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 | |||||
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Total |
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Calendar year
(or fiscal year beginning in)
![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 1,088,846 | 1,428,021 | 1,685,475 | 1,975,445 | 4,266,954 | 10,444,741 |
| 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 | 1,088,846 | 1,428,021 | 1,685,475 | 1,975,445 | 4,266,954 | 10,444,741 |
| 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. | 10,444,741 | |||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 1,088,846 | 1,428,021 | 1,685,475 | 1,975,445 | 4,266,954 | 10,444,741 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 909 | 8,557 | 53,394 | 62,860 | ||
| 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.).. | 276 | 1,065 | 6,413 | 7,754 | ||
| 11 | Total support. Add lines 7 through 10 | 10,515,355 | |||||
Calendar year (or fiscal
year beginning in) ![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (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) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (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 2023 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-2023 |
(iii) Distributable Amount for 2023 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2023 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI).
See instructions. |
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| 3 Excess distributions carryover, if any, to 2023: | ||||
| a From 2018....... | ||||
| b From 2019....... | ||||
| c From 2020....... | ||||
| d From 2021....... | ||||
| e From 2022....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2023 distributable amount | ||||
|
i
Carryover from 2018 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2023 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2023 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2023, 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 2023. 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 2024. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2019..... | ||||
| b Excess from 2020..... | ||||
| c Excess from 2021..... | ||||
| d Excess from 2022..... | ||||
| e Excess from 2023..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
|---|---|
| PART II, LINE 10 | OTHER INCOME 7,754 |
| Software ID: | |
| Software Version: |
| Return Reference | Explanation |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | BROOKLYN PERINATAL NETWORK INC. (BPN) IS COMMITTED TO IMPROVING MATERNAL CHILD AND FAMILY HEALTH IN BROOKLYN'S UNDER-RESOURCED AND UNDERSERVED COMMUNITIES, THROUGH BUILDING PARTNERSHIPS AND NETWORKING WITH OTHERS, CONNECTING SERVICE PROVIDERS TO CLOSE HEALTHCARE GAPS AND ENABLING CLIENT TO ACCESS HEALTH PROMOTING RESOURCES. OUR STRATEGY INCLUDES ENGAGING IN COLLECTIVE COMMUNITY ACTIONS THAT INFORM POLICY MAKERS ABOUT THE DETERMINANTS IMPACTING MATERNAL AND INFANT MORBIDITY AND MORTALITY; AND, FACILITATING SOLUTIONS TO ENHANCE AND PROTECT THE COMMUNITY'S SAFETYNET RESOURCES. WE AIM FOR PREVENTION AND MITIGATION OF THE DISPARITIES IN PERINATAL HEALTH OUTCOMES. |
