Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 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 | |||||
| (A)
NYU LANGONE HOSPITALS |
133971298 | 3 | Yes | 0 | 0 | |
| (B)
COMMUNITY CARE ORGANIZATION |
113001682 | 10 | Yes | 135,584 | 0 | |
| (C)
LUTHERAN CHHA INC |
462559181 | 10 | Yes | 502,783 | 0 | |
| (D)
LUTHERAN AUGUSTANA CECR |
112150953 | 10 | Yes | 4,928,436 | 0 | |
|
Total 4
|
5,566,803 | 0 | ||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 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) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (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) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (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) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (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 2019 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-2019 |
(iii) Distributable Amount for 2019 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2019 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions. |
||||
| 3 Excess distributions carryover, if any, to 2019: | ||||
| a From 2014....... | ||||
| b From 2015....... | ||||
| c From 2016....... | ||||
| d From 2017....... | ||||
| e From 2018....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2019 distributable amount | ||||
|
i
Carryover from 2014 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2019 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2019 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
||||
|
6
Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
7 Excess distributions carryover to 2020. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2015..... | ||||
| b Excess from 2016..... | ||||
| c Excess from 2017..... | ||||
| d Excess from 2018..... | ||||
| e Excess from 2019..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| FORM 990, SCH A, SECTION C, LINE 1 | A MAJORITY OF THE ORGANIZATION'S DIRECTORS/TRUSTEES WERE ALSO A MAJORITY OF THE DIRECTORS/TRUSTEES OF THE FOLLOWING SUPPORTING ORGANIZATIONS: - NYU LANGONE HOSPITALS - COMMUNITY CARE ORGANIZATION - LUTHERAN CHHA, INC. THE ORGANIZATION WAS THE SOLE MEMBER OF LUTHERAN AUGUSTANA CECR HOWEVER THE ORGANIZATION'S DIRECTORS/TRUSTEES DID NOT CONSITUTE A MAJORITY OF THE BOARD OF THE SUPPORTED ORGANIZATION. |
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Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | LORI FINK, TRUSTEE & LAURENCE D. FINK, CO-CHAIR, HAVE A FAMILY RELATIONSHIP. THOMAS S. MURPHY & THOMAS S. MURPHY JR., TRUSTEES, HAVE A FAMILY RELATIONSHIP. RONALD O. PERELMAN & DEBRA PERELMAN, TRUSTEES, HAVE A FAMILY RELATIONSHIP. ISAAC PERLMUTTER & LAURA PERLMUTTER, TRUSTEES, HAVE A FAMILY RELATIONSHIP. ALICE M. TISCH & THOMAS J. TISCH, TRUSTEES, HAVE A FAMILY RELATIONSHIP. BARRY SCHWARTZ, RONALD O. PERELMAN, & DEBRA PERELMAN, TRUSTEES, HAVE A BUSINESS RELATIONSHIP. LAURENCE D. FINK, CO-CHAIR, & LINDA GOSDEN ROBINSON, TRUSTEE, HAVE A BUSINESS RELATIONSHIP. |
| FORM 990, PART VI, SECTION A, LINE 4 | SECTION 2.3 - ADDED ADDITIONAL POWERS OF THE MEMBER WITH RESPECT TO NYU WINTHROP. SECTION 3.3 - UPDATED DEFINITION OF EX-OFFICIO TRUSTEES TO INCLUDE THE CEO OF THE SYSTEM AND THE PRESIDENT AND CFO OF THE UNIVERSITY. SECTION 3.8 - ADDED A PROVISION REGARDING THE BOARD OF OVERSEERS, WHICH ARE NOT VOTING MEMBERS OF THE BOARD OF TRUSTEES OR COUNTED AS PART OF THE QUORUM AT ANNUAL MEETINGS. SECTIONS 6.2, 6.6, AND 6.7 - ADDED THE COMMUNICATIONS COMMITTEE AND COMPENSATION AND BENEFITS COMMITTEE TO THE CURRENT COMMITTEES OF THE BOARD. |
| FORM 990, PART VI, SECTION A, LINE 6 | DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS: THE SOLE MEMBER OF NYU LANGONE HEALTH SYSTEM IS NEW YORK UNIVERSITY. |
| FORM 990, PART VI, SECTION A, LINE 7A | DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS: WITH RESPECT TO THE ELECTION OF THE BOARD OF TRUSTEES OF NYU LANGONE HEALTH SYSTEM, NEW YORK UNIVERSITY (THE "MEMBER"), AS THE SOLE MEMBER HAS THE POWER AND AUTHORITY: 1. TO ELECT THE TRUSTEES; 2. REMOVE A TRUSTEE; AND 3. FILL ANY VACANCIES IN THE BOARD. |
