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Exhibit E — Cell Phones

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January 31, 2006

Lucille Swaim
Coordinator of Negotiations
Federation of Nurses/UFT
52 Broadway
New York, NY 10004


2006-2008 LPN Collective Bargaining Agreement between Visiting Nurse  Service of New York Home Care and the Federation of Nurses/UFT, FNHP/AFT, AFL-CIO

Dear Ms. Swaim:

This letter is to confirm our recent discussion regarding the distribution of cell phones to licensed practical nurses (“LPNs”) employed by the Visiting Nurse Service of New York Home Care (“VNSNY”).  Cell phones are provided to regular full-time LPNs and per diem plus LPNs not assigned to a fixed location.




Denise M. Davin
Vice President for Human Resources
And Labor Counsel