﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xsi:schemaLocation="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2015v2.1">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2016-11-08T13:23:43-06:00</ReturnTs>
    <TaxPeriodEndDt>2015-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmName>
        <BusinessNameLine1Txt>KPMG LLP</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>One Financial Plaza</AddressLine1Txt>
        <CityNm>Hartford</CityNm>
        <StateAbbreviationCd>CT</StateAbbreviationCd>
        <ZIPCd>061032608</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2015-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>133189926</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>Visiting Nurse Service of New York</BusinessNameLine1Txt>
      </BusinessName>
      <InCareOfNm>% JIMMY SINGH</InCareOfNm>
      <BusinessNameControlTxt>VISI</BusinessNameControlTxt>
      <PhoneNum>2126095716</PhoneNum>
      <USAddress>
        <AddressLine1Txt>5 PENN PLAZA 12th FLOOR</AddressLine1Txt>
        <CityNm>NEW YORK</CityNm>
        <StateAbbreviationCd>NY</StateAbbreviationCd>
        <ZIPCd>10001</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>SAMUEL HELLER</PersonNm>
      <PersonTitleTxt>CORPORATE CONTROLLER</PersonTitleTxt>
      <PhoneNum>2126095175</PhoneNum>
      <SignatureDt>2016-10-26</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <PreparerPersonGrp>
      <PreparerPersonNm>MARY-EVELYN ANTONETTI</PreparerPersonNm>
      <PTIN>P00431862</PTIN>
      <PhoneNum>8605223200</PhoneNum>
    </PreparerPersonGrp>
    <TaxYr>2015</TaxYr>
    <BuildTS>2017-02-10 21:41:12Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="14">
    <IRS990 documentId="IRS990" referenceDocumentId="IRS990ScheduleO">
      <PrincipalOfficerNm>guy sansone</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>5 penn plaza 12th floor</AddressLine1Txt>
        <CityNm>new york</CityNm>
        <StateAbbreviationCd>NY</StateAbbreviationCd>
        <ZIPCd>10001</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>129646042</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>www.vnsny.org</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1984</FormationYr>
      <LegalDomicileStateCd>NY</LegalDomicileStateCd>
      <ActivityOrMissionDesc>See schedule O</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>28</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>28</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>1337</TotalEmployeeCnt>
      <TotalVolunteersCnt>29</TotalVolunteersCnt>
      <TotalGrossUBIAmt>-3110</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>-26240</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>6833862</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>5503600</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>940893</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>1174931</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>79472113</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>57758775</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>890772</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>1077863</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>88137640</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>65515169</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>4706830</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>4873766</CYGrantsAndSimilarPaidAmt>
      <PYBenefitsPaidToMembersAmt>0</PYBenefitsPaidToMembersAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>129297533</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>105815141</CYSalariesCompEmpBnftPaidAmt>
      <PYTotalProfFndrsngExpnsAmt>246077</PYTotalProfFndrsngExpnsAmt>
      <CYTotalProfFndrsngExpnsAmt>159917</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>1666203</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>-103020696</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>-80470074</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>31229744</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>30378750</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>56907896</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>35136419</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>1012759437</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>935853405</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>244372808</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>258852704</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>768386629</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>677000701</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>SEE SCHEDULE O</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>2315594</ExpenseAmt>
      <RevenueAmt>1174931</RevenueAmt>
      <Desc>Research - See Schedule O</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>5817257</ExpenseAmt>
        <GrantAmt>4873766</GrantAmt>
        <RevenueAmt>1209131</RevenueAmt>
        <Desc>Community Benefit &amp; Others - See Schedule O</Desc>
      </ProgSrvcAccomActy2Grp>
      <TotalProgramServiceExpensesAmt>8132851</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="IRS990ScheduleA">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="IRS990ScheduleB">true</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd referenceDocumentId="IRS990ScheduleC">false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd referenceDocumentId="IRS990ScheduleC">true</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd referenceDocumentId="IRS990ScheduleC">false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="IRS990ScheduleD">false</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="IRS990ScheduleD">false</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="IRS990ScheduleD">false</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="IRS990ScheduleD">false</CreditCounselingInd>
      <TempOrPermanentEndowmentsInd referenceDocumentId="IRS990ScheduleD">true</TempOrPermanentEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="IRS990ScheduleD">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="IRS990ScheduleD">true</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="IRS990ScheduleD">false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="IRS990ScheduleD">false</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="IRS990ScheduleD">true</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="IRS990ScheduleD">true</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="IRS990ScheduleD">false</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="IRS990ScheduleD">true</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd referenceDocumentId="IRS990ScheduleF">true</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd referenceDocumentId="IRS990ScheduleF">false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd referenceDocumentId="IRS990ScheduleF">false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd referenceDocumentId="IRS990ScheduleG">true</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd referenceDocumentId="IRS990ScheduleG">true</FundraisingActivitiesInd>
      <GamingActivitiesInd referenceDocumentId="IRS990ScheduleG">false</GamingActivitiesInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <GrantsToOrganizationsInd referenceDocumentId="IRS990ScheduleI">true</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd referenceDocumentId="IRS990ScheduleI">false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="IRS990ScheduleJ">true</ScheduleJRequiredInd>
      <TaxExemptBondsInd>false</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd referenceDocumentId="IRS990ScheduleL">false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd referenceDocumentId="IRS990ScheduleL">false</PYExcessBenefitTransInd>
      <LoanOutstandingInd referenceDocumentId="IRS990ScheduleL">false</LoanOutstandingInd>
      <GrantToRelatedPersonInd referenceDocumentId="IRS990ScheduleL">false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd referenceDocumentId="IRS990ScheduleL">false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd referenceDocumentId="IRS990ScheduleL">false</BusinessRlnWithFamMemInd>
      <BusinessRlnWithOfficerEntInd referenceDocumentId="IRS990ScheduleL">true</BusinessRlnWithOfficerEntInd>
      <DeductibleNonCashContriInd referenceDocumentId="IRS990ScheduleM">true</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd referenceDocumentId="IRS990ScheduleM">false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd referenceDocumentId="IRS990ScheduleR">false</DisregardedEntityInd>
      <RelatedEntityInd referenceDocumentId="IRS990ScheduleR">true</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>true</RelatedOrganizationCtrlEntInd>
      <TransactionWithControlEntInd referenceDocumentId="IRS990ScheduleR">true</TransactionWithControlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd referenceDocumentId="IRS990ScheduleR">false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd referenceDocumentId="IRS990ScheduleR">false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>214</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <EmployeeCnt>1337</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>true</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>true</UnrelatedBusIncmOverLimitInd>
      <Form990TFiledInd>true</Form990TFiledInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>true</QuidProQuoContributionsInd>
      <QuidProQuoContriDisclInd>true</QuidProQuoContriDisclInd>
      <Form8282PropertyDisposedOfInd>false</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>false</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>false</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>28</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>28</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>true</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>false</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>false</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>false</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>true</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>true</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>true</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>true</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>true</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>true</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>true</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>false</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>CA</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>CT</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>FL</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>MA</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>MN</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>NJ</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>NY</StatesWhereCopyOfReturnIsFldCd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <PersonNm>JIMMY SINGH</PersonNm>
        <PhoneNum>2126095716</PhoneNum>
        <USAddress>
