Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (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 listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| Total | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (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. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (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 VI.).. | ||||||
| 11 | Total support Add lines 7 through 10. | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 3,727,387 | 2,447,931 | 9,104,857 | 5,645,566 | 6,923,867 | 27,849,608 |
| 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. | 3,727,387 | 2,447,931 | 9,104,857 | 5,645,566 | 6,923,867 | 27,849,608 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | 677,993 | 204,578 | 2,672,746 | 261,455 | 273,350 | 4,090,122 |
| 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.. | 677,993 | 204,578 | 2,672,746 | 261,455 | 273,350 | 4,090,122 |
| 8 | Public support (Subtract line 7c from line 6.) | 23,759,486 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 3,727,387 | 2,447,931 | 9,104,857 | 5,645,566 | 6,923,867 | 27,849,608 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 17,114 | 6,660 | 13,931 | 44,302 | 7,047 | 89,054 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 17,114 | 6,660 | 13,931 | 44,302 | 7,047 | 89,054 |
| 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.).. | 3,744,501 | 2,454,591 | 9,118,788 | 5,689,868 | 6,930,914 | 27,938,662 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 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 | ||||
| 7 | Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions) | |||||
| 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 2014 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-2014 |
(iii) Distributable Amount for 2014 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2014 from Section C, line 6 |
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|
2
Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions) |
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| 3 Excess distributions carryover, if any, to 2014: | ||||
| a From 2009.......X | ||||
| b From 2010.......X | ||||
| c From 2011.......X | ||||
| d From 2012.......X | ||||
| e From 2013....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2014 distributable amount | ||||
|
i
Carryover from 2009 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2014 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2014 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) |
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|
6
Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
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|
7 Excess distributions carryover to 2015. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a From 2010.......X | ||||
| b From 2011.......X | ||||
| c From 2012.......X | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| FORM 990, PART I, LINE 1 | THE FOUNDATION IS THE FUNDRAISING ARM OF THE NORTHERN WESTCHESTER HOSPITAL ASSOCIATION (NWH). THE FOUNDATION SUPPORTS NWH THROUGH ANNUAL FUNDRAISING PROGRAMS INCLUDING: SPECIAL EVENTS; DIRECT MAIL; PLANNED GIVING; MAJOR DONOR SOLICITATION; AND PRIVATE, CORPORATE AND GOVERNMENT GRANTS. |
| FORM 990, PART III, LINE 1 | THE FOUNDATION IS THE FUNDRAISING ARM OF THE NORTHERN WESTCHESTER HOSPITAL ASSOCIATION (NWH). THE FOUNDATION SUPPORTS NWH THROUGH ANNUAL FUNDRAISING PROGRAMS INCLUDING: SPECIAL EVENTS; DIRECT MAIL; PLANNED GIVING; MAJOR DONOR SOLICITATION; AND PRIVATE, CORPORATE AND GOVERNMENT GRANTS. |
