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      <Desc>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 HOSPITAL 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.</Desc>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JUDITH WATSON</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>332185</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>42193</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOSEPH GONZALEZ</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>131247</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>40914</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARKOS ASAMENEW</PersonNm>
        <TitleTxt>CMO</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>242081</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>41228</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SONIA HAMILTON</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>188973</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>52766</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>EDWARD AMELEMAH</PersonNm>
        <TitleTxt>OB/GYN</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>258096</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>41529</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHAUDHRY HAMEED</PersonNm>
        <TitleTxt>OB/GYN</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>217310</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18700</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GLENN DAVIS</PersonNm>
        <TitleTxt>OB/GYN</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>207071</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31158</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GULSUM AKBAS</PersonNm>
        <TitleTxt>OB/GYN</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>212472</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>497</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RAYMOND TUN</PersonNm>
        <TitleTxt>OB/GYN</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>212438</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>26661</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2001873</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>295646</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>38</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ARTISAN AD</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>221 N FIGUEROA STSUITE 1350</AddressLine1Txt>
            <CityNm>LOS ANGELES</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>90012</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ADVERTISING SERVIES</ServicesDesc>
        <CompensationAmt>843158</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CUREMD</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>80 PINE STREET 21ST FLOOR</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10005</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL BILLING SERVICES</ServicesDesc>
        <CompensationAmt>611275</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>LINCOLN COMPUTER SERVICES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>25 BLOOMINGDALE ROAD</AddressLine1Txt>
            <CityNm>HICKSVILLE</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>11801</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>COMPUTER PROGRAM SERVICE</ServicesDesc>
        <CompensationAmt>536816</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>GREENWAY HEALTH</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>4301 WEST BOY SCOUT BLVDSUITE 800</AddressLine1Txt>
            <CityNm>TAMPA</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>33607</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>COMPUTER PROGRAM SERVICE</ServicesDesc>
        <CompensationAmt>408667</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>4</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>26647367</GovernmentGrantsAmt>
      <NoncashContributionsAmt>8144900</NoncashContributionsAmt>
      <TotalContributionsAmt>26647367</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MANAGED CARE</Desc>
        <BusinessCd>624110</BusinessCd>
        <TotalRevenueColumnAmt>7390551</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>7390551</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>SELF PAY</Desc>
        <BusinessCd>624110</BusinessCd>
        <TotalRevenueColumnAmt>4248752</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4248752</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAID</Desc>
        <BusinessCd>624110</BusinessCd>
        <TotalRevenueColumnAmt>2971837</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2971837</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER PATIENT REVENUE</Desc>
        <BusinessCd>624110</BusinessCd>
        <TotalRevenueColumnAmt>1093254</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1093254</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICARE</Desc>
        <BusinessCd>624110</BusinessCd>
        <TotalRevenueColumnAmt>970293</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>970293</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>1547658</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1547658</RelatedOrExemptFuncIncomeAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>18222345</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>188</TotalRevenueColumnAmt>
        <ExclusionAmt>188</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>245330</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>302181</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>-56851</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>-56851</TotalRevenueColumnAmt>
        <ExclusionAmt>-56851</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>PHARMACY COMMISSION FEES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>1163696</TotalRevenueColumnAmt>
        <ExclusionAmt>1163696</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>INSURANCE REIMBURSEMENT</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>89565</TotalRevenueColumnAmt>
        <ExclusionAmt>89565</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>8880</TotalRevenueColumnAmt>
        <ExclusionAmt>8880</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>3952</TotalRevenueColumnAmt>
        <ExclusionAmt>3952</ExclusionAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>1266093</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>46079142</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>18222345</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>1209430</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>784900</TotalAmt>
        <ProgramServicesAmt>784900</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1071584</TotalAmt>
        <ProgramServicesAmt>827363</ProgramServicesAmt>
        <ManagementAndGeneralAmt>244221</ManagementAndGeneralAmt>
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      <OtherSalariesAndWagesGrp>
        <TotalAmt>16664238</TotalAmt>
        <ProgramServicesAmt>12866350</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3797888</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1150185</TotalAmt>
        <ProgramServicesAmt>843239</ProgramServicesAmt>
        <ManagementAndGeneralAmt>306946</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>1484028</TotalAmt>
        <ProgramServicesAmt>1095705</ProgramServicesAmt>
        <ManagementAndGeneralAmt>388323</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>23774</TotalAmt>
        <ManagementAndGeneralAmt>23774</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>91550</TotalAmt>
        <ManagementAndGeneralAmt>91550</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>1746657</TotalAmt>
        <ProgramServicesAmt>934802</ProgramServicesAmt>
        <ManagementAndGeneralAmt>811855</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>883556</TotalAmt>
        <ProgramServicesAmt>544994</ProgramServicesAmt>
        <ManagementAndGeneralAmt>338562</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>462972</TotalAmt>
        <ProgramServicesAmt>55941</ProgramServicesAmt>
        <ManagementAndGeneralAmt>407031</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>423648</TotalAmt>
        <ProgramServicesAmt>182518</ProgramServicesAmt>