          <AddressLine1Txt>5 PENN PLAZA 12TH FLOOR</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10001</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <InfoInScheduleOPartVIIInd>X</InfoInScheduleOPartVIIInd>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARGARET A BANCROFT</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CARMEN BEAUCHAMP CIPARICK</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BOBBIE BERKOWITZ</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DOUGLAS D BROADWATER</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT C DAUM</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>E MARY DAVIDSON</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>EUGENIE DOYLE MD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>EDITH M DUPUY</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANNE B EHRENKRANZ PHD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CLAIRE M FAGIN PHD RN FAAN</PersonNm>
        <TitleTxt>BOARD MEMBER THROUGH 6/23/2015</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ALICE C FRELINGHUYSEN</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BETSY F GOTBAUM</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CLARE GREGORIAN</PersonNm>
        <TitleTxt>BOARD MEMBER THROUGH 2/3/2015</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN R GUNN</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARY R NINA HENDERSON</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PETER L HUTCHINGS</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT M KAUFMAN</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOSE M DE LASA</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ARTHUR LINDENAUER</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KWAN LAN TOM MAO</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.1</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOSEPH D MARK</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JON MATTSON</PersonNm>
        <TitleTxt>BOARD MEMBER THROUGH 12/13/15</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MATHY MEZEY EDN RN FAAN</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>3.1</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PHYLLIS J MILLS BSN RN</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.1</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CARL H PFORZHEIMER III</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN P RAFFERTY</PersonNm>
        <TitleTxt>CHAIRMAN OF THE BOARD</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>5.1</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CORINNE H RIEDER EDD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>IRA S RIMERMAN</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ALBERT L SIU MD MSPH</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANDREW N SCHIFF MD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KENNETH G STANDARD</PersonNm>
        <TitleTxt>BOARD MEMBER THROUGH 6/23/2015</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>FRANK S VIGILANTE</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GUY SANSONE</PersonNm>
        <TitleTxt>CHIEF EXECUTIVE OFFICER</TitleTxt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SAMUEL HELLER</PersonNm>
        <TitleTxt>SVP &amp; CHIEF FINANCIAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>36.3</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>518756</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>40515</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DENISE DAVIN</PersonNm>
        <TitleTxt>SVP/CHRO &amp; LABOR COUNSEL</TitleTxt>
        <AverageHoursPerWeekRt>36.3</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>533335</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>21986</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL BERNSTEIN</PersonNm>
        <TitleTxt>SVP, ENTERPRISE SALES &amp; CMO</TitleTxt>
        <AverageHoursPerWeekRt>36.3</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>257023</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12270</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KEVIN ROGERS</PersonNm>
        <TitleTxt>SVP &amp; CHIEF ADMIN OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>36.3</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>481786</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>17914</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KERRY PARKER</PersonNm>
        <TitleTxt>SVP, GENERAL COUNSEL &amp; CRO</TitleTxt>
        <AverageHoursPerWeekRt>36.3</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>586648</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>37474</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM HALE</PersonNm>
        <TitleTxt>CHIEF INFORMATION OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>36.3</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>413142</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24587</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARKI FLANNERY</PersonNm>
        <TitleTxt>EVP &amp; CHIEF OF PROVIDER OPS</TitleTxt>
        <AverageHoursPerWeekRt>36.3</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>402191</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>33991</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>50639</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DONNA LICHTI</PersonNm>
        <TitleTxt>SVP, MARKET DEVELOPMENT</TitleTxt>
        <AverageHoursPerWeekRt>36.3</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>381093</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>21413</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>REGINA HAWKEY</PersonNm>
        <TitleTxt>SVP &amp; CHIEF OF PROVIDER SRVCS</TitleTxt>
        <AverageHoursPerWeekRt>36.3</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>380036</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>529</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LINDA VALENTINO</PersonNm>
        <TitleTxt>EVP/CHIEF CLIN TRANSF &amp; INNOV</TitleTxt>
        <AverageHoursPerWeekRt>36.3</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>335327</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24613</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN DELFS</PersonNm>
        <TitleTxt>CMO, PROVIDER SERVICES</TitleTxt>
        <AverageHoursPerWeekRt>36.3</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>332661</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>5071</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARY ANN CHRISTOPHER</PersonNm>
        <TitleTxt>PRESIDENT &amp; CHIEF EXEC OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>0.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>754290</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PENNY FELDMAN</PersonNm>
        <TitleTxt>SVP, RESEARCH &amp; EVALUATION</TitleTxt>
        <AverageHoursPerWeekRt>36.3</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>187949</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>32266</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>5564237</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>33991</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>289277</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>277</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>true</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>ALVAREZ MARSAL HEALTHCARE IND GRP</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>600 MADISON AVE</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10022</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSULTANTS</ServicesDesc>
        <CompensationAmt>6014014</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>PA CONSULTING GROUP INC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>DEPT LA 24005</AddressLine1Txt>
            <CityNm>PASADENA</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>911854005</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SOFTWARE DEVELOPMENT</ServicesDesc>
        <CompensationAmt>4312947</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>ORACLE AMERICA INC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 203448</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>753203448</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SOFTWARE DEVELOPMENT</ServicesDesc>
        <CompensationAmt>4076002</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>DELTA</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>400 LAKEMONT PARK BLVD</AddressLine1Txt>
            <CityNm>ALTOONA</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>16602</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SOFTWARE DEVELOPMENT</ServicesDesc>
        <CompensationAmt>3304484</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>TNT STAFFING INC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>91 FOURTH AVENUE</AddressLine1Txt>
            <CityNm>WESTWOOD</CityNm>
            <StateAbbreviationCd>NJ</StateAbbreviationCd>
            <ZIPCd>07675</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSULTANTS</ServicesDesc>
        <CompensationAmt>3136596</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>81</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>1224483</FundraisingAmt>
      <GovernmentGrantsAmt>148240</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>4130877</AllOtherContributionsAmt>
      <NoncashContributionsAmt>221590</NoncashContributionsAmt>
      <TotalContributionsAmt>5503600</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>CONTRACTED RESEARCH</Desc>
        <BusinessCd>541700</BusinessCd>
        <TotalRevenueColumnAmt>1174931</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1174931</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>1174931</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>25545065</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>-3110</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>25548175</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </RoyaltiesRevenueGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>0</RealAmt>
        <PersonalAmt>0</PersonalAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>96032365</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>63818655</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>32213710</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>32213710</TotalRevenueColumnAmt>
        <ExclusionAmt>32213710</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>180950</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>1224483</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>312218</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-131268</TotalRevenueColumnAmt>
        <ExclusionAmt>-131268</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeFromGamingGrp>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>1209131</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1209131</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>1209131</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>65515169</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2384062</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>-3110</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>57630617</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>4873766</TotalAmt>
        <ProgramServicesAmt>4873766</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
        <TotalAmt>0</TotalAmt>
