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Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
NYU LANGONE HOSPITALS
 
Employer identification number
13-3971298
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC section
(if applicable)		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
noncash assistance		 (h) Purpose of grant
or assistance
(1) NEW YORK UNIVERSITY - GROSSMAN SCHOOL OF MEDICINE
105 EAST 17TH STREET 2ND FL
NEW YORK,NY10003 		13-5562308 501(C)(3) 1,157,079,245       SUPPORT CLINICAL, EDUCATIONAL, AND RESEARCH ACTIVITIES OF NYU GROSSMAN SCHOOL OF MEDICINE.
(2) SUNSET PARK HEALTH COUNCIL INC DBA FAMILY HEALTH CENTERS AT NYU LANGONE
150 55TH STREET
BROOKLYN,NY11220 		20-2508411 501(C)(3) 29,947,569       SUPPORT EDUCATIONAL TRAINING ACTIVITIES AT FAMILY HEALTH CENTERS AT NYU LANGONE.
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
2
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2019

Schedule I (Form 990) 2019
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients		 (c) Amount of
cash grant		 (d) Amount of
noncash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of noncash assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
PART I, LINE 2: ORGANIZATION'S PROCEDURE FOR MONITORING THE USE OF GRANT FUNDS TO OTHER 501(C)(3) ORGANIZATIONS IN THE UNITED STATES: THE GRANTEE ORGANIZATIONS ARE 501(C)(3) ENTITIES THAT ARE RELATED TO THE REPORTING ORGANIZATION AND PROVIDE PERIODIC REPORTING OF THEIR PROGRAMATIC ACTIVITIES AND FINANCIAL NEEDS. NYU GROSSMAN SCHOOL OF MEDICINE ("SOM") IS AN ADMINISTRATIVE UNIT OF NEW YORK UNIVERSITY WHICH IS THE SOLE MEMBER OF NYU LANGONE HEALTH SYSTEM WHICH IN TURN IS THE SOLE MEMBER OF NYU LANGONE HOSPITALS ("HOSPITAL"). SUNSET PARK HEALTH COUNCIL, INC. DBA FAMILY HEALTH CENTERS AT NYU LANGONE IS FEDERALLY QUALIFIED HEALTH CENTER THAT IS CO-OPERATED WITH HOSPITAL.
Schedule I (Form 990) 2019



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