2012-07-12T08:57:50-05:00 2011-08-31 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE SUITE 2600 INDIANAPOLIS IN 46204 990 2010-09-01 300262470 34TH STREET CANCER CENTER INC 34TH 2122633092 C/O NYUHC 550 FIRST AVENUE NEW YORK NY 10016 MICHAEL T BURKE 2122633092 2012-07-16 0 ANGELA MOORE 3176817000 2010 2016-02-24 21:20:13Z MICHAEL T BURKE C/O NYUHC 550 FIRST AVENUE NEW YORK NY 10016 6500000 0 X N/A X 2004 NY THE 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. 4 0 0 0 0 0 0 6500000 0 0 0 0 0 0 0 6500000 0 0 0 0 0 0 0 0 0 0 80375 0 80375 0 6419625 0 6419625 0 0 0 6419625 X THE 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. 1 0 80375 MANAGE PROPERTY ASSOCIATED WITH CANCER CENTER OPERATIONS AND THE DEVELOPMENT OF PROTON BEAM THERAPY SERVICES IN NEW YORK FOR THE TREATMENT OF CANCER. 80375 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 4 0 0 0 0 0 1 1 1 1 0 0 0 1 0 0 0 0 0 0 NY X MICHAEL T BURKE TREASURER 2122633092 550 FIRST AVENUE NEW YORK NY 10016 X ROBERT I GROSSMAN 1.00 X X 0 2972780 516180 MICHAEL T BURKE 1.00 X X 0 920748 39312 ANNETTE JOHNSON 1.00 X X 0 577765 11808 ANDREW BROTMAN 1.00 X 0 1078128 28660 0 5549421 595960 0 0 1 0 0 6500000 6500000 6500000 0 0 0 80375 80375 80375 80375 0 0 0 5850000 0 569625 0 6419625 0 0 X 6419625 0 6419625 0 6419625 6419625 0 X 0 1 1 X 0 X X X 0 0 0 NYU HOSPITALS CTR 133971298 3 1 1 1 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 NY PROTON MGMT LLC 569625 F 569625 6500000 80375 6419625 6419625 0 1 0 0 0 0 0 0 0 ROBERT I GROSSMAN 0 1881536 0 478812 0 612432 0 501284 0 14896 0 3488960 0 423974 MICHAEL T BURKE 0 820748 0 75000 0 25000 0 24500 0 14812 0 960060 0 0 ANNETTE JOHNSON 0 400448 0 177317 0 0 0 7367 0 4441 0 589573 0 0 ANDREW BROTMAN 0 843118 0 230000 0 5010 0 24500 0 4160 0 1106788 0 0 PART I, LINE 4B PART I, LINE 4B: DR. GROSSMAN, DEAN OF THE NYU SCHOOL OF MEDICINE PARTICIPATED IN A NON-QUALIFIED RETIREMENT PLAN DURING CALENDAR YEAR 2010. THE EMPLOYER CONTRIBUTION TO THIS PLAN WAS $496,584 FOR CALENDAR YEAR 2010. 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. SUPPLEMENTAL INFORMATION PART III FORM 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. NEW PROGRAM SERVICES FORM 990, PART III, LINE 2 THE ORGANIZATION IS ENGAGED IN THE DEVELOPMENT OF PROTON BEAM THERAPY SERVICES IN NEW YORK FOR THE TREATEMENT OF CANCER. FORM 990, PART VI, SECTION A, LINE 6 THE 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 7A THE 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 7B THE 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 8B THE 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 11 DESCRIPTION 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 CONTROLLER, 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 12 ALL TRUSTEES AND OFFICERS OF THE CORPORATION MUST ACT SOLELY IN THE INTEREST OF THE CORPORATION WITHOUT REGARD TO PERSONAL INTEREST. IN ACCORDANCE WITH THE CONFLICT OF INTEREST POLICY OF THE NYU LANGONE MEDICAL CENTER, TO WHICH THE BOARD OF TRUSTEES ARE SUBJECT TO, ALL TRUSTEES ARE REQUIRED TO DISCLOSE BI-ANNUALLY IN WRITING ANY KNOWN FINANCIAL INTEREST THAT THE INDIVIDUAL, OR MEMBERS OF THE INDIVIDUAL'S FAMILY, HAS IN ANY BUSINESS ENTITY THAT TRANSACTS WITH THE CORPORATION. THE BOARD OF TRUSTEES SHALL REGULARLY EVALUATE THE CONFLICT OF INTEREST POLICY AND ADOPT SUCH OTHER POLICIES AND PROCEDURES AS MAY BE NECESSARY OR APPROPRIATE WITH RESPECT TO DETERMINING WHETHER A RELATIONSHIP, FINANCIAL INTEREST OR BUSINESS AFFILIATION RESULTS IN A CONFLICT OF INTEREST, PRESCRIBING THE COURSES OF ACTION TO BE TAKEN IN THE EVENT A CONFLICT OF INTEREST IS IDENTIFIED AND PROMOTING COMPLIANCE WITH ETHICAL STANDARDS OF BEHAVIOR AND APPLICABLE LAWS AND REGULATIONS. FORM 990, PART VI, SECTION C, LINE 19 