2024-05-10T15:26:44-05:00 2023-06-30 221732349 WISS & COMPANY LLP 100 CAMPUS DRIVE FLORHAM PARK NJ 07932 990 2022-07-01 471686351 FOUNDATION FOR UNIVERSITY HOSPITAL A NEW JERSEY NONPROFIT CORPORATION FOUN 9739725300 3 PENN PLAZA E 13TH FLOOR NEWARK NJ 07105 MICHAEL A CURI CHAIRMAN 9739725300 2024-05-10 1 MICHAEL CURI XXX-XX-XXXX 0 DIANA MILLER P01597612 9739949400 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z X MICHAEL A CURI 3 PENN PLAZA E 13TH FLOOR NEWARK NJ 07105 2676040 0 X WWW.UHNJFOUNDATION.ORG X 2014 NJ UNIVERSITY HOSPITAL FOUNDATION SECURES RESOURCES TO ACCELERATE UNIVERSITY HOSPITAL'S MISSION TO PROVIDE EXCEPTIONAL CARE TO EVERY PATIENT, EVERY TIME.VISION: TOGETHER, UNIVERSITY HOSPITAL AND ITS FOUNDATION SEEK TO IMPROVE THE HEALTH OF OUR COMMUNITIES FOR GENERATIONS TO COME. 7 7 4 30 0 0 2706262 2562181 0 0 50056 45999 14168 -36947 2770486 2571233 549631 1361628 0 0 302345 523101 0 0 242319 1431995 1040428 2283971 2925157 486515 -353924 4020892 4040088 416609 743068 3604283 3297020 X THE FOUNDATION FOR UNIVERSITY HOSPITAL WAS FORMED IN 2014 FOR THE EXCLUSIVE PURPOSE OF SUPPORTING THE OPERATIONS OF UNIVERSITY HOSPITAL AND THE HOSPITAL'S PUBLIC MISSION TO PROVIDE A COMPREHENSIVE HEALTHCARE PROGRAM AND HEALTHCARE SERVICES TO THE GREATER NEWARK COMMUNITY, INCLUDING OUTREACH AND MOBILE HEALTH SERVICES, IN ACCORDANCE WITH THE SPIRIT AND INTENT OF THE "AGREEMENTS REACHED BETWEEN COMMUNITY AND GOVERNMENT NEGOTIATORS REGARDING NEW JERSEY COLLEGE OF MEDICINE AND DENTISTRY AND RELATED MATTERS OF APRIL 30, 1968," AS WELL AS SERVICES IN COLLABORATION WITH THE NEWARK BASED SCHOOLS OF RUTGERS BIOMEDICAL AND HEALTH SCIENCES. 0 0 2343165 1361628 THE FOLLOWING PROGRAMS ARE SUPPORTED BY THE FOUNDATION FOR UNIVERSITY HOSPITAL THROUGH GRANTS AND OTHER FUNDRAISING:A. FREE CANCER SCREENINGS FOR UNDERSERVED WOMEN ACROSS GREATER NEWARK.B. PROVIDING MEALS TO COMMUNITY MEMBERS FACING FOOD INSECURITY.C. TYPE 1 DIABETES AUTOANTIBODY TESTING TO DETERMINE RISK AMONGST UH PATIENT.D. HEALTH EQUITY PROGRAMS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH, INCREASE PREVENTATIVE CARE, AND IMPROVE HEALTH AND WELLBEING FOR OUR COMMUNITY.E. HOSPITAL WORKFORCE DEVELOPMENT PROGRAMS TO INCREASE RECRUITMENT, RETENTION, AND EMPLOYEE WELLNESS.F. CAPITAL CONSTRUCTION AND EQUIPMENT TO MODERNIZE UNIVERSITY HOSPITAL. 