      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
      </BenefitsToMembersGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>2507706</TotalAmt>
        <ProgramServicesAmt>49694</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2438381</ManagementAndGeneralAmt>
        <FundraisingAmt>19631</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <CompDisqualPersonsGrp>
        <TotalAmt>0</TotalAmt>
      </CompDisqualPersonsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>79298524</TotalAmt>
        <ProgramServicesAmt>1488998</ProgramServicesAmt>
        <ManagementAndGeneralAmt>77190738</ManagementAndGeneralAmt>
        <FundraisingAmt>618788</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>5842381</TotalAmt>
        <ProgramServicesAmt>115777</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5680867</ManagementAndGeneralAmt>
        <FundraisingAmt>45737</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>11542950</TotalAmt>
        <ProgramServicesAmt>380333</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10983501</ManagementAndGeneralAmt>
        <FundraisingAmt>179116</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>6623580</TotalAmt>
        <ProgramServicesAmt>131257</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6440470</ManagementAndGeneralAmt>
        <FundraisingAmt>51853</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>3646664</TotalAmt>
        <ManagementAndGeneralAmt>3646664</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>203675</TotalAmt>
        <ManagementAndGeneralAmt>203675</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>92340</TotalAmt>
        <ManagementAndGeneralAmt>92340</ManagementAndGeneralAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>159917</TotalAmt>
        <FundraisingAmt>159917</FundraisingAmt>
      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>5082767</TotalAmt>
        <ManagementAndGeneralAmt>5082767</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>11808505</TotalAmt>
        <ProgramServicesAmt>401827</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11393736</ManagementAndGeneralAmt>
        <FundraisingAmt>12942</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>6727543</TotalAmt>
        <ProgramServicesAmt>3559</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6279919</ManagementAndGeneralAmt>
        <FundraisingAmt>444065</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>4468087</TotalAmt>
        <ProgramServicesAmt>23578</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4424943</ManagementAndGeneralAmt>
        <FundraisingAmt>19566</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>8373121</TotalAmt>
        <ProgramServicesAmt>23456</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8346248</ManagementAndGeneralAmt>
        <FundraisingAmt>3417</FundraisingAmt>
      </InformationTechnologyGrp>
      <RoyaltiesGrp>
        <TotalAmt>0</TotalAmt>
      </RoyaltiesGrp>
      <OccupancyGrp>
        <TotalAmt>17737100</TotalAmt>
        <ProgramServicesAmt>362275</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17315996</ManagementAndGeneralAmt>
        <FundraisingAmt>58829</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>519660</TotalAmt>
        <ProgramServicesAmt>9199</ProgramServicesAmt>
        <ManagementAndGeneralAmt>509536</ManagementAndGeneralAmt>
        <FundraisingAmt>925</FundraisingAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
        <TotalAmt>0</TotalAmt>
      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>747516</TotalAmt>
        <ProgramServicesAmt>20067</ProgramServicesAmt>
        <ManagementAndGeneralAmt>723643</ManagementAndGeneralAmt>
        <FundraisingAmt>3806</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>1819578</TotalAmt>
        <ManagementAndGeneralAmt>1819578</ManagementAndGeneralAmt>
      </InterestGrp>
      <PaymentsToAffiliatesGrp>
        <TotalAmt>0</TotalAmt>
      </PaymentsToAffiliatesGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>14012250</TotalAmt>
        <ProgramServicesAmt>16643</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13979792</ManagementAndGeneralAmt>
        <FundraisingAmt>15815</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>1360674</TotalAmt>
        <ProgramServicesAmt>32898</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1305825</ManagementAndGeneralAmt>
        <FundraisingAmt>21951</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>INDIR. O/H ALLOC TO AFFILIATES</Desc>
        <TotalAmt>-164374387</TotalAmt>
        <ProgramServicesAmt>167355</ProgramServicesAmt>
        <ManagementAndGeneralAmt>-164541742</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>SUBSCRIPTION &amp; DUES</Desc>
        <TotalAmt>667561</TotalAmt>
        <ProgramServicesAmt>1725</ProgramServicesAmt>
        <ManagementAndGeneralAmt>660397</ManagementAndGeneralAmt>
        <FundraisingAmt>5439</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BANK FEES</Desc>
        <TotalAmt>171651</TotalAmt>
        <ProgramServicesAmt>177</ProgramServicesAmt>
        <ManagementAndGeneralAmt>167178</ManagementAndGeneralAmt>
        <FundraisingAmt>4296</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DIRECT OVERHEAD</Desc>
        <TotalAmt>5237309</TotalAmt>
        <ManagementAndGeneralAmt>5237309</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>1228312</TotalAmt>
        <ProgramServicesAmt>30267</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1197935</ManagementAndGeneralAmt>
        <FundraisingAmt>110</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>30378750</TotalAmt>
        <ProgramServicesAmt>8132851</ProgramServicesAmt>
        <ManagementAndGeneralAmt>20579696</ManagementAndGeneralAmt>
        <FundraisingAmt>1666203</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>12354256</BOYAmt>
        <EOYAmt>55387449</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>927888</BOYAmt>
        <EOYAmt>1017473</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </AccountsReceivableGrp>
      <ReceivablesFromOfficersEtcGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </ReceivablesFromOfficersEtcGrp>
      <RcvblFromDisqualifiedPrsnGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </RcvblFromDisqualifiedPrsnGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>159453269</BOYAmt>
        <EOYAmt>157692748</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>3615482</BOYAmt>
        <EOYAmt>3905824</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>87241536</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>26850853</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>83832377</BOYAmt>
        <EOYAmt>60390683</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>511325308</BOYAmt>
        <EOYAmt>457852474</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>239899259</BOYAmt>
        <EOYAmt>198730140</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <InvestmentsProgramRelatedGrp>
        <BOYAmt>164138</BOYAmt>
        <EOYAmt>164138</EOYAmt>
      </InvestmentsProgramRelatedGrp>
      <IntangibleAssetsGrp>
        <BOYAmt>1187460</BOYAmt>
        <EOYAmt>712476</EOYAmt>
      </IntangibleAssetsGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>1012759437</BOYAmt>
        <EOYAmt>935853405</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>53182998</BOYAmt>
        <EOYAmt>47241910</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <GrantsPayableGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </GrantsPayableGrp>
      <DeferredRevenueGrp>
        <BOYAmt>659239</BOYAmt>
        <EOYAmt>440507</EOYAmt>
      </DeferredRevenueGrp>
      <TaxExemptBondLiabilitiesGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <EscrowAccountLiabilityGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </EscrowAccountLiabilityGrp>
      <LoansFromOfficersDirectorsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </LoansFromOfficersDirectorsGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <UnsecuredNotesLoansPayableGrp>
        <BOYAmt>71428571</BOYAmt>
        <EOYAmt>60000000</EOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>119102000</BOYAmt>
        <EOYAmt>151170287</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>244372808</BOYAmt>
        <EOYAmt>258852704</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>756904707</BOYAmt>
        <EOYAmt>666865686</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>3847731</BOYAmt>
        <EOYAmt>2477551</EOYAmt>
      </TemporarilyRstrNetAssetsGrp>
      <PermanentlyRstrNetAssetsGrp>
        <BOYAmt>7634191</BOYAmt>
        <EOYAmt>7657464</EOYAmt>
      </PermanentlyRstrNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>768386629</BOYAmt>
        <EOYAmt>677000701</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>1012759437</BOYAmt>
        <EOYAmt>935853405</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>35136419</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-42581066</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>-83941281</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <SupportingOrganization509a3Ind>X</SupportingOrganization509a3Ind>
      <SupportingOrgType3FuncIntInd>X</SupportingOrgType3FuncIntInd>
      <SupportedOrganizationsCnt>6</SupportedOrganizationsCnt>
      <SupportedOrgInformationGrp>
        <SupportedOrganizationName>
          <BusinessNameLine1Txt>VNSNY HOME CARE II</BusinessNameLine1Txt>
        </SupportedOrganizationName>
        <EIN>131624211</EIN>
        <OrganizationTypeCd>9</OrganizationTypeCd>
        <GoverningDocumentListedInd>true</GoverningDocumentListedInd>
        <SupportAmt>3532792</SupportAmt>
        <OtherSupportAmt>0</OtherSupportAmt>
      </SupportedOrgInformationGrp>
      <SupportedOrgInformationGrp>
        <SupportedOrganizationName>
          <BusinessNameLine1Txt>VNS CHOICE</BusinessNameLine1Txt>
        </SupportedOrganizationName>
        <EIN>133951057</EIN>
        <OrganizationTypeCd>9</OrganizationTypeCd>
        <GoverningDocumentListedInd>true</GoverningDocumentListedInd>
        <SupportAmt>0</SupportAmt>
        <OtherSupportAmt>0</OtherSupportAmt>
      </SupportedOrgInformationGrp>
      <SupportedOrgInformationGrp>
        <SupportedOrganizationName>
          <BusinessNameLine1Txt>VNS CHOICE COMMUNITY CARE</BusinessNameLine1Txt>
        </SupportedOrganizationName>
        <EIN>320053323</EIN>
        <OrganizationTypeCd>9</OrganizationTypeCd>
        <GoverningDocumentListedInd>true</GoverningDocumentListedInd>
        <SupportAmt>0</SupportAmt>
        <OtherSupportAmt>0</OtherSupportAmt>
      </SupportedOrgInformationGrp>
      <SupportedOrgInformationGrp>
        <SupportedOrganizationName>
          <BusinessNameLine1Txt>VNSNY HOSPICE CARE</BusinessNameLine1Txt>
        </SupportedOrganizationName>
        <EIN>300006817</EIN>
        <OrganizationTypeCd>9</OrganizationTypeCd>
        <GoverningDocumentListedInd>true</GoverningDocumentListedInd>
        <SupportAmt>1103150</SupportAmt>
        <OtherSupportAmt>0</OtherSupportAmt>
      </SupportedOrgInformationGrp>
      <SupportedOrgInformationGrp>
        <SupportedOrganizationName>
