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      <MissionDescription>VNSNY Home Care's mission: provide quality home health &amp; community services regardless of ability to pay. 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 2011, VNSNY and its affiliates provided $26.4 million in charitable care and community services. (See VNSNY Form 990 for complete list of charitable programs.) VNSNY Home Care is a NYS Certified Home Health Agency that provides skilled nursing care, rehabilitation therapy, social work, and home health aide services. In 2011, it treated 92,902 patients, from newborn infants to the very elderly. It comprises Acute Care, Congregate Care, Long Term Home Health Care Program, Children and Family Services, Community Mental Health, Infusion Care, and the Visiting MD program.</MissionDescription>
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      <Description>The Acute Care Program is the largest within VNSNY Home Care. With 73,676 patients served in 2011, it represents 79% 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 regardless of the patient's ability to pay. In 2011, nearly $15 million was spent on providing nursing and other health care to 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. Over 5,000 people were helped through these funds, the largest percentage from the adult acute care population.</Description>
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        <Description>Community Mental Health Services administers 23 programs with a staff of 300. These programs deliver care to approximately 10,000 patients annually throughout New York City providing approximately 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 abuse disorders. In 2011, the Mobile Crisis Teams, the Home-Based Crisis Intervention programs, and In-Home Geriatric mental health programs, Intensive Case Management, Comprehensive Case management and Enhanced Case Management Programs, the 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 Mental Health 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 FRIENDS program. The FRIENDS system of care serves approximately 590 children and their families annually, with an average daily census of 340; it provides 11,500 crisis contacts to children and families, approximately 15,000 hours of home based crisis services, over 10,000 outpatient clinic visits, while also offering 140 workshops and groups annually.</Description>
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        <Description>VNSNY Home Care's services not covered in the other sections of Part II, line 4, also delivered vital support to vulnerable populations, both at the individual and community levels. VNSNY helps support the costs of operating several pediatric and family programs, and it 2011 VNSNY Home Care provided care for approximately 6,700 maternity, newborn and pediatric patients. 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. Another established program supports disadvantaged fathers, helping them maintain a presence in the lives of their children. A pediatric palliative care program launched in 2009 in Brooklyn is the only such community-based program in New York City. In 2010, Children and Family Services piloted a program involving new methods of caring for the growing number of children with diabetes who live in poverty. The life situation of this population severely complicates treatment of an already difficult condition.</Description>
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        <ReturnReference>Part I, Lines 4a-b</ReturnReference>
        <Explanation>Ingrid Jiminez: VNSNY Home Care agreed to pay Ingrid Jiminez 24 months of salary at the time of separation from VNSNY Home Care. 26.5% of the amount was paid in 2010 and 73.5% was to be paid in 2011. Total amount paid in 2011 was $389,644. Part I, Line 4b: Ilaina Edison - $12,335; Paul Roth - $22,272; Joan Marren - $138,106 (paid by related organization Visiting Nurse Service of New York); Samuel Heller - $49,134 (paid by related organization Visiting Nurse Service of New York).</Explanation>
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      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 4</ReturnReference>
        <Explanation>At its third quarter meeting, the Board of Directors passed a motion which adopted changes to its Bylaws. Such changes updated and modernized the Bylaws to include the addition of provisions regarding the resignation, removal, and vacancies of members of the Board of Directors; clarification of the roles of Officers of the Board of Directors and of the Corporation; and updated Indemnification and Insurance provisions. Additionally, the quorum requirement was revised to be one-third of the Board instead of one-half. At its meeting on December 13, 2011, the corporation's member passed a motion adopting and ratifying these revised Bylaws.</Explanation>