2343165 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 13 0 1 4 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 7 7 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 NJ X JESSICA BACKOFEN 9739726512 3 PENN PLAZA E 13TH FLOOR NEWARK NJ 07105 MICHAEL A CURI CHAIRMAN 2.00 X X 0 0 0 CALVIN RANDOLPH LEDFORD VICE CHAIRMAN 2.00 X X 0 0 0 BARBARA KAUFMAN TRUSTEE 1.00 X 0 0 0 CECILIA I LASSITER TRUSTEE 1.00 X 0 0 0 JENNIFER ERDELYI TRUSTEE 1.00 X 0 0 0 JOSEPH L MUSCARELLE TRUSTEE 1.00 X 0 0 0 MARJORIE PERRY TRUSTEE 1.00 X 0 0 0 JESSICA BACKOFEN EXECUTIVE DIRECTOR 40.00 X 257117 0 12176 257117 0 12176 1 0 1 0 CAFE AMORE LLC 2 MERCER STREET SUITE 11 LODI NJ 07644 CATERING 253105 M3 DEVELOPMENT CORPORATION PO BOX 1034 MANORVILLE NY 11949 CONSULTING SERVICES 121145 2 304786 1391230 866165 5350 2562181 45999 45999 67860 304786 104807 -36947 -36947 2571233 0 0 9052 1361628 1361628 282972 98300 56594 128078 187326 65074 37465 84787 13741 4773 2749 6219 39062 13570 7812 17680 10567 10567 66722 66722 77491 77491 37362 37362 31679 565 25886 5228 1981 35 1619 327 2652 2652 5911 5911 1532 1532 MEALS AND ENTERTAINMENT 752699 750787 1912 SUPPLIES AND MATERIALS 49802 48433 1369 MISCELLANEOUS EXPENSE 2030 2030 2925157 2343165 339673 242319 908129 733253 1379373 1381432 871398 1006473 12301 21478 4596 2405 1091 2191 848600 895261 4020892 4040088 26230 93568 390379 649500 416609 743068 X 1258424 1295262 2345859 2001758 3604283 3297020 4020892 4040088 -353924 46661 0 X X 0 1 X 1 1 1 X 465110 3421026 2266193 2706262 2562181 11420772 465110 3421026 2266193 2706262 2562181 11420772 3709842 7710930 39419 38300 45645 50056 45999 219419 8299 78650 95150 67860 249959 11890150 0.64850 0.50460 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: FUNDRAISING - 2018 AMOUNT: $ 8,299. 2019 AMOUNT: $ 78,650. 2021 AMOUNT: $ 95,150. 2022 AMOUNT: $ 67,860. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4596 2405 2191 2191 BENEFICIAL INTEREST IN PERPETURAL TRUST 895261 895261 DUE TO AFFILIATE 649500 649500 X 2734879 46661 12178 104807 163646 2571233 0 2571233 3042142 12178 104807 116985 2925157 0 2925157 PART X, LINE 2: THE FOUNDATION IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND, THEREFORE, HAS MADE NO PROVISION FOR FEDERAL OR STATE INCOME TAXES IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE FOUNDATION HAS BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE NOT TO BE A "PRIVATE FOUNDATION" WITHIN THE MEANING OF SECTION 509(A)(1) OF THE INTERNAL REVENUE CODE. OTHER SIGNIFICANT TAX POSITIONS INCLUDE ITS DETERMINATION OF WHETHER ANY AMOUNTS ARE SUBJECT TO UNRELATED BUSINESS INCOME TAX. ALL SIGNIFICANT TAX POSITIONS HAVE BEEN CONSIDERED BY MANAGEMENT AND IT HAS BEEN DETERMINED THAT ALL TAX POSITIONS WOULD BE SUSTAINED UPON EXAMINATION BY TAXING AUTHORITIES. THE MOST SIGNIFICANT JURISDICTIONS IN WHICH THE FOUNDATION IS REQUIRED TO FILE TAX RETURNS INCLUDE THE U.S. FEDERAL JURISDICTION AND THE STATE OF NEW JERSEY. THE FOUNDATION EVALUATES UNCERTAIN TAX POSITIONS FOR MORE-LIKELY-THAN-NOT SUSTAINABILITY. THE FOUNDATION HAS CONCLUDED THAT AS OF JUNE 30, 2023 AND 2022, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES 104,807. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES 104,807. GOLF CLASSIC 214033 172173 41860 47450 7296 1450 14246 SIGNATURE FUNDRAISER 158613 132613 26000 29799 4566 372646 304786 67860 77249 7296 1450 18812 104807 -36947 1 UNIVERSITY HOSPITAL 150 BERGEN STREET NEWARK NJ 07103 221775306 GOVERNMENT 1361628 0 SUPPORT FOR THE UNIVERSITY HOSPITAL PROGRAMS 1 0 PART I, LINE 2: THE EXECUTIVE DIRECTOR SERVES AS THE GRANT MANAGER AND OVERSEES ALL GRANT ACTIVITIES, MAINTAINS GRANT-RELATED RECORDS AND FILES, ACTS AS A FACILITATOR AND WORKS WITH EXECUTIVE-LEVEL STAFF IN OTHER DEPARTMENTS TO COORDINATE GRANT PROCESSES. THE ED WORKS CLOSELY WITH THE GRANTS MANAGEMENT ANALYST AT UNIVERSITY HOSPITAL FOR DISTRIBUTION OF FUNDS TO THE PROPER DEPARTMENTS OR PROGRAMS. THE ED DEVELOPS RELATIONSHIPS WITH POTENTIAL FUNDERS. GRANT MANAGEMENT DUTIES MIGHT ENTAIL RESEARCH AND SUBMISSION OF GRANT PROPOSALS, COLLABORATING WITH PROGRAM STAFF TO MEET FINANCIAL NEEDS AND MONITORING THE USE OF AWARDED GRANTS. THE ED REVIEWS THE GRANT AWARD LETTER AND PACKAGE, PAYING SPECIAL ATTENTION TO KEY DATES, REPORT REQUIREMENTS AND RESTRICTIONS ON THE USE OF GRANT FUNDS. THE ED MEETS WITH PROGRAM STAFF AND KEY FINANCIAL STAFF TO REVIEW THE AWARD PACKAGE AND ENSURES THAT CONTROLS ARE IN PLACE, SUCH AS NEW ACCOUNTS FOR GRANT FUNDS AND PROCEDURES FOR REQUESTING FINANCIAL REPORTS TO MONITOR USE OF FUNDS. THE ED MAINTAINS CENTRALIZED CONTROL OF ALL GRANT ACTIVITIES, INCLUDING CONTACT WITH POTENTIAL FUNDERS AND SUBMISSION OF GRANT APPLICATIONS AND IS DESIGNATED AS THE PRIMARY CONTACT FOR ISSUES INVOLVING GRANTS. THE ED ASSURES SUBMISSIONS ARE COMPLETE, PROFESSIONAL AND INCLUDE THE NECESSARY SIGNATURES. THE ED ALSO COORDINATES THE PREPARATION AND SUBMISSION OF REPORTS TO THE FUNDER. THE ED KEEPS A WELL-ORGANIZED ELECTRONIC RECORD SYSTEM FOR GRANT MANAGEMENT USES THE DATABASE TO RECORD AND TRACK ALL CONTACT WITH FOUNDATIONS. THE ED CREATES FILES FOR EACH GRANT APPLICATION SUBMISSION AND CREATES NEW FILES ONCE AN AWARD PACKAGE IS RECEIVED. FILES INCLUDE CURRENT COPIES OF DOCUMENTS USED IN THE GRANT APPLICATION PROCESS, SUCH AS THE 501(C)(3) LETTER AND A CURRENT BOARD OF DIRECTORS ROSTER, CORRESPONDENCE, MATERIAL RECEIVED FROM FUNDERS, RESEARCH AND ANY OTHER FILES THAT FACILITATE MANAGING THE ORGANIZATION'S GRANT ACTIVITIES. FORM 990, PART II, LINE 1(A) SUPPORT FOR THE UNIVERSITY HOSPITAL PROGRAMS. X X X 0 0 0 0 0 0 0 0 0 JESSICA BACKOFEN EXECUTIVE DIRECTOR 257117 0 0 0 0 0 0 0 12176 0 269293 0 0 0 FORM 990, PART VI, SECTION A, LINE 2 MEMBERS OF THE BOARD OF TRUSTEES HAVE A BUSINESS RELATIONSHIP WITH EACH OTHER. FORM 990, PART VI, SECTION