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        <OfficersCloseRelationshipInd>true</OfficersCloseRelationshipInd>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Schedule A, Part I, line 11(g), column (vi)</FormAndLineReferenceDesc>
        <ExplanationTxt>VISITING NURSE SERVICE OF NEW YORK PROVIDES VARIOUS FORMS OF NON-MONETARY SUPPORT TO ITS RELATED ORGANIZATIONS. THE SUPPORT INCLUDES PERFORMING VARIOUS ADMINISTRATIVE FUNCTIONS, INCLUDING LEGAL SERVICES AND MANAGING INVESTMENT ACTIVITIES. PROGRAM RELATED EXPENSES OF APPROXIMATELY $8.1M WERE RECORDED ON VNSNY'S BOOKS AND RELATED TO THE PROGRAMS OF ITS AFFILIATES, MAINLY VISITING NURSE SERVICE OF NEW YORK HOME CARE II AND VISITING NURSE SERVICE OF NEW YORK HOSPICE CARE. IN ADDITION, VNSNY PERFORMS ALL FUNDRAISING ACTIVITIES AND TRANSFERS CONTRIBUTIONS TO ITS SUPPORTED ORGANIZATIONS. VNSNY RECORDS THE EXPENSES RELATED TO FUNDRAISING AND THE ADMINISTRATIVE FUNCTIONS ON ITS BOOKS AND SUBSEQUENTLY ALLOCATES SOME OF THE EXPENSES TO ITS AFFILIATES. IN ADDITION, VNSNY PROVIDED SUPPORT TO VNS CHOICE IN THE FORM OF $157 MILLION LOAN DURING 2014, THAT REMAINED OUTSTANDING DURING 2018.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE A, PART IV, SECTION D, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>VNSNY AND ITS SUPPORTED ORGANIZATIONS HAVE SOME OVERLAPPING BOARD MEMBERS AND OFFICERS. GIVEN THAT THE BOARD AND OFFICERS OF VNSNY ARE RESPONSIBLE FOR OVERSEEING AND MANAGING VNSNY'S ASSETS AND ACTIVITIES, INCLUDING ITS INVESTMENTS AND GRANTMAKING, HAVING OVERLAPPING BOARD MEMBERS AND OFFICERS ENABLES THE SUPPORTED ORGANIZATIONS TO HAVE A SIGNIFICANT VOICE IN THE INVESTMENT POLICIES OF VNSNY, THE TIMING OF GRANTS MADE BY VNSNY, THE MANNER OF MAKING GRANTS, THE SELECTION OF GRANT RECIPIENTS BY VNSNY AND IN OTHERWISE DIRECTING THE USE OF INCOME AND ASSETS OF VNSNY.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE A, PART IV, SECTION E, LINE 3A</FormAndLineReferenceDesc>
        <ExplanationTxt>VNSNY IS THE DIRECT OR INDIRECT SOLE MEMBER OF EACH OF ITS SUPPORTED ORGANIZATIONS. IN SUCH CAPACITY IT HAS THE SOLE AUTHORITY TO ELECT ALL OF THE BOARD MEMBERS OF VNS HOME CARE II, VNS HOSPICE CARE, NEW PARTNERS, INC., FAMILY CARE SERVICES, AS WELL AS VNS CONTINUING CARE DEVELOPMENT CORPORATION ("CCDC"). IN ADDITION, AS THE INDIRECT SOLE MEMBER, VNSNY HAS THE INDIRECT AUTHORITY TO CONTROL THE ELECTION OF THE BOARDS OF VNS CHOICE AND VNS CHOICE COMMUNITY CARE. THE DIRECT SOLE MEMBER OF VNS CHOICE IS VNS CONTINUING CARE DEVELOPMENT CORPORATION ("CCDC"), WHICH HAS THE AUTHORITY TO ELECT THE BOARD MEMBERS OF VNS CHOICE, AND VNS CHOICE HAS THE AUTHORITY TO ELECT BOARD MEMBERS OF VNS CHOICE COMMUNITY CARE.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE A, PART IV, SECTION E, LINE 3B</FormAndLineReferenceDesc>
        <ExplanationTxt>VNSNY EXERCISES A SUBSTANTIAL DEGREE OF DIRECTION OVER THE POLICIES, PROGRAMS AND ACTIVITIES OF ITS SUPPORTED ORGANIZATIONS BY VIRTUE OF (1) VNSNY'S SUPERVISORY AND OVERSIGHT ROLE AND POWERS AS THE DIRECT OR INDIRECT SOLE MEMBER OF EACH SUPPORTED ORGANIZATION; AND (2) PROVISION OF VARIOUS SUPPORT SERVICES TO ITS SUPPORTED ORGANIZATIONS, INCLUDING MANAGING AND INVESTING THE SUPPORTED ORGANIZATIONS' ENDOWMENT FUNDS, OVERSEEING THEIR MARKETING FUNCTIONS AND MANAGING THEIR RELATIONS WITH HOSPITALS, NURSING HOMES AND OTHER HEALTH CARE PROVIDERS AND ORGANIZATIONS and providing legal, accounting and other administrative support.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
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          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
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        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
      <OrganizationBelongsAffltGrpInd referenceDocumentId="AffiliatedGroupSchedule">X</OrganizationBelongsAffltGrpInd>
      <TotalGrassrootsLobbyingGrp>
        <AffiliatedGroupTotalAmt>0</AffiliatedGroupTotalAmt>
      </TotalGrassrootsLobbyingGrp>
      <TotalDirectLobbyingGrp>
        <FilingOrganizationsTotalAmt>278197</FilingOrganizationsTotalAmt>
        <AffiliatedGroupTotalAmt>278197</AffiliatedGroupTotalAmt>
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      <TotalLobbyingExpendGrp>
        <FilingOrganizationsTotalAmt>278197</FilingOrganizationsTotalAmt>
        <AffiliatedGroupTotalAmt>278197</AffiliatedGroupTotalAmt>
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        <FilingOrganizationsTotalAmt>33535910</FilingOrganizationsTotalAmt>
        <AffiliatedGroupTotalAmt>2187290715</AffiliatedGroupTotalAmt>
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      <TotalExemptPurposeExpendGrp>
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        <AffiliatedGroupTotalAmt>2187568912</AffiliatedGroupTotalAmt>
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      <LobbyingNontaxableAmountGrp>
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        <CurrentYearMinus1Amt>1000000</CurrentYearMinus1Amt>
        <CurrentYearAmt>1000000</CurrentYearAmt>
        <TotalAmt>4000000</TotalAmt>
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        <TotalAmt>829599</TotalAmt>
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      <AvgGrassrootsNontaxableGrp>
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        <CurrentYearMinus1Amt>250000</CurrentYearMinus1Amt>
        <CurrentYearAmt>250000</CurrentYearAmt>
        <TotalAmt>1000000</TotalAmt>
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      <GrassrootsCeilingAmt>1500000</GrassrootsCeilingAmt>
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        <BeginningYearBalanceAmt>7657464</BeginningYearBalanceAmt>
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        <OtherExpendituresAmt>188308</OtherExpendituresAmt>
        <EndYearBalanceAmt>7673706</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>7634191</BeginningYearBalanceAmt>
