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        <BusinessNameLine1Txt>VNS CONTINUING CARE DEVELOPMENT CORPORATION</BusinessNameLine1Txt>
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      <InCareOfNm>% JACQUELINE GUILFOYLE</InCareOfNm>
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    <TaxYr>2023</TaxYr>
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        <PersonNm>PHYLLIS J MILLS BSN RN</PersonNm>
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        <PersonNm>ANDREW N SCHIFF M D</PersonNm>
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        <FormAndLineReferenceDesc>SCHEDULE A, PART IV, SECTION A; QUESTION 1</FormAndLineReferenceDesc>
        <ExplanationTxt>VNS CONTINUING CARE DEVELOPMENT CORPORATION HAS TWO SUPPORTED ORGANIZATIONS. ONE, VNS CHOICE D/B/A VNS HEALTH HEALTH PLANS ("VNS HEALTH HEALTH PLANS"), IS DESIGNATED BY NAME IN VNS CONTINUING CARE DEVELOPMENT CORPORATION'S CERTIFICATE OF INCORPORATION. THE OTHER, VNS CHOICE COMMUNITY CARE, IS DESIGNATED BY CLASS IN VNS CONTINUING CARE DEVELOPMENT CORPORATION'S CERTIFICATE OF INCORPORATION, WHICH PROVIDES THAT THE PURPOSES OF VNS CONTINUING CARE DEVELOPMENT CORPORATION INCLUDE "TO PROVIDE, AS AN ELEEMOSYNARY INSTITUTION, FINANCIAL, MANAGERIAL, PLANNING AND OTHER SUPPORTING SERVICES TO OTHER NOT-FOR-PROFIT MEMBERSHIP CORPORATIONS ORGANIZED UNDER THE NEW YORK NOT-FOR-PROFIT CORPORATION LAW AND AFFILIATED WITH THE VISITING NURSE SERVICE OF NEW YORK." VISITING NURSE SERVICE OF NEW YORK D/B/A VNS HEALTH ("VNS HEALTH") IS THE INDIRECT SOLE MEMBER OF VNS CONTINUING CARE DEVELOPMENT CORPORATION, WHICH IS IN TURN THE INDIRECT SOLE MEMBER OF VNS CHOICE COMMUNITY CARE. VNS CONTINUING CARE DEVELOPMENT CORPORATION HAS A HISTORIC AND CONTINUING RELATIONSHIP WITH VNS CHOICE COMMUNITY CARE, EVIDENT IN THEIR HISTORY AND OPERATIONS. AS THE INDIRECT SOLE MEMBER OF VNS CHOICE COMMUNITY CARE, VNS CONTINUING CARE DEVELOPMENT CORPORATION HAS HISTORICALLY HAD, AND CONTINUES TO HAVE, A KEY SUPERVISORY AND GOVERNANCE OVERSIGHT ROLE OVER VNS CHOICE COMMUNITY CARE. IN ADDITION, BOTH ORGANIZATIONS HAVE HISTORICALLY OPERATED ON A COORDINATED BASIS WITH VNS HEALTH AND ITS OTHER AFFILIATES AS A SINGLE SYSTEM, FURTHERING THE SAME OBJECTIVE OF PROVIDING THE PATIENTS AND MEMBERS OF THE SYSTEM WITH THE HIGHEST QUALITY SERVICES PURSUANT TO THE HIGHEST ETHICAL, BUSINESS AND LEGAL STANDARDS. VNS HEALTH IS THE DIRECT OR INDIRECT PARENT ENTITY OF ALL OF THE CONSTITUENT ENTITIES OF THE SYSTEM. MOREOVER, VNS HEALTH AND ITS AFFILIATES, INCLUDING VNS CONTINUING CARE DEVELOPMENT CORPORATION AND VNS CHOICE COMMUNITY CARE, PRESENT THEMSELVES COLLECTIVELY TO THE PUBLIC ON THEIR SHARED WEBSITE AND THROUGH SHARING COMMON FACILITIES AND OFFICE SPACE.</ExplanationTxt>
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        <FormAndLineReferenceDesc>SCHEDULE A, PART IV, SECTION D; QUESTION 3</FormAndLineReferenceDesc>
        <ExplanationTxt>A MAJORITY OF VNS CONTINUING CARE DEVELOPMENT CORPORATION'S GOVERNING BODY ALSO SERVED ON THE BOARDS OF ITS SUPPORTED ORGANIZATIONS. HAVING OVERLAPPING BOARD MEMBERS ENABLES THE SUPPORTED ORGANIZATIONS TO HAVE A SIGNIFICANT VOICE IN THE INVESTMENT POLICIES OF, AND IN DIRECTING THE USE OF INCOME AND ASSETS OF, VNS CONTINUING CARE DEVELOPMENT CORPORATION.</ExplanationTxt>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART IV, SECTION E; QUESTION 3A</FormAndLineReferenceDesc>
        <ExplanationTxt>VNS CONTINUING CARE DEVELOPMENT CORPORATION IS THE DIRECT OR INDIRECT SOLE MEMBER OF EACH OF ITS SUPPORTED ORGANIZATIONS, AND IN SUCH CAPACITY, IT HAS THE DIRECT OR INDIRECT AUTHORITY TO APPOINT ALL OF THE BOARD MEMBERS OF EACH SUPPORTED ORGANIZATION.</ExplanationTxt>
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        <FormAndLineReferenceDesc>SCHEDULE A, PART IV, SECTION E; QUESTION 3B</FormAndLineReferenceDesc>
        <ExplanationTxt>VNS CONTINUING CARE DEVELOPMENT CORPORATION EXERCISES A SUBSTANTIAL DEGREE OF DIRECTION OVER THE POLICIES, PROGRAMS, ACTIVITIES OF ITS SUPPORTED ORGANIZATIONS BY VIRTUE OF ITS SUPERVISORY AND GOVERNANCE OVERSIGHT ROLE AS THE DIRECT OR INDIRECT SOLE MEMBER OF EACH SUPPORTED ORGANIZATION.</ExplanationTxt>
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        <FormAndLineReferenceDesc>CORE FORM, PART V</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY, OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT. THE ORGANIZATION DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY, OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.</ExplanationTxt>
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