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34TH STREET CANCER CENTER INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
34TH STREET CANCER CENTER INC (EIN 30-0262470)
Tax period
2011-09-01 to 2012-08-31
Filed
2013-07-10
IRS object ID
201341919349300549
Schema version
2011v1.5
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-07-10T15:43:15-05:00Timestamp
Tax Period End Date2012-08-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN346565596EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1111 MONUMENT CIRCLE SUITE 2600AddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46204ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-09-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN300262470EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line134TH STREET CANCER CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Name Control34THNameControl
Phone2122633092Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1C/O NYUHC 550 FIRST AVENUEAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10016ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMICHAEL T BURKEName
TitleTREASURERTitle
Phone2122633092Phone
Date Signed2013-07-10DateSigned
Authorize Third Party0AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameANGELA MOOREName
PTINP00244342PTIN
Phone3176817000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMICHAEL T BURKENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1C/O NYUHC 550 FIRST AVENUEAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10016ZIPCode
FieldValueIRS element (for citing)
Gross Receipts0GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2004YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionTHE PURPOSES OF THE INSTITUTION ARE: TO PROMOTE AND SUPPORT THE DIAGNOSIS AND TREATMENT OF CANCER AND BASIC AND APPLIED BIOMEDICAL AND OTHER SCIENTIFIC RESEARCH AND RELATED EDUCATIONAL SERVICES IN THE FIELD OF ONCOLOGY; TO OWN AND LEASE REAL ESTATE IN ORDER TO ENHANCE TREATMENT AND TO PROVIDE FACILITIES FOR THE CONDUCT OF SUCH DIAGNOSIS, TREATMENT, BIOMEDICAL AND OTHER SCIENTIFIC RESEARCH, EDUCATION, AND OTHER HOSPITAL RELATED SUPPORT FUNCTIONS; TO PROMOTE AND SUPPORT EDUCATION IN THE FIELD OF ONCOLOGY AND SUCH RESEARCH AND TO OWN, LEASE AND OPERATE FACILITIES THAT PROVIDE EDUCATIONAL SERVICES, ALL PRIMARILY IN CONNECTION WITH NYU HOSPITALS CENTER("NYUHC"), AND TO ACHIEVE ITS PURPOSE BY CONDUCTING AND SUPPORTING ACTIVITIES FOR THE BENEFIT OF, PERFORMING THE FUNCTIONS OF, OR CARRYING OUT THE PURPOSES OF THE HOSPITALS CENTER. THE CANCER CENTER IS A 13-STORY, 115,000 SQUARE FOOT FACILITY THAT CONSOLIDATES AND EXPANDS THE PREVIOUS OUTPATIENT SERVICES OF NYUHC.ActivityOrMissionDescription
Nbr Voting Members Governing Body4NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year6500000ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year6500000TotalRevenuePriorYear
Total Revenue Current Year0TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year80375OtherExpensePriorYear
Other Expenses Current Year0OtherExpensesCurrentYear
Total Expenses Prior Year80375TotalExpensesPriorYear
Total Expenses Current Year0TotalExpensesCurrentYear
Revenues Less Expenses Prior Year6419625RevenuesLessExpensesPriorYear
Revenues Less Expenses CY0RevenuesLessExpensesCY
Total Assets BOY6419625TotalAssetsBOY
Total Assets EOY6112382TotalAssetsEOY
Total Liabilities BOY0TotalLiabilitiesBOY
Total Liabilities EOY0TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY6419625NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY6112382NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE PURPOSES OF THE INSTITUTION ARE (A) TO PROMOTE AND SUPPORT THE DIAGNOSIS AND TREATMENT OF CANCER AND BASIC AND APPLIED BIOMEDICAL AND OTHER SCIENTIFIC RESEARCH AND RELATED EDUCATIONAL SERVICES IN THE FIELD OF ONCOLOGY; (B) TO OWN AND LEASE REAL ESTATE IN ORDER TO ENHANCE AND TO PROVIDE FACILITIES FOR THE CONDUCT OF SUCH DIAGNOSIS, TREATMENT, BIOMEDICAL AND OTHER SCIENTIFIC RESEARCH, EDUCATION AND OTHER HOSPITAL RELATED SUPPORT FUNCTIONS; (C) TO PROMOTE AND SUPPORT EDUCATION IN THE FIELD OF ONCOLOGY AND SUCH RESEARCH AND TO OWN, LEASE AND OPERATE FACILITIES THAT PROVIDE EDUCATIONAL SERVICES, ALL PRIMARILY IN CONNECTION WITH NYU HOSPITALS CENTER, AND TO ACHIEVE ITS PURPOSES BY CONDUCTING AND SUPPORTING ACTIVITIES FOR THE BENEFIT OF, PERFORMING THE FUNCTIONS OF, OR CARRYING OUT THE PURPOSES OF NYU HOSPITALS CENTER.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
