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 (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) 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.) .... | 673,634 | 1,112,278 | 4,753,145 | 6,723,193 | 6,601,120 | 19,863,370 |
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....... | 0 | |||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | 0 | |||||
| 4 | Total. Add lines 1 through 3 | 673,634 | 1,112,278 | 4,753,145 | 6,723,193 | 6,601,120 | 19,863,370 |
| 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).. | 202,732 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 19,660,638 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 673,634 | 1,112,278 | 4,753,145 | 6,723,193 | 6,601,120 | 19,863,370 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 17 | 0 | 0 | 13 | 30 | |
| 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.).. | 0 | |||||
| 11 | Total support. Add lines 7 through 10. | 19,863,400 | |||||
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.) | ||||||
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.).. | ||||||
| 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 | ||||
| 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 |
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|
2
Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions) |
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| 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) |
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|
6
Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
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|
7 Excess distributions carryover to 2016. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a | ||||
| b | ||||
| c Excess from 2013....... | ||||
| d From 2014....... | ||||
| e From 2015....... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
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 | MISSION: TO IDENTIFY AND IMPLEMENT INNOVATIVE SOLUTIONS TO CHALLENGES FACING THE HEALTH CARE SYSTEM IN ORDER TO INCREASE ACCESS AND PROMOTE THE DELIVERY OF QUALITY HEALTH CARE FOR THE UNDERSERVED. |
| FORM 990, PART III, LINE 1 | THE GREATER NEW YORK HOSPITAL FOUNDATION IS THE NOT-FOR-PROFIT 501(C)(3) AFFILIATE OF THE GREATER NEW YORK HOSPITAL ASSOCIATION (GNYHA), AN ORGANIZATION EXEMPT FROM INCOME TAX UNDER IRC SECTION 501(C)(6). THE FOUNDATION WAS CREATED TO ASSIST HEALTHCARE PROVIDERS IN THEIR DELIVERY OF SERVICES TO THE COMMUNITY, INCLUDING PATIENTS AND THE PUBLIC AT LARGE, ALL BY SUCH MEANS AS SHALL FROM TIME TO TIME BE FOUND APPROPRIATE AND AS ARE LAWFUL FOR A NOT-FOR-PROFIT CORPORATION, INCLUDING, WITHOUT LIMITATION, THE DEVELOPMENT OF EDUCATIONAL PROGRAMS, THE UNDERTAKING OF QUANTITATIVE ANALYSES AND OTHER STUDIES, THE GRANTING OF FINANCIAL AID AND THE CREATION OF FUNDS TO PROVIDE RECOGNITION AND/OR FINANCIAL SUPPORT TO INDIVIDUALS WHO DELIVER CARE AND/OR THEIR FAMILIES FOR EXTRAORDINARY SERVICES RENDERED. |
| FORM 990, PART III, LINE 4B | The Foundation is a subcontractor to Healthcare Association of New York State and entered a subcontractor agreement effective December 9, 2011 which was completed as of December 8, 2014. The Foundation entered into a new one-year agreement with The Healthcare Association of New York State for this project, effective September 24, 2015. |
| FORM 990, PART III, LINE 4D-OTHER PROGRAM SERVICES | Building an Infrastructure to Sustain Quality Improvement Initiative (QII): Expenditures for this project are used to reduce infections and strengthen clinical leadership through a quality fellowship program so that hospital quality improvements can be supported and sustained. EXPENSES: $125,378 REVENUE: $0 HITE: This project maintains and develops an online searchable resource for various service providers for fast and accurate linkages for uninsured and low-income individuals and families in New York Citys most disadvantaged neighborhoods. The resources include, among others, health and social services, financial assistance agencies, immigrant support, transportation, substance abuse, and youth and family services. EXPENSES: $93,183 REVENUE: $1,000 NY Community Health Workforce Advancement(Workforce Advancement): This project supports hospitals and long-term care facilities in identifying and implementing workforce strategies as they adapt to delivery system changes contained within both state and federal health reform. EXPENSES: $44,530 REVENUE: $48,983 NYC VETERANS FUND (VETERANS): THIS PROJECT SUPPORTS IRAQ AND AFGHANISTAN VETERANS AND THEIR FAMILIES BY DEVELOPING STRATEGIES AND RESOURCES TO IDENTIFY AND BETTER ADDRESS THEIR NEEDS FOR SERVICES AVAILABLE OUTSIDE OFTHE VETERANS AFFAIRS SYSTEM. EXPENSES: $40,463 REVENUE: $0 ELECTRONIC HEALTH INFORMATION EXCHANGE (INFO EXCHANGE): THIS PROJECT PROMOTES CERTAIN TYPES OF BUSINESS AND TECHNICAL SOLUTIONS FOR THE HEALTHCARE INDUSTRY, INCLUDING PROMOTING STANDARDS FOR ELECTRONIC HEALTHCARE DATA EXCHANGE AND ELECTRONIC CLAIMS PROCESSING. EXPENSES: $949 REVENUE: $0 |
