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        <NontaxableBenefitsFilingOrgAmt>14631</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>202721</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CORE FORM, PART VII AND SCHEDULE J</FormAndLineReferenceDesc>
        <ExplanationTxt>TAXABLE COMPENSATION REPORTED HEREIN IS DERIVED FROM 2024 FORMS W-2.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I; QUESTION 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS AN AFFILIATE WITHIN VISITING NURSE SERVICE OF NEW YORK D/B/A VNS HEALTH AND ITS SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). PLEASE REFER TO THE CORE FORM, PART VI, SECTION B; QUESTION 15 NARRATIVE INCLUDED WITHIN SCHEDULE O WHICH DESCRIBES THE CRITERIA USED BY THE SYSTEM TO ESTABLISH THE COMPENSATION OF CERTAIN INDIVIDUALS INCLUDED WITHIN CORE FORM, PART VII AND SCHEDULE J OF THIS ORGANIZATION'S FORM 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I; QUESTION 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE PAYMENTS DURING THE YEAR WHICH WERE INCLUDED IN HER 2024 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: JENNIFER BRULLO, DNP, MSN, $154,027.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I; QUESTION 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AMOUNT REFLECTED IN SCHEDULE J, PART II, COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES CURRENT YEAR VESTING IN A DEFERRED COMPENSATION PLAN, AS THE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2024 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: DANIEL SAVITT, $207,688; KEITH PATTERSON, $71,264; DAVID ROSALES, $63,593 AND ANDRIA CASTELLANOS, $74,208. THE DEFERRED COMPENSATION AMOUNT REFLECTED IN SCHEDULE J, PART II, COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDES UNVESTED BENEFITS IN A LONG-TERM INCENTIVE PLAN, WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNT OUTLINED HEREIN WAS NOT INCLUDED IN EACH INDIVIDUAL'S 2024 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: DANIEL SAVITT, $192,082; KEITH PATTERSON, $64,028; DAVID ROSALES, $44,443; JENNIFER BRULO, DNP, MNS, $26,752; jessica fear, $23,975; ANDRIA CASTELLANOS, $51,702; LAWRENCE LEPELSTAT, $14,086; JOAN CASSANO, $13,094; LISA FELSZER, $13,298 AND ROGER HERR, $13,067.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I; QUESTION 7</FormAndLineReferenceDesc>
        <ExplanationTxt>CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2024 WHICH WAS INCLUDED IN SCHEDULE J, PART II, COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2024 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. EMPLOYEE BONUSES ARE NON-FIXED PAYMENTS BASED UPON PERFORMANCE. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CORE FORM, PAGE 1, BOX C</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS ORGANIZATION PREVIOUSLY FILED A CERTIFICATE OF ASSUMED NAME WITH THE NEW YORK STATE DEPARTMENT OF STATE DIVISION OF CORPORATIONS AND CURRENTLY OPERATES UNDER VNS HEALTH HOME CARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CORE FORM, PART III, QUESTION 1</FormAndLineReferenceDesc>
