TY 2015 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) DAVID A FORD SR...................................................................... CHAIRMAN	1.00 .................	X	X	0	0
(2) BARBARA ANDERSON...................................................................... VICE CHAIRMAN	1.00 .................	X	X	0	0
(3) IVORY GREEN...................................................................... SECOND VICE-CHAIRMAN	1.00 .................	X	X	0	0
(4) DR NICHOLAS CICCHETTI...................................................................... SECRETARY	1.00 .................	X	X	0	0
(5) ANNE YOUNG-BERKELEY...................................................................... SECRETARY	1.00 .................	X	X	0	0
(6) SERAPHER CONN-HALEVI...................................................................... TREASURER	1.00 .................	X	X	0	0
(7) RANDALL COPPIN...................................................................... ASSISTANT TREASURER	1.00 .................	X	X	0	0
(8) HOPETON WHITE...................................................................... FINANCIAL SECRETARY	1.00 .................	X	X	0	0
(9) HON ADAM SEIDEN...................................................................... MEMBER	1.00 .................	X		0	0
(10) FRANCES JONES...................................................................... MEMBER	1.00 .................	X		0	0
(11) MYRNA A MERCHANT...................................................................... MEMBER	1.00 .................	X		0	0
(12) STANLEY RIDLEY...................................................................... MEMBER	1.00 .................	X		0	0
(13) ANN-MARIE NURSE...................................................................... MEMBER	1.00 .................	X		0	0
(14) LUZ MAY MENENDEZ...................................................................... MEMBER	1.00 .................	X		0	0
(15) MAUREEN MENENDEZ...................................................................... MEMBER	1.00 .................	X		0	0
(16) HON MAUREEN WALKER...................................................................... MEMBER	1.00 .................	X		0	0
(17) CAROLE MORRIS...................................................................... CEO	35.00 .................		X	222,288	51,699

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
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Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

MOUNT VERNON NEIGHBORHOOD HEALTH CENTER
INC

Employer identification number

13-3315508

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ))

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ..............

Provide the following information about the supported organization(s).

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2015

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any unusual grants.) ....	16,192,338	21,399,513	12,404,606	12,021,586	13,788,808	75,806,851
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..	1,984,616	1,984,616	1,984,616	1,984,616	1,984,616	9,923,080
4	Total. Add lines 1 through 3	18,176,954	23,384,129	14,389,222	14,006,202	15,773,424	85,729,931
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.						85,729,931

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
7	Amounts from line 4..	18,176,954	23,384,129	14,389,222	14,006,202	15,773,424	85,729,931
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...	269,448	267,301	128,668	275,620	281,514	1,222,551
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..	343,746	313,126	531,514	351,767	554,629	2,094,782
11	Total support. Add lines 7 through 10.						89,047,264

Gross receipts from related activities, etc. (see instructions) ..................

98,181,230

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 6, column (f) divided by line 11, column (f)) .........

96.270 %

Public support percentage for 2014 Schedule A, Part II, line 14 ...............

96.850 %

16a

33 1/3% support test—2015. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2014. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2015. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2015

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513...
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2014 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2015 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2014 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2015. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2014. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2015

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2015

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2015

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2015

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2015 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2015	(iii) Distributable Amount for 2015
1 Distributable amount for 2015 from Section C, line 6
2 Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......
e From 2014.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2015 distributable amount
i Carryover from 2010 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2015 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2015 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2016. Add lines 3j and 4c.
8 Breakdown of line 7:
a
b
c Excess from 2013.......
d From 2014.......
e From 2015.......

Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation
SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:	OTHER INCOME - 2011 AMOUNT: $ 19,296. 2012 AMOUNT: $ 5,756. 2013 AMOUNT: $ 2,784. 2014 AMOUNT: $ 5,327. 2015 AMOUNT: $ 11,734. LAB INCOME - 2012 AMOUNT: $ 135. 2013 AMOUNT: $ 250. REFUNDS - 2011 AMOUNT: $ 93,135. PHARMACY COMMISSION FEE - 2011 AMOUNT: $ 223,944. 2012 AMOUNT: $ 292,703. 2013 AMOUNT: $ 310,488. 2014 AMOUNT: $ 286,224. 2015 AMOUNT: $ 459,637. VENDING MACHINES - 2011 AMOUNT: $ 7,371. 2012 AMOUNT: $ 8,490. 2013 AMOUNT: $ 10,544. 2014 AMOUNT: $ 8,132. 2015 AMOUNT: $ 8,431. PARKING INCOME - 2012 AMOUNT: $ 4,705. 2013 AMOUNT: $ 3,490. LEGAL INCOME - 2012 AMOUNT: $ 1,337. INSURANCE REIMBURSEMENT - 2013 AMOUNT: $ 203,958. 2014 AMOUNT: $ 52,084. 2015 AMOUNT: $ 74,827.