DescriptionMANAGE PROPERTY ASSOCIATED WITH CANCER CENTER OPERATIONS AND THE DEVELOPMENT OF PROTON BEAM THERAPY SERVICES IN NEW YORK FOR THE TREATMENT OF CANCER.Description
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip0ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest1ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership1ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members4NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees0MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy0ConflictOfInterestPolicy
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MICHAEL T BURKE TREASURERBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2122633092TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1550 FIRST AVENUEAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10016ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (4 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
ROBERT I GROSSMAN
PRESIDENT1.00XX03540940606226
MICHAEL T BURKE
TREASURER1.00XX0115383638039
ANNETTE JOHNSON
SECRETARY1.00XX080181436351
ANDREW BROTMAN
TRUSTEE1.00X0133803324499
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs6834623TotalReportableCompFrmRltdOrgs
Total Other Compensation705115TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY5850000BOY
EOY5525000EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY569625BOY
EOY587382EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY6419625BOY
EOY6112382EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY6419625BOY
EOY6112382EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6419625BOY
EOY6112382EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6419625BOY
EOY6112382EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses0ReconcilationRevenueExpenses
Reconcilation Other Changes-307243ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type3 Func IntXSupportingOrg509a3Type3FuncInt
Certification CheckboxXCertificationCheckbox
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1NYU HOSPITALS CTRBusinessNameLine1
FieldValueIRS element (for citing)
EIN133971298EIN
Type Of OrganizationHOSPITALTypeOfOrganization
Listed In Governing Doc1ListedInGoverningDoc
Supported Organization Notified1SupportedOrganizationNotified
Organized In US1OrganizedInUS
Amount$0Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
DescriptionNY PROTON MGMT LLCDescription
Book Value587382BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Program Related587382TotalOfBookValueProgramRelated

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ROBERT I GROSSMAN
02072767070000007681730593375012851041471660448586
MICHAEL T BURKE
082883603000000250000245000135390119187500
ANNETTE JOHNSON
0601814020000000024500011851083816500
ANDREW BROTMAN
0933023040000005010024499000136253200

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINE 4BPART I, LINE 4B: DR. GROSSMAN, DEAN OF THE NYU SCHOOL OF MEDICINE PARTICIPATED IN A NON-QUALIFIED RETIREMENT PLAN DURING CALENDAR YEAR 2011. THE EMPLOYER CONTRIBUTION TO THIS PLAN WAS $568,875 FOR CALENDAR YEAR 2011. THIS AMOUNT IS REPORTED AS SHARED COST BETWEEN NYU HOSPITALS CENTER AND THE NYU SCHOOL OF MEDICINE. THE SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN CONTRIBUTIONS WERE MADE PURSUANT TO A NEGOTIATED AGREEMENT WITH DR. GROSSMAN.
PART IIIFORM 990, SCHEDULE J, PART II, COL. (F) DR. GROSSMAN'S OTHER REPORTABLE COMPENATION (COL. (B)(III)) INCLUDES AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN A PRIOR FORM 990.SUPPLEMENTAL INFORMATION

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 6THE SOLE MEMBER OF THE CORPORATION, PURSUANT TO SECTION 601 OF THE NEW YORK NOT-FOR-PROFIT CORPORATION LAW ("NPCL"), IS NYU HOSPITALS CENTER (THE "MEMBER").
FORM 990, PART VI, SECTION A, LINE 7ATHE BOARD OF TRUSTEES OR THE OPERATING COMMITTEE OF THE BOARD OF TRUSTEES OF THE MEMBER, ACTING IN ACCORDANCE WITH THE MEMBER'S CERTIFICATE OF INCORPORATION AND BY-LAWS, SHALL EXERCISE THE MEMBER'S RIGHTS AND OBLIGATIONS. PLEASE SEE THE EXPLANATION TO PART VI, LINE 7B AS WELL.
