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Exhibit S — Clinical Ladder Program Side Letter

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February 1, 2014


Adam Ross
General Counsel
United Federation of Teachers
52 Broadway
New York, New York 10004


RE: 2014-2016 Collective Bargaining Agreement between Visiting Nurse Service of New York Home Care and United Federation of Teachers’


Dear Mr. Ross:

The parties agree that they will collaborate to consider and develop a clinical ladder program to enhance the professional and clinical development, expertise and leadership of Registered Nurses. This shall not constitute negotiations for any subject that is proper for collective bargaining.

Denise M. Davin
SVP, Chief Human Resources Officer
and Labor Counsel