THE 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. WHISTLEBLOWER POLICY AND DOCUMENT RETENTION & DESTRUCTION POLICY: 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. AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATION 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 / 60.0 NEW YORK UNIVERSITY 726 BROADWAY NEW YORK NY 10003 135562308 UNIVERSITY NY 501(C)(3) LINE 2 N/A 0 NYU HOSPITALS CENTER 550 FIRST AVENUE NEW YORK NY 10016 133971298 HOSPITAL NY 501(C)(3) LINE 3 NYU HOSPITALS CENTER 0 COURANT INSTITUTE FOUNDATION 251 MERCER STREET NEW YORK NY 10012 237277792 SUPP CIMS NY 501(C)(3) PF NEW YORK UNIVERSITY 1 HAROLD ACTON TRUST 726 BROADWAY 9TH FLOOR NEW YORK NY 10003 137050560 SUPPORT OF NYU'S CAMPUS IN FLORENCE, ITALY NY 501(C)(3) LINE 11A, I NEW YORK UNIVERSITY 1 HORTENSE ACTON TRUST 70 WASHINGTON SQ S NEW YORK NY 10013 367110976 SUPPORT OF NYU'S CAMPUS IN FLORENCE, ITALY NY 501(C)(3) PF NEW YORK UNIVERSITY 1 INSTITUTE OF FINE ARTS FOUNDATION 1 EAST 78TH STREET NEW YORK NY 10021 237184242 SUPP NYU'S INSTITUTE OF FINE ARTS NY 501(C)(3) LINE 11A, I NEW YORK UNIVERSITY 1 INSTITUTE OF JUDICIAL ADMIN INC 161 AVE OF THE AMERICAS 504 NEW YORK NY 10013 135613508 SUPP NYU NY 501(C)(3) LINE 11A, I NEW YORK UNIVERSITY 1 NATIONAL CENTER ON PHILANTHROPY AND THE LAW 110 WEST 3RD ST 2ND FL NEW YORK NY 10012 133954405 STUDY,RESEARCH, EDUCATION ON PHILANTHROPY & THE LAW NY 501(C)(3) LINE 11A, I NEW YORK UNIVERSITY 1 NEW YORK UNIVERSITY IN ABU DHABI CORP 70 WASHINGTON SQ S NEW YORK NY 10013 262652713 SUPPORT NYU COLLEGE IN ABU DHABI NY 501(C)(3) LINE 2 NEW YORK UNIVERSITY 1 NEW YORK UNIV SCHOOL OF BUSINESS FDN 44 WEST 4TH ST STE 11-160 NEW YORK NY 10012 134168015 SUPPORTS NYU'S L.N. STERN SCHOOL OF BUSINESS NY 501(C)(3) LINE 11A, I NEW YORK UNIVERSITY 1 NYU IMAGING INC 545 FIRST AVENUE NEW YORK NY 10016 134000622 SUPPORT NYU SCHOOL OF MEDICINE NY 501(C)(3) LINE 11A, I NEW YORK UNIVERSITY 1 NYU MEDICAL CENTER FOUNDATION 550 FIRST AVENUE NEW YORK NY 10016 237268635 SUPP RESRCH NY 501(C)(3) LINE 11A, I NEW YORK UNIVERSITY 1 NYU REAL ESTATE CORPORATION 70 WASHINGTON SQ S 11TH NEW YORK NY 10013 134141728 OWNS REAL PROPERTY NY 501(C)(25) NEW YORK UNIVERSITY 1 NYU SCHOOL OF LAW FOUNDATION 161 AVE OF THE AMERICAS 504 NEW YORK NY 10013 136161036 SUPPORT NYU'S SCHOOL OF LAW NY 501(C)(3) LINE 11A, I NEW YORK UNIVERSITY 1 NYU SCHOOL OF LAW HOUSING ASSISTANCE CO 161 AVE OF THE AMERICAS 504 NEW YORK NY 10013 134043221 SUPPORT NYU'S SCHOOL OF LAW NY 501(C)(3) LINE 11A, I NYU'S SCHOOL OF LAW FOUNDATION 1 NYU SCHOOL OF LAW RECRUITMENT ASSIST CO 161 AVE OF THE AMERICAS 504 NEW YORK NY 10013 134043182 SUPPORT NYU'S SCHOOL OF LAW NY 501(C)(3) LINE 11A, I NYU'S SCHOOL OF LAW FOUNDATION 1 NYU SCHOOL OF LAW RETENTION ASSIST CORP 161 AVE OF THE AMERICAS 504 NEW YORK NY 10013 134047911 SUPPORT NYU'S SCHOOL OF LAW NY 501(C)(3) LINE 11A, I NYU'S SCHOOL OF LAW FOUNDATION 1 POLYTECHNIC INSTITUTE OF NEW YORK UNIVERSITY 6 METROTECH CENTER BROOKLYN NY 11201 111630820 ENGINEERING COLLEGE NY 501(C)(3) LINE 2 NEW YORK UNIVERSITY 1 WASHINGTON SQUARE LEGAL SERVICES INC 161 AVE OF THE AMERICAS 504 NEW YORK NY 10013 237392120 CERTAIN PUBLIC INTEREST ACTIVITIES OF NYU'S SCHOOL OF LAW NY 501(C)(3) LINE 11A, I NEW YORK UNIVERSITY 1 NEW YORK UNIVERSITY SCHOOL OF MEDICINE VEBA TRUST 550 FIRST AVENUE NEW YORK NY 10016 371592643 POSTRETIREMENT HEALTH CARE BENEFITS NY 501(C)(9) NEW YORK UNIVERSITY 1 JURODIN FUND PO BOX 6089 NEWARK DE 197146089 136169166 SILVER FUNDS DE 501(C)(3) PF NEW YORK UNIVERSITY 1 CCC 550 INSURANCE SCC 550 FIRST AVENUE NEW YORK NY 10016 PROF LIAB COVERAGE BB N/A C INTERNATIONAL ART FUND C/O NYU 726 BROADWAY NEW YORK NY 10003 HOLDS STOCK IN LA PIETRA CORP. 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