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        <ReturnReference>Form 990, Part VI, Section A, line 6</ReturnReference>
        <Explanation>Visiting Nurse Service of New York is the sole corporate member.</Explanation>
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      <GeneralExplanation>
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        <Explanation>The member may elect the Directors.</Explanation>
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      <GeneralExplanation>
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        <Explanation>Visiting Nurse Service of New York 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.</Explanation>
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      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 11</ReturnReference>
        <Explanation>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 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.</Explanation>
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        <ReturnReference>Form 990, Part VI, Section B, line 12c</ReturnReference>
        <Explanation>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.</Explanation>
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      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 15</ReturnReference>
        <Explanation>The following is the process for reviewing the executive compensation paid to top management officials: Review of executive compensation is done on a periodic basis, with the last review taking place in 2009, a subsequent review was completed in 2012. Members of Executive Committee of VNSNY Board of Directors, comprised of members of the Board that have no material interest in the setting of executive compensation levels and who receive no compensation from the reporting organization or any of its related organizations, review the compensation paid to top management officials. Members of the Committee review data of an outside third-party consultant to provide its members with information regarding executive compensation levels and practices at similarly situated healthcare, healthcare-related organizations, and appropriate general industry information, based on annual revenue, geography and mission. For the "VP, Fin &amp; Ops Analyst, VNSNY Home Care II" position, independent third-party compensation data was reviewed from outside survey sources by the Director of Compensation along with the individual's direct supervisor. This review took place in 2010 when the individual assumed the role.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section C, line 19</ReturnReference>
        <Explanation>Documents are available upon request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Average hours per week worked for related organizations:</Identifier>
        <ReturnReference>Form 990, Part VII, Section A:</ReturnReference>
        <Explanation>Samuel Heller: Visiting Nurse Service of New York 36.30 hrs New Partners Inc. 1.00 hrs Family Care Services Inc. 1.00 hrs Total hours worked for related organizations 38.30 hrs Joan Marren: Visiting Nurse Service of New York 36.30 hrs VNS Continuing Care Development Corporation 0.10 hrs Family Care Services Inc. 1.00 hrs Total hours worked for related organizations 37.40 hrs Eunice An Visiting Nurse Service of New York 1.00 hrs Family Care Services Inc. 1.00 hrs Total hours worked for related organization 2.00 hrs Gayle Perkins Atkins Visiting Nurse Service of New York 1.00 hrs Visiting Nurse Service of New York Hospice Care 1.00 hrs Total hours worked for related organizations 2.00 hrs Margaret A. Bancroft Visiting Nurse Service of New York 1.00 hrs Bobbie Berkowitz Visiting Nurse Service of New York 1.00 hrs VNS CHOICE 1.00 hrs VNS CHOICE Community Care 1.00 hrs Total hours worked for related organizations 3.00 hrs Douglas D. Broadwater Visiting Nurse Service of New York 1.00 hrs VNS Continuing Care Development Corporation 0.10 hrs Total hours worked for related organizations 1.10 hrs Mary E. Cummins Visiting Nurse Service of New York 1.00 hrs New Partners Inc. 1.00 hrs Family Care Services Inc. 1.00 hrs Total hours worked for related organizations 3.00 hrs Robert C. Daum Visiting Nurse Service of New York 1.00 hrs VNS CHOICE 1.00 hrs VNS CHOICE Community Care 1.00 hrs Total hours worked for related organizations 3.00 hrs E. Mary C. Davidson Visiting Nurse Service of New York 1.00 hrs Visiting Nurse Service of New York Hospice Care 1.00 hrs Total hours worked for related organizations 2.00 hrs Eugenie F. Doyle, MD Visiting Nurse Service of New York 1.00 hrs Anne Bick Ehrenkranz Visiting Nurse