Return Reference

Explanation

SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:

OTHER INCOME - 2011 AMOUNT: $ 19,296. 2012 AMOUNT: $ 5,756. 2013 AMOUNT: $ 2,784. 2014 AMOUNT: $ 5,327. 2015 AMOUNT: $ 11,734. LAB INCOME - 2012 AMOUNT: $ 135. 2013 AMOUNT: $ 250. REFUNDS - 2011 AMOUNT: $ 93,135. PHARMACY COMMISSION FEE - 2011 AMOUNT: $ 223,944. 2012 AMOUNT: $ 292,703. 2013 AMOUNT: $ 310,488. 2014 AMOUNT: $ 286,224. 2015 AMOUNT: $ 459,637. VENDING MACHINES - 2011 AMOUNT: $ 7,371. 2012 AMOUNT: $ 8,490. 2013 AMOUNT: $ 10,544. 2014 AMOUNT: $ 8,132. 2015 AMOUNT: $ 8,431. PARKING INCOME - 2012 AMOUNT: $ 4,705. 2013 AMOUNT: $ 3,490. LEGAL INCOME - 2012 AMOUNT: $ 1,337. INSURANCE REIMBURSEMENT - 2013 AMOUNT: $ 203,958. 2014 AMOUNT: $ 52,084. 2015 AMOUNT: $ 74,827.

Schedule A (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Name of the organization

MOUNT VERNON NEIGHBORHOOD HEALTH CENTER
INC

Employer identification number

13-3315508

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2

Name of organization MOUNT VERNON NEIGHBORHOOD HEALTH CENTER INC

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 3

Name of organization MOUNT VERNON NEIGHBORHOOD HEALTH CENTER INC		Employer identification number 13-3315508

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 4


Name of organization MOUNT VERNON NEIGHBORHOOD HEALTH CENTER INC			Employer identification number 13-3315508
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

MOUNT VERNON NEIGHBORHOOD HEALTH CENTER
INC

Employer identification number

13-3315508

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

			(a) Donor advised funds	(b) Funds and other accounts

1	Total number at end of year ....
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ....

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ...........

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ............................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2015

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations .................

3a(i)

(ii) related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land ...	1,804,300		1,804,300
b	Buildings	21,858,601	3,829,227	18,029,374
c	Leasehold improvements	971,748	971,748	0
d	Equipment ...	7,339,393	5,438,361	1,901,032
e	Other ...	600,393	575,056	25,337
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				21,760,043

Schedule D (Form 990) 2015

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b)Book value	(c)Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
INSURANCE CLAIMS PAYABLE	11,271
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	11,271
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2015

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	31,576,568
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b	1,984,616
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d	289,417
e	Add lines 2a through 2d .....................			2e	2,274,033
3	Subtract line 2e from line 1..................			3	29,302,535
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b	4,063,293
c	Add lines 4a and 4b....................			4c	4,063,293
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	33,365,828

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1	31,153,014
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a	1,984,616
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d	289,417
e	Add lines 2a through 2d....................			2e	2,274,033
3	Subtract line 2e from line 1...................			3	28,878,981
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b	4,063,293
c	Add lines 4a and 4b.....................			4c	4,063,293
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	32,942,274

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
PART X, LINE 2:	THE CENTER RECOGNIZES THE EFFECT OF TAX POSITIONS ONLY WHEN THEY ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE CENTER HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. THE CENTER IS NO LONGER SUBJECT TO EXAMINATION BY APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO DECEMBER 31, 2012.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	RENT EXPENSES REPORTED ON PART VIII, LINE 6B 241,291. SPECIAL EVENT EXPENSES REPORTED ON PART VIII, LINE 8B 48,126.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	RECLASS BAD DEBT EXPENSE NETTED AGAINST REVENUE 4,063,293.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	RENT EXPENSES REPORTED ON PART VIII, LINE 6B 241,291. SPECIAL EVENT EXPENSES REPORTED ON PART VIII, LINE 8B 48,126.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	RECLASS BAD DEBT EXPENSE NETTED AGAINST REVENUE 4,063,293.

Schedule D (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE G (Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

Complete if the organization answered "Yes" on Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Information about Schedule G (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization
MOUNT VERNON NEIGHBORHOOD HEALTH CENTER
INC

Employer identification number

13-3315508

Part I

Fundraising Activities. Complete if the organization answered "Yes" on Form 990, Part IV, line 17.

Form 990-EZ filers are not required to complete this part.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

Did the organization have a written or oral agreement with any individual (including officers, directors, trustees

or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?

YesNo

If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.

(i) Name and address of individual or entity (fundraiser)	(iii) Did fundraiser have custody or control of contributions?
	Yes	No










Total . . . . . . . . . . . . . . . . . . . .

List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2015

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.