          <BusinessNameLine1Txt>NEW PARTNERS INC</BusinessNameLine1Txt>
        </SupportedOrganizationName>
        <EIN>133885148</EIN>
        <OrganizationTypeCd>9</OrganizationTypeCd>
        <GoverningDocumentListedInd>true</GoverningDocumentListedInd>
        <SupportAmt>0</SupportAmt>
        <OtherSupportAmt>0</OtherSupportAmt>
      </SupportedOrgInformationGrp>
      <SupportedOrgInformationGrp>
        <SupportedOrganizationName>
          <BusinessNameLine1Txt>FAMILY CARE SERVICES INC</BusinessNameLine1Txt>
        </SupportedOrganizationName>
        <EIN>133213081</EIN>
        <OrganizationTypeCd>9</OrganizationTypeCd>
        <GoverningDocumentListedInd>true</GoverningDocumentListedInd>
        <SupportAmt>0</SupportAmt>
        <OtherSupportAmt>0</OtherSupportAmt>
      </SupportedOrgInformationGrp>
      <SupportedOrganizationsTotalCnt>6</SupportedOrganizationsTotalCnt>
      <SupportSumAmt>4635942</SupportSumAmt>
      <OtherSupportSumAmt>0</OtherSupportSumAmt>
      <Form990SchASupportingOrgGrp>
        <ListedByNameGoverningDocInd>true</ListedByNameGoverningDocInd>
        <SuprtOrgNoIRSDeterminationInd>false</SuprtOrgNoIRSDeterminationInd>
        <SupportedOrgSectionC456Ind>false</SupportedOrgSectionC456Ind>
        <SupportedOrgNotOrganizedUSInd>false</SupportedOrgNotOrganizedUSInd>
        <OrganizationChangeSuprtOrgInd>false</OrganizationChangeSuprtOrgInd>
        <SupportNonSupportedOrgInd>false</SupportNonSupportedOrgInd>
        <PaymentSubstantialContribtrInd>false</PaymentSubstantialContribtrInd>
        <LoanDisqualifiedPersonInd>false</LoanDisqualifiedPersonInd>
        <ControlledDisqualifiedPrsnInd>false</ControlledDisqualifiedPrsnInd>
        <DisqualifiedPrsnControllIntInd>false</DisqualifiedPrsnControllIntInd>
        <DisqualifiedPrsnOwnrIntInd>false</DisqualifiedPrsnOwnrIntInd>
        <ExcessBusinessHoldingsRulesInd>false</ExcessBusinessHoldingsRulesInd>
        <ContributionControllerInd>false</ContributionControllerInd>
        <ContributionFamilyInd>false</ContributionFamilyInd>
        <Contribution35ControlledInd>false</Contribution35ControlledInd>
      </Form990SchASupportingOrgGrp>
      <Form990SchAType3SprtOrgAllGrp>
        <TimelyProvidedDocumentsInd>true</TimelyProvidedDocumentsInd>
        <OfficersCloseRelationshipInd>true</OfficersCloseRelationshipInd>
        <SupportedOrgVoiceInvestmentInd>true</SupportedOrgVoiceInvestmentInd>
      </Form990SchAType3SprtOrgAllGrp>
      <Form990SchAType3FuncIntGrp>
        <ParentSupportedOrgInd>X</ParentSupportedOrgInd>
        <AppointElectMajorityOfficerInd>true</AppointElectMajorityOfficerInd>
        <ExerciseDirectionPoliciesInd>true</ExerciseDirectionPoliciesInd>
      </Form990SchAType3FuncIntGrp>
      <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 $8.3M 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 2015.</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>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
      <OrganizationBelongsAffltGrpInd referenceDocumentId="AffiliatedGroupSchedule">X</OrganizationBelongsAffltGrpInd>
      <TotalGrassrootsLobbyingGrp>
        <AffiliatedGroupTotalAmt>0</AffiliatedGroupTotalAmt>
      </TotalGrassrootsLobbyingGrp>
      <TotalDirectLobbyingGrp>
        <FilingOrganizationsTotalAmt>112340</FilingOrganizationsTotalAmt>
        <AffiliatedGroupTotalAmt>112340</AffiliatedGroupTotalAmt>
      </TotalDirectLobbyingGrp>
      <TotalLobbyingExpendGrp>
        <FilingOrganizationsTotalAmt>112340</FilingOrganizationsTotalAmt>
        <AffiliatedGroupTotalAmt>112340</AffiliatedGroupTotalAmt>
      </TotalLobbyingExpendGrp>
      <OtherExemptPurposeExpendGrp>
        <FilingOrganizationsTotalAmt>30578628</FilingOrganizationsTotalAmt>
        <AffiliatedGroupTotalAmt>2217632569</AffiliatedGroupTotalAmt>
      </OtherExemptPurposeExpendGrp>
      <TotalExemptPurposeExpendGrp>
        <FilingOrganizationsTotalAmt>30690968</FilingOrganizationsTotalAmt>
        <AffiliatedGroupTotalAmt>2217744909</AffiliatedGroupTotalAmt>
      </TotalExemptPurposeExpendGrp>
      <LobbyingNontaxableAmountGrp>
        <FilingOrganizationsTotalAmt>1000000</FilingOrganizationsTotalAmt>
        <AffiliatedGroupTotalAmt>4286086</AffiliatedGroupTotalAmt>
      </LobbyingNontaxableAmountGrp>
      <GrassrootsNontaxableGrp>
        <FilingOrganizationsTotalAmt>250000</FilingOrganizationsTotalAmt>
        <AffiliatedGroupTotalAmt>1071522</AffiliatedGroupTotalAmt>
      </GrassrootsNontaxableGrp>
      <TotLbbyngGrassrootMnsNonTxGrp />
      <TotLbbyExpendMnsLbbyngNonTxGrp />
      <AvgLobbyingNontaxableAmountGrp>
        <CurrentYearMinus3Amt>1000000</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>1000000</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>1000000</CurrentYearMinus1Amt>
        <CurrentYearAmt>1000000</CurrentYearAmt>
        <TotalAmt>4000000</TotalAmt>
      </AvgLobbyingNontaxableAmountGrp>
      <LobbyingCeilingAmt>6000000</LobbyingCeilingAmt>
      <AvgTotalLobbyingExpendGrp>
        <CurrentYearMinus3Amt>519508</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>504227</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>367990</CurrentYearMinus1Amt>
        <CurrentYearAmt>112340</CurrentYearAmt>
        <TotalAmt>1504065</TotalAmt>
      </AvgTotalLobbyingExpendGrp>
      <AvgGrassrootsNontaxableGrp>
        <CurrentYearMinus3Amt>250000</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>250000</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>250000</CurrentYearMinus1Amt>
        <CurrentYearAmt>250000</CurrentYearAmt>
        <TotalAmt>1000000</TotalAmt>
      </AvgGrassrootsNontaxableGrp>
      <GrassrootsCeilingAmt>1500000</GrassrootsCeilingAmt>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmountsGrp />
      <HeldWorksArtGrp />
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>7634191</BeginningYearBalanceAmt>
        <ContributionsAmt>23273</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>597402</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>597402</OtherExpendituresAmt>
        <EndYearBalanceAmt>7657464</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>7601084</BeginningYearBalanceAmt>
        <ContributionsAmt>33107</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>560698</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>560698</OtherExpendituresAmt>
        <EndYearBalanceAmt>7634191</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>7576084</BeginningYearBalanceAmt>
        <ContributionsAmt>25000</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>308398</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>308398</OtherExpendituresAmt>
        <EndYearBalanceAmt>7601084</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>7542308</BeginningYearBalanceAmt>
        <ContributionsAmt>33776</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>91251</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>91251</OtherExpendituresAmt>
        <EndYearBalanceAmt>7576084</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>7528411</BeginningYearBalanceAmt>
        <ContributionsAmt>13897</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>86717</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>86717</OtherExpendituresAmt>
        <EndYearBalanceAmt>7542308</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <PrmnntEndowmentBalanceEOYPct>1.00000</PrmnntEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>false</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>false</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>97302</OtherCostOrOtherBasisAmt>
        <BookValueAmt>97302</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>20834629</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>4633446</DepreciationAmt>
        <BookValueAmt>16201183</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>1996436</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1083980</DepreciationAmt>
        <BookValueAmt>912456</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>26064763</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>13744032</DepreciationAmt>
        <BookValueAmt>12320731</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>38248406</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>7389395</DepreciationAmt>
        <BookValueAmt>30859011</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>60390683</TotalBookValueLandBuildingsAmt>
      <FinancialDerivativesGrp />
      <CloselyHeldEquityInterestsGrp>
        <BookValueAmt>197261713</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </CloselyHeldEquityInterestsGrp>
      <OtherSecuritiesGrp>
        <Desc>INVESTMENT INCOME RECEIVABLE</Desc>
        <BookValueAmt>1468427</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>198730140</TotalBookValueSecuritiesAmt>
      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER NON CURRENT LIABILITES</Desc>
        <Amt>41631138</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO FROM AFFILIATES</Desc>
        <Amt>24308503</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>CAPITAL LEASE OBLIGATION</Desc>
        <Amt>6872216</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>PENSION LIABILITY</Desc>
        <Amt>78358430</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>151170287</TotalLiabilityAmt>
      <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>FIN48 DISCLOSURE FROM THE CONSOLIDATED FINANCIAL STATEMENTS OF VISITING NURSE SERVICE OF NEW YORK: 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 TAHT THERE ARE NO MATERIAL TAX LIABILITIES THAT NEED TO BE RECORDED AS OF DECEMBER 31, 2015 AND 2014.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleF documentId="IRS990ScheduleF">
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Central America and the Caribbean</RegionTxt>
        <TypeOfActivitiesConductedTxt>Investments</TypeOfActivitiesConductedTxt>
        <RegionTotalExpendituresAmt>96251575</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <SubtotalSpentAmt>96251575</SubtotalSpentAmt>
      <TotalSpentAmt>96251575</TotalSpentAmt>
      <TransferToForeignCorpInd>true</TransferToForeignCorpInd>
      <InterestInForeignTrustInd>false</InterestInForeignTrustInd>
      <ForeignCorpOwnershipInd>true</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>true</PassiveForeignInvestmestCoInd>
      <ForeignPartnershipInd>true</ForeignPartnershipInd>
      <BoycottCountriesInd>false</BoycottCountriesInd>
    </IRS990ScheduleF>
    <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>SANKY COMMUNICATIONS INC</PersonNm>
        <USAddress>
          <AddressLine1Txt>599 11TH AVENUE 6TH FLOOR</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10036</ZIPCd>
        </USAddress>
        <ActivityTxt>DIRECT RESPONSE</ActivityTxt>
        <FundraiserControlOfFundsInd>false</FundraiserControlOfFundsInd>
        <GrossReceiptsAmt>265924</GrossReceiptsAmt>
        <RetainedByContractorAmt>88917</RetainedByContractorAmt>
        <NetToOrganizationAmt>125007</NetToOrganizationAmt>
      </FundraiserActivityInfoGrp>
      <FundraiserActivityInfoGrp>
        <PersonNm>LAUTMAN MASKA NEILL COMPANY</PersonNm>
        <USAddress>
          <AddressLine1Txt>1730 RHODE ISLAND AVE NW 301</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20036</ZIPCd>