        <ExplanationTxt>EFFECTIVE JUNE 28, 2023, VNS HEALTH BEHAVIORAL HEALTH INC (VNS HEALTH BEHAVIORAL HEALTH), A NOT-FOR-PROFIT CORPORATION, WAS INCORPORATED SERVING CHILDREN, ADOLESCENTS, AND FAMILIES, AS WELL AS CHRONICALLY MENTALLY ILL ADULTS AND GERIATRIC PATIENTS FOR A WIDE RANGE OF SHORT-TERM AND LONG-TERM BEHAVIORAL TREATMENT PROGRAMS. THE ACTIVITIES RELATED TO VNS BEHAVIORAL HEALTH WERE INCLUDED WITHIN VISITING NURSE SERVICE OF NEW YORK HOME CARE II D/B/A VNS HEALTH HOME CARE ("VNS HEALTH HOME CARE") PRIOR TO THE INCORPORATION. EMPLOYEES PREVIOUSLY EMPLOYED BY VNS HEALTH HOME CARE WERE TRANSFERRED TO THE NEW ENTITY in 2023 AND SERVICES WERE THEN PURCHASED BY VNS HEALTH HOME CARE FOR THE CONTINUATION OF SERVICES. VNS HEALTH HOME CARE IS PART OF ONE OF THE NATION'S LARGEST NONPROFIT HOME AND COMMUNITY-BASED HEALTH CARE ORGANIZATIONS. INNOVATING IN HEALTH CARE FOR MORE THAN 130 YEARS, OUR COMMITMENT TO HEALTH AND WELL-BEING IS WHAT DRIVES US-WE HELP PEOPLE LIVE, AGE, AND HEAL WHERE THEY FEEL MOST COMFORTABLE, IN THEIR OWN HOMES, CONNECTED TO THEIR FAMILY AND COMMUNITY. VISITING NURSER SERVICE OF NEW YORK D/B/A VNS HEALTH ("VNS HEALTH") OFFERS A FULL RANGE OF HEALTH CARE SERVICES, SOLUTIONS AND HEALTH PLANS DESIGNED TO SIMPLIFY THE HEALTH CARE EXPERIENCE AND MEET THE DIVERSE AND COMPLEX NEEDS OF THOSE WE SERVE IN NEW YORK AND BEYOND. THE ORGANIZATION AIMS TO HELP PATIENTS AND MEMBERS CONTINUE TO LIVE INDEPENDENTLY IN THEIR OWN HOME AND COMMUNITIES FOR AS LONG AS POSSIBLE; PROMOTING CHOICE IN HEALTH AND LONG-TERM CARE BY DIRECTLY INVOLVING PATIENTS AND MEMBERS IN THEIR CARE. THIS ORGANIZATION IS A PART OF VNS HEALTH WHICH FOCUSES ON PROMOTING THE HEALTH AND WELL-BEING OF PATIENTS AND FAMILIES BY PROVIDING HIGH-QUALITY, COST-EFFECTIVE HEALTH CARE TO VULNERABLE INDIVIDUALS IN THEIR HOMES AND COMMUNITIES. VNS HEALTH IS COMMITTED TO SERVING COMMUNITIES IN NEED, SUCH AS THOSE WITH HIGH MEDICAID PENETRATION AND NEIGHBORHOODS THAT ARE HOME TO THE UNINSURED AND UNDERINSURED. IN OUR HISTORIC ROLE AS A SAFETY NET PROVIDER, WE ADDRESS THE COMPREHENSIVE CARE NEEDS OF VULNERABLE POPULATIONS, HELPING, AMONG OTHER THINGS, TO KEEP THEM OUT OF HOSPITALS, BECOME MORE EFFECTIVE AND NURSING PARENTS, AGE IN PLACE SUCCESSFULLY, GET APPROPRIATE TREATMENT FOR BEHAVIORAL HEALTH AND MENTAL HEALTH ISSUES, AND SELF-MANAGE CHRONIC MEDICAL CONDITIONS. IN 2024, VNS HEALTH AND ITS AFFILIATES - TOGETHER WITH ITS GENEROUS SUPPORTERS AND COMMUNITY PARTNERS - PROVIDED OVER $69 MILLION IN CHARITABLE CARE AND COMMUNITY IMPACT PROGRAMS, WHICH IMPROVED THE LIVES OF TENS OF THOUSANDS OF NEW YORKERS, YOUNG AND OLD, INCLUDING THE UNINSURED AND UNDERINSURED INDIVIDUALS. DONORS CONTRIBUTED $5.7 MILLION TO SUPPORT VNS HEALTH CHARITABLE CARE AND COMMUNITY IMPACT PROGRAMS, AND THE REMAINING FUNDING CAME FROM VNS HEALTH'S CHARITABLE CONTRIBUTION, AND GOVERNMENT GRANTS. VNS HEALTH'S COMMUNITY IMPACT PROGRAMS, CARRIED OUT THROUGH ITS AFFILIATE ORGANIZATIONS, EXPAND ACCESS TO CARE TO UNDERSERVED INDIVIDUALS AND COMMUNITIES, SUPPORT AGING IN PLACE, ADVANCE RESEARCH AND PROGRAM DEVELOPMENT, PROVIDE OPPORTUNITIES FOR DISADVANTAGED CHILDREN AND FAMILIES, AND DEVELOP THE FUTURE HEALTH CARE WORKFORCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CORE FORM, PART III, QUESTION 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>vns health home care has an ACUTE CARE PROGRAM, COMPRISED OF IN-HOME NURSING AND REHABILITATIVE THERAPIES, IS THE LARGEST WITHIN VNS HEALTH HOME CARE. WITH AN AVERAGE OF 5,944 PATIENTS UNDER ITS CARE EACH DAY IN 2024. THE ORGANIZATION STRIVES TO PROMOTE THE HEALTH AND WELL-BEING OF INDIVIDUALS AND FAMILIES BY PROVIDING HIGH-QUALITY, COST-EFFECTIVE HEALTH CARE TO VULNERABLE INDIVIDUALS IN NEED WHO MIGHT OTHERWISE NOT RECEIVE THE CARE THEY NEED. IN 2024, OVER $2.1 MILLION WAS SPENT ON PROVIDING NURSING AND OTHER HEALTH CARE TO PEOPLE WITHOUT INSURANCE OR WITH