| FORM 990, PART III, LINE 4A | THE FOUNDATION'S PRIMARY EXEMPT PURPOSE IS TO SOLICIT CONTRIBUTIONS FROM PATRONS THROUGH FUND-RAISING EVENTS, DIRECT CONTRIBUTIONS & PLEDGES. IN THE LAST FEW YEARS, FUNDS RAISED BY THE FOUNDATION HAVE MADE POSSIBLE: - THE NEW DAVID AND MARY BOIES EMERGENCY DEPARTMENT - THE NEW CANCER TREATMENT AND WELLNESS CENTER - THE NEW DA VINCI ROBOTIC SURGICAL SYSTEM - AN ENDOWMENT FOR THE CONTINUED EDUCATION AND TRAINING OF NURSES, PHYSICIANS AND OTHER HEALTH CARE PROFESSIONALS AND MUCH MORE. THE FUNDS COLLECTED THROUGH THESE PROCESSES ARE DISTRIBUTED ACCORDING TOTHE DONORS' INTENTIONS, TO THE NORTHERN WESTCHESTER HOSPITAL ASSOCIATION TO ASSIST WITH THE VARIOUS ONGOING RESEARCH PROJECTS, COMMUNITY OUTREACH PROGRAMS AND OTHER CHARITABLE ENDEAVORS AS ESTABLISHED BY ITS BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION A, LINE 2 | TWO OR MORE PERSONS LISTED IN THIS FORM 990 PART VII HAVE A BUSINESS RELATIONSHIP WITH EACH OTHER BY VIRTUE OF CONCURRENTLY SERVING ON ONE OR MORE BOARDS OF DIRECTORS/TRUSTEES OR BY SERVING IN AN EMPLOYMENT RELATIONSHIP ON ONE OR MORE ENTITIES WITHIN THE NORTHERN WESTCHESTER AFFILIATES. |
| FORM 990, PART VI, SECTION A, LINE 6 | NORTHERN WESTCHESTER HOSPITAL ASSOCIATION IS THE PARENT COMPANY OF NORTHERN WESTCHESTER HOSPITAL CENTER FOUNDATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | NORTHERN WESTCHESTER HOSPITAL ASSOCIATION MAY ELECT ONE OR MORE MEMBERS OF THE GOVERNING BODY OF NORTHERN WESTCHESTER HOSPITAL CENTER FOUNDATION. |
| FORM 990, PART VI, SECTION A, LINE 7B | DECISIONS MADE BY NORTHERN WESTCHESTER HOSPITAL CENTER FOUNDATION MAY BE SUBJECT TO APPROVAL BY NORTHERN WESTCHESTER HOSPITAL ASSOCIATION. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FOUNDATION'S FORM 990 IS REVIEWED IN DETAIL BY THE FOUNDATION'S ASSOCIATE VICE PRESIDENT, TREASURER AND BY THE DIRECTOR OF FINANCE OF NORTHERN WESTCHESTER HOSPITAL ASSOCIATION, THE FOUNDATION'S PARENT ORGANIZATION. PRIOR TO ITS FILING, A COPY OF THE FORM WAS PROVIDED TO EACH OF THE FOUNDATION'S BOARD MEMBERS FOR REVIEW AND COMMENT THE FORM 990 WAS PRESENTED TO THE FULL BOARD AT THE ANNUAL BOARD MEETING ON OCTOBER 22, 2015 AND APPROVED AT THE SAME MEETING FOR FILING WITH THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE FOUNDATION OPERATES UNDER THE CONFLICT OF INTEREST POLICY OF ITS PARENT ORGANIZATION, NORTHERN WESTCHESTER HOSPITAL ASSOCIATION. ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES OF THE FOUNDATION ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE, IN THEIR CAPACITY AS AN EMPLOYEE OF THE HOSPITAL OR AS A BOARD MEMBER TO THE FOUNDATION. CONCERNS PRESENTED BY THE RESPONSES TO THE CONFLICT OF INTEREST POLICY ARE DISCLOSED TO THE BOARD WITH THE INTERESTED PARTY RECUSED FROM DISCUSSING THE MATTER. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE FOUNDATION'S TOP MANAGEMENT OFFICIAL IS COMPENSATED BY THE FOUNDATION'S PARENT ORGANIZATION, NORTHERN WESTCHESTER HOSPITAL ASSOCIATION. ALL COMPENSATION PAID FOR SERVICES RENDERED ON BEHALF OF THE FOUNDATION IS PAID BY THE PARENT, AND THEREFORE THE PROCESSES USED TO DETERMINE COMPENSATION OF THE TOP MANAGEMENT OFFICIAL OFFICERS AND OTHER KEY EMPLOYEES OF THE FOUNDATION HAVE BEEN DISCLOSED ON THE PARENT'S FORM 990. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE TAXPAYER MAKES ITS FORM 990 AND FORM 1023 AVAILABLE TO THE PUBLIC BY RETAINING A COPY OF EACH AT THE ADDRESS LISTED ON PAGE 1 OF THIS RETURN. ANY INDIVIDUAL REQUESTING A COPY OF THESE DOCUMENTS IS PROVIDED THAT COPY ON THE SAME BUSINESS DAY. THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND CONSOLIDATED FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST AND AT MANAGEMENT'S DISCRETION. THE ORGANIZATION DOES NOT OBTAIN SEPARATE AUDITED FINANCIAL STATEMENTS. |
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