The New York Academy of Medicine has been around since 1847, and they have had a distinctly urban mission since their founding. Their online library contains a number of resources for medical doctors and other health care professionals, and the Grey Literature Report is one of the most compelling offerings on their site. The Report was started in 1999, and it was initially intended for internal research purposes. Currently, the Report is now published bimonthly by the Academy Library, and it contains "unindexed materials that are not produced by commercial publishers and are unavailable through normal, commercial distribution channels." The documents include case studies, conference proceedings, fact sheets, government documents, research reports, and white papers. Recent editions of the Report have included timely works from the AARP, the Commonwealth Fund, the John A. Hartford Foundation, and the Kaiser Permanente Institute for Health Policy.