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 | |||||
|
Total |
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Calendar year (or fiscal year beginning in) ![]() |
(a) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (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) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (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) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (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) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (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) |
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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) |
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| 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): |
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| 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 0.015 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 0.035 | 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 | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2020 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2020 |
(iii) Distributable Amount for 2020 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2020 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2020: | ||||
| a From 2015....... | ||||
| b From 2016....... | ||||
| c From 2017....... | ||||
| d From 2018....... | ||||
| e From 2019....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2020 distributable amount | ||||
|
i
Carryover from 2015 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2020 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2020 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2020, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2020. 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 2021. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2016..... | ||||
| b Excess from 2017..... | ||||
| c Excess from 2018..... | ||||
| d Excess from 2019..... | ||||
| e Excess from 2020..... | ||||
| 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.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Covid Disclosure: | During the first wave of COVID-19 to strike New York City (March - May 2020), approximately 54,000 New York City residents were hospitalized with the disease according to the US Department of Health and Human Services/Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report, November 20,2020 Vol 69, No.46. During that same period, NYPH and the Regional Hospitals (collectively, "NYP") admitted 11,571 COVID-19 patients. Government leaders struggled to limit the spread of the disease as New York City, with its dense population and popular mass transit system, quickly devolved into one of the early epicenters of the pandemic. From NYPH's disease modeling, it became apparent that elective procedures would need to be postponed; patient capacity and particularly intensive care beds across NYPH and the Regional Hospitals (collectively "NYP") would need to be rapidly and significantly expanded; telemedicine would be a vital tool as government stay at home orders and fear of the pandemic minimized patient travel for outpatient care; and healthcare workers, with their front-line exposure to infection and the physical and mental stress of providing compassionate care to patients, needed much greater quantities of personal protective equipment ("PPE"). The need to provide PPE for healthcare workers was deemed by NYP particularly critical since demand for workers was high throughout the region, NYP needed to arrange for staffing for the increased bed capacity and surge of patients, and the healthcare workers, who witnessed the devastating strength of the disease on a daily basis, had to have confidence that appropriate use of PPE would not make them transmitters of the disease to others, including their families. NYP was also concerned about the impact of higher death rates on the morale of staff who pride themselves on healing. NYPH undertook extensive preparations for the potentially devastating impact of COVID-19. It activated its Hospital Incident Command team led by NYPH's Chief Operating Officer, with full engagement of the organization's senior administrative, operational, and clinical leadership as well as ColumbiaDoctors and Weill Cornell Medicine (the Medical Schools). NYPH worked closely with federal, state, and local government officials as they responded to the pandemic with a series of executive orders, programs, and regulatory waivers designed to slow the spread of the virus and create the needed healthcare capacity. Multiple large-scale planning efforts were launched by NYPH to address inpatient capacity, staffing