		(a) Event #1 GOLF EVENT (event type)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	73,664	73,664
2	Less: Contributions . . . .	45,380	45,380
3	Gross income (line 1 minus line 2) . . . . . .	28,284	28,284

4	Cash prizes . . . . .
5	Noncash prizes . . . .
6	Rent/facility costs . . . .	21,392	21,392
7	Food and beverages . . .	5,015	5,015
8	Entertainment . . . .
9	Other direct expenses . . .	21,479	21,479
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .		47,886
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .		-19,602

Part III

Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

		(a) Bingo	(b) Pull tabs/Instant bingo/progressive bingo	(c) Other gaming	(d) Total gaming (add col.(a) through col.(c))
1	Gross revenue . . . . .

2	Cash prizes . . . . .
3	Noncash prizes . . . .
4	Rent/facility costs . . . .
5	Other direct expenses . . .	21,479	21,479

Volunteer labor . . . .

	Yes %
	No

	Yes %
	No

	Yes %
	No

Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . right arrow

Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow

Enter the state(s) in which the organization conducts gaming activities:

Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .

YesNo

If "No," explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .

YesNo

If "Yes," explain:

Schedule G (Form 990 or 990-EZ) 2015

Page 3

Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .

YesNo

Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity

formed to administer charitable gaming? . . . . . . . . . . . . . . . . .

YesNo

Indicate the percentage of gaming activity conducted in:

The organization's facility . . . . . . . . . . . . . . . . . .

13a

An outside facility . . . . . . . . . . . . . . . . . . . .

13b

Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Address

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? . . . . . . . . . . . . . . . . . . . . . . . .

YesNo

If "Yes," enter the amount of gaming revenue received by the organization right arrow

$ and the

amount of gaming revenue retained by the third party right arrow

$ .

If "Yes," enter name and address of the third party:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? . . . . . . . . . . . . . . . . . . .

YesNo

Enter the amount of distributions required under state law distributed to other exempt organizations or spent

in the organization's own exempt activities during the tax year right arrow

Part IV

Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also complete this part to provide any additional information (see instructions).

Return Reference	Explanation

Schedule G (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization
MOUNT VERNON NEIGHBORHOOD HEALTH CENTER
INC

Employer identification number
13-3315508

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section if applicable	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of non-cash assistance	(h) Purpose of grant or assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2015

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of non-cash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of non-cash assistance

(1) THE ASSIGNED CASELOAD FOR THE MVNHC WIC IS 4,400 PARTICIPANTS. CURRENTLY, THERE ARE 4,528 ENROLLED WITH 3,833 ACTIVELY PARTICIPATING. ASSISTANCE PROVIDED INCLUDES VOUCHERS FOR DEFINED FOOD PACKAGES CONSISTING OF SUPPLEMENTAL NUTRITIOUS FOOD, WHICH IS PROVIDED TO ADDRESS THE SPECIFIC NEEDS OF PARTICIPANTS AT IMPORTANT STAGES OF HUMAN GROWTH AND DEVELOPMENT. NUTRITION EDUCATION AND COUNSELING ARE PROVIDED TO ADDRESS BOTH WIC PARTICIPANTS IMMEDIATE NUTRITIONAL RISK CONDITIONS AND LONG TERM GOALS TO ACHIEVE IMPROVED NUTRITIONAL STATUS.	4528	2,343,724
(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Return Reference

Explanation

PART I, LINE 2:

FUNDS GIVEN TO RECIPIENTS ARE MONITORED THROUGH THE MAINTAIN FOOD INSTRUMENTS WINDOW OF THE SUPPLEMENTAL NUTRITION STATEWIDE INFORMATION SYSTEM AND RECONCILIATION REPORTS ISSUED MONTHLY. PARTICIPANTS RECEIVE VERBAL AS WELL AS WRITTEN INFORMATION ON THE USE OF WIC FOOD INSTRUMENTS BY LOCAL AGENCY PROGRAM ASSISTANTS AND NUTRITIONISTS. IN ADDITION, VENDOR MANAGEMENT AGENCIES CONDUCT ON SITE MONITORING VISITS OF CONTRACTED VENDORS AT LEAST ONCE EVERY TWO YEARS. TO ENSURE THAT THE NUTRITIONAL ASSISTANCE IS USED FOR ITS INTENDED PURPOSE VENDOR MANAGEMENT AGENCIES PROVIDE TRAINING TO EACH OF THEIR CONTRACTED VENDOR. THIS TRAINING ENSURES COMPLIANCE WITH PROGRAM REGULATIONS. IN ORDER TO QUALIFY TO RECEIVE WIC PROGRAM BENEFITS, APPLICANTS MUST MEET CATEGORICAL, RESIDENCY, INCOME AND NUTRITIONAL RISK ELIGIBILITY REQUIREMENTS.

Schedule I (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

MOUNT VERNON NEIGHBORHOOD HEALTH CENTER
INC

Employer identification number

13-3315508

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization?

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization?