INADEQUATE INSURANCE. THIS CARE INCLUDED HOME CARE SERVICES AND QUALITY-OF-LIFE NECESSITIES, SUCH AS FREE MEDICATIONS, TRANSPORTATION TO PHYSICIAN VISITS, FREE HEALTH SCREENINGS, AND AIR CONDITIONERS AND MATTRESSES FOR THOSE IN NEED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CORE FORM, PART III, QUESTION 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>Behavioral health services are ADMINISTERed through 17 PROGRAMS AND AN ARTICLE 31 MENTAL HEALTH OUTPATIENT TREATMENT AND REHABILITATIVE SERVICE (MHOTRS) PROGRAM, WITH APPROXIMATELY 475 FULL TIME, PART-TIME AND PER DIEM TEAM MEMBERS. THESE PROGRAMS DELIVERED CARE TO NEARLY 20,000 PATIENTS IN 2024 THROUGHOUT NEW YORK CITY PROVIDING ROUGHLY 9,500 VISITS PER MONTH, BOTH IN THE COMMUNITY AND VIA TELEHEALTH. The programs PROVIDE COMPASSIONATE BEHAVIORAL HEALTH SERVICES TO INDIVIDUALS OF ALL AGES THROUGHOUT NEW YORK CITY. PROGRAMS RANGE FROM CRISIS INTERVENTION TO LONG-TERM TREATMENT AND CARE MANAGEMENT FOR ADULTS, CHILDREN, AND FAMILIES WITH COMPLEX MENTAL HEALTH AND SUBSTANCE USE CONDITION. IN 2023, VNS HEALTH BEHAVIORAL HEALTH TRANSITIONED TO A SEPARATE ENTITY AND SERVICES WERE THEN PURCHASED BY VNS HEALTH HOME CARE FOR THE CONTINUATION OF SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CORE FORM, PART III, QUESTION 4C</FormAndLineReferenceDesc>
        <ExplanationTxt>VNS HEALTH HOME CARE HAS A CARE MANAGEMENT UNIT WITHIN CLINICAL SUPPORT SERVICES. USING THE ORGANIZATION'S POPULATION HEALTH EVIDENCED-BASED PRACTICES AND TOOLS, CARE TEAMS PROVIDE VALUE-BASED CARE PROGRAMS AND SERVICES FOR CLIENTS/PATIENTS AND MEMBERS OF HOSPITALS, ACO'S AND HEALTH PLANS AT ALL LEVELS OF RISK. THE CARE MANAGEMENT UNIT TAKES A PROACTIVE, PERSON-CENTERED CARE APPROACH TO ADDRESSE A SPECTRUM OF MEDICAL, BEHAVIORAL AND SOCIAL NEEDS, AND REDUCES OVERALL COSTS OF CARE WHILE IMPROVING QUALITY. OUR INTERDISCIPLINARY TEAM INCLUDES CARE MANAGERS (RNS, PTS, OTS, LPNS, LCSWS); NURSE PRACTITIONERS; HEALTH AND WELLNESS COACHES; PHARMACISTS; TRANSITIONAL CARE ASSOCIATES; AND REGISTERED DIETICIANS. TOGETHER, THEY: EMPLOY EXTENSIVE EXPERIENCE ON MANAGING CHRONIC CONDITIONS AND COMORBIDITIES; FOCUS ON 30-60 DAY POST-DISCHARGE AND HIGH-RISK POPULATIONS; CONDUCT 12-18 MONTHS CHRONIC CARE MANAGEMENT; USE CLINICAL AND NON-CLINICAL RESOURCES AND INTERVENTIONS; FACILITATE IN-PERSON INTERVENTIONS, INCLUDING COMMUNITY PARAMEDICINE; COORDINATE CARE BETWEEN PROVIDERS AND SETTINGS; FACILITATE PATIENT EDUCATION AND COACHING; UTILIZE REMOTE PATIENT MONITORING INCLUDING VOICE RESPONSE (IVR) AND VIRTUAL VISIT TECHNOLOGY; ADVOCATE FOR TIMELY SHARING OF DATA THROUGH TECHNOLOGY; USE TELEPHONIC INTERVENTIONS FOR APPOINTMENT REMINDERS AND CONNECTIONS TO COMMUNITY-BASED RESOURCES; AND PERFORM GAPS IN CARE MANAGEMENT AND HEDIS REPORTING. THE ADVANCED ILLNESS MANAGEMENT TEAM AND PALLIATIVE CARE TEAM ENGAGE PATIENTS IN END-OF-LIFE CONVERSATIONS; AND COLLABORATE WITH FAMILIES AND PHYSICIANS TO ENSURE PATIENTS END OF LIFE WISHES ARE MET. REMOTE PATIENT MONITORING ("RPM") SERVICES ARE ALSO MANAGED WITHIN THE CMO AND INCLUDE THE UTILIZATION OF THE MOST ADVANCED RPM TECHNOLOGY AND COMMUNICATION TO ENGAGE PATIENTS, FAMILIES AND CAREGIVERS IN THE MANAGEMENT OF CHRONIC CONDITIONS WITH THE GOAL OF IMPROVING OUTCOMES AND REDUCING HOSPITALIZATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CORE FORM, PART III, QUESTION 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>vns health home care HELPS SUPPORT THE COSTS OF OPERATING SEVERAL PEDIATRIC