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)
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(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 5,148,022 | 3,784,845 | 20,794,653 | 2,966,101 | 1,125,000 | 33,818,621 |
| 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 | 5,148,022 | 3,784,845 | 20,794,653 | 2,966,101 | 1,125,000 | 33,818,621 |
| 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) .. | 14,823,124 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 18,995,497 | |||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 5,148,022 | 3,784,845 | 20,794,653 | 2,966,101 | 1,125,000 | 33,818,621 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 894 | 3,125 | 1,480 | 486 | 1,032 | 7,017 |
| 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 | 33,825,638 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (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) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (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 on 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 2022 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-2022 |
(iii) Distributable Amount for 2022 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2022 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI).
See instructions. |
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| 3 Excess distributions carryover, if any, to 2022: | ||||
| a From 2017....... | ||||
| b From 2018....... | ||||
| c From 2019....... | ||||
| d From 2020....... | ||||
| e From 2021....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2022 distributable amount | ||||
|
i
Carryover from 2017 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2022 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2022 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2022, 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 2022. 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 2023. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2018..... | ||||
| b Excess from 2019..... | ||||
| c Excess from 2020..... | ||||
| d Excess from 2021..... | ||||
| e Excess from 2022..... | ||||
| 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 |
|---|---|
| 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 4D - OTHER PROGRAM SERVICES: | IMPROVING ACCESS TO INTEGRATED REMOTE HEALTH AND SOCIAL CARE (TELEHEALTH): THIS PROJECT AIMS TO IMPROVE THE DELIVERY OF REMOTE HEALTH AND SOCIAL CARE TO HIGH-RISK, UNDERSERVED PATIENTS IN QUEENS AND THE BRONX, WHOSE TECHNICAL, STRUCTURAL, AND FINANCIAL BARRIERS PREVENT THEM FROM ACCESSING TELEHEALTH AND OTHER REMOTE SOCIAL SERVICES. IN DECEMBER 2020, THE FOUNDATION WAS AWARDED A GRANT IN THE AMOUNT OF $208,875 BY THE MOTHER CABRINI HEALTH FOUNDATION TO IDENTIFY HIGH-RISK PATIENTS WITH DEFERRED CARE NEEDS IN ORDER TO SCREEN THESE PATIENTS FOR HEALTH AND SOCIAL NEEDS, AND LINK THEM TO SERVICES, INCLUDING PRIMARY CARE, TELEHEALTH CONSULTATIONS, PRESCRIPTION FILLS, FOOD SERVICES, BENEFITS, LEGAL SUPPORT, HOUSING, AND OTHER SOCIAL CARE. EXPENSE TOTAL: $22,770 NEW YORK ALLIANCE FOR CAREERS IN HEALTHCARE (NYACH TELEHEALTH): THIS PROJECT'S GOAL IS TO UPDATE THE NYACH CORE COMPETENCIES FOR TODAY' HEALTHCARE WORKFORCE CORE CURRICULUM TO INCLUDE COMPETENCIES RELATED TO TELEHEALTH AND RELATED CHANGES SINCE THE DOCUMENT'S ORIGINAL CREATION IN 2016 EXPENSE TOTAL: $15,863 REVENUE TOTAL: $40,833 INSTANT CRIMINAL BACKGROUND CHECK SYSTEM SURVEY AND TRAINING (NICS): THIS INITIATIVE AIMS TO IMPROVE THE REPORTING OF UNIDENTIFIED PATIENTS WHO ARE INVOLUNTARILY ADMITTED TO THE HOSPITAL WITH THE GOAL OF IMPROVING THE IDENTIFICATION OF INDIVIDUALS IN NICS IN ORDER TO PROHIBIT THEM FROM PURCHASING FIREARMS. EXPENSE TOTAL: $66,923 REVENUE TOTAL: $88,340 GPP PHARMA: THIS FUND IS USED TO SUPPORT AIRNYC PROJECT. AIRNYC COMMUNITY HEALTH WORKERS PROVIDE EDUCATION AND OTHER ASSISTANCE TO PATIENTS WITH PHARMACY/MEDICATION MANAGEMENT NEEDS AND HELP CONNECT THEM TO THEIR PRIMARY CARE PROVIDERS. EXPENSE TOTAL : $24,000 MUSIC THERAPY: GRANT TO SUPPORT THE THEARAPEUTIC EFFECTS OF MUSIC ON NUEROLOGICAL FUNCTION THROUGH MUSIC THERAPY PROGRAMS IN LONG-TERM CARE SETTINGS AND INDIVIDUAL HOMES. EXPENSE TOTAL: $20,000 INCLUDING GRANTS TOTAL: $20,000 |
| FORM 990, PART VI, SECTION A, LINE 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: LOUIS A SHAPIRO; STEVEN J CORWIN; LARAY BROWN; KENNETH GIBBS; MITCHELL KATZ; EMMA DEVITO; KATHRYN MARTIN; PHILIP OZUAH; JEFFREY FARBER; DAVID PERLSTEIN; KIMBERLY BOYNTON; PATRICK O'SHAUGHNESSY; KENNETH E RASKE; LEE H PERLMAN. |
| FORM 990, PART VI, SECTION A, LINE 6 | 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. |
| FORM 990, PART VI, SECTION A, LINE 7A | SEE SCHEDULE O PART VI, SECTION A, LINE 6 EXPLANATION |
| FORM 990, PART VI, SECTION A, LINE 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, LINE 11B | 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 FOUR 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. |
| FORM 990, PART VI, SECTION B, LINE 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. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE ORGANIZATION'S COMPENSATION COMMITTEE, COMPOSED OF INDEPENDENT PERSONS, REVIEWED AND APPROVED THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT AS WELL AS ITS EVP, ADMINISTRATION & CFO. WITH RESPECT TO 2022 COMPENSATION AND CERTAIN BONUS ARRANGEMENTS, TO ASSIST AND SUPPORT THE REVIEW AND DECISION-MAKING PROCESS, THE ORGANIZATION ENGAGED AN OUTSIDE CONSULTANT TO COLLECT AND ANALYZE COMPARABILITY DATA AND OTHER INFORMATION AND MAKE RECOMMENDATIONS TO THE COMPENSATION COMMITTEE. THE DECISIONS AS WELL AS THE DECISION-MAKING PROCESS OF THE COMMITTEE WERE DOCUMENTED CONTEMPORANEOUSLY WITH THE DELIBERATION AND DECISIONS. ALL OFFICERS' COMPENSATION AND BENEFITS ARE PAID BY A RELATED ORGANIZATION, GNYHA MANAGEMENT CORPORATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | ALL GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, THE RECORD RETENTION AND DESTRUCTION POLICY AND THE FINANCIAL STATEMENTS ARE STORED IN THE FOUNDATION'S MAIN OFFICE. THE FOUNDATION WILL PROVIDE COPIES UPON REQUEST IN A TIMELY MANNER. |
| FORM 990, PART IX, LINE 11G | CONSULTING- CABRINI FOU-WELLNESS: PROGRAM SERVICE EXPENSES 320,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 320,000. CONSULTING- GPP PHARMA: PROGRAM SERVICE EXPENSES 24,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,000. CONSULTING- UNITED HEALTHCARE: PROGRAM SERVICE EXPENSES 45,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 45,000. |
| 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. |
| Software ID: | |
| Software Version: |