Any related organization? .........................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2015

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column(B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1CAROLE MORRISCEO	(i) (ii)	216,188 ------------- 0	0 ------------- 0	6,100 ------------- 0	5,000 ------------- 0	46,699 ------------- 0	273,987 ------------- 0	0 ------------- 0
2BENJAMIN MONTGOMERYCFO	(i) (ii)	150,462 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	15,967 ------------- 0	166,429 ------------- 0	0 ------------- 0
3MARKOS ASAMENEWMEDICAL DIRECTOR	(i) (ii)	238,753 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	11,726 ------------- 0	250,479 ------------- 0	0 ------------- 0
4CHADRY HAMEEDCHIEF OF OB/GYN	(i) (ii)	210,834 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	31,979 ------------- 0	242,813 ------------- 0	0 ------------- 0
5DR RAYMOND TUNCHIEF OF INTERNAL MEDIC	(i) (ii)	184,344 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	184,344 ------------- 0	0 ------------- 0
6EDWARD AMELEMAHCHIEF OF OB/GYN	(i) (ii)	194,903 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	49,367 ------------- 0	244,270 ------------- 0	0 ------------- 0
7SADAF LODHIOB/GYN PHYSICIAN	(i) (ii)	187,255 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	187,255 ------------- 0	0 ------------- 0
8MITRA ZAMENIOB/GYN PHYSICIAN	(i) (ii)	184,245 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	184,245 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2015

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation

Schedule J (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

MOUNT VERNON NEIGHBORHOOD HEALTH CENTER
INC

Employer identification number

13-3315508

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No










Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2015

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) GEETA MORRIS	RELATIVE OF THE CEO	94,758	GEETA IS EMPLOYED BY THE ORGANIZATION AS THE DIRECTOR OF YONKERS H.C.		No
(2) TRACY DUNSTAN	RELATIVE OF THE COO	19,090	TRACY IS EMPLOYED BY THE ORGANIZATION AS A GRANT WRITER.		No
(3) NIKKI MORRIS	RELATIVE OF THE CEO	62,091	NIKKI IS EMPLOYED BY THE ORGANIZATION AS AN LPN.		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.
Right pointing arrow large image

Information about Schedule M (Form 990) and its instructions is at www.irs.gov/form990

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

MOUNT VERNON NEIGHBORHOOD HEALTH CENTER
INC

Employer identification number

13-3315508

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...
20 Drugs and medical supplies .	X	1	635,990	COST
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( )
26 Other ( )
27 Other ( )
28 Other ( )

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that

it must hold for at least three years from the date of the initial contribution, and which is not required to be used

for exempt purposes for the entire holding period? ..................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

If "Yes," describe in Part II.

If the organization did not report an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 51227J

Schedule M (Form 990) (2015)

Page 2

Part II

Supplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Return Reference	Explanation
PART I, COLUMN (B):	COLUMN (B) REPORTS THE NUMBER OF CONTRIBUTORS.

Schedule M (Form 990) (2015)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

