOOKS JR</PersonNm>
        <TitleTxt>VICE CHAIRPERSON</TitleTxt>
        <AverageHoursPerWeekRt>2.0</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KATHLEEN LONERGAN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.0</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BEVERLY THORNHILL MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.0</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SR RITA DOUGHERTY RDC</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>2.0</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KAREN LAMONICA</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.0</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KATHLEEN MCARDLE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.0</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHARLES TRAINOR</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.0</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SUSAN YUBAS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.0</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BETSY BUSH</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.0</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BARBARA COSTELLO</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.0</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RALPH PENNY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.0</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TIMOTHY RIORDAN</PersonNm>
        <TitleTxt>DIRECTOR OF FINANCE</TitleTxt>
        <AverageHoursPerWeekRt>37.5</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>103539</ReportableCompFromOrgAmt>
        <OtherCompensationAmt>25626</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARY SPENGLER</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>37.5</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>181748</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>16166</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CAROL TOWNSEND-ROSS</PersonNm>
        <TitleTxt>DIRECTOR OF CLINICAL SERVICES</TitleTxt>
        <AverageHoursPerWeekRt>37.5</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>121393</ReportableCompFromOrgAmt>
        <OtherCompensationAmt>8476</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>406680</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>50268</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>3</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>ST CABRINI NURSING HOME</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>115 BROADWAY</AddressLine1>
            <City>DOBBS FERRY</City>
            <State>NY</State>
            <ZIPCode>10522</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>NURSING HOME</ServicesDesc>
        <CompensationAmt>1160005</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>SARAH NEUMAN NURSING HOME</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>845 PALMER AVENUE</AddressLine1>
            <City>MAMARONECK</City>
            <State>NY</State>
            <ZIPCode>10543</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>NURSING HOME</ServicesDesc>
        <CompensationAmt>573911</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>MICHAEL N MALOTZ SNP</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>120 ODELL AVENUE</AddressLine1>
            <City>YONKERS</City>
            <State>NY</State>
            <ZIPCode>10701</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>NURSING HOME</ServicesDesc>
        <CompensationAmt>219755</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>PORTCHESTER NURSING HOME</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>1000 HIGH STREET</AddressLine1>
            <City>PORTCHESTER</City>
            <State>NY</State>
            <ZIPCode>10573</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>NURSING HOME</ServicesDesc>
        <CompensationAmt>207710</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>NEIGHBORS PROGRAM CORP</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>PO BOX 595</AddressLine1>
            <City>WHITE PLAINS</City>
            <State>NY</State>
            <ZIPCode>10602</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HOME HEALTH AGENCY</ServicesDesc>
        <CompensationAmt>262988</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>11</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>6415</FundraisingAmt>
      <AllOtherContributionsAmt>420734</AllOtherContributionsAmt>
      <TotalContributionsAmt>427149</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>HOSPICE SERVICES - OTHER PAYORS</Desc>
        <BusinessCd>621610</BusinessCd>
        <TotalRevenueColumnAmt>90961</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>90961</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICARE/MEDICAID</Desc>
        <BusinessCd>621610</BusinessCd>
        <TotalRevenueColumnAmt>10305009</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>10305009</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PROVISION FOR BAD DEBTS</Desc>
        <BusinessCd>621610</BusinessCd>
        <TotalRevenueColumnAmt>-31029</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>-31029</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>10364941</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>70838</TotalRevenueColumnAmt>
        <ExclusionAmt>70838</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </RoyaltiesRevenueGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>0</RealAmt>
        <PersonalAmt>0</PersonalAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>7122205</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>6910701</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>211504</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>211504</TotalRevenueColumnAmt>
