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        <ManagementAndGeneral>4450</ManagementAndGeneral>
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        <ManagementAndGeneral>56652</ManagementAndGeneral>
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      <OtherExpenses>
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      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 4a</ReturnReference>
        <Explanation>Marki Flannery - $28,008; Carol Raphael - $186,873 (paid by related organization Visiting Nurse Service of New York); Samuel Heller - $23,817 (paid by related organization Visiting Nurse Service of New York).</Explanation>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 6</Identifier>
        <Explanation>Visiting Nurse Service of New York is the sole corporate member.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 7a</Identifier>
        <Explanation>Member may elect directors.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 7b</Identifier>
        <Explanation>Visiting Nurse Service of New York is the sole corporate member. Per Partners in Care's bylaws, the voting members have the right to attend all meetings of the Members, to vote for the election of Directors at such meetings, and to vote in any corporate proceeding, matter or question pertaining to Partners in Care which is submitted to a vote of the Members.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 11</Identifier>
        <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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 12c</ReturnReference>
        <Explanation>The Compliance Officer reviews the Disclosure Statements completed annually by each officer, director, and key employee, and consults with the Senior Vice President for Legal and Government Affairs as appropriate. Any potential conflicts are vetted with the CEO, Senior Vice President for Legal and Government Affairs and, as appropriate, the Chair of the Board. Specific follow-up action is taken on a case-by-case basis.</Explanation>
      </GeneralExplanation>
      <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. 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.</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 Visiting Nurse Service of New York Home Care II 1.00 hrs VNS Group Health Home Care 0.10 hrs Total hours worked for related organizations 37.40 hrs Carol Raphael: Visiting Nurse Service of New York 36.30 hrs Stephen Goodhue: Visiting Nurse Service of New York 1.00 hrs Visiting Nurse Service of New York Home Care II 1.00 hrs Total hours worked for related organizations 2.00 hrs Anne Bick Ehrenkranz: Visiting Nurse Service of New York 1.00 hrs Visiting Nurse Service of New York Home Care II 1.00 hrs Total hours worked for related organizations 2.00 hrs Arthur Lindenaur: Visiting Nurse Service of New York 1.00 hrs Visiting Nurse Service of New York Home Care II 1.00 hrs Total hours worked for related organizations 2.00 hrs Michael B. Laskoff: Visiting Nurse Service of New York 1.00 hrs Visiting Nurse Service of New York Home Care II 1.00 hrs Total hours worked for related organizations 2.00 hrs Gwendolyn Adams Norton: Visiting Nurse Service of New York 1.00 hrs Visiting Nurse Service of New York Home Care II 1.00 hrs Total hours worked for related organizations 2.00 hrs Mary E. Cummins: Visiting Nurse Service of New York 1.00 hrs Visiting Nurse Service of New York Home Care II 1.00 hrs Family Care Services Inc. 1.00 hrs Total hours worked for related organizations 3.00 hrs</Explanation>
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    </IRS990ScheduleO>
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        <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>provide home health and related services</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, III-FI</PublicCharityStatus>
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          <City>New York</City>
          <State>NY</State>
          <ZIPCode>10001</ZIPCode>
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        <EIN>131624211</EIN>
        <PrimaryActivities>provide home health and related services</PrimaryActivities>
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        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
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