MOUNT VERNON NEIGHBORHOOD HEALTH CENTER
INC

Employer identification number

13-3315508

Return Reference	Explanation
FORM 990, BOX B, AMENDED RETURN	AT THE TIME THE ORIGINAL FORM 990 WAS FILED, THE ORGANIZATION HAD NOT YET UNDERGONE AN AUDIT OF ITS FINANCIAL STATEMENTS. HOWEVER, SINCE THEN AN AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS HAS TAKEN PLACE. THEREFORE, THE ORGANIZATION'S FORM 990 HAS BEEN AMENDED TO AGREE WITH THE AUDITED FINANCIAL STATEMENTS. - PART C - "INC." WAS ADDED TO THE ORGANIZATION'S NAME PER ITS BYLAWS. - PART F AND PART II - THIS WAS UPDATED TO REFLECT THE NEW PRINCIPAL AND SIGNING OFFICER. - PART VIII, STATEMENT OF REVENUE, LINE 1E INCREASED BY $1. - PART VIII, STATEMENT OF REVENUE, LINES 2A-E HAD THE FOLLOWING AMENDMENTS, WHICH NETTED TO A TOTAL DECREASE OF $2,291,420: 1. MANAGED CARE DECREASED BY $998,628. 2. MEDICAID INCREASED BY $113,023. 3. SELF PAY DECREASED BY $200,606. 4. OTHER PATIENT REVENUE DECREASED BY $1,810,694. 5. PRIVATE PATIENT REVENUE INCREASED BY $240,225. 6. MEDICARE DECREASED BY $35,952. - PART IX, STATEMENT OF FUNCTIONAL EXPENSE, THE FOLLOWING LINES HAD AMENDMENTS, WHICH NETTED TO A TOTAL INCREASE OF $7,176: 1. LINE 7 INCREASED BY $201,683. 2. LINE 9 INCREASED BY $4,850. 3. LINE 10 INCREASED BY $10,811. 4. LINE 11B DECREASED BY $95,187. 5. LINE 11G INCREASED BY $10,405. 6. LINE 13 INCREASED BY $1,143. 7. LINE 14 INCREASED BY $6,693. 8. LINE 16 INCREASED BY $4,909. 9. LINE 22 DECREASED BY $1. 10. LINE 24E DECREASED BY $138,130. - PART X, BALANCE SHEET, LINE 4B DECREASED BY $2,291,419. - PART X, BALANCE SHEET, LINE 15 DECREASED BY $128,774. - PART X, BALANCE SHEET, LINE 17 INCREASED BY $7,175. - PART X, BALANCE SHEET, LINE 19 INCREASED BY $1. - PART X, BALANCE SHEET, LINE 25 DECREASED BY $128,774. - PART X, BALANCE SHEET, LINE 27 DECREASED BY $2,298,595. - PART XI, RECONCILIATION OF NET ASSETS - THIS WAS UPDATED TO AGREE TO THE ENDING NET ASSETS PER THE ISSUED FINANCIAL STATEMENTS. -SCHEDULE A, PART II, LINE 1E AND 12 - THESE LINES WERE UPDATED TO AGREE TO THE AMENDMENTS THAT OCCURRED IN PART VIII, STATEMENT OF REVENUE. 1. LINE 1E INCREASED BY $1. 2. LINE 12 DECREASED BY $2,291,420. - SCHEDULE D, PART XI, XII, AND XIII - THESE SECTIONS WERE COMPLETED TO AGREE WITH THE ISSUED CONSOLIDATED FINANCIAL STATEMENTS.
FORM 990, PART VI, SECTION B, LINE 11	THE 990 WAS REVIEWED BY MANAGEMENT PRIOR TO FILING. AFTER FILING WITH THE IRS, THE 990 WAS PROVIDED TO THE FULL BOARD FOR THEIR REVIEW.
FORM 990, PART VI, SECTION B, LINE 12C	THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY IN PLACE THAT COVERS THE BOARD OF DIRECTORS, ADMINISTRATION AND MANAGEMENT, PHYSICIANS, VOLUNTEERS AND OTHER EMPLOYEES. WHEN A PERSON BECOMES AWARE OF AN ACTUAL OR POTENTIAL CONFLICT THEY ARE REQUIRED TO REPORT THE SITUATION TO A SUPERVISOR, MANAGER OR MT. VERNON NEIGHBORHOOD COMPLIANCE OFFICER. THE ORGANIZATION THEN REVIEWS THE CONFLICT AND DETERMINES HOW THE ORGANIZATION CAN AVOID OR RESOLVE THE CONFLICT. EACH YEAR, THE POLICY IS REVIEWED, AND ANNUAL DISCLOSURE STATEMENTS ARE SIGNED BY THE EMPLOYEES AND BOARD MEMBERS.
FORM 990, PART VI, SECTION B, LINE 15	CHIEF EXECUTIVE OFFICER - CEO - THE TOTAL COMPENSATION FOR THE CEO IS ESTABLISHED AND APPROVED BY THE BOARD OF DIRECTORS THROUGH THE USE OF COMPARABILITY DATA, COMPARABLE DATA FROM THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTER (NACHC), USING THE SALARY RANGE SCALE ESTABLISHED BY THE BOARD OF DIRECTORS. KEY EMPLOYEES' POSITIONS: CHIEF FINANCIAL OFFICER CHIEF OPERATING OFFICER CHIEF MEDICAL DIRECTOR THE COMPENSATION FOR THE ABOVE LISTED KEY EMPLOYEES WAS INITIALLY ESTABLISHED BY THE CHIEF EXECUTIVE OFFICER. THE BOARD OF DIRECTORS DEPENDING ON THE FINANCIAL STRENGTH OF THE ORGANIZATION DETERMINES A FIXED PERCENTAGE INCREASE IN THEIR ANNUAL SALARY FOR ALL EMPLOYEES. ALL OF THIS IS DOCUMENTED IN THE BOARD MINUTES.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES ITS FORM 990 AND FORM 1023 AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE. THE RETURN IS POSTED ON GUIDESTAR.ORG AND OTHER SIMILAR TYPES OF WEBSITES. IN ADDITION, THE FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, ARTICLES OF INCORPORATION, FORM 1023, AND BY-LAWS ARE ALSO AVAILABLE UPON WRITTEN REQUEST AT 107 WEST FOURTH STREET, MT. VERNON, NY 10550 OR BY CALLING THE ORGANIZATION DIRECTLY AT (914)-699-7200.
FORM 990, PART XII, LINE 2C:	THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS DID NOT CHANGE FROM THE PRIOR YEAR.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: TO EXTEND EQUALLY TO ALL, REGARDLESS OF THEIR ABILITY TO PAY, COMPREHENSIVE HEALTH SERVICES OF THE HIGHEST QUALITY IN AN ATMOSPHERE OF HUMANE CARE, DIGNITY AND RESPECT;TO PROMOTE AND PROTECT, AS BOTH INNOVATOR AND ADVOCATE, THE HEALTH AND WELL-BEING OF OUR CLIENTS, PATIENTS AND MEMBERS OF OUR SURROUNDING COMMUNITIES;TO JOIN WITH OTHER HEALTH WORKERS, AGENCIES AND WITH COMMUNITIES IN A PARTNERSHIP WHICH WILL ENABLE OUR ORGANIZATION TO PROMOTE AND PROTECT THE TOTAL PHYSICAL, MENTAL AND SOCIAL HEALTH AND WELL-BEING OF THE PEOPLE.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	16
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	16
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	425
6	Total number of volunteers (estimate if necessary) .............	6	30
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	12,021,586	13,788,808
9	Program service revenue (Part VIII, line 2g) .........	23,611,719	19,000,346
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	606	885
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	353,106	575,789
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	35,987,017	33,365,828
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	2,291,756	2,343,724
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	18,920,922	20,075,391
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 56,829
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	16,306,160	10,523,159
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	37,518,838	32,942,274
19	Revenue less expenses. Subtract line 18 from line 12.......	-1,531,821	423,554
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	27,311,764	26,971,330
21	Total liabilities (Part X, line 26).............	11,518,038	10,754,050
22	Net assets or fund balances. Subtract line 21 from line 20.....	15,793,726	16,217,280

