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        <Description>VNSNY helps support the costs of operating several pediatric and family programs. 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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        <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. Community Mental Health programs provide care to approximately 11,000 patients annually throughout New York City. Community Mental Health programs deliver 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. 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 550 children and their families annually. Support for aging in place includes: the Community Connections TimeBank, which gives neighborhood residents the opportunity to exchange services and earn credit for every hour they contribute; the Chinatown NNORC and Community Center, where seniors can avail themselves of blood sugar and blood pressure screenings, assistance with medications, free flu shots and various classes and a caregiver support program, piloted in Staten Island in 2009, to help relieve caregivers of some of the burdens associated with providing assistance over the long term.</Description>
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        <ReturnReference>Part I, Line 4a</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 2010 was $140,593. Part I, Line 4b: Ilaina Edison - $11,540; Paul Roth - $21,780; Joan Marren - $24,235 (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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        <Relationship>F. Vigilante - Director</Relationship>
        <DescriptionOfTransaction>Employment. Patricia Vigilante's employment with VNSNY Hospice Care predates Frank Vigilante's services as a Director.</DescriptionOfTransaction>
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      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 6</Identifier>
        <Explanation>Visiting Nurse Service of New York 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>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>
        <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>
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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. 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>
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      <GeneralExplanation>
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        <Explanation>Documents are available upon request.</Explanation>
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        <Identifier>Organization's governing body:</Identifier>
        <ReturnReference>Form 990, Part VI, Lina 1a</ReturnReference>
        <Explanation>There are 5 members of the VNSNY Home Care Executive Committee out of a governing body of 41. Each Executive Committee member is a director of VNSNY Home Care. The Executive Committee has all of the powers of the Board in the management of the affairs of the Corporation, including long term planning, when the Board is not in session, except that the Executive Committee shall have no 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.</Explanation>
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      <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 VNS Group Health Home Care 0.10 hrs Total hours worked for related organizations 37.40 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 Douglas D. Broadwater Visiting Nurse Service of New York 2.50 hrs VNS Continuing Care Development Corporation 0.10 hrs Total hours worked for related organizations 2.60 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 VNS Group Health Home Care Corporation 0.10 hrs Total hours worked for related organizations 1.10 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 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 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>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 Family Care Services 1.00 hrs Total hours worked for related organizations 3.00 hrs William J. Scanlon, PhD 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 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 Kenneth G. Standard Visiting Nurse Service of New York 1.00 hrs Family Care Services 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>provide 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>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>VNS Group Health Home Care</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>5 Penn Plaza 12th Fl</AddressLine1>
          <City>New York</City>
          <State>NY</State>
          <ZIPCode>10001</ZIPCode>
        </AddressUS>
        <EIN>133955636</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 Home Care II</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>VNS Continuing Care Development Corporation</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>5 Penn Plaza 12th Fl</AddressLine1>
          <City>New York</City>
          <State>NY</State>
          <ZIPCode>10001</ZIPCode>
        </AddressUS>
        <EIN>133974198</EIN>
        <PrimaryActivities>support and 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>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <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>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <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>
      </Form990ScheduleRPartII>
      <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>