| FORM 990, PAGE 2, PART III, LINE 4D | BPN RECEIVES LITTLE DIRECT FUNDING FOR OUR EFFORTS TO PROMOTE THIS IMPORTANT COLLECTIVE APPROACH. THE NYC COUNCIL FUNDING UNDER ITS MATERNAL CHILD HEALTH SERVICES INITIATIVE(MCHSI) WHICH HAS EXTENDED THE INFANT MORTALITY REDUCTION INITIATIVE(IMRI)WHICH WORK STARTED IN 2001, WITH BPN'S ADVOCACY LEADERSHIP, IS THE ONLY CONSISTENT FINANCIAL SUPPORT FOR THIS COLLABORATIVE WORK WITH A GROUP OF SELECT COMMUNITY BASED ORGANIZATIONS (CBOS) IN OUR UNDER-RESOURCED COMMUNITIES. BPN AND OTHER SMALL CBOS WHICH HAVE EARNED THE HIGH TRUST OF OUR COMMUNITY RESIDENTS ARE THE REAL FIRST REALM OF FRONTLINE PROVIDERS AND WHEN CRISES ARISE - SUCH AS COVID WE ARE THE ONES THEY SEEK OUT TO GET HELP THAT CAN ALLOW THEM TO FOCUS ON HEALTH. THE ATTACHED CHART IDENTIFIES OUR CONSISTENTLY FUNDED PROGRAMS THAT COMPRISING BPN'S MAJOR SERVICES CATEGORIES FACILITATING ACCESS FOR CLIENTS. THESE ARE: -THE NYS HEALTH INSURANCE EXCHANGE MARKETPLACE, THE IN-PERSON ASSISTOR, FACILITATED ENROLLMENT (IPA) PROGRAM: WE HAVE BEEN PROVIDING THIS ACCESS SINCE 1999 WITH THE FIRST PROGRAM ITERATION OF THE CHILD AND FAMILY HEALTH INSURANCE PROGRAM. CHILD HEALTH PLUS. ON AVERAGE 10,000 APPLICANTS ENROLLED IN INSURANCE ANNUALLY WITH ABOUT 60% BEING CHILDREN. -THE NYC CITY COUNCIL MCHSI FUNDED HEALTHY WOMEN HEALTH FUTURES (HWHF) PROGRAM, A DOHMH-BPN PARTNERSHIP: THIS PROVIDES ACCESS TO REFERRALS FOR MATERNAL AND CHILD MEDICAL AND SOCIAL SERVICE'S NEEDS, INCLUDINGDOULAS FOR BIRTHING AND POST-PARTUM SUPPORT. SUPPORTS TRAINING OF COMMUNITY MEMBER DEVELOPING AND HIRING THEMAS DOULA CONSULTANTS TO SERVE PREGNANT/POSTPARTUM WOMEN FREE OF CHARGE, TO WHO NEED THEM. ON AVERAGE 50 DOULAS ARE TRAINED ANNUALLY CITYWIDE AND 180-200 BROOKLYN WOMEN RECEIVE THEIR SERVICES. -MATERNAL AND BABY SUPPLIES: DONATED GOODS ARE PROVIDED TO CLIENTS WHO NEED THEM - CRIBS, STROLLERS, CAR SEATS, PAMPERS; BREASTS PUMPS, CLOTHING AND A HOST OF OTHER ITEMS DONATED TO BPN AND TO OUR CBO PARTNERS. APPROXIMATELY, 600 INDIVIDUALS RECEIVE SUCH GOODS PER YEAR. -THE DOHMH MATERNAL INFANT HEALTH (MIH) OUTCOME INITIATIVE (PHS MANAGED THE INITIATIVE): BPN PARTNERS WITH MIDDLE AND HIGH SCHOOLS AND COMMUNITY MEMBERS DEVELOP PEER TO PEER HEALTH INFORMANTS/HEALTH ADVOCATES TO PROVIDE HEALTH INFORMATION BEING ACTIVE IN THEIR SCHOOL AND COMMUNITY ENVIRONMENTS. ABOUT 225 SCHOOL HEALTH EDUCATION AND COMMUNITY INFORMATION SESSIONS ARE CONDUCTED -THE NYC CITY COUNCIL MCHSI INFANT MORTALITY REDUCTION INITIATIVE (IMRI): THIS PROVIDES FUNDED COLLECTIVE WORK, COLLABORATION FOR SERVICE COORDINATION WITH SELECT CBOS AND WITH HEALTH SERVICE PROVIDERS. BPN'S COLLECTIVE WORK STRATEGY IS AIMED AS HELPING TO STRENGTHEN THE FABRIC THE SAFETY NET SOCIAL HEALTH OFSERVICES IN OUR COMMUNITIES TO BETTER ADDRESS THE HEALTH CHALLENGES THAT NO ONE ENTITY ALONE CAN BE SUCCESSFUL IN TACKLING. ALMOST ALL BPN'S SERVICES ENGAGE COLLABORATION, THAT WE INITIATE AND SOMETIMES LEAD, WORKING WITH OTHER SERVICE PROVIDERS. THE LEADERSHIP TEAM OF THE BROOKLYN COALITION FOR HEALTH EQUITY FOR WOMEN AND FAMILIES, COMPRISING CBOS AND CONVENED BY BPN FOR OVER 2 DECADES, SPONSORS THE COLLECTIVE IMRI INITIATIVES. THE COALITION'S WORK HAS SIGNIFICANTLY INCREASED AWARENESS ABOUT THE COMMUNITY'S DETERMINANTS OF HEALTH AMONG OUR PUBLIC HEALTH POLICYMAKERS AND SERVICE INSTITUTIONAL DECISION MAKERS. THIS COLLABORATIVE WORK REACHES AND THOUSANDS OF CHILDBEARING INDIVIDUALS AND THOSE PARENTIN INFANTS AND YOUNG CHILDREN, AS WELL AS ENGAGES ADOLESCENTS IN LIFE PLANNING PROMOTING PREVENTION OF UNWANTED PREGNANCIES. BPN COLLECTIVE