B, LINE 11B THE DRAFT OF THE ANNUAL FORM 990 SHALL BE FURNISHED TO THE CHAIRMAN OF THE BOARD OF DIRECTORS WHO SHALL REVIEW THE RETURN AND CONFIRM ITS ACCURACY. A COPY OF THE FINAL 990 IS PROVIDED TO ALL BOARD MEMBERS PRIOR TO SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C ALL PERSONS EITHER ELECTED OR APPOINTED TO A FOUNDATION OFFICE (INCLUDING, BUT NOT LIMITED TO, ANY BOARD OFFICERS, DIRECTORS AND COMMITTEE MEMBERS) SHALL CONSCIENTIOUSLY AVOID ANY SITUATIONS AND ACTIVITIES WHERE THEIR PERSONAL INTERESTS COULD CONFLICT, OR APPEAR TO CONFLICT, WITH THE INTERESTS OF THE FOUNDATION. A CONFLICT OF INTEREST IS ANY OPPORTUNITY FOR PERSONAL GAIN IN DEALING WITH OR ON BEHALF OF THE FOUNDATION APART FROM NOMINAL REIMBURSEMENT OF EXPENSES ACCORDING TO FOUNDATION POLICY. IN THE EVENT THAT ANY OFFICER, DIRECTOR OR COMMITTEE MEMBER OF FOUNDATION SHALL HAVE ANY DIRECT OR INDIRECT INTEREST IN, OR RELATIONSHIP WITH, ANY INDIVIDUAL OR ORGANIZATION WHICH PROPOSES TO WORK WITH, OR TRANSACT ANY BUSINESS WITH THE FOUNDATION, SUCH PERSON SHALL GIVE NOTICE OF SUCH INTEREST OR RELATIONSHIP TO THE BOARD AND SHALL THEREAFTER REFRAIN FROM DISCUSSING OR VOTING ON THE PARTICULAR TRANSACTION IN WHICH SHE OR HE HAS AN INTEREST, OR OTHERWISE ATTEMPTING TO EXERT ANY INFLUENCE ON THE FOUNDATION TO AFFECT A DECISION WHETHER TO PARTICIPATE IN SUCH TRANSACTION. THE CONFLICT OF INTEREST POLICY (POLICY) AS ENUMERATED HEREIN APPLIES TO ANY BOARD OFFICER, DIRECTOR OR COMMITTEE MEMBER OF FOUNDATION AS WELL AS ANY IMMEDIATE FAMILY MEMBER THEREOF. THE FOUNDATION WILL DISCLOSE THE POLICY TO CANDIDATES FOR THE BOARD AND WILL OBTAIN RE-AFFIRMATION OF THE POLICY FROM EXISTING MEMBERS OF THE BOARD OR COMMITTEES ANNUALLY. FAILURE TO COMPLY WITH THE POLICY MAY BE GROUNDS FOR REMOVAL FROM THE BOARD AND/OR COMMITTEES. FORM 990, PART VI, SECTION B, LINE 15A EXECUTIVE DIRECTOR COMPENSATION IS DECIDED UPON BY THE FULL BOARD OF TRUSTEES, BASED ON INFORMATION ABOUT EXECUTIVE DIRECTOR SALARIES AT COMPARABLE INSTITUTIONS AND MARKET RESEARCH. FORM 990, PART VI, SECTION C, LINE 19 990 FORMS ARE AVAILABLE AT THE ORGANIZATION'S OFFICE UPON REQUEST OR AT WWW.GUIDESTAR.ORG. A COPY OF THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE DURING NORMAL BUSINESS HOURS UPON REQUEST AT THE ORGANIZATION'S OFFICE. FORM 990, PAGE 12, PART XII, LINE 2C: THE FINANCE COMMITTEE ASSUMES RESPONSIBLITY FOR THE REVIEW AND OVERSIGHT OF THE AUDIT AND FINANCIAL STATEMENTS. THE ORGANIZATION HAS NOT CHANGED ITS SELECTION OF AUDITORS FOR THE FISCAL YEAR, JUNE 30, 2023. UNIVERSITY HOSPITAL 150 BERGEN STREET NEWARK NJ 07103 221775306 PATIENT CARE NJ N/A 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 UNIVERSITY HOSPITAL B 1361628 CASH