| FORM 990, PART VI, SECTION A, LINE 7B | DESCRIPTION OF CLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL AND THE TYPE OF VOTING RIGHTS: WITH RESPECT TO THE DECISIONS OF THE BOARD OF TRUSTEES OF NYU LANGONE HEALTH SYSTEM, NEW YORK UNIVERSITY (THE "MEMBER") AS THE SOLE MEMBER, HAS THE POWER AND AUTHORITY OVER THE FOLLOWING MATTERS: 1. ELECTING THE SYSTEM'S BOARD OF TRUSTEES; 2. REMOVING THE SYSTEM'S BOARD OF TRUSTEES; 3. FILLING ANY VACANCIES IN THE SYSTEM'S BOARD OF TRUSTEES; 4. AMENDING OR REPEALING THE BY-LAWS OR ADOPTING NEW BY-LAWS; 5. APPROVING THE SYSTEM'S MERGER OR CONSOLIDATION WITH ANOTHER ENTITY; 6. APPROVE THE SALE, LEASE, EXCHANGE, OR OTHER DISPOSITION OF ALL, OR SUBSTANTIALLY ALL, THE ASSETS OF THE SYSTEM; 7. REVIEWING THE VISION, MISSION, AND STRATEGIC AND FINANCIAL PLANS OF THE SYSTEM; 8. REVIEWING THE SYSTEM'S ANNUAL OPERATING AND CAPITAL BUDGETS; 9. APPROVING ANY TRANSACTION THAT DIRECTLY, OR ON A CONSOLIDATED BASIS, HAS A VALUE OF $25,000,000 OR MORE PROVIDED, THAT FINAL APPROVAL OF HOSPITAL DEBT NECESSARY TO FINANCE THE COST OF COMPLIANCE WITH OPERATIONAL OR PHYSICAL PLANT STANDARDS REQUIRED BY LAW, OR TO IMPLEMENT CERTIFICATE OF NEED APPLICATIONS, SHALL REMAIN, IN THE CASE OF NYU LANGONE HOSPITALS ("NYULH"), WITH NYULH AND, IN THE CASE OF NYU WINTHROP HOSPITAL ("NYU WINTHROP"), WITH THE SYSTEM; 10. APPROVING THE CREATION, ACQUISITION AND/OR DISSOLUTION OF AN ENTITY IN WHICH THE SYSTEM IS PROPOSED TO BE, OR IS, THE CONTROLLING MEMBER; AND 11. APPROVING ANY MATTER RESERVED TO THE MEMBER OF A NOT-FOR-PROFIT CORPORATION UNDER THE NEW YORK NOT-FOR-PROFIT CORPORATION LAW ("NPCL"), PROVIDED FURTHER, THAT IF THE SYSTEM EXERCISES ANY RIGHTS OF THE SYSTEM AS SOLE MEMBER OF NYULH OR NYU WINTHROP, SUCH ACTION MUST BE APPROVED BY THE UNIVERSITY IN ORDER TO BE EFFECTIVE, EXCEPT TO THE EXTENT SUCH RIGHTS ARE PROHIBITED TO A SO-CALLED "PASSIVE" PARENT UNDER THE NEW YORK PUBLIC HEALTH LAW ("PHL"). IN ADDITION TO THE MATTERS ENUMERATED ABOVE, AND SUBJECT TO LIMITATIONS ON A PASSIVE PARENT UNDER THE PHL, THE UNIVERSITY HAS, WITH RESPECT TO NYU WINTHROP, APPROVAL RIGHTS OVER ANY APPROVAL GIVEN BY THE SYSTEM FOR THE INCURRENCE BY NYU WINTHROP OF ANY INDEBTEDNESS OF $5,000,000 OR MORE IN ANY GIVEN FISCAL YEAR, AND THE EXERCISE OF ANY POWERS BY NYU WINTHROP ACTING IN ITS CAPACITY AS DIRECT OR INDIRECT MEMBER, SHAREHOLDER OR PARTNER OF ANY AFFILIATE, SUBSIDIARY OR JOINT VENTURE. |
| FORM 990, PART VI, SECTION B, LINE 11B | DESCRIPTION OF THE PROCESS USED BY MANAGEMENT AND/OR GOVERNING BODY TO REVIEW THE FORM 990: 1. THE FINANCE DEPARTMENT DRAFTS THE FORM 990 AND THE ACCOMPANYING SCHEDULES BASED ON THE FISCAL YEAR'S FINANCIAL ACTIVITY. 2. THE DRAFT IS REVIEWED BY THE VICE PRESIDENT OF FINANCE AND CHIEF FINANCIAL OFFICER FOR COMPLETENESS AND ACCURACY. THIS IS AN ITERATIVE PROCESS WHICH MAY INVOLVE MORE THAN ONE REVIEW. 3. THE REVIEWED DRAFT IS PRESENTED TO THE BOARD OF TRUSTEES' AUDIT COMMITTEE, AS WELL AS CERTAIN OTHER OFFICERS FOR REVIEW. 4. ONCE APPROVED BY THE AUDIT COMMITTEE, THE FORM 990 IS MADE AVAILABLE TO THE FULL BOARD AND THEN IT IS FORWARDED TO THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | NYU LANGONE HEALTH SYSTEM HAS ADOPTED A CONFLICTS OF INTEREST POLICY THAT IS APPLICABLE TO ALL TRUSTEES, OFFICERS, AND EMPLOYEES OF THE ORGANIZATION. FURTHERMORE, ALL TRUSTEES, OFFICERS, AND EMPLOYEES OF THE CORPORATION ARE SUBJECT TO THE CONFLICT OF INTEREST POLICY OF NYU LANGONE HEALTH. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE NYU LANGONE HEALTH SYSTEM OFFICE OF GENERAL COUNSEL MAINTAINS COPIES OF THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES. A COPY OF THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES MAY BE OBTAINED BY CONTACTING: NYU LANGONE HEALTH SYSTEM OFFICE OF THE GENERAL COUNSEL 550 FIRST AVENUE NEW YORK, NEW YORK 10016 TELEPHONE NUMBER: (212) 263-7300 |
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