AND FAMILY PROGRAMS (CHILDREN AND FAMILY SERVICES). THE NURSE FAMILY PARTNERSHIP PROGRAM, PAIRS SPECIALLY TRAINED NURSES WITH FIRST-TIME, LOW-INCOME MOTHERS FROM PREGNANCY THROUGH THE CHILD'S SECOND BIRTHDAY. THIS PROGRAM PROVIDES SERVICES IN THE BRONX AND IN NASSAU COUNTY. AS OF DECEMBER 2024, THE PROGRAM HAD A CENSUS OF 582 MOTHERS. PEDIATRIC PALLIATIVE CARE SERVICES ARE ALSO PROVIDED TO CHILDREN IN BROOKLYN, QUEENS, THE BRONX AND MANHATTAN. IT IS FOCUSED ON COORDINATING AND PROVIDING COMPREHENSIVE HEALTH CARE SERVICES TO CHILDREN WITH LIFE LIMITING OR LIFE-THREATENING CONDITIONS. IN 2024, VNS HEALTH PROVIDED $129,000 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. VNS HEALTH SERVES AN ETHNICALLY DIVERSE MULTICULTURAL POPULATION OF CHILDREN AND FAMILIES LIVING WITH LIFE THREATENING AND LIFE LIMITING ILLNESS. OUR TEAM CONSISTS OF A PEDIATRIC ELNEC (END OF LIFE NURSING CONSORTIUM) TRAINED INTERDISCIPLINARY TEAM OF NURSES, SOCIAL WORKERS AND REHAB CLINICIANS COVERING BROOKLYN, THE BRONX, MANHATTAN AND QUEENS. HOSPICE INTERDISCIPLINARY STAFF ATTEND PEDIATRIC ELNEC TRAINING TO INCREASE CLINICAL COMPETENCY IN CARING FOR CHILDREN AT END OF LIFE. IN 2024, VNS HEALTH COMPLETED TWO PEDIATRIC ELNEC TRAININGS BRINGING THE TOTAL NUMBER OF CLINICIANS TRAINED TO 225. HOSPICE TEAMS IN ALL REGIONS ARE ADMITTING AND SUCCESSFULLY CARING FOR PEDIATRIC PATIENTS THROUGH END OF LIFE WITH PEDIATRIC PALLIATIVE CARE TEAM COLLABORATION AND CONSULTATION. THE CONCURRENT CARE ACT FOR CHILDREN UNDER THE AFFORDABLE CARE ACT ALLOWS CHILDREN ON HOSPICE TO CONTINUE TO RECEIVE CURATIVE THERAPIES SUCH AS CHEMOTHERAPY OR RADIATION WHILE RECEIVING HOSPICE CARE. IN 2024, THERE WERE 86 PEDIATRIC ADMISSIONS WITH A TOTAL OF 760 VISITS MADE. THE MAJORITY OF PALLIATIVE CARE REFERRALS ARE FOR INFANTS WITH COMPLEX CONGENITAL HEART DISEASE AS WELL AS CHILDHOOD CANCERS WITH BRAIN TUMORS AS THE PRIMARY DIAGNOSIS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CORE FORM, PART V; QUESTION 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS AN AFFILIATE WITHIN VISITING NURSE SERVICE OF NEW YORK D/B/A VNS HEALTH ("VNS HEALTH') AND ITS SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE ORGANIZATION'S FORM 990 REFLECTS THAT NO FORMS 1099 WERE FILED WITH THE INTERNAL REVENUE SERVICE ("IRS"). VNS HEALTH; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION PAYS OUTSTANDING ACCOUNTS PAYABLE INVOICES ON BEHALF OF THIS ORGANIZATION. IN CONJUNCTION WITH THIS SERVICE, VNS HEALTH ALSO PREPARES AND ISSUES FORMS 1099 TO THESE VENDORS RECEIVING PAYMENTS WHERE APPLICABLE AND FILES THESE FORMS 1099 WITH THE IRS. VNS HEALTH ALLOCATES THESE PAYMENTS TO THE ORGANIZATION VIA AN INTERCOMPANY ACCOUNT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CORE FORM, PART V; QUESTION 15</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING THE YEAR ENDED DECEMBER 31, 2024, DANIEL M. SAVITT SERVED AS VOTING MEMBER/OFFICER OF THIS ORGANIZATION'S GOVERNING BODY; AN UNCOMPENSATED POSITION. MR. SAVITT WAS EMPLOYED BY AND RECEIVED A FEDERAL FORM W-2 FROM VNS HEALTH; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. HIS COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH VNS HEALTH. ACCORDINGLY, VNS HEALTH FILED A 2024 FEDERAL FORM 4720 WHICH INCLUDED A REMITTANCE OF EXCISE TAX RELATED TO MR. SAVITT'S COMPENSATION IN EXCESS OF $1M.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CORE FORM, PART VI, SECTION A; QUESTIONS 6 &amp; 7</FormAndLineReferenceDesc>