        <ContributionsAmt>23273</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>597402</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>597402</OtherExpendituresAmt>
        <EndYearBalanceAmt>7657464</EndYearBalanceAmt>
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      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>7601084</BeginningYearBalanceAmt>
        <ContributionsAmt>33107</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>560698</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>560698</OtherExpendituresAmt>
        <EndYearBalanceAmt>7634191</EndYearBalanceAmt>
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      <EndowmentsHeldRelatedOrgInd>false</EndowmentsHeldRelatedOrgInd>
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        <BookValueAmt>97302</BookValueAmt>
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      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>21093920</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>6369136</DepreciationAmt>
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        <Desc>PENSION LIABILITY</Desc>
        <Amt>63072653</Amt>
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        <Desc>DUE TO AFFILIATES</Desc>
        <Amt>90892634</Amt>
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        <Desc>CAPITAL LEASE OBLIGATION</Desc>
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        <Amt>679445</Amt>
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      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part V, line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>VNSNY'S ENDOWMENT FUNDS ARE INTENDED TO SUPPORT VNSNY AND ITS AFFILIATES' PROGRAMS AND INITIATIVES AND FURTHER THE ORGANIZATION'S EXEMPT PURPOSES. SUCH FUNDS WILL BE USED AS DIRECTED BY THE INDIVIDUAL DONOR, THE BOARD OR MANAGEMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part X, line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>VNSNY WAS INCLUDED IN THE VISITING NURSE SERVICE OF NEW YORK CONSOLIDATED AUDITED FINANCIAL STATEMENTS. THE FOLLOWING STATEMENT IS FROM THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS: VNSNY AND ITS SUBSIDIARIES HAVE BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE TO BE ORGANIZATIONS DESCRIBED IN INTERNAL REVENUE CODE (THE CODE) SECTION 501(C)(3) AND, THEREFORE, ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. VNSNY RECOGNIZES INCOME TAX POSITIONS WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINABLE BASED ON THE MERITS OF THE POSITION. MANAGEMENT HAS CONCLUDED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS OR TAX LIABILITIES THAT NEED TO BE RECORDED AS OF DECEMBER 31, 2018 AND 2017. H.R. 1, ORIGINALLY KNOWN AS THE TAX CUTS AND JOBS ACT (THE ACT), WAS SIGNED INTO LAW ON DECEMBER 22, 2017. THE ACT CONTAINS VARIOUS PROVISIONS AFFECTING BOTH FOR-PROFIT AND NOT-FOR-PROFIT ENTITIES. TAX-EXEMPT ENTITIES ARE IMPACTED IN PART BY THE INCLUSION OF A NEW EXCISE TAX ON EXCESS COMPENSATION FOR COVERED EMPLOYEES AND CHANGES TO UNRELATED BUSINESS INCOME. THE ACT'S PROVISIONS MAY ALSO IMPACT DONOR INCENTIVES FOR CHARITABLE GIVING. THE TOTAL IMPACT OF THE ACT TO VNSNY'S CONSOLIDATED FINANCIAL STATEMENTS THE YEAR ENDED DECEMBER 31, 2018 IS AN EXPENSE OF $0.4 MILLION FOR COMMUTER BENEFITS AND $0.2 MILLION FOR TAX ON EXCESS COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="IRS990ScheduleG">
      <MailSolicitationsInd>X</MailSolicitationsInd>
      <EmailSolicitationsInd>X</EmailSolicitationsInd>
      <InPersonSolicitationsInd>X</InPersonSolicitationsInd>
      <SolicitationOfNonGovtGrantsInd>X</SolicitationOfNonGovtGrantsInd>
      <SolicitationOfGovtGrantsInd>X</SolicitationOfGovtGrantsInd>
      <SpecialFundraisingEventsInd>X</SpecialFundraisingEventsInd>
      <AgrmtProfFundraisingActyInd>true</AgrmtProfFundraisingActyInd>
      <FundraiserActivityInfoGrp>
        <PersonNm>LAUTMAN MASKA NEILL COMPANY</PersonNm>
        <USAddress>
          <AddressLine1Txt>1730 RHODE ISLAND AVENUE NW 301</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20036</ZIPCd>
        </USAddress>
        <ActivityTxt>DIRECT RESPONSE</ActivityTxt>
        <FundraiserControlOfFundsInd>false</FundraiserControlOfFundsInd>
        <GrossReceiptsAmt>523223</GrossReceiptsAmt>
        <RetainedByContractorAmt>336547</RetainedByContractorAmt>
        <NetToOrganizationAmt>186676</NetToOrganizationAmt>
      </FundraiserActivityInfoGrp>
      <FundraiserActivityInfoGrp>
        <PersonNm>Martignetti Planned Giving Advisors</PersonNm>
        <USAddress>
          <AddressLine1Txt>PO Box 5506</AddressLine1Txt>
          <CityNm>Emerald Island</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>28594</ZIPCd>
        </USAddress>
        <ActivityTxt>Engaging &amp; soliciting</ActivityTxt>
        <FundraiserControlOfFundsInd>false</FundraiserControlOfFundsInd>
        <GrossReceiptsAmt>0</GrossReceiptsAmt>
        <RetainedByContractorAmt>39000</RetainedByContractorAmt>
        <NetToOrganizationAmt>0</NetToOrganizationAmt>
      </FundraiserActivityInfoGrp>
      <TotalGrossReceiptsAmt>523223</TotalGrossReceiptsAmt>
      <TotalRetainedByContractorsAmt>375547</TotalRetainedByContractorsAmt>
      <TotalNetToOrganizationAmt>186676</TotalNetToOrganizationAmt>
      <LicensedStatesCd>CA</LicensedStatesCd>
      <LicensedStatesCd>CT</LicensedStatesCd>
      <LicensedStatesCd>FL</LicensedStatesCd>
      <LicensedStatesCd>MA</LicensedStatesCd>
      <LicensedStatesCd>NJ</LicensedStatesCd>
      <LicensedStatesCd>NY</LicensedStatesCd>
      <LicensedStatesCd>PA</LicensedStatesCd>
      <LicensedStatesCd>SC</LicensedStatesCd>
      <LicensedStatesCd>TN</LicensedStatesCd>
      <FundraisingEventInformationGrp>
        <Event1Nm>GALA</Event1Nm>
        <GrossReceiptsEvent1Amt>1329105</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>1198105</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>131000</GrossRevenueEvent1Amt>
        <NonCashPrizesEvent1Amt>5395</NonCashPrizesEvent1Amt>