        <ExclusionAmt>211504</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>119402</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>6415</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>47839</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>71563</TotalRevenueColumnAmt>
        <ExclusionAmt>71563</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeFromGamingGrp>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueTotalAmt>0</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>11145995</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>10364941</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>353905</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
        <TotalAmt>0</TotalAmt>
      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
      </BenefitsToMembersGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>327079</TotalAmt>
        <ManagementAndGeneralAmt>327079</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <CompDisqualPersonsGrp>
        <TotalAmt>0</TotalAmt>
      </CompDisqualPersonsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>3518116</TotalAmt>
        <ProgramServicesAmt>2977017</ProgramServicesAmt>
        <ManagementAndGeneralAmt>464588</ManagementAndGeneralAmt>
        <FundraisingAmt>76511</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>150099</TotalAmt>
        <ProgramServicesAmt>129099</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17682</ManagementAndGeneralAmt>
        <FundraisingAmt>3318</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>433301</TotalAmt>
        <ProgramServicesAmt>360254</ProgramServicesAmt>
        <ManagementAndGeneralAmt>63788</ManagementAndGeneralAmt>
        <FundraisingAmt>9259</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>287272</TotalAmt>
        <ProgramServicesAmt>224855</ProgramServicesAmt>
        <ManagementAndGeneralAmt>56638</ManagementAndGeneralAmt>
        <FundraisingAmt>5779</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>28803</TotalAmt>
        <ManagementAndGeneralAmt>28803</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>42000</TotalAmt>
        <ManagementAndGeneralAmt>42000</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>27054</TotalAmt>
        <ManagementAndGeneralAmt>27054</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>1216030</TotalAmt>
        <ProgramServicesAmt>1192207</ProgramServicesAmt>
        <ManagementAndGeneralAmt>23823</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>48022</TotalAmt>
        <ManagementAndGeneralAmt>48022</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>156541</TotalAmt>
        <ProgramServicesAmt>27895</ProgramServicesAmt>
        <ManagementAndGeneralAmt>127620</ManagementAndGeneralAmt>
        <FundraisingAmt>1026</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>102611</TotalAmt>
        <ProgramServicesAmt>41891</ProgramServicesAmt>
        <ManagementAndGeneralAmt>60720</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <RoyaltiesGrp>
        <TotalAmt>0</TotalAmt>
      </RoyaltiesGrp>
      <OccupancyGrp>
        <TotalAmt>344636</TotalAmt>
        <ProgramServicesAmt>269755</ProgramServicesAmt>
        <ManagementAndGeneralAmt>67948</ManagementAndGeneralAmt>
        <FundraisingAmt>6933</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>89918</TotalAmt>
        <ProgramServicesAmt>81282</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7976</ManagementAndGeneralAmt>
        <FundraisingAmt>660</FundraisingAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
        <TotalAmt>0</TotalAmt>
      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>91554</TotalAmt>
        <ProgramServicesAmt>5716</ProgramServicesAmt>
        <ManagementAndGeneralAmt>78078</ManagementAndGeneralAmt>
        <FundraisingAmt>7760</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>1352</TotalAmt>
        <ProgramServicesAmt>1352</ProgramServicesAmt>
      </InterestGrp>
      <PaymentsToAffiliatesGrp>
        <TotalAmt>0</TotalAmt>
      </PaymentsToAffiliatesGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>63241</TotalAmt>
        <ProgramServicesAmt>49500</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13741</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>44164</TotalAmt>
        <ProgramServicesAmt>44164</ProgramServicesAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>PATIENT RELATED SERVICES</Desc>
        <TotalAmt>3189931</TotalAmt>
        <ProgramServicesAmt>3189931</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES &amp; EQUIPMENT</Desc>
        <TotalAmt>266358</TotalAmt>
        <ProgramServicesAmt>266358</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PHARMACY/MEDICATIONS</Desc>
        <TotalAmt>359471</TotalAmt>
        <ProgramServicesAmt>359471</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>CAREGIVER/COMPLEMENTARY CARE</Desc>
        <TotalAmt>114055</TotalAmt>
        <ProgramServicesAmt>114055</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>232627</TotalAmt>
        <ProgramServicesAmt>13603</ProgramServicesAmt>
        <ManagementAndGeneralAmt>213220</ManagementAndGeneralAmt>
        <FundraisingAmt>5804</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>11134235</TotalAmt>
        <ProgramServicesAmt>9348405</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1668780</ManagementAndGeneralAmt>
        <FundraisingAmt>117050</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>572072</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>1907986</BOYAmt>
        <EOYAmt>1068773</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>41804</BOYAmt>
        <EOYAmt>37182</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>1377757</BOYAmt>
        <EOYAmt>1128248</EOYAmt>
      </AccountsReceivableGrp>
      <ReceivablesFromOfficersEtcGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </ReceivablesFromOfficersEtcGrp>
      <RcvblFromDisqualifiedPrsnGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </RcvblFromDisqualifiedPrsnGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>743</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>29247</BOYAmt>
        <EOYAmt>74349</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>597634</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>338273</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>246595</BOYAmt>
        <EOYAmt>259361</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>2494566</BOYAmt>
        <EOYAmt>3788378</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <InvestmentsProgramRelatedGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </InvestmentsProgramRelatedGrp>
      <IntangibleAssetsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </IntangibleAssetsGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>52651</BOYAmt>
        <EOYAmt>52651</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>6722678</BOYAmt>
        <EOYAmt>6409685</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>1904593</BOYAmt>
        <EOYAmt>1321646</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <GrantsPayableGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </GrantsPayableGrp>
      <DeferredRevenueGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </DeferredRevenueGrp>
      <TaxExemptBondLiabilitiesGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <EscrowAccountLiabilityGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </EscrowAccountLiabilityGrp>
      <LoansFromOfficersDirectorsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </LoansFromOfficersDirectorsGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>45707</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <UnsecuredNotesLoansPayableGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>1904593</BOYAmt>
        <EOYAmt>1367353</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>4434631</BOYAmt>
        <EOYAmt>4635544</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>383454</BOYAmt>
        <EOYAmt>406788</EOYAmt>
      </TemporarilyRstrNetAssetsGrp>
      <PermanentlyRstrNetAssetsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </PermanentlyRstrNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>4818085</BOYAmt>
        <EOYAmt>5042332</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>6722678</BOYAmt>
        <EOYAmt>6409685</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>11760</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>212487</NetUnrlzdGainsLossesInvstAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>480788</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>239491</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>291051</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>383951</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>427149</CurrentTaxYearAmt>
        <TotalAmt>1822430</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>10149948</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>10767781</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>10702098</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>10683375</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>10364941</CurrentTaxYearAmt>
        <TotalAmt>52668143</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <GrossReceiptsNonUnrltBusGrp>
        <TotalAmt>0</TotalAmt>
      </GrossReceiptsNonUnrltBusGrp>
      <TaxRevLeviedOrgnztnlBnft509Grp>
        <TotalAmt>0</TotalAmt>
      </TaxRevLeviedOrgnztnlBnft509Grp>
      <GovtFurnSrvcFcltsVl509Grp>
        <TotalAmt>0</TotalAmt>
      </GovtFurnSrvcFcltsVl509Grp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>10630736</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>11007272</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>10993149</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>11067326</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>10792090</CurrentTaxYearAmt>
        <TotalAmt>54490573</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
        <CurrentTaxYearMinus4YearsAmt>0</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>0</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>0</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>0</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>0</CurrentTaxYearAmt>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <CurrentTaxYearMinus4YearsAmt>56681</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>100475</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>46183</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>130086</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>383496</CurrentTaxYearAmt>
        <TotalAmt>716921</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <CurrentTaxYearMinus4YearsAmt>56681</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>100475</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>46183</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>130086</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>383496</CurrentTaxYearAmt>
        <TotalAmt>716921</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>53773652</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>49593</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>66352</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>61803</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>94772</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>70838</CurrentTaxYearAmt>
        <TotalAmt>343358</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <Post1975UBTIGrp>
        <TotalAmt>0</TotalAmt>
      </Post1975UBTIGrp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>49593</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>66352</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>61803</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>94772</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>70838</CurrentTaxYearAmt>