        <ExplanationTxt>VNS HEALTH IS THE SOLE MEMBER OF THIS ORGANIZATION. VNS HEALTH HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF DIRECTORS AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CORE FORM, PART VI, SECTION B; QUESTION 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS AN AFFILIATE WITHIN VNS HEALTH AND ITS SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). VNS HEALTH IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. VNS HEALTH'S BOARD OF DIRECTORS HAS AN AUDIT COMMITTEE ("COMMITTEE"). THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO THE COMMITTEE, AS WELL AS, EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY (ITS BOARD OF DIRECTORS) PRIOR TO THE FILING OF THE FEDERAL FORM 990 WITH THE INTERNAL REVENUE SERVICE ("IRS"). AS PART OF THE TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CERTIFIED PUBLIC ACCOUNTING ("CPA") FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL AND OTHER SYSTEM INDIVIDUALS ("INTERNAL WORKING GROUP") TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR THEIR REVIEW. THE ORGANIZATION'S INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL. FOLLOWING THIS REVIEW, THE FINAL FORM 990 WAS REVIEWED BY THE COMMITTEE AND PROVIDED TO EACH VOTING MEMBER OF THIS ORGANIZATION'S GOVERNING BODY PRIOR TO FILING WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CORE FORM, PART VI, SECTION B; QUESTIONS 12</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS AN AFFILIATE WITHIN VNS HEALTH AND ITS SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). VNS HEALTH IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THE ORGANIZATION AND SYSTEM REGULARLY MONITOR AND ENFORCE COMPLIANCE WITH ITS CONFLICT-OF-INTEREST POLICY. THE CONFLICT-OF-INTEREST POLICY GOVERNS CONFLICT OF INTEREST DISCLOSURE AND MONITORING OF ALL VOTING MEMBERS OF THE SYSTEM'S BOARD OF DIRECTORS. THE CONFLICT-OF-INTEREST POLICY IS DESIGNED TO ASSIST THE ORGANIZATION IN EVALUATING ARRANGEMENTS, CONTRACTS OR TRANSACTIONS THAT MAY BENEFIT THE PRIVATE INTEREST OF A DIRECTOR, OFFICER, KEY EMPLOYEE OR THEIR FAMILY MEMBER(S). THE POLICY IS INTENDED TO SUPPLEMENT BUT NOT REPLACE APPLICABLE STATE AND FEDERAL LAWS GOVERNING NONPROFIT CHARITABLE CORPORATIONS. THE SYSTEM'S CHIEF COMPLIANCE &amp; PRIVACY OFFICER REVIEWS THE DISCLOSURE STATEMENTS COMPLETED ANNUALLY BY EACH OFFICER, DIRECTOR, AND KEY EMPLOYEE, AND CONSULTS WITH THE SYSTEM'S EXECUTIVE VICE PRESIDENT, GENERAL COUNSEL &amp; CHIEF RISK OFFICER AS APPROPRIATE. ANY POTENTIAL CONFLICTS ARE VETTED WITH THE SYSTEM'S PRESIDENT/CHIEF EXECUTIVE OFFICER, EXECUTIVE VICE PRESIDENT, GENERAL COUNSEL &amp; CHIEF RISK OFFICER AND, AS APPROPRIATE, THE CHAIR OF THE BOARD OF DIRECTORS. SPECIFIC FOLLOW-UP ACTION IS TAKEN ON A CASE-BY-CASE BASIS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CORE FORM, PART VI, SECTION B; QUESTIONS 13 &amp; 14</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS AN AFFILIATE WITHIN VNS HEALTH AND ITS SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE TAXPAYER DOES NOT HAVE A SEPARATE WHISTLEBLOWER OR DOCUMENT RETENTION AND DESTRUCTION POLICY BUT HAS ADOPTED THE POLICIES AND PROCEDURES SET FORTH BY VNS HEALTH.