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Exhibit V

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January 28, 2016

Jason Veny, Esq.
Federation of Nurses/UFT
52 Broadway
New York, NY 10004

Dear Mr. Veny:

This letter will confirm that effective April 1, 2016, the Employer will eliminate the Employer match for Registered Nurses in the Visiting Nurse Service of New York Retirement Savings Plan (the "Thrift Plan").

In addition, the changes set forth in Article 2.1.5.b shall be implemented as soon as practicable.

Very truly yours,


Marian Haas
Vice President Human Resources Policy & Practice