FORM 990, PART VI, SECTION A, LINE 7BTHE MEMBER SHALL HAVE THE SOLE POWER TO ELECT THE CORPORATION'S BOARD OF TRUSTEES, TO REMOVE ANY TRUSTEES, TO FILL ANY VACANCIES IN THE CORPORATION'S BOARD OF DIRECTORS AND TO CREATE NEW DIRECTORSHIPS. SUBJECT TO THE APPROVAL RIGHTS OF NEW YORK UNIVERSITY, THE MEMBER SHALL HAVE THE FOLLOWING POWERS: 1. AMEND OR REPEAL THE BY-LAWS OR ADOPT NEW BY-LAWS; 2. AMEND THE CERTIFICATE OF INCORPORATION; 3. AUTHORIZE THE MERGER OR CONSOLIDATION OF THE CORPORATION WITH ANOTHER ENTITY; 4. AUTHORIZE THE TRANSFER OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; AND 5. AUTHORIZE THE LIQUIDATION OR DISSOLUTION OF THE CORPORATION.
FORM 990, PART VI, SECTION A, LINE 8BTHE ORGANIZATION DID NOT MAINTAIN ANY COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY DURING THE REPORTING PERIOD.
FORM 990, PART VI, SECTION B, LINE 11DESCRIPTION OF THE PROCESS USED BY MANAGEMENT AND/OR GOVERNING BODY TO REVIEW THE FORM 990: 1. THE NYU LANGONE MEDICAL CENTER ("NYULMC") FINANCE DEPARTMENT DRAFTS THE FORM 990 AND THE ACCOMPANYING SCHEDULES BASED ON THE FISCAL YEAR'S FINANCIAL ACTIVITY AND PRIOR YEAR REPORTING. 2. THE DRAFT IS PROVIDED TO THE ORGANIZATION'S EXTERNAL TAX ADVISOR FOR REVIEW. 3. THE DRAFT IS THEN REVIEWED BY NYULMC'S ASSISTANT TREASURER, VICE PRESIDENT OF FINANCE, AND CHIEF FINANCIAL OFFICER FOR COMPLETENESS AND ACCURACY. THIS IS AN ITERATIVE PROCESS WHICH MAY INVOLVE MORE THAN ONE REVIEW BY THE ORGANIZATION'S EXTERNAL TAX ADVISOR. 4. THE REVIEWED DRAFT IS PRESENTED TO THE BOARD OF TRUSTEES FOR REVIEW. 5. ONCE APPROVED BY THE BOARD OF TRUSTEES, THE FORM 990 IS FORWARDED TO THE IRS.
FORM 990, PART VI, SECTION B, LINE 12WHILE THE CORPORATION DOES NOT MAINTAIN ITS OWN CONFLICT OF INTEREST POLICY, ALL TRUSTEES AND OFFICERS OF THE CORPORATION ARE SUBJECT TO THE CONFLICT OF OF INTEREST POLICY OF THE NYU LANGONE MEDICAL CENTER.
FORM 990, PART VI, SECTION C, LINE 19THE NYULMC CONFLICT OF INTEREST POLICY IS AVAILABLE AT: HTTP://WWW.MED.NYU.EDU/COMPLIANCE/POLICIES/INDEX.HTML. THE ORGANIZATION'S GOVERNING DOCUMENTS ARE NOT MADE PUBLICLY AVAILABLE. THE ORGANIZATION'S FINANCIAL STATEMENT IS MADE AVAILABLE TO THE PUBLIC AS PART OF ITS ANNUAL FILING WITH THE NYS ATTORNEY GENERAL'S OFFICE AND IS AVAILABLE THROUGH THEIR WEBSITE.