        </USAddress>
        <ActivityTxt>DIRECT RESPONSE</ActivityTxt>
        <FundraiserControlOfFundsInd>false</FundraiserControlOfFundsInd>
        <GrossReceiptsAmt>33753</GrossReceiptsAmt>
        <RetainedByContractorAmt>13000</RetainedByContractorAmt>
        <NetToOrganizationAmt>20753</NetToOrganizationAmt>
      </FundraiserActivityInfoGrp>
      <FundraiserActivityInfoGrp>
        <PersonNm>DONORSEARCH</PersonNm>
        <USAddress>
          <AddressLine1Txt>11245 DOVEDALE COURT</AddressLine1Txt>
          <CityNm>MARRIOTTSVILLE</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21104</ZIPCd>
        </USAddress>
        <ActivityTxt>WEALTH PROGRAM</ActivityTxt>
        <FundraiserControlOfFundsInd>false</FundraiserControlOfFundsInd>
        <GrossReceiptsAmt>22747</GrossReceiptsAmt>
        <RetainedByContractorAmt>6000</RetainedByContractorAmt>
        <NetToOrganizationAmt>16747</NetToOrganizationAmt>
      </FundraiserActivityInfoGrp>
      <TotalGrossReceiptsAmt>322424</TotalGrossReceiptsAmt>
      <TotalRetainedByContractorsAmt>107917</TotalRetainedByContractorsAmt>
      <TotalNetToOrganizationAmt>162507</TotalNetToOrganizationAmt>
      <LicensedStatesCd>CA</LicensedStatesCd>
      <LicensedStatesCd>CT</LicensedStatesCd>
      <LicensedStatesCd>FL</LicensedStatesCd>
      <LicensedStatesCd>MA</LicensedStatesCd>
      <LicensedStatesCd>MN</LicensedStatesCd>
      <LicensedStatesCd>NJ</LicensedStatesCd>
      <LicensedStatesCd>NY</LicensedStatesCd>
      <FundraisingEventInformationGrp>
        <Event1Nm>GALA</Event1Nm>
        <GrossReceiptsEvent1Amt>1060097</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>941347</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>118750</GrossRevenueEvent1Amt>
        <NonCashPrizesEvent1Amt>3131</NonCashPrizesEvent1Amt>
        <RentFacilityCostsEvent1Amt>184324</RentFacilityCostsEvent1Amt>
        <EntertainmentEvent1Amt>11389</EntertainmentEvent1Amt>
        <OtherDirectExpensesEvent1Amt>24225</OtherDirectExpensesEvent1Amt>
        <Event2Nm>GOLF CLASSIC</Event2Nm>
        <GrossReceiptsEvent2Amt>270219</GrossReceiptsEvent2Amt>
        <CharitableContriEvent2Amt>222819</CharitableContriEvent2Amt>
        <GrossRevenueEvent2Amt>47400</GrossRevenueEvent2Amt>
        <NonCashPrizesEvent2Amt>17905</NonCashPrizesEvent2Amt>
        <RentFacilityCostsEvent2Amt>57833</RentFacilityCostsEvent2Amt>
        <OtherEventsTotalCnt>5</OtherEventsTotalCnt>
        <GrossReceiptsOtherEventsAmt>75117</GrossReceiptsOtherEventsAmt>
        <CharitableContriOtherEventsAmt>60317</CharitableContriOtherEventsAmt>
        <GrossRevenueOtherEventsAmt>14800</GrossRevenueOtherEventsAmt>
        <RentFcltyCostsOtherEventsAmt>7446</RentFcltyCostsOtherEventsAmt>
        <FoodAndBeverageOtherEventsAmt>5965</FoodAndBeverageOtherEventsAmt>
        <GrossReceiptsTotalAmt>1405433</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>1224483</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>180950</GrossRevenueTotalEventsAmt>
        <NonCashPrizesTotalEventsAmt>21036</NonCashPrizesTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>249603</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>5965</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>11389</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>24225</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>312218</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-131268</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>VNSNY HOME CARE II</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>5 PENN PLAZA 12TH FLOOR</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10001</ZIPCd>
        </USAddress>
        <RecipientEIN>131624211</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>3532792</CashGrantAmt>
        <PurposeOfGrantTxt>CONTRIBUTION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>VISITING NURSE SERVICE OF NEW YORK HOSPICE CARE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>5 PENN PLAZA 12TH FLOOR</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10001</ZIPCd>
        </USAddress>
        <RecipientEIN>300006817</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>1103150</CashGrantAmt>
        <PurposeOfGrantTxt>CONTRIBUTION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NEW YORK PRESBYTERIAN HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 6635</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10249</ZIPCd>
        </USAddress>
        <RecipientEIN>131624149</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>17250</CashGrantAmt>
        <PurposeOfGrantTxt>CONTRIBUTION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NYU LANGONE MEDICAL CENTERS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>133 EAST 13TH STREET 2ND FLOOR</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10003</ZIPCd>
        </USAddress>
        <RecipientEIN>135562308</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <PurposeOfGrantTxt>CONTRIBUTION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MOUNT SINAI HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 4500 ONE GUSTAVE L LEVY PLA</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10029</ZIPCd>
        </USAddress>
        <RecipientEIN>131624135</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>11500</CashGrantAmt>
        <PurposeOfGrantTxt>CONTRIBUTION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HOSPITAL FOR SPECIAL SURGERY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>535 EAST 70TH STREET</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10021</ZIPCd>
        </USAddress>
        <RecipientEIN>131624135</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>9000</CashGrantAmt>
        <PurposeOfGrantTxt>CONTRIBUTION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BROOKDALE DEPARTMENT OF GERIATRICS &amp; PALLIATIVE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>17-19 MARBLE AVENUE</AddressLine1Txt>
          <CityNm>PLEASANTVILLE</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10570</ZIPCd>
        </USAddress>
        <RecipientEIN>800886397</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>8500</CashGrantAmt>
        <PurposeOfGrantTxt>CONTRIBUTION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BRIGHTPOINT HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>71 WEST 23RD STREET 8TH FLOOR</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10010</ZIPCd>
        </USAddress>
        <RecipientEIN>134118387</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>7500</CashGrantAmt>
        <PurposeOfGrantTxt>CONTRIBUTION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MEDICARE RIGHTS CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1460 BROADWAY 17TH FLOOR</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10036</ZIPCd>
        </USAddress>
        <RecipientEIN>133505372</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>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>true</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SAMUEL HELLER</PersonNm>
        <TitleTxt>SVP &amp; CHIEF FINANCIAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>462729</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>56027</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>20484</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>20031</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>559271</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DENISE DAVIN</PersonNm>
        <TitleTxt>SVP/CHRO &amp; LABOR COUNSEL</TitleTxt>
        <BaseCompensationFilingOrgAmt>103399</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>429936</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>2423</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>19563</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>555321</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL BERNSTEIN</PersonNm>
        <TitleTxt>SVP, ENTERPRISE SALES &amp; CMO</TitleTxt>
        <BaseCompensationFilingOrgAmt>157822</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>99201</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>12270</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>269293</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KEVIN ROGERS</PersonNm>
        <TitleTxt>SVP &amp; CHIEF ADMIN OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>255855</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>225931</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>2287</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>15627</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>499700</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KERRY PARKER</PersonNm>
        <TitleTxt>SVP, GENERAL COUNSEL &amp; CRO</TitleTxt>
        <BaseCompensationFilingOrgAmt>482809</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>103839</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3975</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>33499</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>624122</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WILLIAM HALE</PersonNm>
        <TitleTxt>CHIEF INFORMATION OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>413004</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>138</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>980</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>23607</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>437729</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARKI FLANNERY</PersonNm>
        <TitleTxt>EVP &amp; CHIEF OF PROVIDER OPS</TitleTxt>
        <BaseCompensationFilingOrgAmt>355723</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>31893</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>46468</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>2098</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>17377</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>31169</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>2093</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>450737</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>36084</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DONNA LICHTI</PersonNm>
        <TitleTxt>SVP, MARKET DEVELOPMENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>222677</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>56423</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>101993</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>21413</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>402506</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>REGINA HAWKEY</PersonNm>
        <TitleTxt>SVP &amp; CHIEF OF PROVIDER SRVCS</TitleTxt>
        <BaseCompensationFilingOrgAmt>130402</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>249634</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>529</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>380565</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LINDA VALENTINO</PersonNm>
        <TitleTxt>EVP/CHIEF CLIN TRANSF &amp; INNOV</TitleTxt>