needs, equipment shortages, disease management and patient and community education, leveraging the combined size and creativity of NYPH, the Regional Hospitals and the Medical Schools. Resources were effectively redeployed to areas of need as COVID-19 cases displaced large volumes of a typical NYPH caseload. Multifaceted Response to the Pandemic NYP's effective response to a pandemic addressed the many challenges including capacity, staffing, supply chain and financial support. Capacity: NYPH increased inpatient ICU capacity by 246% and constructed the 250-bed Ryan Larkin Field Hospital. In addition, all non-emergent and elective procedures were canceled which allowed for additional acute care capacity for those impacted by COVID-19. Staffing: NYP improvised a highly effective pyramidal staffing structure: more experienced intensive care and emergency providers oversaw medical specialists, and other caregivers who were redeployed after the halt in elective surgeries and treatments. These caregivers assisted in emergency departments and intensive care settings. At the same time, NYP worked closely with the Medical Schools. Both Medical Schools redeployed doctors, nurses and advanced practice practitioners to help with inpatient care, telehealth, and discharge checks on patients and families, among other things. In addition, NYPH and the Regional Hospitals supported the move of approximately 15,000 non-patient facing staff to remote work, consistent with the spirit of the stay-at-home orders and prudent pandemic medical practices to minimize gatherings that could potentially promote the spread of the virus. Between March 2020 and May 2021, over 1,250 staff of NYPH and the Regional Hospitals were either redeployed or volunteered their time to help support the front-line as well as staff the NYP vaccination sites. Throughout the crisis, senior leadership communicated daily to the workforce of NYPH and the Regional Hospitals up-to-date information via multiple channels regarding the disease, the progression of the pandemic, and the importance of safety in the caregiver community given the physical and psychological stress of the pandemic on front-line workers. In addition, NYPH and the Regional Hospitals increased the support provided to staff and were able to avoid formal reductions in force throughout the crisis. Supply Chain: PPE was an immediate concern. Like businesses in general, hospitals have learned to seek increased efficiency, employing Just in Time supply chain and staffing models. Pre-pandemic, NYPH and the Regional Hospitals consumed approximately 4,000 surgical masks per day. That figure increased to 110,000 by mid-March 2020. Matching the commitment of their colleagues on the front lines, supply chain managers worked to provide PPE supplies for the benefit of front-line workers and patients. At the same time, NYP recognized the need to pivot to a Just in Case model to improve preparation for future waves and outbreaks. Once the PPE supply shortage subsided, NYP successfully acquired and stockpiled surgical and N95 masks, scrubs, protective eyewear and other equipment needed to keep its patients and staff safe during prolonged periods of peak use. NYP also worked to solve shortages of reagents and other materials needed to test as many people as possible for SARS-COV-2 or its antibodies. NYP implemented a testing regimen for emergency departments, medical-surgical and recovery floors of hospitals, and worked closely with federal and state officials to help with testing among the general population. Financial Support: In August 2020, NYPH issued $750.0 million of taxable bonds, the proceeds of the sale of which may be used for NYPH corporate purposes. In addition, in order to enhance the liquidity position represented by its operating cash accounts and its investment portfolios, NYPH increased existing lines of credit and obtained new lines of credit to increase its line of credit borrowing capacity from $350.0 million to $800.0 million in 2020 and further increased borrowing capacity to $950.0 million in the three months ended March 31, 2021. Commitment to its Workforce NYP's organizational culture is based on a credo of respect that emphasizes the importance of every role. In furtherance of that belief, NYP made available to its staff a suite of physical and mental health and well-being services. These included: commuter services; housing services; family services including support care time, employee food bank, remote work and childcare services; and mental health services. In addition, NYPH and the Regional Hospitals provided to employees at work on the front lines, two bonuses, recharge rooms, and free daily meals onsite. This comprehensive package of pandemic assistance cost approximately $269.3 million as of March 31, 2021. It reflects the priority NYP places on supporting the dedication, commitment and heroism of front-line caregivers and encouraging an engaged workforce to further the missions of NYPH and the Regional Hospitals. Caring for the Community NYPH and the Regional Hospitals recognized that their community health support programs were a vital component of their COVID-19 response. In 2020, NYPH and the Regional Hospitals funded a broad variety of community support services including wellness programs, community education programs, health screenings, health professionals' education, school-based programs, subsidized health services, prenatal services, crime victims services, eating disorder services, mental health services, disease management services, prevention services and immunizations. NYP established a COVID-19 hotline that fielded thousands of calls from the community. When COVID increased the number of New Yorkers experiencing food insecurity, NYPH expanded its food distribution program, Food Farmacy, teaming up with several organizations to bring healthy food to communities in upper and lower Manhattan, Queens, Brooklyn, and Westchester. Between March 2020 and February 2021, the program went from serving 190 households to more than 6,000 households, distributing more than 1 million pounds of healthy food. Additionally, NYPH invested $5.0 million in Queens, Brooklyn, and Lower Manhattan, to help provide access to emergency food and other pandemic support. |
| COVID DISCLOSURE CONTINUED: | NYPH also created the Northern Manhattan Recovery Fund (the "NMRF") and committed $10.0 million to help the Northern Manhattan community, where three of its campuses are based, recover from the pandemic's economic impact, consistent with IRS Guidelines for Disaster Relief. In the Spring of 2020, the NMRF collaborated with the Hispanic Federation, a nonprofit organization which seeks to empower and advance the Hispanic community, to disseminate over $5.0 million in emergency funding to small businesses in Northern Manhattan. The NMRF has provided additional disaster relief directly and through other collaborations, in the amount of approximately $1.0 million. The NMRF is prioritizing strategies with the goal of providing assistance as quickly as possible to those pandemic affected businesses and industries most in need, while also building a sustainable infrastructure. Vaccine Access and Overcoming Vaccine Hesitancy NYPH leased The Armory at 168th Street in Washington Heights and transformed this approximately 65,000 square foot space into one of New York City's largest public COVID-19 vaccination sites, providing vaccines from January 2021 until May 2021. NYP managed and staffed the Armory operation, as well as other pop-up vaccination venues in New York City and Westchester County. NYPH collaborated with over 100 community and faith-based organizations to help New Yorkers schedule vaccination appointments at these sites and provided education on vaccine safety to thousands of members of the public. NYPH also collaborated with the Northern Manhattan Improvement Corporation ("NMIC"), a community-based organization in Washington Heights, to create a bilingual scheduling hotline where members of local communities could schedule appointments. As of May 1, 2021, that hotline made vaccination appointments for over 11,000 New Yorkers, many of whom had language or limited internet access issues. NYP's efforts have led to the vaccination of more than 100,000 patients and members of the public. NYPH has also deployed its financial and staffing resources to bolster city and regional efforts to help New Yorkers overcome vaccine hesitancy. FORM 990, PART VI, SECTION A, LINE 6: NYP COMMUNITY PROGRAMS, INC., A NEW YORK NOT FOR PROFIT CORPORATION, IS THE SOLE MEMBER OF THE NEWYORK-PRESBYTERIAN/BROOKLYN METHODIST HOSPITAL (CORPORATION). FORM 990, PART VI, SECTION A, LINE 7A & 7B: THE MEMBER HAS THE RIGHT TO APPOINT THE BOARD OF DIRECTORS PURSUANT TO THE CORPORATION'S BYLAWS. THE MEMBER HAS OTHER RIGHTS, POWERS AND AUTHORITY VESTED IN IT BY THE BYLAWS OF THE CORPORATION, BY NON PROFIT CORPORATE LAW (NPCL) AND OTHER APPLICABLE LAW, AND BY VIRTUE OF ITS CAPACITY AS THE ESTABLISHED CO-OPERATOR OF THE CORPORATION LICENSED UNDER ARTICLE 28 OF THE NEW YORK STATE PUBLIC HEALTH LAW. ITS POWERS SO DELINEATED INCLUDE DECISIONS SUCH AS ADOPTING, AMENDING OR REPEALING BYLAWS, ELECTING OFFICERS OF THE CORPORATION, AND MAKING STRATEGIC PLANNING DECISIONS FOR THE CORPORATION. ARTICLE 28 OF THE NEW YORK STATE PUBLIC HEALTH LAW. ITS POWERS SO DELINEATED INCLUDE DECISIONS SUCH AS ADOPTING, AMENDING OR REPEALING BYLAWS, ELECTING OFFICERS OF THE CORPORATION, AND MAKING STRATEGIC PLANNING DECISIONS FOR THE CORPORATION. |