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CORE FORM, PART VI, SECTION B; QUESTION 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS AN AFFILIATE WITHIN VISITING NURSE SERVICE OF NEW YORK AND ITS SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). VNS HEALTH IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. VNS HEALTH'S BOARD OF DIRECTORS HAS AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES THE COMPENSATION AND BENEFITS OF THE SYSTEM'S PRESIDENT/CHIEF EXECUTIVE OFFICER, EXECUTIVE VICE PRESIDENTS, AND SENIOR VICE PRESIDENTS ("SENIOR MANAGEMENT"). THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THESE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS COMPLETED ON A BIENNIAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT OF THE SYSTEM IS REASONABLE. IN ADDITION, THE COMMITTEE CONDUCTS SPORADIC REVIEWS WHEN NEW TOP EXECUTIVES ARE HIRED OR CURRENT EXECUTIVES TAKE ON ADDITIONAL RESPONSIBILITIES. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION AND SYSTEM TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION FOR SENIOR MANAGEMENT. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF DIRECTORS EACH OF WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY, THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THE COMMITTEE ADEQUATELY DOCUMENTED ITS BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS ONLY APPLIES TO CERTAIN SENIOR MANAGEMENT, INCLUDING BUT NOT LIMITED TO, THE PRESIDENT &amp; CHIEF EXECUTIVE OFFICER, EXECUTIVE VICE PRESIDENTS AND SENIOR VICE PRESIDENTS. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 ARE REVIEWED IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, EMPLOYEE REVIEWS, EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CORE FORM, PART VI, SECTION C; QUESTION 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW YORK. IN ADDITION, THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CORE FORM, PART VII AND SCHEDULE J</FormAndLineReferenceDesc>
        <ExplanationTxt>CORE FORM, PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION OR A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THE ORGANIZATION OR THE RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CORE FORM, PART VII AND SCHEDULE J</FormAndLineReferenceDesc>
        <ExplanationTxt>Jessica Fear, a former Key employee of this organization, was transfered to VNS HEALTH BEHAVIORAL HEALTH INC; a related TAXE-EXEMPT organization, in 2023. Ms. Fear is still employed by and receives compensation from that related TAX-EXEMPT organization.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CORE FORM, PART VII, SECTION A, COLUMN B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS AN AFFILIATE WITHIN VNS HEALTH AND ITS SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). CERTAIN BOARD OF DIRECTOR MEMBERS AND OFFICERS INCLUDED WITHIN CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF DIRECTORS OF OTHER RELATED ORGANIZATIONS WITHIN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY THE SAME AS REFLECTED ON CORE FORM, PART VII OF THIS FORM 990. THE HOURS REFLECTED ON CORE FORM, PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS OR KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF THE SYSTEM; NOT SOLELY THIS ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CORE FORM, PART XII; QUESTION 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS AN AFFILIATE WITHIN VNS HEALTH AND ITS SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). VNS HEALTH IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. VNS HEALTH'S BOARD OF DIRECTORS HAS AN AUDIT COMMITTEE ("COMMITTEE"). AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE SYSTEM FOR THE YEARS ENDED DECEMBER 31, 2024 AND DECEMBER 31, 2023; RESPECTIVELY AND ISSUED A CONSOLIDATED FINANCIAL STATEMENT WITH CONSOLIDATING SCHEDULES BY ENTITY. AN