        <RentFacilityCostsEvent1Amt>172543</RentFacilityCostsEvent1Amt>
        <EntertainmentEvent1Amt>9465</EntertainmentEvent1Amt>
        <OtherDirectExpensesEvent1Amt>71193</OtherDirectExpensesEvent1Amt>
        <Event2Nm>GOLF CLASSIC</Event2Nm>
        <GrossReceiptsEvent2Amt>268990</GrossReceiptsEvent2Amt>
        <CharitableContriEvent2Amt>220990</CharitableContriEvent2Amt>
        <GrossRevenueEvent2Amt>48000</GrossRevenueEvent2Amt>
        <NonCashPrizesEvent2Amt>14620</NonCashPrizesEvent2Amt>
        <RentFacilityCostsEvent2Amt>53788</RentFacilityCostsEvent2Amt>
        <OtherEventsTotalCnt>5</OtherEventsTotalCnt>
        <GrossReceiptsOtherEventsAmt>84655</GrossReceiptsOtherEventsAmt>
        <CharitableContriOtherEventsAmt>67043</CharitableContriOtherEventsAmt>
        <GrossRevenueOtherEventsAmt>17612</GrossRevenueOtherEventsAmt>
        <RentFcltyCostsOtherEventsAmt>7568</RentFcltyCostsOtherEventsAmt>
        <FoodAndBeverageOtherEventsAmt>7682</FoodAndBeverageOtherEventsAmt>
        <GrossReceiptsTotalAmt>1682750</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>1486138</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>196612</GrossRevenueTotalEventsAmt>
        <NonCashPrizesTotalEventsAmt>20015</NonCashPrizesTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>233899</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>7682</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>9465</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>71193</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>342254</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-145642</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE G, PART I, LINE 2B</FormAndLineReferenceDesc>
        <ExplanationTxt>LAUTMAN, MASKA, NEILL &amp; COMPANY - THE $186,676 REPORTED IN COLUMN VI INCLUDES $84,676 OF ADDITIONAL COSTS RELATED TO CREATIVE, PRODUCTION, PRINTING, POSTAGE, EMAILS, AND SOCIAL MEDIA.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleG>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>VISITING NURSE SERVICE OF NY HOME CARE II</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>220 EAST 42ND ST 6TH FL</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10017</ZIPCd>
        </USAddress>
        <RecipientEIN>131624211</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>3443846</CashGrantAmt>
        <PurposeOfGrantTxt>CONTRIBUTION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>VISITING NURSE SERVICE OF NY HOSPICE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>220 EAST 42ND ST 6TH FL</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10017</ZIPCd>
        </USAddress>
        <RecipientEIN>300006817</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>1158279</CashGrantAmt>
        <PurposeOfGrantTxt>CONTRIBUTION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NEW YORK-PRESBYTERIAN FUND INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Box 156 525 E 68th St</AddressLine1Txt>
          <CityNm>New York</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10065</ZIPCd>
        </USAddress>
        <RecipientEIN>133160356</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>23250</CashGrantAmt>
        <PurposeOfGrantTxt>Contribution</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HOSPITAL FOR SPECIAL SURGERY FUND INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>535 E 70th St</AddressLine1Txt>
          <CityNm>New York</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10021</ZIPCd>
        </USAddress>
        <RecipientEIN>136714749</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>17500</CashGrantAmt>
        <PurposeOfGrantTxt>Contribution</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Mount Sinai Health System</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1 Gustave L Levy Place</AddressLine1Txt>
          <CityNm>New York</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10029</ZIPCd>
        </USAddress>
        <RecipientEIN>800886397</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <PurposeOfGrantTxt>Contribution</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNITED HOSPITAL FUND OF NEW YORK</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1411 Broadway 12th Fl</AddressLine1Txt>
          <CityNm>New York</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10018</ZIPCd>
        </USAddress>
        <RecipientEIN>131562656</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <PurposeOfGrantTxt>Contribution</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Right to Dream</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>12 Johnson Place Rye</AddressLine1Txt>
          <CityNm>New York</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10580</ZIPCd>
        </USAddress>
        <RecipientEIN>460634555</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>Contribution</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Cielo 2018</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>24 W 25th St 9th Fl</AddressLine1Txt>
          <CityNm>New York</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10010</ZIPCd>
        </USAddress>
        <RecipientEIN>133629466</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>7500</CashGrantAmt>
        <PurposeOfGrantTxt>Contribution</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Village Center for Care Fund</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>120 Broadway Suite 2840</AddressLine1Txt>
          <CityNm>New York</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10271</ZIPCd>
        </USAddress>
        <RecipientEIN>133471553</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>6000</CashGrantAmt>