| FORM 990, PART VI, SECTION B, LINE 11A & B: | MEMBERS OF THE NEWYORK-PRESBYTERIAN HOSPITAL (NYPH) FINANCE DEPARTMENT (FINANCE) COORDINATED AND COMPLETED ALL OF THE INFORMATION REQUIRED FOR FORM 990, ACCESSING VARIOUS RESOURCES INCLUDING, LEGAL, HUMAN RESOURCES, CORPORATE COMPLIANCE, DEVELOPMENT, AND OTHER DEPARTMENTS AS NEEDED. THE FOLLOWING IS THE PROCESS FOR REVIEW: SENIOR FINANCE EXECUTIVES REVIEW THE RETURN IN CONJUNCTION WITH ERNST & YOUNG U.S. LLP, PAID PREPARER, PRIOR TO SUBMISSION TO THE CHAIR OF THE AUDIT AND CORPORATE COMPLIANCE COMMITTEE OF THE NYPH BOARD (NYPH AUDIT COMMITTEE) OR HIS/HER DESIGNEE. PURSUANT TO THE CORPORATION'S BYLAWS, IT IS THE NYPH AUDIT COMMITTEE THAT REVIEWS THE CORPORATION'S FORM 990. THE CHAIR OF THE NYPH AUDIT COMMITTEE OR HIS/HER DESIGNEE CONDUCTS A DETAILED REVIEW AND MEETS WITH FINANCE TO ADDRESS ANY QUESTIONS. A COPY OF THE 990 IS SENT TO THE OTHER COMMITTEE MEMBERS FOR REVIEW, AND A REPORT IS GIVEN ON THE 990 BY MANAGEMENT AT THE COMMITTEE'S MEETING IMMEDIATELY PRECEDING THE FILING. A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS, CORPORATION, PRIOR TO ITS FILING. THE CORPORATION FILES THE 990 UPON FINAL REVIEW. |
| FORM 990, PART VI, SECTION B, LINE 12C: | NewYork-Presbyterian/Brooklyn Methodist adheres to a conflict of interest (COI) policy that was approved by the audit and corporate compliance committee of the board of trustees. The policy states in part: "Each Board Member, Officer or Key Person of a New York-Presbyterian Organization shall complete a conflict of interest questionnaire prior to becoming a Board Member, Officer or Key Person of the New York-Presbyterian Organization and annually thereafter." The policy also states that "each Board Member, Officer, or Key Person shall promptly advise the Chief Executive Officer of the New York and Presbyterian Hospital, or his or her designee, of any changes to the information provided in that individual's last completed conflict of interest questionnaire." The Chief Executive Officer of the New York and Presbyterian Hospital, or his or her designee, shall review all completed questionnaires and all subsequent advice of changes and shall take such action as is deemed appropriate to eliminate potentials for conflicts of interest, including such steps as reassignment of responsibilities or establishment of protective arrangements. All disclosures of interests in completed questionnaires or subsequent advice, unless clearly irrelevant or immaterial, shall be compiled and reported by management to the Audit and Corporate Compliance Committee, together, in each case, with response or recommendation of management. The Audit and Compliance Committee shall determine whether the reported resolution of issues raised by the disclosures is satisfactory and, if not, shall require such further action as it deems appropriate. |
| FORM 990, PART VI, SECTION B, LINE 15: | Compensation decisions for the President and officers not paid by the organization was determined by a related organization following that organization's compensation policy. The organization's President and officers have no influence over the compensation process performed by the related organization. Compensation decisions for the officers compensated by the organization was reviewed and approved by the Board of Directors of NYP Community Programs, Inc.(board). The board members are independent of the hospital and its management team and there are no conflicts of interest. The board is responsible for overseeing executive compensation policies and practices, and for setting and approving compensation for the hospital's senior management. The board members have engaged an independent third-party expert to provide objective advice and relevant industry and marketplace benchmarks for compensation. The board assesses total compensation for senior management. All senior management compensation is approved by the board without input or voting participation by persons whose compensation is being approved or by any other individual with a conflict of interest. |
| FORM 990, PART VI, SECTION C, LINE 19: | External requests for our governing documents, conflict of interest policy, and financial statements are reviewed for validity. These requests are then granted if deemed appropriate. |
| FORM 990, PART XI, LINE 9: | Change in pension and postretirement benefit liabilities to be recognized in future periods: (16,582,208) Change in fair market value of alternative investment and common collected/commingled trust: 6,010,270 Change in fair market value of Investment in HERS, LLC: 19,138,903 Change in fair market value of Investment in CCC Captive Insurance: 19,975,177 Total = 28,542,142 |
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