        <TotalAmt>343358</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <NetIncomeFromOtherUBIGrp>
        <TotalAmt>0</TotalAmt>
      </NetIncomeFromOtherUBIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>76175</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>78877</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>68495</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>65183</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>71563</CurrentTaxYearAmt>
        <TotalAmt>360293</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>10756504</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>11152501</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>11123447</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>11227281</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>10934491</CurrentTaxYearAmt>
        <TotalAmt>55194224</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.97426</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.97806</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00622</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00670</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
      <TotalGrassrootsLobbyingGrp />
      <TotalDirectLobbyingGrp />
      <TotalLobbyingExpendGrp />
      <OtherExemptPurposeExpendGrp />
      <TotalExemptPurposeExpendGrp />
      <LobbyingNontaxableAmountGrp />
      <GrassrootsNontaxableGrp />
      <TotLbbyngGrassrootMnsNonTxGrp />
      <TotLbbyExpendMnsLbbyngNonTxGrp />
      <VolunteersInd>false</VolunteersInd>
      <PaidStaffOrManagementInd>true</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>false</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>true</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>false</OtherActivitiesInd>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
      <Form4720Filed4912TaxInd>false</Form4720Filed4912TaxInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Sch C, Part II-B, line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization receives a substantial portion of its revenues from the Medicare and Medicaid Programs. 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 the membership dues paid by the organization to industry associatIONs 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 Internal Revenue Code Section 501(c)(3).</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmountsGrp />
      <HeldWorksArtGrp />
      <CYMinus3YrEndwmtFundGrp />
      <CYMinus4YrEndwmtFundGrp />
      <LandGrp />
      <BuildingsGrp />
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>98721</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>59591</DepreciationAmt>
        <BookValueAmt>39130</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>498913</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>278682</DepreciationAmt>
        <BookValueAmt>220231</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp />
      <TotalBookValueLandBuildingsAmt>259361</TotalBookValueLandBuildingsAmt>
      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <TotalLiabilityAmt>0</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>11406321</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>212487</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>47839</OtherRevenueAmt>
      <RevenueNotReportedAmt>260326</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>11145995</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>11145995</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>11182074</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>47839</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>47839</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>11134235</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>11134235</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>SPECIAL EVENTS EXPENSES $ 47,839 (990, PART VIII, LINE 8B)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>SPECIAL EVENTS EXPENSES $ 47,839 (990, PART VIII, LINE 8B)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING REPRESENTS THE FIN 48 (ASC 740) FOOTNOTE DISCLOSURE INCLUDED IN THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS FOR THE YEARS ENDED DECEMBER 31, 2013 AND 2012: THE ORGANIZATION EVALUATES UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC 740 "INCOME TAXES". PURSUANT TO THE GUIDANCE IN THIS ACCOUNTING PRONOUNCEMENT, THE ORGANIZATION HAS DETERMINED THAT NO UNRECOGNIZED TAX BENEFITS EXIST AS OF DECEMBER 31, 2013 AND 2012 AND DOES NOT EXPECT THIS DETERMINATION TO CHANGE SIGNIFICANTLY OVER THE NEXT 12 MONTHS. THE ORGANIZATION HAS NOT INCURRED ANY INCOME TAX RELATED PENALTIES OR INTEREST FOR THE YEARS ENDED DECEMBER 31, 2013 AND 2012 AND HAS NO OPEN TAX YEARS SUBJECT TO EXAMINATION PRIOR TO 2010.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="IRS990ScheduleG">
      <FundraisingEventInformationGrp>
        <NameOfEvent1Amt>IN CELEBRATION</NameOfEvent1Amt>
        <GrossReceiptsEvent1Amt>70762</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>4640</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>66122</GrossRevenueEvent1Amt>
        <RentFacilityCostsEvent1Amt>21270</RentFacilityCostsEvent1Amt>
        <OtherDirectExpensesEvent1Amt>4261</OtherDirectExpensesEvent1Amt>
        <NameOfEvent2Amt>GOLFING</NameOfEvent2Amt>
        <GrossReceiptsEvent2Amt>55055</GrossReceiptsEvent2Amt>
        <CharitableContriEvent2Amt>1775</CharitableContriEvent2Amt>
        <GrossRevenueEvent2Amt>53280</GrossRevenueEvent2Amt>
        <RentFacilityCostsEvent2Amt>20236</RentFacilityCostsEvent2Amt>
        <OtherDirectExpensesEvent2Amt>2072</OtherDirectExpensesEvent2Amt>