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 24,556,659 including grants of $ ) (Revenue $ 19,000,346 )
	THE MOUNT VERNON HEALTH CENTER NETWORK SERVICES INCLUDE THE FOLLOWING:ADOLESCENT MEDICINE: THE ADOLESCENT MEDICINE DEPARTMENT PROVIDES COMPREHENSIVE HEALTH SERVICES AND PROGRAMS TO ADDRESS THE PREVENTION AND TREATMENT OF ADOLESCENT HEALTH PROBLEMS, REPRODUCTIVE HEALTH, TOBACCO CONTROL, OBESITY, ADOLESCENT GROWTH DEVELOPMENT, EATING DISORDERS, AND PREVENTIVE HEALTH CARE SERVICES. ADULT/INTERNAL MEDICINE: THE INTERNAL MEDICINE DEPARTMENT IS STAFFED WITH PHYSICIANS, PHYSICIAN ASSISTANTS, FAMILY PRACTICE PHYSICIANS, REGISTERED NURSE AND, MEDICAL ASSISTANTS; PROVIDING COMPREHENSIVE PRIMARY MEDICAL CARE. REFERRALS TO SPECIALISTS ARE MADE AS NEEDED. MOUNT VERNON HOSPITAL IS THE ADMITTING FOR OUR INTERNAL MEDICINE PATIENTS. 24 HOUR ON CALL SERVICE IS AVAILABLE.BEHAVIORAL HEALTH: BEHAVIORAL HEALTH SERVICES INCLUDE SUBSTANCE ABUSE, MENTAL HEALTH, HIV/AIDS EDUCATION AND PREVENTION COUNSELING, AND OTHER RELATED MENTAL HEALTH SERVICES. CLIENTS CAN EXPECT COMPASSIONATE AND INDIVIDUALIZED TREATMENT FROM HIGHLY QUALIFIED PROFESSIONALS. OUR STAFF OF LICENSED SOCIAL WORKERS, COUNSELORS, PSYCHIATRISTS IS COMMITTED TO OFFERING THE VERY BEST IN BEHAVIORAL HEALTH CARE. CHILD HEALTH (PEDIATRICS): MTVNHC PEDIATRIC DEPARTMENT PROVIDES COMPREHENSIVE PRIMARY CARE FOR BABIES AND CHILDREN FROM NEWBORN THRU TWELVE YEARS OLD (AFTER WHICH THE PATIENT "GRADUATES" TO OUR ADOLESCENT DEPARTMENT). OUR CARING AND EXPERIENCED TEAM OF PHYSICIANS AND LICENSED PRACTITIONERS OFFER ROUTINE WELL-CHILD CHECK-UPS AND HEALTH SCREENINGS, IMMUNIZATIONS, SCHOOL AND SPORTS EXAMINATIONS AS WELL AS HEARING, VISION AND OTHER EVALUATIONS. MOUNT VERNON HOSPITAL IS THE ADMITTING HOSPITAL FOR OUR MTVNHC PATIENTS, ST. JOSEPHS MEDICAL CENTER FOR PATIENTS OF YONKERS COMMUNITY HEALTH CENTER AND WHITE PLAINS MEDICAL CENTER FOR OUR GREENBURGH HEALTH CENTER PATIENTS.DENTAL: GENERAL DENTISTRY SERVICES ARE PROVIDED. THESE SERVICES INCLUDE DIAGNOSTIC AND TREATMENT, CONSULTATIONS AND REFERRALS TO SPECIALISTS WHEN NEEDED. DENTAL SERVICES ARE PROVIDED TO CHILDREN FROM AGE 3 TO ADULTS.OB/GYN (WOMEN'S HEALTH SERVICES): SERVICES INCLUDE COMPLETE OBSTETRICAL CARE, AS WELL AS GYNECOLOGICAL CARE. OTHER SERVICES INCLUDE LAMAZE CLASSES, BREASTFEEDING CLASSES, AND MAMMOGRAM SCREENINGS. SOUND SHORE MEDICAL CENTER IN NEW ROCHELLE IS THE ADMITTING/DELIVERY HOSPITAL FOR OUR MOUNT VERNON AND YONKERS HEALTH CENTERS WHILE WHITE PLAINS HOSPITAL MEDICAL CENTER IS THE ADMITTING/DELIVERY HOSPITAL FOR OUR GREENBURGH HEALTH CENTER PATIENTS.SOCIAL SERVICES: IN ADDITION TO ADDRESSING THE VARIOUS NEEDS OF THE PATIENT, THE SOCIAL WORKER ALSO COMPLETES MEDICAID AND PCAP APPLICATIONS.SPECIALTY SERVICES: MTVNHC PROVIDES THE FOLLOWING SPECIALTY SERVICES ON-SITE: AUDIOLOGY, CARDIOLOGY, DERMATOLOGY, COLPOSCOPY, ENDOCRINOLOGY, GASTROENTEROLOGY, ENDOSCOPY, NEPHROLOGY, NEUROLOGY, OPHTHALMOLOGY, ORTHOPEDICS, OTOLARYNGOLOGY, PODIATRY, SURGERY, UROLOGY, SONOGRAMS.

