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.
Attach to Form 990 or Form 990-EZ. See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
NEW YORK FOUNDLING HOSPITAL
Employer identification number
13-1624123
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.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
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.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization?
................
11g(i)
(ii)
A family member of a person described in (i) above?
......................
11g(ii)
(iii)
A 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of monetary support
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
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) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
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..
4
Total. Add lines 1 through 3
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.
Section B. Total Support
Calendar year
(or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
7
Amounts from line 4..
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
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 IV.)..
11
Total support (Add lines 7 through 10).
12
Gross receipts from related activities, etc. (see instructions)
..................
12
13
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here........................................
Section C. Computation of Public Support Percentage
14
Public support percentage for 2012 (line 6, column (f) divided by line 11, column (f))
.........
14
15
Public support percentage for 2011 Schedule A, Part II, line 14
...............
15
16a
33 1/3% support test—2012.
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
.......................
b
33 1/3% support test—2011.
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
.....................
17a
10%-facts-and-circumstances test—2012.
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 IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization
.....................................................
b
10%-facts-and-circumstances test—2011.
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 IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization
................................................
18
Private foundation.
If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions
.....................................................
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
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) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
12,333,777
4,968,900
3,610,605
5,755,779
15,452,276
42,121,337
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......
96,124,263
96,952,646
93,487,270
98,114,184
104,631,599
489,309,962
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
0
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
0
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
0
6
Total. Add lines 1 through 5.
108,458,040
101,921,546
97,097,875
103,869,963
120,083,875
531,431,299
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
0
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.
0
c
Add lines 7a and 7b..
0
8
Public support (Subtract line 7c from line 6.)
531,431,299
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
9
Amounts from line 6...
108,458,040
101,921,546
97,097,875
103,869,963
120,083,875
531,431,299
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
472,970
460,503
733,594
531,827
528,314
2,727,208
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
0
c
Add lines 10a and 10b.
472,970
460,503
733,594
531,827
528,314
2,727,208
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
0
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
..
0
0
0
-604,772
-284,038
-888,810
13
Total support. (Add lines 9, 10c, 11, and 12.)..
108,931,010
102,382,049
97,831,469
103,797,018
120,328,151
533,269,697
14
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public support percentage for 2012 (line 8, column (f) divided by line 13, column (f))
.........
15
99.655 %
16
Public support percentage from 2011 Schedule A, Part III, line 15
...............
16
99.198 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f))
......
17
0.511 %
18
Investment income percentage from 2011 Schedule A, Part III, line 17
.............
18
0.556 %
19a
33 1/3% support tests—2012.
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
........
b
33 1/3% support tests—2011.
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
.....
20
Private foundation.
If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 4
Part IV
Supplemental Information.
Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2012
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 to provide any additional information.
Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
NEW YORK FOUNDLING HOSPITAL
Employer identification number
13-1624123
Identifier
Return Reference
Explanation
FORM 990, PART III, LINE 4D:
1) PREVENTIVE SERVICES - ADDRESS THE NEEDS OF CHILDREN, POSITIVELY INTERVENE IN THE LIVES OF VULNERABLE YOUTH, TEACH YOUNG COUPLES AND SINGLE MOTHERS TO CARE FOR THEIR BABIES, GIVE PARENTS THE SKILLS TO OVERCOME ADDICTIONS AND PROVIDE FOR THE EMOTIONAL AND PHYSICAL WELL-BEING OF THEIR FAMILIES. EXPENSES: $8,614,904. REVENUE: $8,583,224. 2) FOSTER CARE RESIDENTIAL FACILITIES - CONGREGATE CARE PROGRAMS PROVIDE RESIDENTIAL CARE FOR YOUTH WHOSE PROBLEMS ARE SO COMPLEX THAT THEY CANNOT FUNCTION IN A TRADITIONAL HOME OR FACILITY. PROGRAM PROFESSIONALS PROVIDE COUNSELING AND SERVICES TO ADDRESS NEEDS OF YOUTH AND ACHIEVE REUNIFICATION OR SECURE A FOSTER BOARDING HOME SETTING FOR YOUTHS WHILE IN NEED OF PLACEMENT. RENDERED APPROXIMATELY 24,530 DAYS OF CARE. EXPENSES: $7,283,937. REVENUE: $7,784,061. 3) MEDICAID - SUPPORT OUR FOSTER CARE PROGRAMS. MAINTAIN CLINICS AT THE ADMINISTRATIVE OFFICE IN EACH BOROUGH. OUR STAFF OF HEALTHCARE PROFESSIONALS PROVIDE ROUTINE AND ON-GOING HEALTH MAINTENANCE AND MANAGEMENT OF ACUTE AND CHRONIC ILLNESSES, INTENSIVE MEDICAL CASE MANAGEMENT AND MENTAL HEALTH SCREENINGS AS WELL AS COUNSELING FOR OUR FOSTER CHILDREN. EXPENSES: $6,081,513. REVENUE: $5,454,255. 4) FAMILY DAY CARE - PROVIDING VITAL SUPPORT TO FAMILIES AND CHILDREN IN THE BRONX AND MANHATTAN SINCE 1968. MORE THAN 75 TRAINED AND LICENSED FAMILY DAY CARE PROVIDERS PROVIDE A COMFORTABLE FAMILY-LIKE SETTING TO OVER 400 CHILDREN AND CONVENIENCE AND PEACE OF MIND TO THEIR WORKING PARENTS. EXPENSES: $2,258,342. REVENUE: $622,660. 5) CONTRIBUTION TO AFFILIATE - CONTRIBUTION TO THE NEW YORK FOUNDLING CHARITABLE CORPORATION OF DONATIONS RECEIVED FOR THE BROWN PLACE PROPERTY, PREVIOUSLY SOLD TO THE CORPORATION. THE BUILDING HOUSES A CHARTER SCHOOL AND CHILD WELFARE PROGRAMS AND WILL BE LEASED TO THE ORGANIZATION. EXPENSES: $49,861. GRANTS: $49,861. 6) OTHER PROGRAMS - PROVIDE FAMILY-CENTERED AND COMMUNITY BASED SERVICES SUCH AS TEMPORARY SHELTER TO HOMELESS AND RUNAWAY ADOLESCENTS AND ASSISTANCE WITH LEGAL ADVOCACY, EDUCATION, AND CAREER PLANNING. INCLUDES BLUE SKY PROGRAM, WHICH PROVIDES SUPPORT AND GUIDANCE TO YOUTH INVOLVED IN THE JUVENILE JUSTICE SYSTEM AND THEIR FAMILIES, SO THAT YOUTH CAN REMAIN IN THEIR HOMES, RATHER THAN BE REMOVED FROM THEIR COMMUNITIES AND DETAINED IN AN INSTITUTION. INTEGRATES THREE SUCCESSFUL STATE-OF-THE-ART THERAPEUTIC METHODS AND APPLIES THEM AT A CRITICAL POINT IN THE CHILD'S JOURNEY THROUGH THE JUVENILE JUSTICE SYSTEM. EXPENSES: $15,883,714. REVENUE: $12,123,471.
FORM 990, PART VI, SECTION A, LINE 6:
THE MEMBERSHIP OF THE CORPORATION CONSISTS OF ONE (1) CLASS OF MEMBERS WHO ARE MEMBERS OF THE SISTERS OF CHARITY.
FORM 990, PART VI, SECTION A, LINES 7A AND 7B:
AT EACH ANNUAL MEETING THE MEMBERS OF THE CORPORATION ELECT FROM THEIR OWN MEMBERSHIP BY A MAJORITY VOTE, A CHAIRPERSON AND A SECRETARY.