        <BaseCompensationFilingOrgAmt>311893</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>23434</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>446</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>24167</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>359940</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN DELFS</PersonNm>
        <TitleTxt>CMO, PROVIDER SERVICES</TitleTxt>
        <BaseCompensationFilingOrgAmt>332026</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>635</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>1408</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>3663</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>337732</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARY ANN CHRISTOPHER</PersonNm>
        <TitleTxt>PRESIDENT &amp; CHIEF EXEC OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>754290</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>754290</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PENNY FELDMAN</PersonNm>
        <TitleTxt>SVP, RESEARCH &amp; EVALUATION</TitleTxt>
        <BaseCompensationFilingOrgAmt>162647</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>25302</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>16970</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>15296</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>220215</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>SEVERANCE PAYMENTS MARY ANN CHRISTOPHER: VNSNY AGREED TO PAY MARY ANN CHRISTOPHER TWELVE (12) MONTHS OF FULL SALARY PLUS AN ADDITIONAL $250,000 (MINUS ANY EXTERNAL EARNINGS MS. CHRISTOPHER MAY HAVE EARNED BETWEEN 12/15 AND 5/16), PAYABLE OVER SIX (6) MONTHS BEGINNING IN 12/15. IN ADDITION, MS. CHRISTOPHER WILL RECEIVE FIVE (5) PAYMENTS OF $41,667 (MINUS ANY EXTERNAL EARNINGS MS. CHRISTOPHER MAY HAVE EARNED BETWEEN 1/16 AND 5/16) TO BE PAID IN 2016. TOTAL AMOUNT PAID IN 2015 WAS $754,290. REGINA HAWKEY: VNSNY AGREED TO PAY REGINA HAWKEY NINE (9) MONTHS OF SALARY AT THE TIME OF SEPARATION FROM VNSNY. SIX (6) MONTHS TO BE PAID IN 2015 AND THREE (3) MONTHS TO BE PAID IN 2016. TOTAL AMOUNT PAID IN 2015 WAS $173,908. DENISE DAVIN: VNSNY AGREED TO PAY DENISE DAVIN TWENTY-FOUR (24) MONTHS OF SALARY AT THE TIME OF SEPARATION FROM VNSNY. NINE (9) MONTHS TO BE PAID IN 2015 AND FIFTEEN (15) MONTHS TO BE PAID IN 2016. TOTAL AMOUNT PAID IN 2015 WAS $324,429. KEVIN RODGERS: VNSNY AGREED TO KEVIN RODGERS SIX (6) MONTHS OF SALARY AT THE TIME OF SEPARATION FROM VNSNY, ALL TO BE PAID IN 2015. TOTAL AMOUNT PAID IN 2015 WAS $225,802.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN MARKI FLANNERY: $30,300 SAMUEL HELLER: $55,631 REGINA HAWKEY: $44,358 DENISE DAVIN: $49,450 MICHAEL BERNSTEIN: $43,268 KERRY PARKER: $103,581 PENNY FELDMAN: $25,025</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>ALVEREZ MARSAL HEALTHCARE IND GRP</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SUBSTANTIAL CONTRIBUTOR</RelationshipDescriptionTxt>
        <TransactionAmt>6014014</TransactionAmt>
        <TransactionDesc>CONSULTING SERVICES</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>ARTHUR GALLAGHER RISK MGT SERV INC</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SUBSTANTIAL CONTRIBUTOR</RelationshipDescriptionTxt>
        <TransactionAmt>3538144</TransactionAmt>
        <TransactionDesc>INSURANCE</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>5 PENN PLAZA</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SUBSTANTIAL CONTRIBUTOR</RelationshipDescriptionTxt>
        <TransactionAmt>3391000</TransactionAmt>
        <TransactionDesc>RENT &amp; RENT MAINTENANCE</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>VERIZON WIRELESS</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SUBSTANTIAL CONTRIBUTOR</RelationshipDescriptionTxt>
        <TransactionAmt>2780263</TransactionAmt>
        <TransactionDesc>WIRELESS SERVICES</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>PRESIDIO</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SUBSTANTIAL CONTRIBUTOR</RelationshipDescriptionTxt>
        <TransactionAmt>1989091</TransactionAmt>
        <TransactionDesc>COMPUTER CONSULTANTS</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>ROPES GRAY LLP</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SUBSTANTIAL CONTRIBUTOR</RelationshipDescriptionTxt>
        <TransactionAmt>1741712</TransactionAmt>
        <TransactionDesc>LEGAL SERVICES</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>VXCHNGE</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SUBSTANTIAL CONTRIBUTOR</RelationshipDescriptionTxt>
        <TransactionAmt>1726970</TransactionAmt>
        <TransactionDesc>DATA CENTER SERVICES</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>TRILOGY SOLUTIONS LLC</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SUBSTANTIAL CONTRIBUTOR</RelationshipDescriptionTxt>
        <TransactionAmt>1506816</TransactionAmt>
        <TransactionDesc>CAPITAL LEASE</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>ROSENBLUM NEWFIELD LLC</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SUBSTANTIAL CONTRIBUTOR</RelationshipDescriptionTxt>
        <TransactionAmt>579152</TransactionAmt>
        <TransactionDesc>LEGAL SERVICES</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>CADWALADER WICKERSHAM TAFT</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SUBSTANTIAL CONTRIBUTOR</RelationshipDescriptionTxt>
        <TransactionAmt>544242</TransactionAmt>
        <TransactionDesc>LEGAL SERVICES</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>VICOM INFINITY</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SUBSTANTIAL CONTRIBUTOR</RelationshipDescriptionTxt>
        <TransactionAmt>499400</TransactionAmt>
        <TransactionDesc>HARDWARE &amp; SOFTWARE MAINT.</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>COLLAZO FLORENTINO KEIL LLP</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SUBSTANTIAL CONTRIBUTOR</RelationshipDescriptionTxt>
        <TransactionAmt>480646</TransactionAmt>
        <TransactionDesc>LEGAL SERVICES</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>LOEB LOEB LLP</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SUBSTANTIAL CONTRIBUTOR</RelationshipDescriptionTxt>
        <TransactionAmt>328039</TransactionAmt>
        <TransactionDesc>LEGAL SERVICES</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>ALTRUISTA HEALTH</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SUBSTANTIAL CONTRIBUTOR</RelationshipDescriptionTxt>
        <TransactionAmt>180077</TransactionAmt>
        <TransactionDesc>SOFTWARE DEVELOPMENT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>OFFICE DEPOT</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SUBSTANTIAL CONTRIBUTOR</RelationshipDescriptionTxt>
        <TransactionAmt>161686</TransactionAmt>
        <TransactionDesc>OFFICE SUPPLIES</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>TOWERS WATSON</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SUBSTANTIAL CONTRIBUTOR</RelationshipDescriptionTxt>
        <TransactionAmt>158276</TransactionAmt>
        <TransactionDesc>CONSULTANTS</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleM documentId="IRS990ScheduleM">
      <WorksOfArtGrp />
      <ArtHistoricalTreasuresGrp />
      <ArtFractionalInterestGrp />
      <BooksAndPublicationsGrp />
      <ClothingAndHouseholdGoodsGrp />
      <CarsAndOtherVehiclesGrp />
      <BoatsAndPlanesGrp />
      <IntellectualPropertyGrp />
      <SecuritiesPubliclyTradedGrp />
      <SecuritiesCloselyHeldStockGrp />
      <SecurPrtnrshpTrustIntrstsGrp />
      <SecuritiesMiscellaneousGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>11</ContributionCnt>
        <NoncashContributionsRptF990Amt>221590</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>SELLING PRICE</MethodOfDeterminingRevenuesTxt>
      </SecuritiesMiscellaneousGrp>
      <QualifiedContribHistStructGrp />
      <QualifiedContribOtherGrp />
      <RealEstateResidentialGrp />
      <RealEstateCommercialGrp />
      <RealEstateOtherGrp />
      <CollectiblesGrp />
      <FoodInventoryGrp />
      <DrugsAndMedicalSuppliesGrp />
      <TaxidermyGrp />
      <HistoricalArtifactsGrp />
      <ScientificSpecimensGrp />
      <ArchaeologicalArtifactsGrp />
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>OTHER CONTRIBUTIONS</Desc>
        <ContributionCnt>63</ContributionCnt>
        <NoncashContributionsRptF990Amt>0</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>0</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>true</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE M, PART I, COLUMN (B):</FormAndLineReferenceDesc>
        <ExplanationTxt>IN 2015, 21 CORPORATE/BUSINESS ENTITIES MADE IN-KIND GIFTS OF ITEMS, SUCH AS COSMETICS, TOILETRIES, JEWELRY, PERSONAL TRAINER SESSIONS AND GIFT CERTIFICATES, WHICH WERE USED A SGIVE-AWAYS AT A VARIETY OF VOLUNTEER EVENTS. THE APPROXIMATE AGGREGATE VALUE OF THESE CONTRIBUTIONS WAS $6,426. (VOLUNTEER EVENT GIVEAWAY). IN 2015, IN-KIND GIFTS FOR THIS PURPOSE WERE MADE BY 42 CONTRIBUTORS - INDIVIDUALS, ORGANIZATIONS AND CORPORATIONS - IN AN APPROXIMATE AGGREGATE VALUE OF $47,391. THESE CONTRIBUTIONS INCLUDED, AMONG OTHER THINGS, $40,965 OF BABY SUPPLIES, TOYS, BACKPACKS, 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</FormAndLineReferenceDesc>
        <ExplanationTxt>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 PROGRAM, CARRIED OUT THROUGH ITS AFFILIATE ORGANIZATIONS, EXPANDS ACCESS TO CARE, SUPPORTS AGING IN PLACE, ADVANCES RESEARCH AND PROGRAM DEVELOPMENT, PROVIDES OPPORTUNITIES FOR DISADVANTAGED CHILDREN AND FAMILIES AND DEVELOPS THE FUTURE WORKFORCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>VNSNY'S MISSION: PROVIDE QUALITY HOME HEALTH &amp; COMMUNITY SERVICES REGARDLESS OF ABILITY TO PAY. VNSNY SHARES THIS MISSION WITH ITS RELATED 501(C)(3) CORPORATIONS. ALL PROGRAM SERVICES EXCEPT RESEARCH ARE DELIVERED BY VNSNY'S AFFILIATES. VNSNY PROVIDES SIGNIFICANT ASSISTANCE, HOWEVER, TO THE OTHER 501(C)(3)S 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. FUNDS RAISED BY VNSNY FOR ITS AFFILIATES ARE CONTRIBUTED TO THEM, BUT VNSNY BEARS MOST OF THE FUNDRAISING EXPENSE FOR ITS RELATED ORGANIZATIONS. IN 2015, VNSNY AND ITS AFFILIATES PROVIDED $19M IN CHARITABLE CARE AND COMMUNITY SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CENTER FOR HOMECARE POLICY AND 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 AND IS DELIVERED DIRECTLY BY THE VNSNY. THE PH.D. TRAINED 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 RECENT PUBLISHED STUDY CONDUCTED BY VNSNY RESEARCHERS USED NATIONAL MEDICARE DATA TO DEMONSTRATE THE VALUE OF EARLY AND INTENSE HOME NURSING VISITS, ALONG WITH EARLY PHYSICIAN OFFICE FOLLOW-UP AFTER A HOSPITAL STAY. THESE INTERVENTIONS SIGNIFICANTLY REDUCED 30-DAY READMISSIONS AMONG HEART FAILURE PATIENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>WITH THE EXCEPTION OF RESEARCH (HANDLED BY VNSNY ALONE; SEE 4A), VNSNY DELIVERS SERVICES THROUGH SEVERAL RELATED 501(C)(3) CORPORATIONS, WHICH SHARE ITS MISSION AND OPERATE WITH SIGNIFICANT SUPPORT FROM VNSNY. SUPPORT IS MONETARY AND NONMONETARY AND INCLUDES GRANTS OF FUNDS FROM DONOR CONTRIBUTIONS AND VNSNY'S OWN RESERVES, TOGETHER WITH ASSISTANCE WITH ADMINISTRATIVE, MANAGEMENT, POLICY SETTING, INVESTMENT, FUNDRAISING, AND ADVOCACY MATTERS. VNSNY HOME CARE IS A NYS CERTIFIED HOME HEALTH AGENCY THAT