WORK ALSO ENGAGES COMMUNITY MEMBERS, SOME OF THEM THE MOST AFFECTED, EMPOWERING THEM TO HELP ADDRESS THE SOCIAL HEALTHCHALLENGES AND TO SUPPORT SOLUTIONS THAT CAN IMPROVE COMMUNITY MATERNAL AND CHILD HEALTH OUTCOMES. CURRENTLY THE COALITION FOCUS IS ON PROMOTING AWARENESS OF THE MAGNITUDE OF THE CRISIS WITH THE DISPARITIES IN BLACK MATERNAL HEALTH OUTCOMES, PARTICULARLY IN BROOKLYN. -THE NYSDOH FIRST 1000 DAYS ON MEDICAID MATERNAL INFANT CARE INITIATIVE (MICI) PILOT PROJECT: BPN PARTICIPATES IN A 3-YEAR STATEWIDE PILOT, IN A DOWNSTATE PROJECT. THE GOAL OF WHICH IS TO HELP COLLECT INFORMATION TO DEMONSTRATE THE VALUE OF INCLUDING COMMUNITY HEALTH WORKER IN COMMUNITY-CLINICAL PARTNERS TO IMPROVE SERVICE NAVIGATION FOR PERINATAL WOMEN AND INFANT 0-3 YRS. THE FINDINGS ARE INTENDED TO ENABLE THE DOH TO DEVELOP THE COMMUNITY HEALTH WORKER BENEFIT PROGRAM FOR MEDICAID REIMBURSEMENTS. CHW'S USUALLY CARRY A CASELOAD OF 25 CLIENTS EACH, WHICH IS THE PROGRAM NORM. -CCM DOHMH FAMILY AND YOUTH PEER SUPPORT PROGRAM (FYPS) OVERVIEW BPN PARTICIPATES AS A SUBCONTRACTOR PARTNER WITH THE COMMUNITY COUNSELING AND MEDIATION (CCM) FYPS ALLIANCE PROGRAM. THE FAMILY AND YOUTH PEER SUPPORT (FYPS) SERVICES SUPPORT AND EMPOWER PARENTS/CAREGIVERS OF CHILDREN AND YOUTH (BIRTH - AGE 24) WHO ARE EXPERIENCING SOCIAL, EMOTIONAL, DEVELOPMENTAL, SUBSTANCE USE, AND/OR BEHAVIORAL CHALLENGES, AND THE CHILDREN AND YOUTH THEMSELVES. THIS PROGRAM IS PART OF A NETWORK OF FYPS PROGRAMS THROUGHOUT NEW YORK CITY. THE NETWORK CONSISTS OF FIVE NON-PROFIT ORGANIZATIONS (ONE IN EACH BOROUGH) THAT ESTABLISHES AND COORDINATES AN ALLIANCE THAT CONSISTS OF THE PRIME CONTRACTOR AND SUBCONTRACTING ORGANIZATIONS WITHIN THEIR SERVICE AREA WHICH, ALL TOGETHER, WILL PROVIDE A COMPREHENSIVE RANGE OF FORMAL AND INFORMAL COMMUNITY-BASED FAMILY AND YOUTH SUPPORT SERVICES. -UNDER THE FYPS ALLIANCE MODEL, THE FOLLOWING FYPS CORE SERVICES WILL BE PROVIDED BY FAMILY PEER ADVOCATES AND YOUTH PEER ADVOCATES: -ENGAGEMENT, BRIDGING AND TRANSITION SUPPORT -SELF-ADVOCACY, SELF-EFFICACY AND EMPOWERMENT -SKILL DEVELOPMENT -COMMUNITY CONNECTION AND NATURAL SUPPORTS COLLECTIVELY, USUALLY 190 INDIVIDUALS ARE REACHED WHICH IS THE PROGRAMS GOAL. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE DRAFT FORM 990 WAS PRESENTED AND REVIEWED BY THE BOARD OF DIRECTORS BEFORE ITS FINAL SUBMISSION. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE BOARD MEMBERS AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE AN ANNUAL DISCLOSURE FORM INDICATING ANY CONFLICT OF INTEREST OR ARRANGEMENTS THAT COULD GIVE RISE TO A CONFLICT. |
| FORM 990, PAGE 6, PART VI, LINE 15A | COMPENSATION OF TOP OFFICIAL IS APPROVED BY THE BOARD. |
| FORM 990, PAGE 6, PART VI, LINE 15B | FINANCE COMMITTEE APPROVES THE EXECUTIVE DIRECTOR'S SALARY. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE ORGANIZATION'S 990 IS AVAILABLE UPON REQUEST AT THE ORGANIZATION'S OFFICE. THE ORGANIZATION'S GOVERNING DOCUMENTS ARE ALSO AVAILABLE FOR INSPECTION, UPON REQUEST AT THE ORGANIZATION'S OFFICE. |
| FORM 990, PART IX, LINE 11G | CONSULTANTS 250,888 29,215 0 DOULA CONSULTANTS 385,955 2,177 0 SOCIAL SERVICES 88,394 3,988 0 OTHER PROFESSIONAL FEES 58,971 1,746 0 TOTAL 784,208 37,126 0 |
| FORM 990, PAGE 12, PART XII, LINE 2C | THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR. |
| Software ID: | |
| Software Version: |