FORM 990, PART VI, SECTION B, LINE 11B:
SENIOR MANAGEMENT AND THE ORGANIZATION'S INDEPENDENT AUDITORS COLLABORATE TO COMPLETE THE FORM 990. THE AUDITORS PREPARE THE FINAL DRAFT, WHICH IS PRESENTED TO THE AUDIT COMMITTEE FOR REVIEW, DISCUSSION AND APPROVAL FOR DISTRIBUTION TO THE FULL BOARD. THE FORM 990 IS MADE AVAILABLE TO THE FULL BOARD IN ELECTRONIC FORM WHERE POSSIBLE OR PAPER WHEN REQUESTED.
FORM 990, PART VI, SECTION B, LINE 12C:
THE ORGANIZATION HAS A WRITTEN POLICY THAT REQUIRES OFFICERS, DIRECTORS, TRUSTEES AND KEY PERSONNEL TO EXECUTE AN ANNUAL STATEMENT OF DISCLOSURE OF INTERESTS, RELATIONSHIPS AND HOLDINGS THAT COULD POTENTIALLY RESULT IN A CONFLICT OF INTEREST OF THEMSELVES AND THEIR FAMILY MEMBERS. IF A CONFLICT OF INTEREST SHOULD ARISE OR CAN BE REASONABLY CONSTRUED, THE OFFICERS, DIRECTORS, TRUSTEES AND KEY PERSONNEL WILL BE REFRAINED FROM PARTICIPATING IN THE DECISION MAKING PROCESS. IN THE EVENT THAT THERE MUST BE A DECISION REGARDING THE CONFLICT, THE MATTER WILL BE REFERRED TO THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES FOR A DECISION.
FORM 990, PART VI, SECTION B, LINES 15A AND 15B:
THE GOVERNANCE COMMITTEE ("COMMITTEE") ANNUALLY REVIEWS INDEPENDENTLY OF THE EXECUTIVE DIRECTOR ("ED") THE PERFORMANCE OF THE ED. THE ED'S COMPENSATION AND BENEFITS ARE FIXED PURSUANT TO A MULTI-YEAR CONTRACT WITH THE ED, AND IN THE NEGOTIATION OF THE CONTRACT THE DIRECTORS HAVE UTILIZED DATA FROM COMPETENT SALARY SURVEYS OF EXECUTIVE COMPENSATION IN THE NOT-FOR-PROFIT INDUSTRY. THE FULL EXECUTIVE COMMITTEE REVIEWS AND APPROVES THE EMPLOYMENT CONTRACT WITH THE ED. INCLUDED IN THE SURVEY PERFORMED FOR THE EXECUTIVE COMPENSATION ARE THE FOLLOWING LEVELS: - CHIEF EXECUTIVE OFFICER - CHIEF PROGRAM OFFICER - CHIEF OPERATIONS OFFICER - CHIEF FINANCIAL OFFICER THE MINUTES OF THE DECISIONS OF THE BOARD AND THE COMMITTEE ARE PREPARED BEFORE THE LATER OF THE NEXT MEETING OR 60 DAYS AFTER THE FINAL ACTION OF THE BOARD AND THE COMMITTEE. THE MINUTES RECORD A) THE DATE OF THE DECISION B) THE MEMBERS PRESENT DURING THE DECISION AND THOSE WHO VOTED ON IT AND C) THE FULL TERMS OF THE COMPENSATION ARRANGEMENT THAT WAS APPROVED.
FORM 990, PART VI, SECTION C, LINE 19:
THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS (BYLAWS AND ARTICLES OF INCORPORATION), CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE AT ITS PRINCIPAL OFFICE DURING REGULAR BUSINESS HOURS AND BY MAIL UPON PERSONAL OR WRITTEN REQUEST. ANNUAL INFORMATION RETURNS ARE AVAILABLE TO THE PUBLIC VIA THE SAME METHOD FOR A PERIOD OF THREE YEARS.
FORM 990, PART XI, LINE 9:
CHANGE IN UNDFUNDED PENSION OBLIGATION
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.