Service of New York 1.00 hrs New Partners Inc. 1.00 hrs Total hours worked for related organization 2.00 hrs Claire M. Fagin, RN, PHD, FAAN Visiting Nurse Service of New York 1.00 hrs Alice C. Frelinghuysen Visiting Nurse Service of New York 1.00 hrs Stephen V.R. Goodhue Visiting Nurse Service of New York 1.00 hrs New Partners Inc. 1.00 hrs Total hours worked for related organizations 2.00 hrs Betsy Gotbaum Visiting Nurse Service of New York 1.00 hrs Clare Gregorian Visiting Nurse Service of New York 1.00 hrs Mary R. (Nina) Henderson Visiting Nurse Service of New York 1.00 hrs VNS CHOICE 1.00 hrs VNS CHOICE Community Care 1.00 hrs Total hours worked for related organizations 3.00 hrs Dorothy Hidalgo Visiting Nurse Service of New York 1.00 hrs Peter L. Hutchings Visiting Nurse Service of New York 1.00 hrs VNS CHOICE 1.00 hrs VNS CHOICE Community Care 1.00 hrs Total hours worked for related organizations 3.00 hrs Attallah Kappas, MD Visiting Nurse Service of New York 1.00 hrs Robert M. Kaufman Visiting Nurse Service of New York 1.00 hrs Visiting Nurse Service of New York Hospice Care 1.00 hrs Total hours worked for related organizations 2.00 hrs Michael B. Laskoff Visiting Nurse Service of New York 1.00 hrs New Partners Inc. 1.00 hrs Total hours worked for related organizations 2.00 hrs Arthur Lindenauer Visiting Nurse Service of New York 1.00 hrs New Partners Inc. 1.00 hrs Total hours worked for related organizations 2.00 hrs Arthur S. Lukach, Jr. Visiting Nurse Service of New York 1.00 hrs Family Care Services Inc 1.00 hrs Total hours worked for related organizations 2.00 hrs Kwan-Lan (Tom) Mao Visiting Nurse Service of New York 1.00 hrs VNS Continuing Care Development Corporation 0.10 Hrs VNS CHOICE 1.00 HRS VNS CHOICE Community Care 1.00 HRS Total hours worked for related organizations 3.10 Hrs Joseph Mark Visiting Nurse Service of New York 1.00 hrs VNS CHOICE 1.00 hrs VNS CHOICE Community Care 1.00 hrs Total hours worked for related organizations 3.00 hrs Jon E. Mattson Visiting Nurse Service of New York 1.00 hrs Mathy Mezey, EdD, RN, FAAN Visiting Nurse Service of New York 1.00 hrs Visiting Nurse Service of New York Hospice Care 1.00 hrs VNS Continuing Care Development Corporation 0.10 hrs Total hours worked for related organizations 2.10 hrs Phyllis J. Mills, RN Visiting Nurse Service of New York 1.00 hrs VNS Continuing Care Development Corporation 0.10 Hrs VNS CHOICE 1.00 hrs VNS CHOICE Community Care 1.00 hrs Total hours worked for related organizations 3.10 hrs Gwendolyn Adams Norton Visiting Nurse Service of New York 1.00 hrs New Partners Inc. 1.00 hrs Total hours worked for related organizations 2.00 hrs Brian C. Offutt Visiting Nurse Service of New York 1.00 hrs Valerie S. Peltier Visiting Nurse Service of New York 1.00 hrs Carl H. Pforzheimer III Visiting Nurse Service of New York 1.00 hrs John P. Rafferty Visiting Nurse Service of New York 1.00 hrs Corinne H. Rieder, EdD Visiting Nurse Service of New York 1.00 hrs Visiting Nurse Service of New York Hospice Care 1.00 hrs Total hours worked for related organizations 2.00 hrs Ira S. Rimerman Visiting Nurse Service of New York 1.00 hrs</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Organization's governing body:</Identifier>
        <ReturnReference>Form 990, Part VI, Line 1a</ReturnReference>
        <Explanation>In June 2011, the Executive Committee of the Visiting Nurse Service of New York Home Care (VNSNYHC) was disbanded. During its existence, the Executive Committee had 5 members out of a governing body of 37. Each Executive Committee member was a director of VNSNYHC. The Executive Committee had all of the powers of the Board in the management of the affairs of the Corporation, including long term planning, when the Board was not in session, except that the Executive Committee did not have authority as to the following: (a) The election of directors or the filling of vacancies in the Board or in the Executive Committee. (b) The amendment or repeal of the By-laws or the adoption of new By-laws. (c) The amendment or repeal of any resolution of the Board which by its terms shall not be so amendable or repealable. (d) Removing directors. (e) Amending or repealing the Certificate of incorporation.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Average hours per week worked for related organizations;</Identifier>
        <ReturnReference>Form 990, Part VII, Section A:</ReturnReference>
