2023-10-18T08:37:33-05:00 2022-12-31 222978848 BEDERSON LLP 100 PASSAIC AVENUE - SUITE 310 FAIRFIELD NJ 07004 990 2022-01-01 136844298 CHILDREN'S SPECIALIZED HOSPITAL FOUNDATION INC CHIL 9083015410 150 NEW PROVIDENCE ROAD MOUNTAINSIDE NJ 07092 ALISSA MEMOLI PRESIDENT AND CHIEF DVLPMNT OFFICER 9083015410 2023-10-17 ALISSA MEMOLI 999009999 0 MICHAEL CARO JR P01418714 9737363333 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z ALISSA MEMOLI 150 NEW PROVIDENCE AVENUE MOUNTAINSIDE NJ 07092 36412464 0 X WWW.CHILDRENS-SPECIALIZED.ORG X 1985 NJ FUNDRAISING 24 24 0 0 0 0 12161796 5454922 0 0 12033788 8409328 886002 811062 25081586 14675312 12322044 13328664 0 0 2790256 1585959 0 0 0 1765184 1986125 16877484 16900748 8204102 -2225436 126961468 98563806 6530908 42678010 120430560 55885796 TO RAISE FUNDS TO HELP SUPPORT CHILDREN'S SPECIALIZED HOSPITAL FOUNDATION AND ORGANIZATIONS WITH SIMILAR PURPOSES 0 0 16150779 13328664 CHILDREN'S SPECIALIZED HOSPITAL FOUNDATION IS A TAX EXEMPT ORGANIZATION OPERATED TO RAISE FUNDS FOR CHILDREN'S SPECIALIZED HOSPITAL (CSH) AND ORGANIZATIONS WITH SIMILAR PURPOSES. CSH IS A NON-PROFIT, PEDIATRIC REHABILIATION HOSPITAL AND PEDIATRIC LONG TERM CARE FACILITY. UPON OBTAINING FUNDS, THE FOUNDATION INVESTS THESE ASSETS AND THE INTEREST AND PRINCIPAL ARE USED FOR EDUCATIONAL, SCIENTIFIC AND CHARITABLE PURPOSES CARRIED OUT BY ORGANIZATIONS INCLUDING CSH AND THOSE WITH SIMILAR MISSIONS. THE FOUNDATION HOLDS VARIOUS EVENTS THROUGHOUT THE YEAR THAT BENEFIT SPECIFIC ACTIVITIES OR NEED AS SPECIFIED BY FOUNDATION MANAGEMENT. THROUGH A RESOLUTION APPROVED BY THE FOUNDATION BOARD OF TRUSTEES ON DECEMBER 8, 2020 AND EFFECTIVE JANUARY 1, 2021, THE BOARD OF TRUSTEES OF CHILDREN'S SPECIALIZED HOSPITAL FOUNDATION RESOLVED TO UTILIZE INVESTMENTS TO FUND ANNUAL FOUNDATION OPERATIONAL EXPENSES ALLOWING 100% OF EVERY DONATION TO CHILDREN'S SPECIALIZED HOSPITAL FOUNDATION TO SUPPORT THE VITAL PROGRAMS AND SERVICES THAT ARE TRANSFORMING THE LIVES OF CHILDREN WITH SPECIAL HEALTHCARE NEEDS. 16150779 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 16 0 1 0 0 0 0 0 0 1 1 0 0 0 0 X 24 24 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 NJ X JOSEPH J DOBOSH JR 7322587052 200 SOMERSET STREET NEW BRUNSWICK NJ 08901 X JOSEPH MINDAK BOARD MEMBER 1.00 X 0 0 0 JOSEPH J DOBOSH JR ASSISTANT TREASURER 1.00 40.00 X X 0 0 0 COLIN O'REILLY BOARD MEMBER 1.00 X 0 0 0 BILL ARNOLD BOARD MEMBER 1.00 X 0 0 0 LESLIE TAYLOR CHAIR 1.00 X X 0 0 0 MICHAEL LEWIS PHD BOARD MEMBER 1.00 X 0 0 0 BONNIE RODRIGUEZ BOARD MEMBER 1.00 X 0 0 0 VIRGINIA ALLING BOARD MEMBER 1.00 X 0 0 0 FRED TEWELL BOARD MEMBER 1.00 X 0 0 0 SANDY BROUGHTON BOARD MEMBER 1.00 X 0 0 0 PINKY SHAH BOARD MEMBER 1.00 X 0 0 0 NICHOLAS BOCCELLA BOARD MEMBER 1.00 X 0 0 0 VICTOR VISCOMI BOARD MEMBER 1.00 X 0 0 0 MAIREAD GOETZ BOARD MEMBER 1.00 X 0 0 0 DR EDWARD J ZAMPELLA BOARD MEMBER 1.00 X 0 0 0 GEORGE DESTAFNEY BOARD MEMBER 1.00 X 0 0 0 ANITA SIEGEL ESQ BOARD MEMBER 1.00 X 0 0 0 VINCENT BARICAUA BOARD MEMBER 1.00 X 0 0 0 PAUL KRIEGER BOARD MEMBER 1.00 X 0 0 0 MARK MONTENERO BOARD MEMBER 