        <PurposeOfGrantTxt>Contribution</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>9</Total501c3OrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PART I, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>FOR RELATED ORGANIZATIONS, VISITING NURSE SERVICE OF NEW YORK HOME CARE II AND VISITING NURSE SERVICE OF NEW YORK HOSPICE CARE, CORPORATE FINANCE REVIEWS EACH GRANTEE'S GENERAL LEDGER ON A MONTHLY BASIS, WHICH INCLUDES ENSURING REASONABLENESS AGAINST BUDGETS AND EXPECTATIONS. CORPORATE FINANCE IS ALSO IN CONTACT WITH OPERATIONS MANAGEMENT TO ENSURE THAT ANY FUNDS WITH A SPECIFIC PURPOSE RESTRICTION ARE USED IN ACCORDANCE WITH THOSE RESTRICTIONS. A SCHEDULE OF GRANTS IS MAINTAINED AND SHARED WITH GRANTEES TO SHOW RECEIPTS, PAYMENTS AND BALANCE REMAINING TO PROVIDE TRANSPARENCY WITH RESPECT TO THE AMOUNT OF FUNDING AVAILABLE AND PREVENT OVERSPENDING. FOR ALL OTHERS, ENTITIES ARE SELECTED ANNUALLY BASED UPON CRITERIA SET OUT BY SENIOR MANAGEMENT OF THE ORGANIZATION AND ARE ALL BASED IN THE STATE OF NEW YORK, EXCEPT FOR ONE ENTITY, WHICH IS BASED IN CALIFORNIA.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
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      <HousingAllowanceOrResidenceInd>X</HousingAllowanceOrResidenceInd>
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        <PersonNm>MARKI FLANNERY</PersonNm>
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        <PersonNm>KERRY PARKER</PersonNm>
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        <PersonNm>Timothy Peng</PersonNm>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <PersonNm>Glenn Tolchin</PersonNm>
        <TitleTxt>VP, Corporate Finance</TitleTxt>
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        <PersonNm>Lester Schindel</PersonNm>
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        <ExplanationTxt>HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE: CHRISTOPHER OLIVIA RECEIVED A HOUSING ALLOWANCE AND PERSONAL USE OF AN AUTOMOBILE VALUED AT $25,000. THE AMOUNT OF THESE BENEFITS IS PROPERLY INCLUDED IN SCHEDULE J, PART II, LINE B(III). SCHEDULE J, PART I, LINE 4A SEVERANCE PAYMENTS CHISTOPHER OLIVIA - VNSNY AGREED TO PAY CHRISTOPHER OLIVIA 24 MONTHS OF SALARY AT THE TIME OF SEPARATION FROM VNSNY IN APRIL 2018. THE TOTAL AMOUNT PAID IN 2018 WAS $866,215.35. SAMUEL HELLER - VNSNY AGREED TO PAY SAMUEL HELLER 18 MONTHS OF SALARY AT THE TIME OF SEPARATION FROM VNSNY IN JUNE 2017. THE TOTAL AMOUNT PAID IN 2018 WAS 490,384.50. MARKI FLANNERY - VNSNY AGREED TO PAY MARKI FLANNERY 18 MONTHS OF SALARY AT THE TIME OF SEPARATION FROM VNSNY IN NOVEMBER 2017. THE TOTAL AMOUNT PAID IN 2018 WAS $166,142.29. MS. FLANNERY WAS REHIRED AS THE CEO AND PRESIDENT OF VNSNY ON 4/11/2018. LESTER SCHINDEL - VNSNY AGREED TO PAY LESTER SCHINDEL 12 MONTHS OF SALARY AT THE TIME OF SEPARATION FROM VNSNY IN MAY 2018. THE TOTAL AMOUNT PAID IN 2018 WAS $309,670.40.</ExplanationTxt>
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        <ExplanationTxt>SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN SAMUEL HELLER: $27,004.30 KERRY PARKER: $66,025.38 MARKI FLANNERY: $58,775.53 CHRISTOPHER OLIVIA: $231,863.49 DANIEL SAVITT: $73,200.00 (THIS AMOUNT WAS ACCRUED IN 2017, BUT HAS NOT YET VESTED AND IS PROPERLY DISCLOSED ON SCHEDULE J, PART II, COLUMN (C)).</ExplanationTxt>
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        <ExplanationTxt>DURING THE TAX YEAR, EMPLOYEES OF THE ORGANIZATION WERE PAID NON-FIXED BONUSES BASED ON PERFORMANCE. THESE BONUSES ARE PROPERLY DISCLOSED ON SCHEDULE J, PART II, COLUMN (B)(II).</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE M, PART I, Line 25</FormAndLineReferenceDesc>
        <ExplanationTxt>IN 2018, 24 CORPORATE/BUSINESS ENTITIES MADE IN-KIND GIFTS OF ITEMS, SUCH AS COSMETICS, TOILETRIES, JEWELRY, PERSONAL TRAINER SESSIONS AND GIFT CERTIFICATES, WHICH WERE USED AS GIVE-AWAYS AT A VARIETY OF VOLUNTEER EVENTS. THE APPROXIMATE AGGREGATE VALUE OF THESE CONTRIBUTIONS WAS $9.387. (VOLUNTEER EVENT GIVEAWAY). IN 2018, IN-KIND GIFTS FOR THIS PURPOSE WERE MADE BY 37 CONTRIBUTORS - INDIVIDUALS, ORGANIZATIONS, AND CORPORATIONS - IN AN APPROXIMATE AGGREGATE VALUE OF $38,263. THESE CONTRIBUTIONS INCLUDED, AMONG OTHER THINGS, $28,876 OF BABY SUPPLIES, TOYS, BOOKS, AND TARGET GIFT CARDS.(GIFTS TO NEEDY). THE AMOUNT REPORTED IN COLUMN (B) REPRESENTS THE NUMBER OF CONTRIBUTIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART I, LINE 1 &amp; PART III, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>VNSNY shares this mission with its related 501(c)(3) corporations: VISITING NURSE SERVICE OF NEW YORK'S MISSION IS TO PROVIDE HIGH QUALITY HOME AND COMMUNITY-BASED CARE AND TO PROMOTE INDEPENDENT COMMUNITY LIVING REGARDLESS OF PATIENTS' ABILITY TO PAY. VNSNY'S COMMUNITY BENEFIT PROGRAMS, CARRIED OUT THROUGH ITS AFFILIATE ORGANIZATIONS, EXPAND ACCESS TO CARE, SUPPORT AGING IN PLACE, ADVANCE RESEARCH AND PROGRAM DEVELOPMENT, PROVIDE OPPORTUNITIES FOR DISADVANTAGED CHILDREN AND FAMILIES, AND DEVELOP THE FUTURE WORKFORCE. IN 2018, VNSNY AND ITS AFFILIATES - TOGETHER WITH ITS GENEROUS SUPPORTERS AND COMMUNITY PARTNERS - PROVIDED NEARLY $39 MILLION IN CHARITABLE CARE AND COMMUNITY BENEFIT PROGRAMS, WHICH IMPROVED THE LIVES OF TENS OF THOUSANDS OF NEW YORKERS, YOUNG AND OLD, INCLUDING THE UNDER- AND UNINSURED. VNSNY, ACROSS ALL OF ITS PROVIDER PROGRAMS, DELIVERED OVER $7.3 MILLION IN CHARITABLE CARE AND COMMUNITY BENEFIT PROGRAMS LAST YEAR. INDIVIDUALS AND PRIVATE FOUNDATIONS CONTRIBUTED $5.7 MILLION TO SUPPORT VNSNY CHARITABLE CARE AND COMMUNITY BENEFIT PROGRAMS, AND THE REMAINING FUNDING CAME FROM GOVERNMENT GRANTS. ALL PROGRAM SERVICES EXCEPT RESEARCH ARE DELIVERED BY VNSNY'S AFFILIATES. VNSNY PROVIDES SIGNIFICANT ASSISTANCE, HOWEVER, TO THE VNSNY'S 501(C)(3) AFFILIATES TO ENABLE THEIR PROGRAM-SERVICE DELIVERY, BY: (I) LENDING ADMINISTRATIVE, MANAGEMENT, POLICY SETTING, INVESTMENT, FUNDRAISING, AND ADVOCACY SUPPORT; AND (II) MAKING GRANTS OF PHILANTHROPIC DOLLARS - WITH MONIES FROM DONORS AND FROM ITS OWN RESERVES - TO SUPPORT THE CHARITABLE INITIATIVES OF ITS NOT-FOR-PROFIT AFFILIATES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY BENEFIT &amp; OTHER: WITH A FEW EXCEPTIONS