PROVIDES SKILLED NURSING CARE, REHABILITATION THERAPY, SOCIAL WORK, AND HOME HEALTH AIDE SERVICES. IN 2015, VNSNYS FRONTLINE STAFF PROVIDED CARE TO MORE THAN 151,365 PATIENTS, FROM NEWBORN INFANTS TO THE VERY ELDERLY AS WELL AS THOSE AT THE END OF LIFE. THESE SERVICES WERE PROVIDED BY SUCH PROGRAMS WITHIN VNSNY HOME CARE AS OUR CHHA, CHILDREN AND FAMILY SERVICES, COMMUNITY MENTAL HEALTH, AND THE VISITING MD PROGRAM. THE CHHA PROGRAM IS THE LARGEST WITHIN VNSNY HOME CARE. WITH 124,712 PATIENTS SERVED IN 2015, IT REPRESENTS 82% OF VNSNY'S HOME CARE POPULATION. VNSNY 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 2015, NEARLY $9.4 MILLION WAS SPENT ON PROVIDING NURSING AND OTHER HEALTH CARE TO 6,700 PEOPLE WITHOUT INSURANCE OR WITH INADEQUATE INSURANCE. THIS CARE INCLUDED QUALITY-OF-LIFE NECESSITIES, SUCH AS FREE MEDICATIONS, TRANSPORTATION TO PHYSICIAN VISITS, FREE HEALTH SCREENINGS, FREE WIGS AND FITTINGS FOR CANCER PATIENTS, AND AIR CONDITIONERS AND MATTRESSES FOR THOSE IN NEED. VNSNY HELPS SUPPORT THE COSTS OF OPERATING SEVERAL PEDIATRIC AND FAMILY PROGRAMS (CHILDREN AND FAMILY SERVICES). ONE ONGOING PROGRAM, THE NURSE FAMILY PARTNERSHIP PROGRAM, PAIRS SPECIALLY TRAINED NURSES WITH FIRST-TIME, LOW-INCOME MOTHERS FROM PREGNANCY THROUGH THE CHILD'S SECOND BIRTHDAY. THIS PROGRAM PROVIDES SERVICES IN THE BRONX AND IN NASSAU COUNTY. ANOTHER ESTABLISHED PROGRAM, THE FATHERHOOD PROGRAM, SUPPORTS DISADVANTAGED FATHERS, HELPING THEM MAINTAIN A PRESENCE IN THE LIVES OF THEIR CHILDREN. PEDIATRIC PALLIATIVE CARE SERVICES ARE PROVIDED TO CHILDREN IN BROOKLYN, QUEENS, THE BRONX AND MANHATTAN. IT FOCUSED ON COORDINATING AND PROVIDING COMPREHENSIVE HEALTH CARE SERVICES TO CHILDREN WITH LIFE LIMITING OR LIFE THREATENING CONDITIONS. COMMUNITY MENTAL HEALTH SERVICES ADMINISTERS 25 PROGRAMS AND AN ARTICLE 31 MENTAL HEALTH CLINIC, WITH 340 FULL-TIME, PART-TIME AND PER DIEM STAFF. THESE PROGRAMS DELIVER CARE TO APPROXIMATELY 11,000 PATIENTS ANNUALLY THROUGHOUT NEW YORK CITY PROVIDING CLOSE TO 200,000 HOME VISITS ANNUALLY. COMMUNITY MENTAL HEALTH PROGRAMS PROVIDE CARE TO A SPECTRUM OF UNDERSERVED INDIVIDUALS, INCLUDING THOSE WITH ACUTE AND CHRONIC MENTAL ILLNESS, THE GERIATRIC POPULATION, CHILDREN WITH EMOTIONAL AND PSYCHIATRIC DISORDERS, THE HOMELESS AND INDIVIDUALS WITH SUBSTANCE USE DISORDERS. IN 2015, THE ADULT AND CHILDRENS MOBILE CRISIS, PARACHUTE, HOME-BASED CRISIS INTERVENTION, IN-HOME GERIATRIC MENTAL HEALTH, COMPREHENSIVE CASE MANAGEMENT, HEALTH HOME CARE MANAGEMENT AND ASSERTIVE COMMUNITY TREATMENT PROGRAMS, AND THE FRIENDS CLINIC PROVIDED A RANGE OF MENTAL HEALTH SERVICES TO MENTALLY ILL, EMOTIONALLY DISTURBED, AND AT-RISK NEW YORKERS OF ALL AGES AND THEIR FAMILIES. VNSNY HOME CARE'S ARTICLE 31 FRIENDS CLINIC IN THE SOUTH BRONX SERVES CHILDREN AND ADOLESCENTS AND PROVIDES INDIVIDUAL, FAMILY AND GROUP THERAPY, PSYCHIATRIC ASSESSMENT AND TREATMENT, PSYCHOLOGICAL TESTING, CRISIS INTERVENTION AND CASE MANAGEMENT SERVICES. THE CLINIC WORKS COLLABORATIVELY WITH THE GRANT FUNDED FRIENDS PROGRAM TO PROVIDE BOTH SITE AND HOME BASED CARE TO THE CHILDREN AND FAMILIES THEY SERVE. THE FRIENDS SYSTEM OF CARE SERVED OVER 700 CHILDREN AND THEIR FAMILIES IN 2015, WITH AN AVERAGE DAILY CENSUS OF 300. IT PROVIDED OVER 9,000 CRISIS CONTACTS TO CHILDREN AND FAMILIES, APPROXIMATELY 13,000 HOURS OF HOME BASED CRISIS SERVICES, OVER 5,000 OUTPATIENT CLINIC VISITS, WHILE ALSO OFFERING OVER 75 WORKSHOPS AND GROUPS. CMHS EXPANDED CHILDREN'S MOBILE CRISIS SERVICES IN BROOKLYN AND QUEENS IN 2015 TO PROVIDE COVERAGE FOR THESE ENTIRE BOROUGHS. THIS PROGRAM PROVIDES RAPID RESPONSE TO CHILDREN AND FAMILIES IN CRISIS. ALSO IN 2015, THE PARACHUTE PROGRAM, WHICH WAS ORIGINALLY FUNDED UNDER THE ADULT MOBILE CRISIS PROGRAM GRANT BY NYC DOHMH, WAS AWARDED SEPARATE GRANTS BY NYS OMH, ALLOWING THE PROGRAM TO HIRE ADDITIONAL DEDICATED STAFF AND SERVE A LARGER NUMBER OF CLIENTS. IN ADDITION, THE NYC HUMAN RESOURCES ADMINISTRATION EXPANDED THE COMPREHENSIVE CARE MANAGEMENT PROGRAM TO INCLUDE HOUSING SPECIALISTS TO ASSIST THE POPULATION OF NYC RESIDENTS LIVING IN POOR QUALITY, UNREGULATED THREE QUARTER HOUSING UNITS RELOCATE TO BETTER LIVING SITUATIONS. SINCE ITS INCEPTION IN 2012, THE HEALTH HOME HAS SUCCESSFULLY IMPLEMENTED AN INNOVATIVE MODEL OF CARE COORDINATION FOR THE COMPLEX CHRONICALLY ILL POPULATION OF ADULTS ON MEDICAID WITH PHYSICAL AND BEHAVIORAL HEALTH CO-MORBIDITIES. THIS MODEL OF INTEGRATED BEHAVIORAL AND PHYSICAL HEALTHCARE HAS THE GOAL OF IMPROVING OVERALL HEALTH OUTCOMES AND REDUCING INPATIENT HOSPITALIZATION RATES AND EMERGENCY DEPARTMENT USAGE. THE HEALTH HOME CARE MANAGEMENT PROGRAM SERVED OVER 2000 MEMBERS IN 2015 IN THE BOROUGHS OF MANHATTAN, BRONX, BROOKLYN AND QUEENS. VNSNY SPENT $0.6 MILLION THROUGH COMMUNITY INITIATIVES SUCH AS CHINATOWN NNORC AND MATERNAL NEWBORN AND PEDIATRIC SERVICES WHICH ARE DESIGNED TO ENHANCE INDEPENDENCE AND QUALITY OF LIFE. THE SERVICES WERE DELIVERED BY VNSNY'S RELATED 501(C)(3) CORPORATIONS AND REPRESENT A PORTION OF THE $19M IN CHARITABLE CARE AND COMMUNITY SERVICES PROVIDED BY VNSNY AND ITS AFFILIATES IN 2015. THESE INITIATIVES, MADE POSSIBLE BY PHILANTHROPIC DOLLARS (DONORS CONTRIBUTIONS AND FUNDS FROM VNSNY'S RESERVES), OFFER ASSISTANCE IN A WIDE RANGE OF EXEMPT-PURPOSE AREAS AND ACHIEVE THE GOALS OF EXPANDING ACCESS TO CARE, SUPPORTING AGING IN PLACE, PROVIDING OPPORTUNITIES FOR DISADVANTAGED CHILDREN AND FAMILIES AND DEVELOPING THE FUTURE WORKFORCE. THE 2015 CALENDAR YEAR STRADDLES TWO ACADEMIC YEARS (2014-15 AND 2015-16). DURING THE 2015 CALENDAR YEAR 42 FELLOWS FROM EIGHTH ACADEMIC MEDICAL CENTERS PARTICIPATED IN THE VNSNY HOSPICE PHYSICIAN FELLOWSHIP PROGRAM. IN 2015, SIX FELLOWS FROM COLUMBIA, NYU, AND MSKCC SPENT MONTH-LONG ROTATIONS AT THE HAVEN. OVER THE COURSE OF THE 2015 CALENDAR YEAR, 40 VNSNY HOSPICE STAFF CLINICIANS (PHYSICIANS, NURSES, SPIRITUAL CARE COUNSELORS, AND SOCIAL WORKERS) SERVED AS PRECEPTORS TO FELLOWS (AND OTHER LEARNERS). DURING CALENDAR YEAR 2015, TWELVE TOURO PHARMACY STUDENTS COMPLETED 4-6 WEEK ROTATIONS IN THE VNSNY CHOICE PROGRAM AND TWO SHADOWED FIELD VISITS IN THE HOSPICE HOME CARE PROGRAM IN 2015, OVER $432,000 SUPPORTED VNSNY EFFORTS TO PROMOTE THE EDUCATION AND TRAINING OF AN INTERDISCIPLINARY CARE OF OVER 400 STUDENTS AND FELLOWS. ADDITIONALLY, 350+ EMPLOYEES HAVE ACCESSED VNSNYS TUITION BENEFIT TO RETURN TO SCHOOL AT THE BACHELORS, MASTERS AND DOCTORAL LEVELS. IN 2015, VNSNY PROVIDED CLINICAL ACADEMIC ROTATIONS FOR OVER 450 NURSING STUDENTS, 42MD/FELLOWS, 10+ SOCIAL WORKERS, 16 MENTAL HEALTH THERAPISTS, 35 PHARMACY STUDENTS AND 150 GRADUATE STUDENTS. IN 2015, $172,000 WAS USED TO SUPPORT VNSNY EMPLOYEES WHO BECAME STUDENTS; 350+ OF VNSNYS EMPLOYEES HAVE HAD THEIR BS, MASTERS OR DOCTORAL STUDIES SUPPORTED BY VNSNYS TUITION BENEFIT FOR A TOTAL OF $3,650,794 IN 2015), AND $260,000 WAS USED FOR THE HOSPICE FELLOW PROGRAM, WHERE 42 FELLOWS WERE TRAINED BY VNSNYS HOSPICE AND PALLIATIVE CARE, FROM 10 RESIDENT TRAINING PROGRAMS TRAINING THE NEXT GENERATION OF PHYSICIANS IN THE IMPORTANCE OF END-OF-LIFE ISSUES AS THEY RELATE TO MEDICAL PRACTICE AND TO ASSUME OPTIMAL CARE AND QUALITY OF LIFE TO ALL. IN ADDITION, VNSNY IMPLEMENTED A NEW YORK STATE DEPARTMENT OF HEALTH GRANT IN 2015 THAT WILL ENABLE 40 REGISTERED NURSES IN VNSNY LEADERSHIP ROLES AND POPULATION HEALTH TEAM WORKFORCES TO TAKE THE 12 WEEK LONG DUKE UNIVERSITY SCHOOL OF NURSING COURSE IN POPULATION CARE COORDINATION. THIS TWELVE- WEEK PROGRAM'S UNIQUE CARE MANAGEMENT APPROACH FOCUSES ON THE PATIENT'S HEALTH ON BOTH THE INDIVIDUAL LEVEL AND IN THE CONTEXT OF LARGER POPULATIONS INCLUDING THE ELDERLY, HIGH-RISK PATIENTS WITH COMPLEX CONDITIONS WITH THE GOAL OF IMPROVING PUBLIC HEALTH-BASED PREVENTIVE AND WELLNESS CARE. CORE CONCEPTS IN THE CURRICULUM INCLUDE CARE COORDINATION, MULTILEVEL PROCESSES, TEAM COLLABORATION, PATIENT ENGAGEMENT, AND STRONG UTILIZATION OF TOOLS IN ASSESSMENT AND CARE MANAGEMENT STRATEGIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>GUY SANSONE BEGAN HIS TERM AS INTERIM CEO ON NOVEMBER 20, 2014. GUY SANSONE IS A MANAGING DIRECTOR WITH ALVAREZ &amp; MARSAL, AND HIS SERVICES AS INTERIM CEO WERE PROVIDED PURSUANT TO A CONTRACT WITH ALVAREZ &amp; MARSAL. VNSNY HAD A PRIOR BUSINESS RELATIONSHIP WITH ALVAREZ &amp; MARSAL THAT PRECEDED GUY SANSONE'S APPOINTMENT AS INTERIM CEO. GUY SANSON RECUSED HIMSELF FROM ANY DISCUSSIONS THAT THE MANAGEMENT OF VNSNY HAD REGARDING CONTRACTS WITH ALVAREZ &amp; MARSAL. IN 2015, ALVAREZ &amp; MARSAL WAS PAID $1,102,160 FOR THE SERVICES PROVIDED BY GUY SANSONE AS INTERM CEO OF VNSNY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>VISITING NURSE SERVICE OF NEW YORK IS THE SOLE CORPORATE MEMBER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBER MAY ELECT THE DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBER HOLDS ANNUAL MEETINGS TO ELECT THE DIRECTORS AND THE MEMBER MAY TAKE ACTION AS REQUIRED OR PERMITTED UNDER THE ORGANIZATION'S BYLAWS OR UNDER ANY PROVISION OF LAW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AUDIT COMMITTEE OF VNSNY AND ITS AFFILIATED ORGANIZATIONS REVIEWED THE FORM 990. THE FORM 990 WAS MADE AVAILABLE TO THE BOARD OF DIRECTORS AND DISCUSSED AT A BOARD MEETING. 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 12</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPLIANCE OFFICER REVIEWS THE DISCLOSURE STATEMENT COMPLETED ANNUALLY BY EACH OFFICER, DIRECTOR, AND KEY EMPLOYEE AND CONSULTS WITH THE SENIOR VICE PRESIDENT FOR LEGAL AND GOVERNMENT AFFAIRS AS APPROPRIATE. ANY POTENTIAL CONFLICTS ARE VETTED WITH THE CEO, SENIOR VICE PRESIDENT FOR LEGAL AND GOVERNMENT AFFAIRS AND, AS APPROPRIATE, THE CHAIR OF THE BOARD. SPECIFIC FOLLOW-UP ACTION IS TAKEN ON A CASE-BY-CASE BASIS OF THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>VNSNY REVIEWS ITS OVERALL EXECUTIVE COMPENSATION PROGRAM ON A PERIODIC BASIS. THE LAST COMPREHENSIVE REVIEW TOOK PLACE IN 2014. 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 6 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 $ 29,463,447 PERMANENT RESTRICTED FB $ 23,272 RESERVE FOR AMOUNTS DUE FROM AFFILIATE (VNSNY HOME CARE) $(113,428,000) --------------- $(83,941,281)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:COMPUTER CONSULTANTS TOTAL FEES:6543658</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:CONSULTANTS TOTAL FEES:4584095</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:OTHER FEES FOR SERVICE TOTAL FEES:680752</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VISITING NURSE SERVICE OF NY HOME CARE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>5 PENN PLAZA 12TH FLOOR</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10001</ZIPCd>
        </USAddress>
        <EIN>131624211</EIN>
        <PrimaryActivitiesTxt>HOME HEALTH</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>9</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VNS NY</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VNS CONTINUING CARE DEV CORPORATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>5 PENN PLAZA 12TH FLOOR</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10001</ZIPCd>
        </USAddress>
        <EIN>133974198</EIN>