        <OtherEventsTotalCnt>0</OtherEventsTotalCnt>
        <GrossReceiptsTotalAmt>125817</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>6415</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>119402</GrossRevenueTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>41506</RentFcltyCostsTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>6333</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>47839</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>71563</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARY SPENGLER</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>181519</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>229</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9076</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>7090</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>197914</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>KATHLEEN LONERGAN</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DIRECTOR</RelationshipDescriptionTxt>
        <TransactionDesc>SEE SCHEDULE O</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>MARY SPENGLER</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>EXECUTIVE DIRECTOR</RelationshipDescriptionTxt>
        <TransactionDesc>SEE SCHEDULE O</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>KAREN LAMONICA</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DIRECTOR</RelationshipDescriptionTxt>
        <TransactionDesc>SEE SCHEDULE O</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>KATHLEEN MCARDLE</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DIRECTOR</RelationshipDescriptionTxt>
        <TransactionDesc>SEE SCHEDULE O</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, SECTION b, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>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 DIRECTORS ALONG WITH CERTAIN MEMBERS OF THE MANAGEMENT TEAM AND 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 BOARD CHAIR OF THE ORGANIZATION TO IDENTIFY THE NUMBER, MAGNITUDE AND NATURE OF ALL DISCLOSED CONFLICTS. ANY CONFLICTS ARE THEN REFERRED TO THE BOARD OF DIRECTORS FOR DISCUSSION AND RESOLUTION, AS NECESSARY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Section B, line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>The policy principles utilized in determining the compensation of the Executive Director are as follows: 1. A salary survey based upon salary comparisons among individuals in similar positions from other Hospice agencies as well as with other not for profit Medicare certified agencies. the board monitors and ensures that the Executive compensation continues to be commensurate with the employee's skills, abilities and experience. 2. The annual increase in compensation is reviewed against the budget expectations developed by the Board, the outcomes and objectives of the strategic plan and the quality of patient care that contributes to the achievement of the Organization's mission and goals. 3. The evaluation process provides the individual with constructive comments that enable them to develop professionally and improve performance.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE L, Part IV</FormAndLineReferenceDesc>
        <ExplanationTxt>KATHLEEN LONERGAN IS EMPLOYED AS THE ADMINISTRATOR AT THE OSBORN. AMOUNTS PAID BY THE ORGANIZATION TO THE OSBORN FOR CONTRACTED HOME HEALTH AIDE SERVICES WERE $78,642. MARY SPENGLER IS EMPLOYED AS THE EXECUTIVE DIRECTOR OF HOSPICE - VNSW/WPHC, INC. AND SERVES ON THE BOARD OF DIRECTORS OF SCHNURMACHER NURSING HOME. AMOUNTS PAID BY THE ORGANIZATION TO SCHNURMACHER NURSING HOME FOR ROOM AND BOARD CHARGES AND RELATED ASSESSMENTS WERE $98,948. KAREN LAMONICA IS EMPLOYED AS THE ADMINISTRATOR AT WESTCHESTER CARE AT HOME, INC. (WCAH). AMOUNTS PAID BY THE ORGANIZATION TO WCAH FOR CONTRACTED HOME HEALTH AIDE SERVICES WERE $108,554. KATHLEEN McARDLE WAS EMPLOYED AS THE ADMINISTRATOR AT SARAH NEUMAN NURSING HOME. AMOUNTS PAID BY THE ORGANIZATION TO SARAH NEUMAN NURSING HOME FOR ROOM AND BOARD CHARGES AND RELATED ASSESSMENTS WERE $573,911.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, section B, Line 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>The board of directors of the organization has delegated responsibility for reviewing The Form 990 to the Audit Committee of the organization. A copy of the Form 990 was reviewed by the audit committee of the organization and provided to the Board of Directors prior to submission.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION WAS ESTABLISHED AS A COOPERATIVE EFFORT OF ITS FOUNDING SPONSORS, VISITING NURSE SERVICES IN WESTCHESTER, INC. (VNSW) AND WHITE PLAINS HOSPITAL CENTER (WPHC). AS A RESULT, THE BOARD OF DIRECTORS OF THE ORGANIZATION CONSISTS OF EQUAL MEMBERS NOMINATED AND APPROVED BY ITS FOUNDING SPONSORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>During 2012, the Organization developed a Pediatric Palliative Care Program known as Comfort Crew. Children ranging from newborn to age 21, who have been diagnosed with a progressive, life limiting illness, and who reside in Westchester County are eligible for services. A team of pediatric trained professionals will collaborate with the primary physician on a plan of care and provide pain and symtom management, social and psychological support, and spiritual and bereavement counseling to the child and family. Due to the limitations on third-party reimbursement for this type of program services, the Organization is conducting a community fund raising campaign to support the program. During 2013, the first full year of program operations, Comfort Crew provided care to 5 of the 6 children referred to the program.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:CONTRACTED SERVICES TOTAL FEES:1216030</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>