BELOW AND RESEARCH AS DESCRIBED IN 4B, FUNDS RAISED BY VNSNY FOR ITS AFFILIATES ARE DIRECTLY CONTRIBUTED TO THEM. DIRECT CONTRIBUTIONS FROM VNSNY TO OTHER PROGRAMS INCLUDED: NEIGHBORHOOD NATURALLY OCCURING RETIREMENT COMMUNITY: ALONG WITH SUBSTANTIAL SUPPORT FROM PUBLIC AND PRIVATE FUNDERS, VNSNY CONTRIBUTED $322,000 TO ENABLE THE CHINATOWN NEIGHBORHOOD NATURALLY OCCURING RETIREMENT COMMUNITY (NNORC) TO SERVE THE COMMUNITY. IN 2018 THE VNSNY CHINATOWN NNORC TOUCHED THE LIVES OF OVER 730 SENIORS, 60 AND OLDER, WHO RESIDE IN MANHATTAN'S CHINATOWN COMMUNITY. MANY OF THESE SENIORS LIVE IN AGING, WALK-UP TENEMENT APARTMENT BUILDINGS, WHICH CAN LEAD TO ISOLATION, LONELINESS AND DESPAIR AS WELL AS THREATEN HEALTH AND WELL-BEING. SINCE THE MAJORITY OF THESE SENIORS SPEAK NO ENGLISH, THEY ARE OFTEN INVISIBLE TO SOCIAL SERVICES AND HEALTH NETWORKS WITHOUT SPECIAL OUTREACH EFFORTS. NNORC STAFF DELIVER PROGRAMS THAT ENSURE THESE VULNERABLE RESIDENTS ARE CONNECTED TO THE HEALTH, SOCIAL AND TRANSLATION SERVICES THEY NEED IN ORDER TO SUCCESSFULLY AGE IN PLACE. MANY PROGRAM INITIATIVES EMPHASIZE WAYS TO MAINTAIN HEALTH AND WELLNESS. THESE NUMEROUS SERVICES PROVIDE IMPORTANT CONNECTIONS TO NNORC MEMBERS IN THEIR NATIVE LANGUAGES, FACILITATED BY STAFF WHO UNDERSTAND THE CULTURE AND NEEDS OF THESE SENIORS. IN ITS STOREFRONT SPACE AT 7 MOTT STREET, WHICH IT SHARES WITH THE VNSNY CHINATOWN COMMUNITY CENTER, OUR NNORC OFFERS RECREATIONAL ACTIVITIES AND A VARIETY OF OTHER SERVICES. NNORC STAFF VISIT MEMBERS WHO ARE FRAIL OR HOMEBOUND IN THEIR APARTMENTS TO ADDRESS SOCIAL AND HEALTH CONCERNS, AND ASSIST MEMBERS IN MAKING THEIR HOME SAFE AND HAZARD-FREE. OUR NNORC TEAM ALSO PROVIDES REFERRALS AND LINKS TO THE SERVICES OFFERED THROUGH OUR MANY PARTNER AGENCIES THAT ARE ALIGNED WITH VNSNY'S MISSION TO SUPPORT SUCCESSFUL COMMUNAL LIVING. HOSPICE PHYSICIAN FELLOWSHIP PROGRAM: SINCE 2004, VNSNY HAS OPERATED A HIGHLY REGARDED PHYSICIAN FELLOWSHIP TRAINING PROGRAM. IT OFFERS PARTICIPANTS CAREFULLY DESIGNED HOSPICE ROTATIONS LASTING UP TO THREE MONTHS. THESE ROTATIONS GIVE THE FELLOWS A UNIQUE, HUMANISTIC HOME HEALTH CARE EXPERIENCE THAT AIMS TO BE TRANSFORMATIVE FOR THE NEXT GENERATION OF PHYSICIANS AND NURSE PRACTITIONERS. THERE WERE FIFTY-ONE (51) FELLOWS FROM SEVEN MEDICAL CENTERS (MOUNT SINAI, MEMORIAL SLOAN KETTERING, COLUMBIA UNIVERSITY MEDICAL CENTER, NYU SCHOOL OF MEDICINE, NEW YORK PRESBYTERIAN/QUEENS, LINCOLN MEDICAL CENTER, AND BRONX VA HOSPITAL) DURING CALENDAR YEAR 2018. IN 2018, THE PROGRAM WAS SUPPORTED BY GENEROUS GRANTS FROM NUMBEROUS INDIVIDUALS AND FOUNDATIONS. PEDIATIC PALLIATIVE CARE SERVICES: IN ADDITION TO FOUNDATION CONTRIBUTIONS, VNSNY PROVIDED OVER $23,000 IN SUPPORT TO PEDIATRIC PALLIATIVE CARE SERVICES. THE PROGRAM BEGAN IN 2009 IN COLLABORATION WITH KEY HOSPITAL PROVIDERS AND SUPPORTS THE AMERICAN ACADEMY OF PEDIATRICS RECOMMENDATIONS FOR AN INTEGRATED PALLIATIVE CARE MODEL, WITH INTERVENTIONS BEGINNING AT DIAGNOSIS AND INCORPORATES BOTH CURATIVE AND COMFORT MEASURES. VNSNY SERVES AN ETHNICALLY DIVERSE MULTICULTURAL POPULATION OF CHILDREN AND FAMILIES LIVING WITH LIFE THREATENING AND LIFE LIMITING ILLNESS. OUR STAFF CONSISTS OF A PEDIATRIC ELNEC (END OF LIFE NURSING CONSORTIUM) TRAINED INTERDISCIPLINARY TEAM OF NURSES, SOCIAL WORKERS AND REHAB STAFF COVERING BROOKLYN, BRONX, MANHATTAN AND QUEENS. HOSPICE INTERDISCIPLINARY STAFF ATTEND PEDIATRIC ELNEC TRAINING TO INCREASE CLINICAL COMPETENCY IN CARING FOR CHILDREN AT END OF LIFE. PRESENTLY 80 HOSPICE CLINICIANS HAVE RECEIVED TRAINING WITH A PLAN FOR ONGOING TRAININGS PLANNED FOR 2019. HOSPICE TEAMS IN ALL REGIONS INCLUDING STATEN ISLAND ARE ADMITTING AND SUCCESSFULLY CARING FOR PEDIATRIC PATIENTS THROUGH END OF LIFE WITH PEDIATRIC PALLIATIVE CARE TEAM COLLABORATION AND CONSULTATION. IN 2018 THERE WERE 1,487 PEDIATRIC ADMISSIONS WITH A TOTAL OF 8,838 VISITS MADE. PATIENT ENRICHMENT PROGRAM FUND: CONTRIBUTIONS ALSO SUPPORTED THE PATIENT ENRICHMENT PROGRAM FUND. IN SOME CASES, OUR DEDICATED FRONTLINE STAFF RECOGNIZE THAT THEIR PATIENTS NEED MORE THAN JUST MEDICAL CARE - AND THAT A SMALL INVESTMENT IN AN ITEM OR SERVICE WOULD GO A LONG WAY TOWARD RELIEVING SUFFERING AND IMPROVING THEIR QUALITY OF LIFE. THAT'S WHY THE FUND PROVIDES HOMEBOUND AND OTHER VULNERABLE AND DISADVANTAGED PATIENTS WITH ITEMS AND SERVICES REQUESTED BY THEIR VNSNY CLINICIAN THAT PROVIDE COMFORT AND PROMOTE HEALING. THESE ITEMS OFTEN INCLUDE PRESCRIPTION MEDICATIONS; EYEGLASSES; REMOTE-CONTROLLED RECLINERS; PODIATRIST-RECOMMENDED SHOES; AND AIR CONDITIONERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>RESEARCH: THE CENTER FOR HOMECARE POLICY &amp; RESEARCH, ESTABLISHED IN 1993, CONDUCTS SCIENTIFICALLY RIGOROUS RESEARCH TO PROMOTE THE DELIVERY OF HIGH-QUALITY, COST-EFFECTIVE CARE IN THE HOME AND COMMUNITY. THE FINDINGS FROM OUR WORK SUPPORT INFORMED DECISION MAKING BY POLICY MAKERS, PAYERS, MANAGERS, PRACTITIONERS, AND CONSUMERS OF HOME AND COMMUNITY BASED SERVICES. IT IS THE ONLY HOME AND COMMUNITY-BASED RESEARCH CENTER HOUSED IN AN ORGANIZATION SUCH AS VNSNY. CENTER STAFF REGULARLY PUBLISH IN PEER-REVIEWED JOURNALS AND MAKE PRESENTATIONS AT NATIONAL CONFERENCES TO DISSEMINATE THE FINDINGS TO THE SCIENTIFIC AND POLICY COMMUNITIES. ALIGNING WITH THE NATIONAL HEALTH REFORM DEBATE, THE CENTER FOCUSES ON HOME CARE'S ROLE WITHIN THE ENTIRE HEALTH CARE CONTINUUM. THE CENTER ADVANCES A BROAD VISION OF "HOME CARE" IN THE CONTEXT OF OVERALL PERSON-CENTERED CARE DESIGNED TO PROMOTE HEALTH, SUPPORT POSITIVE AGING, FACILITATE RECOVERY, MANAGE CHRONIC ILLNESS AND PREPARE FOR END OF LIFE. RESEARCHERS WORK TO EMBODY THIS VISION IN FUNDED RESEARCH AND CONCRETE PRACTICES THAT CAN BE EFFECTIVELY INCORPORATED INTO DAILY PATIENT CARE. THE CENTER'S WORK ENCOMPASSES RESEARCH AVENUES DIRECTED AT NATIONAL PROBLEMS: IMPROVING CARE AND REDUCING HOSPITALIZATIONS AMONG LOW INCOME, CULTURALLY DIVERSE PATIENTS WITH COMPLEX NEEDS FOR TRANSITIONAL, POST-ACUTE, LONG-TERM CHRONIC CARE