        <ManagementAndGeneralAmt>241130</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>9024</TotalAmt>
        <ProgramServicesAmt>744</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8280</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>6578</TotalAmt>
        <ProgramServicesAmt>543</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6035</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>118323</TotalAmt>
        <ProgramServicesAmt>78093</ProgramServicesAmt>
        <ManagementAndGeneralAmt>40230</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>1385109</TotalAmt>
        <ProgramServicesAmt>913770</ProgramServicesAmt>
        <ManagementAndGeneralAmt>471339</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>336423</TotalAmt>
        <ProgramServicesAmt>222039</ProgramServicesAmt>
        <ManagementAndGeneralAmt>114384</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
        <TotalAmt>4884345</TotalAmt>
        <ProgramServicesAmt>4884345</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>790705</TotalAmt>
        <ProgramServicesAmt>611208</ProgramServicesAmt>
        <ManagementAndGeneralAmt>179497</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PHARMACEUTICALS/VACCINE</Desc>
        <TotalAmt>640096</TotalAmt>
        <ProgramServicesAmt>640096</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS &amp; MAINTENANCE</Desc>
        <TotalAmt>218012</TotalAmt>
        <ProgramServicesAmt>143888</ProgramServicesAmt>
        <ManagementAndGeneralAmt>74124</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>474552</TotalAmt>
        <ProgramServicesAmt>367528</ProgramServicesAmt>
        <ManagementAndGeneralAmt>107024</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>33650259</TotalAmt>
        <ProgramServicesAmt>25998066</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7652193</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>911133</BOYAmt>
        <EOYAmt>472635</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>1997736</BOYAmt>
        <EOYAmt>340394</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>1464949</BOYAmt>
        <EOYAmt>3032664</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>2120117</BOYAmt>
        <EOYAmt>1635802</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>435520</BOYAmt>
        <EOYAmt>390924</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>45352591</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>19995104</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>17122374</BOYAmt>
        <EOYAmt>25357487</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>236930</BOYAmt>
        <EOYAmt>250309</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>24288759</BOYAmt>
        <EOYAmt>31480215</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>1681115</BOYAmt>
        <EOYAmt>1361613</EOYAmt>
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      <DeferredRevenueGrp>
        <BOYAmt>168728</BOYAmt>
        <EOYAmt>32720</EOYAmt>
      </DeferredRevenueGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>5079765</BOYAmt>
        <EOYAmt>1875826</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>8246260</BOYAmt>
        <EOYAmt>6668282</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>15175868</BOYAmt>
        <EOYAmt>9938441</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>9112891</BOYAmt>
        <EOYAmt>21541774</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>9112891</BOYAmt>
        <EOYAmt>21541774</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>24288759</BOYAmt>
        <EOYAmt>31480215</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>12428883</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
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      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>12926356</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>13711584</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>14672526</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>13837828</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>26647367</CurrentTaxYearAmt>
        <TotalAmt>81795661</TotalAmt>
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      <GrossReceiptsAdmissionsGrp>
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        <CurrentTaxYearMinus3YearsAmt>16956930</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>10944191</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>16270940</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>18222345</CurrentTaxYearAmt>
        <TotalAmt>83010735</TotalAmt>
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      <GovtFurnSrvcFcltsVl509Grp>
        <CurrentTaxYearMinus4YearsAmt>1646190</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1646190</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1646190</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1646190</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1649190</CurrentTaxYearAmt>
        <TotalAmt>8233950</TotalAmt>
      </GovtFurnSrvcFcltsVl509Grp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>35188875</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>32314704</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>27262907</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>31754958</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>46518902</CurrentTaxYearAmt>
        <TotalAmt>173040346</TotalAmt>
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      <AmountsRcvdDsqlfyPersonGrp>
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        <TotalAmt>2415</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <CurrentTaxYearMinus4YearsAmt>2415</CurrentTaxYearMinus4YearsAmt>
        <TotalAmt>2415</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>173037931</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>344375</CurrentTaxYearMinus4YearsAmt>
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        <CurrentTaxYearMinus2YearsAmt>236438</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>248901</CurrentTaxYearMinus1YearAmt>
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        <CurrentTaxYearMinus1YearAmt>248901</CurrentTaxYearMinus1YearAmt>
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        <CurrentTaxYearMinus3YearsAmt>503898</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1132395</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1112192</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1266093</CurrentTaxYearAmt>
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          <AddressLine2>RESTRICTED</AddressLine2>
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        <BookValueAmt>0</BookValueAmt>
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      <RevenueNotReportedFinclStmtAmt>4884345</RevenueNotReportedFinclStmtAmt>
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        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <NoncashContributionsRptF990Amt>784900</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>COST</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>0</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>0</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, COLUMN (B):</FormAndLineReferenceDesc>
        <ExplanationTxt>THE NUMBER FOR COLUMN (B) DENOTES THE NUMBER OF CONTRIBUTIONS</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>MOUNT VERNON NEIGHBORHOOD HEALTH CENTER, INC. HAS ITS FORM 990 PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND HAS ESTABLISHED THE FOLLOWING REVIEW PROCESS TO ENSURE THAT THE INFORMATION REPORTED IS COMPLETE AND ACCURATE. WHEN THE FORM 990 HAS BEEN PREPARED, REVIEWED BY MANAGEMENT AND IS READY TO BE FILED WITH THE INTERNAL REVENUE SERVICE, IT IS ELECTRONICALLY SENT TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY FOR ANY COMMENTS. ANY ISSUES ARE DOCUMENTED AND ADDRESSED UNTIL THE RETURN IS FINALIZED AND APPROVED FOR FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CONFLICT OF INTEREST POLICY 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>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, 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS FORM 990 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, 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