UNMODIFIED OPINION WAS ISSUED EACH YEAR BY THE INDEPENDENT CPA FIRM. THE COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CORE FORM, PART XII; QUESTION 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS AN AFFILIATE WITHIN VNS HEALTH AND ITS SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). VNS HEALTH IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. AS A RESULT OF FEDERAL AWARDS RECEIVED, THE ORGANIZATION WAS INCLUDED IN A SYSTEM WIDE CONSOLIDATED AUDIT AS SET FORTH IN THE UNIFORM GUIDANCE, 2 C.F.R., PART 200, SUBPART F. THE SYSTEM ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE THE UNIFORM GUIDANCE AUDIT.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        </DisregardedEntityName>
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          <AddressLine1Txt>220 EAST 42ND STREET 6TH FL</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
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        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VNS CHOICE</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>220 EAST 42ND STREET 7TH FL</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10017</ZIPCd>
        </USAddress>
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        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VCCDC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>VNS CONTINUING CARE DEVELOPMENT CORP</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>220 EAST 42ND STREET 6TH FL</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10017</ZIPCd>
        </USAddress>
        <EIN>133974198</EIN>
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        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>12,III-FI</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VNSNY</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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          <BusinessNameLine1Txt>VNS CHOICE COMMUNITY CARE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>220 EAST 42ND STREET 6TH FL</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10017</ZIPCd>
        </USAddress>
        <EIN>320053323</EIN>
        <PrimaryActivitiesTxt>HEALTH SVCS.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>VNS CHOICE</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VNS OF NEW YORK HOSPICE CARE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>220 EAST 42ND STREET 7TH FL</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10017</ZIPCd>
        </USAddress>
        <EIN>300006817</EIN>
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        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>VNSNY</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <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>
        </USAddress>
        <EIN>133885148</EIN>
        <PrimaryActivitiesTxt>HEALTH SVCS.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VNSNY</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <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>
        </USAddress>
        <EIN>133213081</EIN>
        <PrimaryActivitiesTxt>HEALTH SVCS.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VNSNY</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VNS HEALTH BEHAVIORAL HEALTH 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>
        </USAddress>
        <EIN>932112307</EIN>
        <PrimaryActivitiesTxt>HEALTH SVCS.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>VNSNY</BusinessNameLine1Txt>