| FORM 990, PART VI, SECTION A | QUESTION 2 THE FOLLOWING INDIVIDUALS HAVE A BUSINESS RELATIONSHIP WITH EACH OTHER IN SO FAR AS THE PERSONS LISTED ARE OFFICERS AND/OR DIRECTORS OF THE FOUNDATION AND ALSO OF GNYHA MANAGEMENT CORPORATION, AN ENTITY TAXED AS A CORPORATION: WENDY GOLDSTEIN; KENNETH KAUSHANSKY; RAMANATHAN RAJU; SCOTT LARUE; JOHN COLLINS; SCOTT COOPER; ALAN GUERCI; LOUIS A SHAPIRO; STEVEN M SAFYER; ROBERT GROSSMAN; PAMELA S BRIER; LINDA BRADY; GARY S HORAN; KENNETH L DAVIS; MICHAEL DOWLING; MARK J MUNDY; KENNETH E RASKE; LEE PERLMAN. QUESTIONS 6 AND 7A THE SOLE MEMBER OF THE ORGANIZATION IS THE GREATER NEW YORK HOSPITAL ASSOCIATION ("GNYHA"), AN ORGANIZATION EXEMPT FROM INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(C)(6). GNYHA HAS THE RIGHT TO VOTE ON ALL MATTERS ON WHICH MEMBERS VOTE INCLUDING THE ELECTION OF THE MEMBERS OF THE BOARD OF DIRECTORS. QUESTION 7B THE MEMBER MUST APPROVE THE ELECTION OF THE BOARD OF DIRECTORS AND ANY OTHER ACTION REQUIRING MEMBERS' APPROVAL AS A MATTER OF LAW. |
| FORM 990, PART VI, SECTION B | QUESTION 11 THE ORGANIZATION'S FORM 990 RETURN WAS PREPARED BY THE ORGANIZATION'S FINANCE DEPARTMENT AND AN INDEPENDENT ACCOUNTING FIRM. THE ORGANIZATION'S AUDIT AND COMPLIANCE COMMITTEE, WHICH COMPRISES 3 MEMBERS OF THE ORGANIZATION'S BOARD OF DIRECTORS, REVIEWED THE DRAFT RETURN INFORMATION AT A COMMITTEE MEETING. THE FINAL FORM 990 WAS PROVIDED TO ALL MEMBERS OF THE GOVERNING BODY BY ELECTRONIC MEANS PRIOR TO THE RETURN BEING FILED WITH THE IRS. QUESTION 12C THE ORGANIZATION ADMINISTERS AN ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT TO EXECUTIVE EMPLOYEES, OFFICERS AND DIRECTORS OF THE ORGANIZATION. THE AUDIT & COMPLIANCE COMMITTEE IS RESPONSIBLE FOR REVIEWING AND MONITORING ANY POTENTIAL CONFLICTS. ADDITIONALLY THE AUDIT & COMPLIANCE COMMITTEE MEETS THROUGHOUT THE YEAR TO REVIEW ONGOING ADMINISTRATION AND IMPLEMENTATION OF THE CONFLICT OF INTEREST POLICY. A MEMBER OF THE GOVERNING BODY WHO HAS A CONFLICT IS REQUIRED TO RECUSE HIMSELF OR HERSELF FROM ANY DISCUSSION RELATING TO SUCH CONFLICT. QUESTION 15 ANNUALLY, THE COMPENSATION COMMITTEE OF THE ORGANIZATION (COMPOSED OF INDEPENDENT PERSONS) REVIEWS AND APPROVES THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT AND EVP, ADMINISTRATION & CFO. ADDITIONALLY, THE ORGANIZATION ENGAGES AN OUTSIDE CONSULTANT TO PROVIDE COMPARABILITY DATA AND OTHER INFORMATION TO THE COMPENSATION COMMITTEE IN CONNECTION WITH THE DETERMINATION OF AND ADJUSTMENT TO COMPENSATION OF SUCH PERSONNEL. THE DECISION PROCESS OF THE COMMITTEE IS DOCUMENTED. ALL OFFICERS' COMPENSATION AND BENEFITS ARE PAID BY A RELATED ORGANIZATION, GNYHA MANAGEMENT CORPORATION. |
| FORM 990, PART VI, SECTION C | QUESTION 19 ALL GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, THE RECORD RETENTION AND DESTRUCTION POLICY, AND FINANCIAL STATEMENTS ARE STORED IN THE FOUNDATION'S MAIN OFFICE. THE FOUNDATION WILL PROVIDE COPIES UPON REQUEST IN A TIMELY MANNER. |
| FORM 990, PART XII, LINE 2B AND 2C | THE FOUNDATION ISSUED STAND ALONE FINANCIAL STATEMENTS, AND IS ALSO PART OF CONSOLIDATED AUDITED FINANCIAL STATEMENTS. THE ORGANIZATION HAS AN AUDIT COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT, REVIEW OR COMPILATION OF ITS FINANCIAL STATEMENTS, AND SELECTION OF AN INDEPENDENT ACCOUNTANT. |
| FORM 990 PART IX LINE 11G | DESCRIPTION:NYS - HWRI TOTAL FEES:10000 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:NEW YORK COMMUNITY TRUST TOTAL FEES:24000 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CMS-NURSING FACILITY TOTAL FEES:4210166 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:NYS PFP TOTAL FEES:26945 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:WORKFORCE DEV. NYACH TOTAL FEES:9250 |
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| Software Version: |