FORM 990, PART VI, LINES 13 & 14:WHILE THE CORPORATION DOES NOT MAINTAIN ITS OWN WHISTLEBLOWER OR DOCUMENT RETENTION & DESTRUCTION POLICIES, ALL TRUSTEES AND OFFICERS OF THE CORPORATION ARE SUBJECT TO THE WHISTLEBLOWER AND DOCUMENT RETENTION & DESTRUCTION POLICIES OF NYU LANGONE MEDICAL CENTER.WHISTLEBLOWER POLICY AND DOCUMENT RETENTION & DESTRUCTION POLICY:
FORM 990, PART VII, SECTION A:NAME / TITLE / HOURS ROBERT I. GROSSMAN / PRESIDENT / 60.0 MICHAEL T. BURKE / TREASURER / 60.0 ANNETTE JOHNSON / SECRETARY / 60.0 ANDREW BROTMAN / TRUSTEE / 60.0AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATION
FORM 990, PART XI, LINE 5:DECREASE IN BOOK VALUE OF NY PROTON MGMT -307,243. TOTAL TO FORM 990, PART XI, LINE 5: -307,243.CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (18 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
NEW YORK UNIVERSITY
726 BROADWAYNEW YORKNY10003135562308UNIVERSITYNY501(C)(3)LINE 2N/A0
NYU HOSPITALS CENTER
550 FIRST AVENUENEW YORKNY10016133971298HOSPITALNY501(C)(3)LINE 31NEW YORK UNIVERSITY
HAROLD ACTON TRUST
726 BROADWAY 9TH FLOORNEW YORKNY10003137050560SUPPORT OF NYU'S CAMPUS IN FLORENCE, ITALYNY501(C)(3)LINE 11A, I1NEW YORK UNIVERSITY
HORTENSE ACTON TRUST
70 WASHINGTON SQ SNEW YORKNY10013367110976SUPPORT OF NYU'S CAMPUS IN FLORENCE, ITALYNY501(C)(3)PF1NEW YORK UNIVERSITY
INSTITUTE OF FINE ARTS FOUNDATION
1 EAST 78TH STREETNEW YORKNY10021237184242SUPP NYU'S INSTITUTE OF FINE ARTSNY501(C)(3)LINE 11A, I1NEW YORK UNIVERSITY
NATIONAL CENTER ON PHILANTHROPY AND THE LAW
110 WEST 3RD ST 2ND FLNEW YORKNY10012133954405STUDY,RESEARCH, EDUCATION ON PHILANTHROPY & THE LAWNY501(C)(3)LINE 11A, I1NEW YORK UNIVERSITY
NEW YORK UNIVERSITY IN ABU DHABI CORP
70 WASHINGTON SQ SNEW YORKNY10013262652713SUPPORT NYU COLLEGE IN ABU DHABINY501(C)(3)LINE 21NEW YORK UNIVERSITY
NEW YORK UNIV SCHOOL OF BUSINESS FDN
44 WEST 4TH ST STE 11-160NEW YORKNY10012134168015SUPPORTS NYU'S L.N. STERN SCHOOL OF BUSINESSNY501(C)(3)LINE 11A, I1NEW YORK UNIVERSITY
NYU IMAGING INC
545 FIRST AVENUENEW YORKNY10016134000622SUPPORT NYU SCHOOL OF MEDICINENY501(C)(3)LINE 11A, I1NEW YORK UNIVERSITY
NYU REAL ESTATE CORPORATION
70 WASHINGTON SQ S 11THNEW YORKNY10013134141728OWNS REAL PROPERTYNY501(C)(25)1NEW YORK UNIVERSITY
NYU SCHOOL OF LAW FOUNDATION
161 AVE OF THE AMERICAS 504NEW YORKNY10013136161036SUPPORT NYU'S SCHOOL OF LAWNY501(C)(3)LINE 11A, I1NEW YORK UNIVERSITY
NYU SCHOOL OF LAW HOUSING ASSISTANCE CO
161 AVE OF THE AMERICAS 504NEW YORKNY10013134043221SUPPORT NYU'S SCHOOL OF LAWNY501(C)(3)LINE 11A, I1NYU'S SCHOOL OF LAW FOUNDATION
NYU SCHOOL OF LAW RECRUITMENT ASSIST CO
161 AVE OF THE AMERICAS 504NEW YORKNY10013134043182SUPPORT NYU'S SCHOOL OF LAWNY501(C)(3)LINE 11A, I1NYU'S SCHOOL OF LAW FOUNDATION
NYU SCHOOL OF LAW RETENTION ASSIST CORP
161 AVE OF THE AMERICAS 504NEW YORKNY10013134047911SUPPORT NYU'S SCHOOL OF LAWNY501(C)(3)LINE 11A, I1NYU'S SCHOOL OF LAW FOUNDATION