4b	(Code: ) (Expenses $ 2,343,724 including grants of $ 2,343,724 ) (Revenue $ )
	MOUNT VERNON NEIGHBORHOOD HEALTH CENTER NETWORK'S NUTRITION SERVICES PROVIDES COMPREHENSIVE, HIGH QUALITY NUTRITIONAL CARE AND GUIDANCE.STAFFED BY A TEAM OF NUTRITIONISTS AND A PATIENT EDUCATOR, NUTRITION SERVICES STAFF FUNCTION AS MEMBERS OF THE PATIENTS' HEALTHCARE TEAM. REFERRALS ARE ACCEPTED FROM PHYSICIANS, PHYSICIAN ASSISTANT'S AND OTHER QUALIFIED HEALTH CARE PROFESSIONALS.AVAILABLE AT MOUNT VERNON AND YONKERS HEALTH CENTER, NUTRITION SERVICES PROVIDE PATIENTS, AND THE COMMUNITY, OPPORTUNITIES TO LEARN WHAT, WHY AND HOW TO IMPROVE AN INDIVIDUAL'S NUTRITIONAL STATUS IN ORDER TO PREVENT AND TREAT NUTRITION RELATED DISEASES. WE OFFER INDIVIDUALIZED NUTRITION COUNSELING, MEDICAL NUTRITION THERAPY AND GROUP EDUCATION PROGRAMS.NUTRITION SERVICES STRIVES TO INCREASE COMMUNITY AWARENESS OF FOOD AND NUTRITION AND PROVIDE THE HIGHEST STANDARD OF NUTRITION CARE BASED ON THE PRINCIPLES OF THE AMERICAN DIETETIC ASSOCIATION.

4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses26,900,383

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	1,715,562	0	166,684

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)				(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(18) BENJAMIN MONTGOMERY........................................................................ CFO	35.00 .......................	X			150,462	0	15,967
(19) OPAL DUNSTAN........................................................................ COO	35.00 .......................	X			142,478	0	5,946
(20) MARKOS ASAMENEW........................................................................ MEDICAL DIRECTOR	35.00 .......................		X		238,753	0	11,726
(21) CHADRY HAMEED........................................................................ CHIEF OF OB/GYN	35.00 .......................			X	210,834	0	31,979
(22) DR RAYMOND TUN........................................................................ CHIEF OF INTERNAL MEDIC	35.00 .......................			X	184,344	0	0
(23) EDWARD AMELEMAH........................................................................ CHIEF OF OB/GYN	35.00 .......................			X	194,903	0	49,367
(24) SADAF LODHI........................................................................ OB/GYN PHYSICIAN	35.00 .......................			X	187,255	0	0
(25) MITRA ZAMENI........................................................................ OB/GYN PHYSICIAN	35.00 .......................			X	184,245	0	0

(A) Name and business address	(B) Description of services	(C) Compensation
LABORATORY CORP OF AMERICA HOLDING PO BOX 12140 BURLINGTON,NC27216	LABORATORY SERVICES	631,826
GREENWAYVITERA HEALTH SOLUTION 12644 COLLECTIONS CENTER DRIVE CHICAGO,IL60693	COMPUTER PROGRAM SERVICES	437,896