1.00 X 0 0 0 EDWARD J MKCENNA ESQ BOARD MEMBER 1.00 X 0 0 0 MATTHEW SKURBE TREASURER 1.00 X X 0 0 0 MICHAEL MILLER SECRETARY 1.00 X X 0 0 0 MATTHEW MCDONALD CSH - PRESIDENT & CEO 1.00 40.00 X 0 0 0 PAUL BOSLAND CHAIRMAN EMERITUS 1.00 X 0 0 0 LOUIS PARENT EMERITUS TRUSTEE 1.00 X 0 0 0 FRANK VUONO HONORARY TRUSTEE 1.00 X 0 0 0 JOSEPH LAMENDOLA PHD HONORARY TRUSTEE 1.00 X 0 0 0 ALEXANDER R GIAQUINTO PHD CHAIRMAN EMERITUS 1.00 X 0 0 0 PHILIP SALERNO III PRESIDENT & CHIEF DVLPMNT 40.00 1.00 X 564415 0 34055 KEELY DAVENPORT EMPLOYEE 40.00 X 111784 0 34057 KATHERINE M CATTANI EMPLOYEE 40.00 X 143516 0 30321 PERLA HALTNER EMPLOYEE 40.00 X 151683 0 26373 ELENA BERKOWITZ EMPLOYEE 40.00 X 152418 0 38801 JANET LAMBERT EMPLOYEE 40.00 X 109415 0 33253 ALISSA MEMOLI EMPLOYEE 40.00 X 129852 0 28378 1363083 0 225238 7 0 1 0 0 35200 5419722 203897 5454922 1002639 1002639 28843228 21436539 7406689 7406689 7406689 1083295 35200 300613 782682 782682 INCOME FROM DEFERRED COMPENSATION 525920 28380 28380 28380 14675312 7406689 0 1813701 13328664 13328664 564415 344495 219920 629088 383968 245120 40652 29271 11381 213019 151001 62018 138785 107565 31220 7583 7583 54500 54500 823641 750107 73534 280709 280709 76980 49609 27371 53109 52521 588 6768 6768 CAPITAL CAMPAIGNS 335841 335841 DONOR RECOGNITION EXPEN 112148 112101 47 MAINTENANCE AND SOFTWAR 75279 75279 BAD DEBT EXPENSE 69950 69950 89617 72930 16687 16900748 16150779 749969 0 11657012 7690945 1609357 890397 6531260 4980477 386704 492463 106465927 84183721 311208 325803 126961468 98563806 3983790 2907365 2547118 39770645 6530908 42678010 X 95663045 35109334 24767515 20776462 120430560 55885796 126961468 98563806 X -2225436 -25228148 -37091180 0 X X 0 1 X 1 0 X 4572565 4867375 4827924 11688844 4830661 30787369 4572565 4867375 4827924 11688844 4830661 30787369 12276732 18510637 1310864 1530685 1366980 820193 1031019 6059741 36847110 6372450 0.50240 0.52790 X SCHEDULE A, PART II, SECTION A THE ORGANIZATION RECEIVED BEQUEST CONTRIBUTIONS OF $589,061, WHICH ARE DEEMED TO BE "UNUSUAL GRANTS" AS A RESULT, THESE CONTRIBUTIONS WERE REMOVED FROM LINE 1 AND 5 OF SCHEDULE A, PART II, SECTION A. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 11405997 -1466913 0 9940084 13430599 934452 2958054 11405997 12173895 1727704 471000 13430599 10518973 100 2058152 403330 12173895 11512422 660 171433 1165542 10518973 0 0 0 DUE TO CHILDREN'S SPECIALIZED HOSPITAL 6264008 OBLIGATION TO FUND HOSPITAL'S DEBT 33506637 39770645 -10252223 -25228148 300613 -24927535 14675312 0 14675312 17201361 300613 300613 16900748 0 16900748 PART XI, LINE 2D - OTHER ADJUSTMENTS: SPECIAL AND COMMUNITY EVENT EXPENSES NETTED AGAINST REVENUES ON FORM 990 300,613. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL AND COMMUNITY EVENT EXPENSES NETTED AGAINST REVENUES ON FORM 990 300,613. WALK 164004 164004 3316 7307 57271 GOLF OPEN 222240 35200 187040 84494 8611 8695 1 732251 732251 116587 14332 1118495 35200 1083295 204397 15918 80298 300613 782682 1 CHILDREN'S SPECIALIZED HOSPITAL 150 NEW PROVIDENCE ROAD MOUNTAINSIDE NJ 07092 221487148 13328664 0 TO SUPPORT THE HOSPITAL IN ITS OPERATIONS X 0 1 0 0 1 0 0 0 0 PHILIP SALERNO III PRESIDENT & CHIEF DVLPMNT 414487 0 122321 0 27607 0 12200 0 21855 0 598470 0 0 0 ELENA BERKOWITZ EMPLOYEE 152418 0 0 0 0 0 0 0 38801 0 191219 0 0 0 PERLA HALTNER EMPLOYEE 151683 0 0 0 0 0 0 0 26373 0 178056 0 0 0 KATHERINE M CATTANI EMPLOYEE 143516 0 0 0 0 0 0 0 30321 0 173837 0 0 0 ALISSA MEMOLI EMPLOYEE 129852 0 0 0 0 0 0 0 28378 0 158230 0 0 0 PART I, LINE 4B PHILIP SALERNO III IS THE BENEFICIARY OF A DEFERRED COMPENSATION TRUST. SUCH DEFERRED COMPENSATION IS SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE BENEFICIARY MAY NEVER ACTUALLY RECEIVE THE UNVESTED BENEFIT AMOUNT. CURRENT YEAR DEFERRED COMPENSATION PLAN CONTRIBUTIONS INCLUDED IN DEFERRED COMPENSATION FOR PHILIP SALERNO III WERE $25,000. THE AMOUNTS REFLECTED IN SCHEDULE J PART II COLUMN F INCLUDES VESTED BENEFITS IN A IRC SECTION 457(F) (NON-QUALIFIED DEFERRED COMPENSATION) AS THE AMOUNT NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. PART I, LINE 5 CERTAIN INDIVIDUALS RECEIVED A BONUS DURING 2022 THAT IS INCLUDED IN COLUMN B(II) X 188571 FAIR MARKET VALUE X 5 15326 FAIR MARKET VALUE 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE 990 WAS EMAILED TO THE BOARD MEMBERS AND DISCUSSED AT A BOARD MEETING BEFORE IT WAS FILED. FORM 990, PART VI, SECTION B, LINE 12C TRUSTEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST FORM ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15A THE COMPENSATION OF THE PRESIDENT AND CHIEF DEVELOPMENT OFFICER IS DETERMINED AFTER A REVIEW OF THE MOST RECENT ASSOCIATION OF HEALTHCARE PHILANTHROPY SALARY SURVEY. THE COMPENSATION COMMITTEE RECOMMENDS A SALARY, WHICH IS THEN PRESENTED TO THE BOARD OF TRUSTEES FOR FINAL APPROVAL. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS POLICIES AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: THE ORGANIZATION'S FINANCE COMMITTEE IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT. THE FINANCE COMMITTEE REVIEWS THE AUDIT AND RECOMMENDS THAT IT BE APPROVED BY THE BOARD OF DIRECTORS. THE PROCESS HAS NOT CHANGED FROM PRIOR YEARS. FORM 990, PART XI, LINE 8, PRIOR PERIOD ADJUSTMENTS PRIOR PERIOD ADJUSTMENTS WERE MADE TO RECORD AN OBLIGATION TO FUND THE HOSPITAL'S DEBT LIABILITY OF $40,000,000 AND THE CLASSIFICATION OF THE PRIOR YEAR PRINCIPAL FUNDING PAYMENTS TOWARDS THE OBLIGATION OF $2,908,820. THE NET EFFECT OF THE PRIOR PERIOD ADJSUTMENTS WAS A DECREASE IN NET ASSETS OF $37,091,180. FORM 990, PART I, LINE 5: THE ORGANIZATION'S EMPLOYEES ARE PAID BY CHILDREN'S SPECIALIZED HOSPITAL, AN AFFILIATED ORGANIZATION. THE SALARIES AND RELATED COSTS FOR THESE EMPLOYEES ARE ALLOCATED TO THE ORGANIZATION AND PAID THROUGH INTERCOMPANY ACCOUNTS. CHILDRENS SPECIALIZED HOSPITAL 150 NEW PROVIDENCE ROAD MOUNTAINSIDE NJ 07092 221487148 PROVIDER OF HEALTH CARE SERVICES FOR CHILDREN NJ 501(C)(3) HOSPITAL NONE 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 CHILDRENS SPECIALIZED HOSPITAL B 13328664 PER AUDIT OF FINANCIAL STMTS CHILDRENS SPECIALIZED HOSPITAL P 2631917 PER AUDIT OF FINANCIAL STMTS