POLYTECHNIC INSTITUTE OF NEW YORK UNIVERSITY
6 METROTECH CENTERBROOKLYNNY11201111630820ENGINEERING COLLEGENY501(C)(3)LINE 21NEW YORK UNIVERSITY
WASHINGTON SQUARE LEGAL SERVICES INC
161 AVE OF THE AMERICAS 504NEW YORKNY10013237392120CERTAIN PUBLIC INTEREST ACTIVITIES OF NYU'S SCHOOL OF LAWNY501(C)(3)LINE 11A, I1NEW YORK UNIVERSITY
JURODIN FUND
PO BOX 6089NEWARKDE197146089136169166SILVER FUNDSDE501(C)(3)PF1NEW YORK UNIVERSITY
NYU MEDICAL CENTER FOUNDATION
550 FIRST AVENUENEW YORKNY10016237268635SUPPORT RESEARCHNY501(C)(3)LINE 11A, I1NEW YORK UNIVERSITY

Form990 Schedule R Part IV Form990ScheduleRPartIV (11 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodePrimary ActivityPrimaryActivityLegal Domicile Foreign CountryLegalDomicileForeignCountryDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityAddress Line1AddressForeign/AddressLine1Province Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCode
CCC 550 INSURANCE SCC
550 FIRST AVENUENEW YORKNY10016PROF LIAB COVERAGEBBN/AC
INTERNATIONAL ART FUND
C/O NYU 726 BROADWAYNEW YORKNY10003HOLDS STOCK IN LA PIETRA CORP.PMN/AC
LA PIETRA CORPORATION
HOLDS PROPERTY COMPRISING NYU'S FLORENCE CAMPUSITN/ACVIA BOLOGNESE 120FLORENCEIT50139
NYU IN FRANCE
SUPPORT NYU'S PROGRAM IN FRANCEFRN/AC56 RUE DE PASSYPARISFR75016
NIU DA ED INFOR CONSULTING CO LTD
SUPPORT NYU'S PROGRAM IN CHINACHN/AC3663 ZHONGSHAN RD NSHANGHAICH200062
NYU IN LONDON
SUPPORT NYU'S PROGRAM IN LONDONUKN/AC6 BEDFORD SQUARELONDONUKWC1B 3RA
NYU IN TEL-AVIV LTD
SUPPORT NYU'S PROGRAM IN TEL-AVIVISN/ACTUVAL 13TEL AVIVIS52522
NYU TISCH INSTITUTE (LONDON) LTD
SUPPORT NYU'S TSOA'S PROGRAM IN LONDONUKN/ACSENATE HOUSE SOUTH BLOCK ROOM 26LONDONUKWC1E 7HU
NYU TISCH SCH OF ARTS ASIA LTD
SUPPORT NYU'S TSOA'S PROGRAM IN SINGAPORESNN/AC3 KAY SIANG ROADSN248923
NYU-PRO FRANCE
SUPPORT NYU'S PROGRAM IN FRANCEFRN/AC56 RUE DE PASSYPARISFR75016
CNTR FOR THE FORMATION OF NYU SHANGHAI
SUPPORT NYU'S PROGRAM IN CHINACHN/AC3663 ZHONGSHAN RD NSHANGHAICH200062
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Form990 Schedule R Part VI Form990ScheduleRPartVI

Name Of Business NameOfBusiness

FieldValueIRS element (for citing)
Business Name Line1NEW YORK PROTON MANAGEMENT LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12270 COLONIAL BOULEVARDAddressLine1
CityFORT MYERSCity
StateFLState
ZIP Code33907ZIPCode
FieldValueIRS element (for citing)
EIN271506475EIN
Primary ActivityDEVELOPMENT OF PROTON BEAM TREATMENT FOR CANCER IN NEW YORKPrimaryActivity
Legal Domicile StateNYLegalDomicileState
Predominate IncomeRELATED INCOMEPredominateIncomeDesc
All Partners C3 S0AllPartnersC3S
Share Of EOY Assets587382ShareOfEOYAssets
Disproportionate Allocations0DisproportionateAllocations
Code V$0CodeVAmount
General Or Managing Partner0GeneralOrManagingPartner
Percentage Ownership0.16005PercentageOwnership