Tommy Gambino is seriously loaded. Probably in the top 10 or even 5 of all American mobsters when it comes to net worth. He makes a lot of donations to medical research, even having the Gambino Medical and Science Foundation named after him. Guys who are that wealthy and make large contributions to things like that don't do it solely because they have a giving heart. They do it because they have that much cash flow and can write it off their taxes.