AND CARE MANAGEMENT, AND UNDERSTANDING AND PREDICTING THE DRIVERS OF RESOURCE USE FOR THESE POPULATIONS. FOR EXAMPLE, A CURRENT STUDY IS INVESTIGATING INFECTION CONTROL PRACTICES IN THE HOME ENVIRONMENT AND IS DEVELOPING AN ANALYTIC MODEL TO IDENTIFY PATIENTS WHO ARE AT GREATEST RISK OF REQUIRING AN EMERGENCY DEPARTMENT VISIT OR BEING HOSPITALIZED BECAUSE OF AN INFECTION. IF AGENCIES LEARN MORE ABOUT HOW TO IMPROVE FIELD PRACTICES AND A CLINICIAN IS NOTIFIED OF A PATIENT'S RISK THEN ADDITIONAL PREVENTIVE MEASURES CAN BE PUT IN PLACE TO IMPROVE PATIENT OUTCOMES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>Matthew Box served as interim CFO of the organization from June 11, 2017 to January 28, 2018. MATTHEW BOX IS A MANAGING DIRECTOR WITH ALVAREZ &amp; MARSAL, AND HIS SERVICES AS INTERIM CFO WERE PROVIDED PURSUANT TO A CONTRACT WITH ALVAREZ &amp; MARSAL. VNSNY HAD A PRIOR BUSINESS RELATIONSHIP WITH ALVAREZ &amp; MARSAL THAT PRECEDED MATTHEW BOX'S APPOINTMENT AS INTERIM CFO. MATTHEW BOX RECUSED HIMSELF FROM ANY DISCUSSIONS THAT THE MANAGEMENT OF VNSNY HAD REGARDING CONTRACTS WITH ALVAREZ &amp; MARSAL. FOR THE PERIOD OF 1/1/2018 1/28/2018, ALVAREZ &amp; MARSAL WAS PAID $73,600 FOR THE SERVICES PROVIDED BY MATTHEW BOX AS INTERM CFO OF VNSNY. FORM 990, PART VI, SECTION B, LINE 11B THE AUDIT COMMITTEE OF VNSNY AND ITS AFFILIATED ORGANIZATIONS REVIEWED THE FORM 990. 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CHIEF AND PRIVACY COMPLIANCE OFFICER REVIEWS THE DISCLOSURE STATEMENTS COMPLETED ANNUALLY BY EACH OFFICER, DIRECTOR, AND KEY EMPLOYEE, AND CONSULTS WITH THE EXECUTIVE VICE PRESIDENT, GENERAL COUNSEL &amp; CHIEF RISK OFFICER AS APPROPRIATE. ANY POTENTIAL CONFLICTS ARE VETTED WITH THE CEO, EXECUTIVE VICE PRESIDENT, GENERAL COUNSEL &amp; CHIEF RISK OFFICER AND, AS APPROPRIATE, THE CHAIR OF THE BOARD. SPECIFIC FOLLOW-UP ACTION IS TAKEN ON A CASE-BY-CASE BASIS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A &amp; 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>VNSNY REVIEWS ITS OVERALL EXECUTIVE COMPENSATION PROGRAM ON A PERIODIC BASIS. EXECUTIVE COMPENSATION REVIEWS WERE DONE IN PART IN 2017 AND IN 2018. THE PROCESS FOR DETERMINING THE INDIVIDUAL COMPENSATION LEVELS OF VNSNY'S TOP MANAGEMENT, INCLUDING THE CEO, AND ALL OFFICERS MEETS THE THREE REQUIREMENTS OF THE REBUTTABLE PRESUMPTION UNDER TREAS. REG. 53.4958-6. A COMPENSATION COMMITTEE IS APPOINTED BY THE BOARD OF DIRECTORS FOR THE PURPOSE OF ASSISTING THE BOARD TO FULFILL ITS RESPONSIBILITY TO VNSNY AND THE COMMUNITY TO ENSURE THE COMPENSATION IS IN ACCORDANCE WITH VNSNY'S POLICIES. THE COMMITTEE IS COMPRISED OF FOUR DIRECTORS WHO ARE INDEPENDENT OF MANAGEMENT AND VNSNY AND FREE OF ANY CONFLICTS OF INTEREST THAT WOULD INTERFERE WITH THEIR EXERCISE OF INDEPENDENT JUDGMENT. PRIOR TO MAKING COMPENSATION DECISIONS, THE COMMITTEE OBTAINS AND RELIES UPON APPROPRIATE DATA AS TO COMPARABILITY. THE COMMITTEE RETAINS AN INDEPENDENT COMPENSATION CONSULTANT AND UTILIZES LOCAL AND NATIONAL COMPENSATION SURVEYS TO ASSIST IN SETTING COMPENSATION LEVELS. THE COMPENSATION COMMITTEE ADEQUATELY AND ON A TIMELY BASIS DOCUMENTS THE BASIS FOR SETTING COMPENSATION WITH THE MAKING OF THE DETERMINATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>DOCUMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER CHANGES IN NET ASSETS OR FUND BALANCES PENSION ADJUSTMENT RELATED CHANGES OTHER THAN PERIODIC PENSION COST $ 9,313,000 RESERVE FOR AMOUNTS DUE FROM AFFILIATE (VNSNY HOME CARE &amp; VNS CHOICE) (108,730,000) ROUNDING 239 --------------- $ (99,416,765)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:OTHER FEES FOR SERVICES TOTAL FEES:9191064</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 24 - OTHER EXPENSES</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:OTHER EXPENSES TOTAL EXPENSES:4585680 PROGRAM SERVICES:170802 MANAGEMENT AND GENERAL:4413586 FUNDRAISING:1292</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 24 - OTHER EXPENSES</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:BAD DEBT EXPENSE TOTAL EXPENSES:1317 MANAGEMENT AND GENERAL:1317</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
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        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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          <AddressLine1Txt>220 EAST 42nd STREET 6th FL</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10017</ZIPCd>
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          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10017</ZIPCd>
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        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>VNS CHOICE</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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        <USAddress>
          <AddressLine1Txt>220 EAST 42nd STREET 6th FL</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10017</ZIPCd>
        </USAddress>
        <EIN>300006817</EIN>
        <PrimaryActivitiesTxt>HOSPICE CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VNS NY</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>NEW PARTNERS INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>220 EAST 42nd STREET 6th FL</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10017</ZIPCd>
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        <EIN>133885148</EIN>
        <PrimaryActivitiesTxt>HOME HEALTH</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>VNS NY</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>FAMILY CARE SERVICES INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>220 EAST 42nd STREET 6th FL</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10017</ZIPCd>
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        <EIN>133213081</EIN>
        <PrimaryActivitiesTxt>HOME HEALTH</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>VNS NY</BusinessNameLine1Txt>