2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 2

1a	Federated campaigns..		1a	663
b	Membership dues..		1b
c	Fundraising events..		1c	45,380
d	Related organizations		1d
e	Government grants (contributions)		1e	13,656,315

f	All other contributions, gifts, grants, and similar amounts not included above		1f	86,450

g	Noncash contributions included in lines 1a-1f:$ 635,990
h Total.Add lines 1a-1f.......		13,788,808

		Business Code
2a	MANAGED CARE	624110	7,188,747	7,188,747
b	MEDICAID	624110	3,524,955	3,524,955
c	SELF PAY	624110	2,565,282	2,565,282
d	OTHER PATIENT REVENUE	624110	1,810,044	1,810,044
e	PRIVATE PATIENT REVENUE	624110	1,505,738	1,505,738
f	All other program service revenue.			2,405,580	2,405,580
g Total.Add lines 2a–2f.....			19,000,346

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			885			885
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		280,629
b	Less: rental expenses		241,291
c	Rental income or (loss)		39,338
d	Net rental income or (loss)......			39,338			39,338
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory
b	Less: cost or other basis and sales expenses
c	Gain or (loss)
d	Net gain or (loss).....
8a	Gross income from fundraising events (not including $ 45,380of contributions reported on line 1c). See Part IV, line 18 ....
	a		28,284
b	Less: direct expenses ...b		47,886
c	Net income or (loss) from fundraising events..			-19,602			-19,602
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a		1,664
b	Less: direct expenses ...b		240
c	Net income or (loss) from gaming activities..			1,424			1,424
10a	Gross sales of inventory, less returns and allowances ..
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	PHARMACY COMMISSION FEES & OTHER		900099	459,637			459,637
b	INSURANCE REIMBURSEMENT		900099	74,827			74,827
c	MISCELLANEOUS INCOME		900099	11,734			11,734
d	All other revenue ....			8,431			8,431
e	Total. Add lines 11a–11d ......			554,629
12	Total revenue. See Instructions......			33,365,828	19,000,346	0	576,674

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	2,343,724	2,343,724
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	839,328	646,283	193,045
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	182,277	182,277
7	Other salaries and wages	16,494,201	12,661,958	3,832,243
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....
9	Other employee benefits .......	1,019,619	781,759	237,860
10	Payroll taxes ...........	1,539,966	1,185,774	354,192
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	1,962		1,962
c	Accounting ...........	53,999		53,999
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	259,346	175,214	84,132
12	Advertising and promotion ....
13	Office expenses .......	693,310	521,797	171,513
14	Information technology ......	144,629		144,629
15	Royalties ..
16	Occupancy ...........	288,791	205,234	83,557
17	Travel ............	15,703	8,637	7,066
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	17,960	9,878	8,082
20	Interest ...........	312,057	234,043	78,014
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	1,513,602	1,135,201	378,401
23	Insurance ...	227,291	170,468	56,823
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	BAD DEBT EXPENSE	4,063,293	4,063,293
b	PHARMACEUTICALS AND VAC	919,773	919,773
c	LABORATORY	681,546	681,546
d	MEDICAL SUPPLIES	611,683	458,762	152,921
e	All other expenses	718,214	514,762	146,623	56,829
25	Total functional expenses. Add lines 1 through 24e	32,942,274	26,900,383	5,985,062	56,829
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			183,081	1	126,633
2	Savings and temporary cash investments .........			551,045	2	1,596,175
3	Pledges and grants receivable, net ......			288,189	3	304,473
4	Accounts receivable, net .............			2,745,613	4	2,350,969
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
					6
7	Notes and loans receivable, net ....				7
8	Inventories for sale or use ........				8
9	Prepaid expenses and deferred charges ......			163,046	9	260,567
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	32,574,435
b	Less: accumulated depreciation	10b	10,814,392	22,860,586	10c	21,760,043
11	Investments—publicly traded securities .				11
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			520,204	15	572,470
16	Total assets. Add lines 1 through 15 (must equal line 34)...			27,311,764	16	26,971,330

17	Accounts payable and accrued expenses .....	4,030,423	17	3,597,172
18	Grants payable ...		18
19	Deferred revenue .........	5,905	19	5,905
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..		22
23	Secured mortgages and notes payable to unrelated third parties ..	7,349,485	23	7,139,702
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D	132,225	25	11,271
26	Total liabilities. Add lines 17 through 25..	11,518,038	26	10,754,050

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	15,793,726	27	16,217,280
28	Temporarily restricted net assets ...........		28
29	Permanently restricted net assets		29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund ...		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	15,793,726	33	16,217,280
34	Total liabilities and net assets/fund balances ........	27,311,764	34	26,971,330