        <PrimaryActivitiesTxt>LT CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11, III-FI</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VNS NY</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VNS CHOICE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>5 PENN PLAZA 12TH FLOOR</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10001</ZIPCd>
        </USAddress>
        <EIN>133951057</EIN>
        <PrimaryActivitiesTxt>LT CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>9</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VNS CONT</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VNS CHOICE COMMUNITY CARE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>5 PENN PLAZA 12TH FLOOR</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10001</ZIPCd>
        </USAddress>
        <EIN>320053323</EIN>
        <PrimaryActivitiesTxt>SUPPORT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>9</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VNS CHOICE</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VISITING NURSE SERVICE OF NY HOSPICE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>5 PENN PLAZA 12TH FLOOR</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10001</ZIPCd>
        </USAddress>
        <EIN>300006817</EIN>
        <PrimaryActivitiesTxt>HOSPICE CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>9</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VNS NY</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>NEW PARTNERS INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1250 BROADWAY 9TH FLOOR</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10001</ZIPCd>
        </USAddress>
        <EIN>133885148</EIN>
        <PrimaryActivitiesTxt>HOME HEALTH</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>9</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VNS NY</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>FAMILY CARE SERVICES INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1250 BROADWAY 9TH FLOOR</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10001</ZIPCd>
        </USAddress>
        <EIN>133213081</EIN>
        <PrimaryActivitiesTxt>HOME HEALTH</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>9</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VNS NY</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <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>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Visiting Nurse Service of NY Home Care II</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>b</TransactionTypeTxt>
        <InvolvedAmt>3532792</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Cash</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Visiting Nurse Service of NY Hospice Care</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>b</TransactionTypeTxt>
        <InvolvedAmt>1103150</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Cash</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Visiting Nurse Service of NY Hospice Care</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>l</TransactionTypeTxt>
        <InvolvedAmt>6576469</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Alloc. O/H Exp.</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>New Partners Inc</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>l</TransactionTypeTxt>
        <InvolvedAmt>1128448</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Alloc. O/H Exp.</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Visiting Nurse Service of NY Hospice Care</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>n</TransactionTypeTxt>
        <InvolvedAmt>1298458</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Alloc. O/H Exp.</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>New Partners Inc</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>n</TransactionTypeTxt>
        <InvolvedAmt>2860246</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>392909273</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Cash</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Visiting Nurse Service of NY Home Care II</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>l</TransactionTypeTxt>
        <InvolvedAmt>129075564</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>8293311</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Alloc. O/H Exp.</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>VNS Choice</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>n</TransactionTypeTxt>
        <InvolvedAmt>6873004</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Alloc. O/H Exp.</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Visiting Nurse Service of NY Hospice Care</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>q</TransactionTypeTxt>
        <InvolvedAmt>65607225</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Cash</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>New Partners Inc</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>r</TransactionTypeTxt>
        <InvolvedAmt>51653115</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Cash</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Family Care Services Inc</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>q</TransactionTypeTxt>
        <InvolvedAmt>2474663</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Cash</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>New Partners Inc</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>o</TransactionTypeTxt>
        <InvolvedAmt>25995</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Alloc. O/H Exp.</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Visiting Nurse Service of NY Hospice Care</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>o</TransactionTypeTxt>
        <InvolvedAmt>208764</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Alloc. O/H Exp.</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>VNS CHOICE Community Care</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>n</TransactionTypeTxt>
        <InvolvedAmt>315731</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Alloc. O/H Exp.</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>VNS CHOICE Community Care</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>q</TransactionTypeTxt>
        <InvolvedAmt>39159291</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Cash</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Visiting Nurse Service of NY Home Care II</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>o</TransactionTypeTxt>
        <InvolvedAmt>1794088</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Alloc. O/H Exp.</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>VNS Choice</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>l</TransactionTypeTxt>
        <InvolvedAmt>36743172</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Alloc. O/H Exp.</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>VNS Choice</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>q</TransactionTypeTxt>
        <InvolvedAmt>693246965</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Cash</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>VNS Choice</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>o</TransactionTypeTxt>
        <InvolvedAmt>3480907</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>5 Penn Plaza FL 12</AddressLine1Txt>
          <CityNm>New York</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10001</ZIPCd>
        </USAddress>
        <EIN>131624211</EIN>
        <TotalGrassrootsLobbyAmt>0</TotalGrassrootsLobbyAmt>
        <TotalDirectLobbyAmt>0</TotalDirectLobbyAmt>
        <TotalLobbyExpenditureAmt>0</TotalLobbyExpenditureAmt>
        <OtherExemptPurposeExpendAmt>497843807</OtherExemptPurposeExpendAmt>
        <TotalExemptPurposeExpendAmt>497843807</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>5 Penn Plaza FL 12</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10001</ZIPCd>
        </USAddress>
        <EIN>133951057</EIN>
        <TotalGrassrootsLobbyAmt>0</TotalGrassrootsLobbyAmt>
        <TotalDirectLobbyAmt>0</TotalDirectLobbyAmt>
        <TotalLobbyExpenditureAmt>0</TotalLobbyExpenditureAmt>
        <OtherExemptPurposeExpendAmt>1377297673</OtherExemptPurposeExpendAmt>
        <TotalExemptPurposeExpendAmt>1377297673</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>5 Penn Plaza FL 12</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10001</ZIPCd>
        </USAddress>
        <EIN>320053323</EIN>
        <TotalGrassrootsLobbyAmt>0</TotalGrassrootsLobbyAmt>
        <TotalDirectLobbyAmt>0</TotalDirectLobbyAmt>
        <TotalLobbyExpenditureAmt>0</TotalLobbyExpenditureAmt>
        <OtherExemptPurposeExpendAmt>1239836</OtherExemptPurposeExpendAmt>
        <TotalExemptPurposeExpendAmt>1239836</TotalExemptPurposeExpendAmt>
        <LobbyNontxAmt>198984</LobbyNontxAmt>
        <GrassrootsNontxAmt>49746</GrassrootsNontxAmt>
        <TotalLobbyGrssrootMnsNontxAmt>0</TotalLobbyGrssrootMnsNontxAmt>
        <TotLbbyExpendMnsLobbyNontxAmt>0</TotLbbyExpendMnsLobbyNontxAmt>
        <ShareExcessLobbyExpendAmt>0</ShareExcessLobbyExpendAmt>
      </AffiliatedScheduleGrp>
      <AffiliatedScheduleGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Visiting Nurse Serv of NY H</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>5 Penn Plaza FL 12</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10001</ZIPCd>
        </USAddress>
        <EIN>300006817</EIN>
        <TotalGrassrootsLobbyAmt>0</TotalGrassrootsLobbyAmt>
        <TotalDirectLobbyAmt>0</TotalDirectLobbyAmt>
        <TotalLobbyExpenditureAmt>0</TotalLobbyExpenditureAmt>
        <OtherExemptPurposeExpendAmt>71732248</OtherExemptPurposeExpendAmt>
        <TotalExemptPurposeExpendAmt>71732248</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>5 Penn Plaza FL 12</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10001</ZIPCd>
        </USAddress>
        <EIN>133885148</EIN>
        <TotalGrassrootsLobbyAmt>0</TotalGrassrootsLobbyAmt>
        <TotalDirectLobbyAmt>0</TotalDirectLobbyAmt>
        <TotalLobbyExpenditureAmt>0</TotalLobbyExpenditureAmt>
        <OtherExemptPurposeExpendAmt>269083497</OtherExemptPurposeExpendAmt>
        <TotalExemptPurposeExpendAmt>269083497</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>5 Penn Plaza FL 12</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10001</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>355 East 149th Street</AddressLine1Txt>
          <CityNm>Bronx</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10455</ZIPCd>
        </USAddress>
        <EIN>133213081</EIN>
        <TotalGrassrootsLobbyAmt>0</TotalGrassrootsLobbyAmt>
        <TotalDirectLobbyAmt>0</TotalDirectLobbyAmt>
        <TotalLobbyExpenditureAmt>0</TotalLobbyExpenditureAmt>
        <OtherExemptPurposeExpendAmt>435508</OtherExemptPurposeExpendAmt>
        <TotalExemptPurposeExpendAmt>435508</TotalExemptPurposeExpendAmt>
        <LobbyNontxAmt>87102</LobbyNontxAmt>
        <GrassrootsNontxAmt>21776</GrassrootsNontxAmt>
        <TotalLobbyGrssrootMnsNontxAmt>0</TotalLobbyGrssrootMnsNontxAmt>
        <TotLbbyExpendMnsLobbyNontxAmt>0</TotLbbyExpendMnsLobbyNontxAmt>
        <ShareExcessLobbyExpendAmt>0</ShareExcessLobbyExpendAmt>
      </AffiliatedScheduleGrp>
    </AffiliatedGroupSchedule>
  </ReturnData>
</Return>