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      <IdRelatedOrgTxblCorpTrGrp>
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          <AddressLine1Txt>220 EAST 42ND STREEYT 6TH FLOOR</AddressLine1Txt>
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        <EntityTypeTxt>C CORP</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>2953734</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>574509</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
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      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>true</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>true</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
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        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>VISITING NURSE SERVICE OF NY HOSPICE CARE</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>B</TransactionTypeTxt>
        <InvolvedAmt>1158279</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>VISITING NURSE SERVICE OF NY HOSPICE CARE</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>12160022</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ALLOC. O/H EXP.</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>NEW PARTNERS INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>4247302</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ALLOC. O/H EXP.</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>VISITING NURSE SERVICE OF NY HOSPICE CARE</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>N</TransactionTypeTxt>
        <InvolvedAmt>3282193</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ALLOC. O/H EXP.</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>NEW PARTNERS INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>N</TransactionTypeTxt>
        <InvolvedAmt>3814170</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ALLOC. O/H EXP.</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>VISITING NURSE SERVICE OF NY HOME CARE II</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>236381604</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>VISITING NURSE SERVICE OF NY HOME CARE II</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>106070741</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ALLOC. O/H EXP.</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>VISITING NURSE SERVICE OF NY HOME CARE II</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>N</TransactionTypeTxt>
        <InvolvedAmt>8351056</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ALLOC. O/H EXP.</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>VNS CHOICE</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>N</TransactionTypeTxt>
        <InvolvedAmt>7867781</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ALLOC. O/H EXP.</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>VISITING NURSE SERVICE OF NY HOSPICE CARE</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>73904983</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>NEW PARTNERS INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>44845081</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>NEW PARTNERS INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>86006</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ALLOC. O/H EXP.</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>VISITING NURSE SERVICE OF NY HOSPICE CARE</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <InvolvedAmt>552648</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ALLOC. O/H EXP.</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>VNS CHOICE COMMUNITY CARE</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>N</TransactionTypeTxt>
        <InvolvedAmt>294122</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ALLOC. O/H EXP.</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>VNS CHOICE COMMUNITY CARE</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>55393</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>VISITING NURSE SERVICE OF NY HOME CARE II</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>1956760</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ALLOC. O/H EXP.</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>VNS CHOICE</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>31355782</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ALLOC. O/H EXP.</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>VNS CHOICE</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>108244713</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>VNS CHOICE</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>1484358</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ALLOC. O/H EXP.</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>VNS CHOICE</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>D</TransactionTypeTxt>
        <InvolvedAmt>157000000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
    <AffiliatedGroupSchedule documentId="AffiliatedGroupSchedule">
      <AffiliatedScheduleGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Visiting Nurse Serv of NY H</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>220 EAST 42ND STREET 6TH FLOOR</AddressLine1Txt>
          <CityNm>New York</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10017</ZIPCd>
        </USAddress>
        <EIN>131624211</EIN>
        <TotalGrassrootsLobbyAmt>0</TotalGrassrootsLobbyAmt>
        <TotalDirectLobbyAmt>0</TotalDirectLobbyAmt>
        <TotalLobbyExpenditureAmt>0</TotalLobbyExpenditureAmt>
        <OtherExemptPurposeExpendAmt>345471048</OtherExemptPurposeExpendAmt>
        <TotalExemptPurposeExpendAmt>345471048</TotalExemptPurposeExpendAmt>
        <LobbyNontxAmt>1000000</LobbyNontxAmt>
        <GrassrootsNontxAmt>250000</GrassrootsNontxAmt>
        <TotalLobbyGrssrootMnsNontxAmt>0</TotalLobbyGrssrootMnsNontxAmt>
        <TotLbbyExpendMnsLobbyNontxAmt>0</TotLbbyExpendMnsLobbyNontxAmt>
        <ShareExcessLobbyExpendAmt>0</ShareExcessLobbyExpendAmt>
