WHITE PLIANS ORGANIZATION FOR HEALTH INITIATIVE INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
WHITE PLIANS ORGANIZATION FOR HEALTH INITIATIVE INC (EIN 13-3281507)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-14
IRS object ID
201313189349307141
Schema version
2012v2.1
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)
Timestamp2013-11-14T17:49:26-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN861065772EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DELOITTE TAX LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1TWO JERICHO PLAZAAddressLine1
CityJERICHOCity
StateNYState
ZIP Code11753ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN133281507EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1WHITE PLAINS HOSPITAL FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWHITNameControl
Phone9146811024Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line141 EAST POST ROAD AND DAVIS AVENUEAddressLine1
CityWHITE PLAINSCity
StateNYState
ZIP Code10601ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJON B SCHANDLERName
TitlePRESIDENTTitle
Phone9146811024Phone
Date Signed2013-11-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameCHRISTINE KAWECKIName
PTINP00743140PTIN
Phone5169187000Phone
Date Prepared2013-11-14DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJON B SCHANDLERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line141 EAST POST ROAD AND DAVIS AVENUEAddressLine1
CityWHITE PLAINSCity
StateNYState
ZIP Code10601ZIPCode
FieldValueIRS element (for citing)
Gross Receipts2920GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.WPHOSPITAL.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1984YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionFUNDRAISING TO SUPPPORT CHARITABLE ACTIVITIES OF WHITE PLAINS HOSPITAL MEDICAL CENTER .ActivityOrMissionDescription
Nbr Voting Members Governing Body51NbrVotingMembersGoverningBody
Nbr Independent Voting Members46NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year2918ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year2InvestmentIncomePriorYear
Investment Income Current Year2InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year2TotalRevenuePriorYear
Total Revenue Current Year2920TotalRevenueCurrentYear
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 Year0OtherExpensePriorYear
Other Expenses Current Year13OtherExpensesCurrentYear
Total Expenses Prior Year0TotalExpensesPriorYear
Total Expenses Current Year13TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2907RevenuesLessExpensesCY
Total Assets BOY569904TotalAssetsBOY
Total Assets EOY572811TotalAssetsEOY
Total Liabilities BOY0TotalLiabilitiesBOY
Total Liabilities EOY0TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY569904NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY572811NetAssetsOrFundBalancesEOY
Mission DescriptionFUNDRAISING TO SUPPORT CHARITABLE ACTIVITIES OF WHITE PLAINS HOSPITAL MEDICAL CENTER.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
DescriptionTHE FOUNDATION HOLDS FUNDS TO SUPPORT WHITE PLAINS HOSPITAL MEDICAL CENTER; CURRENTLY, THE FOUNDATION IS NOT UNDERTAKING SPECIFIC PROGRAM-SERVICE ACTIVITIES.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 Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
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 Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members51NbrVotingGoverningBodyMembers
Number Independent Voting Members46NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
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 Committees1MinutesOfCommittees
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 Line1MR JOHN SCIURBABusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9146811024TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1DAVIS AVE E POST RDAddressLine1
CityWHITE PLAINSCity
StateNYState
ZIP Code10601ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (53 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
PAUL M WEISSMAN
CHAIRMAN1.00X000
J MICHAEL DIVNEY
VICE CHAIRMAN1.00X000
SHELDON ALTER MD
BOARD MEMBER1.00X000
DONALD STONE
BOARD MEMBER1.00X000
CHARLES L WEINBERG
BOARD MEMBER1.00X000
FRANK A BRUNI
BOARD MEMBER1.00X000
JENNIFER GRUENBERG
BOARD MEMBER1.00X000
STUART T NEVINS MD
TREASURER1.00X000
ANN EDWARDS
BOARD MEMBER1.00X000
EDWARD F LEONARD
BOARD MEMBER1.00X054626641399X
ALEIDA M FREDERICO
BOARD MEMBER1.00X000
CARL AUSTIN
BOARD MEMBER1.00X000
STEVEN BARUCH
BOARD MEMBER1.00X000
JOHN BENDHEIM
BOARD MEMBER1.00X000
GREG A BERGER
BOARD MEMBER1.00X000
ROBERT FEDER
BOARD MEMBER1.00X000
PETER M FISHBEIN
SECRETARY1.00X000
LOUIS FLANZER
BOARD MEMBER1.00X000
CINDY FRENCHMAN
BOARD MEMBER1.00X000
DENNIS GILBERT
BOARD MEMBER1.00X000
CHARLES N GLASSMAN MD
BOARD MEMBER1.00X000
ARTHUR J HEDGE JR
BOARD MEMBER1.00X000
PETER A HOCHFELDER
BOARD MEMBER1.00X000
H GUY LEIBLER
BOARD MEMBER1.00X000
CAROL LOWENTHAL
BOARD MEMBER1.00X000
DANIEL R MARTIN
BOARD MEMBER1.00X000
WILLIAM NULL
BOARD MEMBER1.00X000
HENRY POLLAK II
BOARD MEMBER1.00X000
JON B SCHANDLER
PRESIDENT1.00X0175303844699X
LAURENCE R SMITH
BOARD MEMBER1.00X000
JONATHAN SPITALNY
VICE CHAIRMAN1.00X000
ROBERT STONE
VICE CHAIRMAN1.00X000
GEORGE VANCLEAVE
BOARD MEMBER1.00X000
SUSAN Z YUBAS
BOARD MEMBER1.00X000
LUCY SCHMOLKA
BOARD MEMBER1.00X000
MEGAN H SHAPIRO
BOARD MEMBER1.00X000
ROGER CAPPUCCI MD
BOARD MEMBER1.00X0400000
HOWARD BERK
BOARD MEMBER1.00X000
MICHAEL PALUMBO MD
BOARD MEMBER1.00X048554723861
MICHELE SCHOENFELD
BOARD MEMBER1.00X000
NORMAN ALPERT
BOARD MEMBER1.00X000
NANCY CLARVIT
BOARD MEMBER1.00X000
ANNETTE CAPPUCCI
BOARD MEMBER1.00X000
AMY BERMINGHAM
BOARD MEMBER1.00X000
JILL HASKEL
BOARD MEMBER1.00X000
MARIE LOPEZ
BOARD MEMBER1.00X000
ALFRED ROSTON MD
BOARD MEMBER1.00X0200000
NETTIE WEBB EDD
BOARD MEMBER1.00X000
CHARLES CLARVIT
VICE CHAIRMAN1.00X000
MARK HAUSER
BOARD MEMBER1.00X000
PETER POST
BOARD MEMBER1.00X000
ROBERT TUCKER
VICE CHAIRMAN1.00X000
ALAN WAXENBERG
BOARD MEMBER1.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2844851TotalReportableCompFrmRltdOrgs
Total Other Compensation109959TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions2918AllOtherContributions
Total Contributions2918TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2TotalRevenueColumn
Exclusion$2ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2920TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$2ExclusionAmount