        </DirectControllingEntityName>
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      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VNSNY CARE MANAGEMENT IPA 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>
        </USAddress>
        <EIN>843621396</EIN>
        <PrimaryActivitiesTxt>INACTIVE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VNSNY</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>VNS HEALTH MSO</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>220 EAST 42ND STREET</AddressLine1Txt>
          <CityNm>NY</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10017</ZIPCd>
        </USAddress>
        <EIN>871804245</EIN>
        <PrimaryActivitiesTxt>HEALTH MGMT.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>MEDICAL CARE AT HOME PC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
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          <AddressLine1Txt>220 EAST 42ND STREET 6TH FL</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
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          <ZIPCd>10017</ZIPCd>
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        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
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      <IdRelatedOrgTxblCorpTrGrp>
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          <BusinessNameLine1Txt>VNS HEALTH HOLDINGS INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
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          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10017</ZIPCd>
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        <PrimaryActivitiesTxt>HOLDING COMPANY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>VNSNY</BusinessNameLine1Txt>
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        <ShareOfEOYAssetsAmt>0</ShareOfEOYAssetsAmt>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>VNS HEALTH SERVICES IPA INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>220 EAST 42ND STREET 6TH FL</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10017</ZIPCd>
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        <EIN>932456604</EIN>
        <PrimaryActivitiesTxt>HEALTH SVCS.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VNSNY</BusinessNameLine1Txt>
        </DirectControllingEntityName>
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      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
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      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
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          <BusinessNameLine1Txt>VNS HEALTH BEHAVIORAL HEALTH INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>43776895</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE R, PART V</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS ORGANIZATION IS AN AFFILIATE WITHIN VNS HEALTH AND ITS SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). FUNDS ARE ROUTINELY TRANSFERRED BETWEEN AFFILIATES AND BUSINESS ACTIVITIES ARE COMMON ON BEHALF OF THE SYSTEM'S AFFILIATES, INCLUDING THIS ORGANIZATION. THESE TRANSACTIONS MAY BE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND OTHER AFFILIATES. THE SYSTEM ENTITIES WORK TOGETHER TO DELIVER HIGH-QUALITY, COST-EFFECTIVE HEALTHCARE AND WELLNESS SERVICES TO THEIR COMMUNITIES REGARDLESS OF ABILITY TO PAY AND IN FURTHERANCE OF CHARITABLE TAX-EXEMPT PURPOSES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>