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        <Relationship>E. Gross - Director</Relationship>
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      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 6</Identifier>
        <Explanation>VNS CHOICE is the sole corporate member.</Explanation>
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      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 7a</Identifier>
        <Explanation>The member may elect the Directors.</Explanation>
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      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 7b</Identifier>
        <Explanation>VNS CHOICE is the sole corporate member. Per the Organization's bylaws, 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>
      </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 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>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 15</ReturnReference>
        <Explanation>The following is the process for reviewing 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 the 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 organizations, 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>Eric Price: VNSNY CHOICE 36.30 hrs Regina Hawkey VNSNY CHOICE 36.30 hrs Phyllis J. Mills: Visiting Nurse Service of New York 1.00 hrs Visiting Nurse Service of New York Home Care II 1.00 hrs VNSNY CHOICE 1.00 hrs VNS Continuing Development Corporation 0.10 hrs Total hours worked for related organizations 3.10 hrs Robert C. Daum: Visiting Nurse Service of New York 1.00 hrs Visiting Nurse Service of New York Home Care II 1.00 hrs VNSNY CHOICE 1.00 hrs Total hours worked for related organizations 3.00 hrs Rose Dobrof: VNSNY CHOICE 1.00 hrs Peter L. Hutchings: Visiting Nurse Service of New York 1.00 hrs Visiting Nurse Service of New York Home Care II 1.00 hrs VNSNY CHOICE 1.00 hrs Total hours worked for related organizations 3.00 hrs Mary Jane Koren: VNSNY CHOICE 1.00 Hrs Kwan-Lan (Tom) Mao: Visiting Nurse Service of New York 1.00 hrs Visiting Nurse Service of New York Home Care II 1.00 hrs VNSNY CHOICE 1.00 hrs VNS Continuing Development Corporation 0.10 hrs Total hours worked for related organizations 3.10 hrs Joseph Mark: Visiting Nurse Service of New York 1.00 hrs Visiting Nurse Service of New York Home Care II 1.00 hrs VNSNY CHOICE 1.00 hrs Total hours worked for related organizations 3.00 hrs William J. Scanlon: Visiting Nurse Service of New York 1.00 hrs Visiting Nurse Service of New York Home Care II 1.00 hrs VNSNY CHOICE 1.00 hrs Total hours worked for related organizations 3.00 hrs Andrew N. Schiff: Visiting Nurse Service of New York 1.00 hrs Visiting Nurse Service of New York Home Care II 1.00 hrs VNSNY CHOICE 1.00 hrs Total hours worked for related organizations 3.00 hrs David O. Wicks: Visiting Nurse Service of New York 1.00 hrs Visiting Nurse Service of New York Home Care II 1.00 hrs VNSNY CHOICE 1.00 hrs VNS Continuing Development Corporation 0.10 hrs Family Care Service Inc. 1.00 hrs Total hours worked for related organizations 4.10 hrs Elispeth Gross: VNSNY CHOICE 1.00 hrs Landis Olesker: VNSNY CHOICE 1.00 hrs</Explanation>
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          <BusinessNameLine1>Visiting Nurse Service of New York</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>5 Penn Plaza 12th Fl</AddressLine1>
          <City>New York</City>
          <State>NY</State>
          <ZIPCode>10001</ZIPCode>
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        <EIN>133189926</EIN>
        <PrimaryActivities>provide home health and related services</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
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          <City>New York</City>
          <State>NY</State>
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