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total13Total
Management And General13ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total13Total
Program Services0ProgramServices
Management And General13ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY19624BOY
EOY22531EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY550280BOY
EOY550280EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY569904BOY
EOY572811EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
EOY0EOY

Total Liabilities TotalLiabilities

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

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY569904BOY
EOY572811EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY569904BOY
EOY572811EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY569904BOY
EOY572811EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses2907ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting OtherXMethodOfAccountingOther
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
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 Line1WHITE PLAINS HOSPBusinessNameLine1
FieldValueIRS element (for citing)
EIN131740130EIN
Type Of Organization501C(3)TypeOfOrganization
Listed In Governing Doc1ListedInGoverningDoc
Amount$13Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts13SumOfAmounts

Schedule D IRS990ScheduleD

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

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionDUE FROM WHITE PLAINS HOSPITAL CENTERDescription
Book Value550280BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets550280TotalBookValueOtherAssets

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
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 (3 entries)

TitleTitleBase 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
EDWARD F LEONARD
BOARD MEMBER0406223013060009443020000021399058766500
JON B SCHANDLER
PRESIDENT096792307750000101150225000221990179773700
MICHAEL PALUMBO MD
BOARD MEMBER039465708300007890012500011361050940800

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 2BOARD MEMBERS ROBERT FEDER AND WILLIAM NULL HAVE A BUSINESS RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 6WHITE PLAINS HOSPITAL MEDICAL CENTER IS THE SOLE MEMBER OF WHITE PLAINS HOSPITAL FOUNDATION.
FORM 990, PART VI, SECTION A, LINE 7AWHITE PLAINS HOSPITAL MEDICAL CENTER MAY ELECT MEMBERS OF THE GOVERNING BODY OF WHITE PLAINS HOSPITAL FOUNDATION.
FORM 990, PART VI, SECTION A, LINE 7BDECISIONS MADE BY WHITE PLAINS HOSPITAL FOUNDATION ARE SUBJECT TO APPROVAL BY WHITE PLAINS HOSPITAL MEDICAL CENTER.
FORM 990, PART VI, SECTION B, LINE 11THE WHITE PLAINS HOSPITAL FOUNDATION FORM 990 WAS REVIEWED IN DETAIL BY WHITE PLAINS HOSPITAL'S CHIEF FINANCIAL OFFICER IN CONJUNCTION WITH ITS TAX PREPARERS, DELOITTE TAX LLP. A COPY OF THE FINAL FORM 990 WAS CIRCULATED TO THE FULL BOARD OF DIRECTORS BEFORE THE RETURN WAS FILED. PRIOR TO FILING, THE FORM 990 WAS PRESENTED TO THE FINANCE AND EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS ON NOVEMBER 13, 2013, WITH AN OVERVIEW OF THE FORM 990 AND ITS IMPACT ON WHITE PLAINS HOSPITAL FOUNDATION.
FORM 990, PART VI, SECTION B, LINE 12WHITE PLAINS HOSPITAL FOUNDATION DOES NOT HAVE A SEPARATE CONFLICT OF INTEREST POLICY, WHISTLEBLOWER POLICY, OR DOCUMENT RETENTION AND DESTRUCTION POLICY. IT FOLLOWS THE POLICIES OF WHITE PLAINS HOSPITAL MEDICAL CENTER.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE AT THE PUBLIC'S REQUEST AND AT MANAGEMENT'S DISCRETION.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1WHITE PLAINS HOSPITAL MEDICAL CENTERBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line141 EAST POST ROAD DAVIS AVENUEAddressLine1
CityWHITE PLAINSCity
StateNYState
ZIP Code10601ZIPCode
FieldValueIRS element (for citing)
EIN131740130EIN
Primary ActivitiesHOSPITALPrimaryActivities
Legal Domicile StateNYLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity StatusLINE 3PublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled Org0ControlledOrg

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1DAVIS AVENUE CORPORATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1DAVIS AVENUE AT EAST POST ROADAddressLine1
CityWHITE PLAINSCity
StateNYState
ZIP Code10601ZIPCode
FieldValueIRS element (for citing)
EIN133331643EIN
Primary ActivityHOME HEALTH SERVICESPrimaryActivity
Legal Domicile StateNYLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1WHITE PLAINS HOSPITAL FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityCTypeOfEntity
Share Of Total Income718581ShareOfTotalIncome
Share Of EOY Assets247594ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
Controlled Org0ControlledOrg
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
Dividends Related Organization0DividendsRelatedOrganization
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 Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
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

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