        <Explanation>Paula L. Root Visiting Nurse Service of New York 1.00 hrs Visiting Nurse Service of New York Hospice Care 1.00 hrs Total hours worked for related organizations 2.00 hrs Andrew N. Schiff, MD Visiting Nurse Service of New York 1.00 hrs VNS CHOICE 1.00 hrs VNS CHOICE Community Care 1.00 Hrs Total hours worked for related organizations 3.00 hrs Albert L. Siu, MD, MSPH Visiting Nurse Service of New York 1.00 hrs VNS CHOICE 1.00 hrs VNS CHOICE Community Care 1.00 Hrs Total hours worked for related organizations 3.00 hrs Kenneth G. Standard Visiting Nurse Service of New York 1.00 hrs Family Care Services Inc. 1.00 hrs Total hours worked for related organizations 2.00 hrs Frank S. Vigilante Visiting Nurse Service of New York 1.00 hrs Visiting Nurse Service of New York Hospice Care 1.00 hrs Total hours worked for related organizations 2.00 hrs David O. Wicks Visiting Nurse Service of New York 1.00 hrs VNS Continuing Care Development Corporation 0.10 Hrs VNS CHOICE 1.00 hrs VNS CHOICE Community Care 1.00 Hrs Family Care Services, Inc. 1.00 Hrs Total hours worked for related organizations 4.10 hrs</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Visiting Nurse Service of New York</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>5 Penn Plaza 12th Fl</AddressLine1>
          <City>New York</City>
          <State>NY</State>
          <ZIPCode>10001</ZIPCode>
        </AddressUS>
        <EIN>133189926</EIN>
        <PrimaryActivities>support the provision of home health and related services</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, III-fi</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
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        <AddressUS>
          <AddressLine1>5 Penn Plaza 12th Fl</AddressLine1>
          <City>New York</City>
          <State>NY</State>
          <ZIPCode>10001</ZIPCode>
        </AddressUS>
        <EIN>133974198</EIN>
        <PrimaryActivities>support &amp; promotion of the provision and development of long term care</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, III-fi</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Visiting Nurse Service of New York</BusinessNameLine1>
        </DirectControllingEntityName>
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          <BusinessNameLine1>VNS CHOICE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>5 Penn Plaza 12th Fl</AddressLine1>
          <City>New York</City>
          <State>NY</State>
          <ZIPCode>10001</ZIPCode>
        </AddressUS>
        <EIN>133951057</EIN>
        <PrimaryActivities>capitated programs that arrange &amp; manage long term health care services</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>VNS Continuing Care Development Corporation</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>VNS CHOICE Community Care</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>5 Penn Plaza 12th Fl</AddressLine1>
          <City>New York</City>
          <State>NY</State>
          <ZIPCode>10001</ZIPCode>
        </AddressUS>
        <EIN>320053323</EIN>
        <PrimaryActivities>home &amp; community-based services that support the activities of VNSNY CHOICE</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>VNS CHOICE</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Visiting Nurse Service of New York Hospice Care</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>5 Penn Plaza 12th Fl</AddressLine1>
          <City>New York</City>
          <State>NY</State>
          <ZIPCode>10001</ZIPCode>
        </AddressUS>
        <EIN>300006817</EIN>
        <PrimaryActivities>provision of quality hospice care and related services</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Visiting Nurse Service of New York</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>New Partners Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>5 Penn Plaza 12th Fl</AddressLine1>
          <City>New York</City>
          <State>NY</State>
          <ZIPCode>10001</ZIPCode>
        </AddressUS>
        <EIN>133885148</EIN>
        <PrimaryActivities>provide home health and related services</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Visiting Nurse Service of New York</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Family Care Services Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>355 East 149th St</AddressLine1>
          <City>Bronx</City>
          <State>NY</State>
          <ZIPCode>10455</ZIPCode>
        </AddressUS>
        <EIN>133213081</EIN>
        <PrimaryActivities>provide home health and related services</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Visiting Nurse Service of New York</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>1</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>1</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>1</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>1</SharingOfFacilities>
      <SharingOfPaidEmployees>1</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>0</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>1</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>