      </AffiliatedScheduleGrp>
      <AffiliatedScheduleGrp>
        <BusinessName>
          <BusinessNameLine1Txt>VNS Choice</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>220 EAST 42ND STREET 6TH FLOOR</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10017</ZIPCd>
        </USAddress>
        <EIN>133951057</EIN>
        <TotalGrassrootsLobbyAmt>0</TotalGrassrootsLobbyAmt>
        <TotalDirectLobbyAmt>0</TotalDirectLobbyAmt>
        <TotalLobbyExpenditureAmt>0</TotalLobbyExpenditureAmt>
        <OtherExemptPurposeExpendAmt>1455629288</OtherExemptPurposeExpendAmt>
        <TotalExemptPurposeExpendAmt>1455629288</TotalExemptPurposeExpendAmt>
        <LobbyNontxAmt>1000000</LobbyNontxAmt>
        <GrassrootsNontxAmt>250000</GrassrootsNontxAmt>
        <TotalLobbyGrssrootMnsNontxAmt>0</TotalLobbyGrssrootMnsNontxAmt>
        <TotLbbyExpendMnsLobbyNontxAmt>0</TotLbbyExpendMnsLobbyNontxAmt>
        <ShareExcessLobbyExpendAmt>0</ShareExcessLobbyExpendAmt>
      </AffiliatedScheduleGrp>
      <AffiliatedScheduleGrp>
        <BusinessName>
          <BusinessNameLine1Txt>VNS Choice Community Care</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>220 EAST 42ND STREET 6TH FLOOR</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10017</ZIPCd>
        </USAddress>
        <EIN>320053323</EIN>
        <TotalGrassrootsLobbyAmt>0</TotalGrassrootsLobbyAmt>
        <TotalDirectLobbyAmt>0</TotalDirectLobbyAmt>
        <TotalLobbyExpenditureAmt>0</TotalLobbyExpenditureAmt>
        <OtherExemptPurposeExpendAmt>1055281</OtherExemptPurposeExpendAmt>
        <TotalExemptPurposeExpendAmt>1055281</TotalExemptPurposeExpendAmt>
        <LobbyNontxAmt>180528</LobbyNontxAmt>
        <GrassrootsNontxAmt>45132</GrassrootsNontxAmt>
        <TotalLobbyGrssrootMnsNontxAmt>0</TotalLobbyGrssrootMnsNontxAmt>
        <TotLbbyExpendMnsLobbyNontxAmt>0</TotLbbyExpendMnsLobbyNontxAmt>
        <ShareExcessLobbyExpendAmt>0</ShareExcessLobbyExpendAmt>
      </AffiliatedScheduleGrp>
      <AffiliatedScheduleGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Visiting Nurse Serv of NY H</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>220 EAST 42ND STREET 6TH FLOOR</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10017</ZIPCd>
        </USAddress>
        <EIN>300006817</EIN>
        <TotalGrassrootsLobbyAmt>0</TotalGrassrootsLobbyAmt>
        <TotalDirectLobbyAmt>0</TotalDirectLobbyAmt>
        <TotalLobbyExpenditureAmt>0</TotalLobbyExpenditureAmt>
        <OtherExemptPurposeExpendAmt>84487444</OtherExemptPurposeExpendAmt>
        <TotalExemptPurposeExpendAmt>84487444</TotalExemptPurposeExpendAmt>
        <LobbyNontxAmt>1000000</LobbyNontxAmt>
        <GrassrootsNontxAmt>250000</GrassrootsNontxAmt>
        <TotalLobbyGrssrootMnsNontxAmt>0</TotalLobbyGrssrootMnsNontxAmt>
        <TotLbbyExpendMnsLobbyNontxAmt>0</TotLbbyExpendMnsLobbyNontxAmt>
        <ShareExcessLobbyExpendAmt>0</ShareExcessLobbyExpendAmt>
      </AffiliatedScheduleGrp>
      <AffiliatedScheduleGrp>
        <BusinessName>
          <BusinessNameLine1Txt>New Partners Inc</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>220 EAST 42ND STREET 6TH FLOOR</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10017</ZIPCd>
        </USAddress>
        <EIN>133885148</EIN>
        <TotalGrassrootsLobbyAmt>0</TotalGrassrootsLobbyAmt>
        <TotalDirectLobbyAmt>0</TotalDirectLobbyAmt>
        <TotalLobbyExpenditureAmt>0</TotalLobbyExpenditureAmt>
        <OtherExemptPurposeExpendAmt>267181575</OtherExemptPurposeExpendAmt>
        <TotalExemptPurposeExpendAmt>267181575</TotalExemptPurposeExpendAmt>
        <LobbyNontxAmt>1000000</LobbyNontxAmt>
        <GrassrootsNontxAmt>250000</GrassrootsNontxAmt>
        <TotalLobbyGrssrootMnsNontxAmt>0</TotalLobbyGrssrootMnsNontxAmt>
        <TotLbbyExpendMnsLobbyNontxAmt>0</TotLbbyExpendMnsLobbyNontxAmt>
        <ShareExcessLobbyExpendAmt>0</ShareExcessLobbyExpendAmt>
      </AffiliatedScheduleGrp>
      <AffiliatedScheduleGrp>
        <BusinessName>
          <BusinessNameLine1Txt>VNS Continuing Care Developm</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>220 EAST 42ND STREET 6TH FLOOR</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10017</ZIPCd>
        </USAddress>
        <EIN>133974198</EIN>
        <TotalGrassrootsLobbyAmt>0</TotalGrassrootsLobbyAmt>
        <TotalDirectLobbyAmt>0</TotalDirectLobbyAmt>
        <TotalLobbyExpenditureAmt>0</TotalLobbyExpenditureAmt>
        <OtherExemptPurposeExpendAmt>0</OtherExemptPurposeExpendAmt>
        <TotalExemptPurposeExpendAmt>0</TotalExemptPurposeExpendAmt>
        <LobbyNontxAmt>0</LobbyNontxAmt>
        <GrassrootsNontxAmt>0</GrassrootsNontxAmt>
        <TotalLobbyGrssrootMnsNontxAmt>0</TotalLobbyGrssrootMnsNontxAmt>
        <TotLbbyExpendMnsLobbyNontxAmt>0</TotLbbyExpendMnsLobbyNontxAmt>
        <ShareExcessLobbyExpendAmt>0</ShareExcessLobbyExpendAmt>
      </AffiliatedScheduleGrp>
      <AffiliatedScheduleGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Family Care Services Inc</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>220 EAST 42ND STREET 6TH FLOOR</AddressLine1Txt>
          <CityNm>New York</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10017</ZIPCd>
        </USAddress>
        <EIN>133213081</EIN>
        <TotalGrassrootsLobbyAmt>0</TotalGrassrootsLobbyAmt>
        <TotalDirectLobbyAmt>0</TotalDirectLobbyAmt>
        <TotalLobbyExpenditureAmt>0</TotalLobbyExpenditureAmt>
        <OtherExemptPurposeExpendAmt>0</OtherExemptPurposeExpendAmt>
        <TotalExemptPurposeExpendAmt>0</TotalExemptPurposeExpendAmt>
        <LobbyNontxAmt>0</LobbyNontxAmt>
        <GrassrootsNontxAmt>0</GrassrootsNontxAmt>
        <TotalLobbyGrssrootMnsNontxAmt>0</TotalLobbyGrssrootMnsNontxAmt>
        <TotLbbyExpendMnsLobbyNontxAmt>0</TotLbbyExpendMnsLobbyNontxAmt>
        <ShareExcessLobbyExpendAmt>0</ShareExcessLobbyExpendAmt>
      </AffiliatedScheduleGrp>
    </AffiliatedGroupSchedule>
  </ReturnData>
</Return>