2018-11-13T18:28:33-06:00 2017-12-31 131517563 LOEB & TROPER LLP 655 THIRD AVENUE 12TH FLOOR NEW YORK NY 10017 990 2017-01-01 112940331 CHAI LIFELINE INC CHAI 2124651300 151 WEST 30TH STREET NO 3RD FL NEW YORK NY 10001 STEPHEN SCHOLAR EXECUTIVE VICE PRESIDENT 2124651300 2018-11-13 1 AARON SHAPIRO P01333816 2128674000 64.22.227.161 2018-11-13 17:37:29 ES P 4275C7E7C8129915C35F764424C97B97C01C68F2 82FF71277CCFCE0526AA11C39E3CDADE20CEB2CB 2017 2019-02-21 02:37:17Z STEPHEN SCHOLAR 151 WEST 30TH STREET NO 3RD FL NEW YORK NY 10001 25697092 0 X CHAILIFELINE.ORG X 1988 NY TO SUPPORT YOUNG PATIENTS, THEIR PARENTS AND SIBLINGS, TO WITHSTAND THE CRISES AND DAILY CHALLENGES OF LIVING WITH PEDIATRIC ILLNESS. 17 15 267 7306 0 0 24619008 25298562 0 0 20635 24453 -5101753 -4513386 19537890 20809629 1006409 1259315 0 0 9590337 9840877 0 0 1944386 8636282 9080975 19233028 20181167 304862 628462 19242095 19956972 7862553 7970416 11379542 11986556 X THE DIAGNOSIS OF SERIOUS PEDIATRIC ILLNESS AFFECTS THE ENTIRE FAMILY. CHAI LIFELINE PROVIDES THE EMOTIONAL, SOCIAL, AND FINANCIAL SUPPORT THAT ENABLES YOUNG PATIENTS, THEIR PARENTS AND SIBLINGS TO WITHSTAND THE CRISES AND DAILY CHALLENGES OF LIVING WITH PEDIATRIC ILLNESS. 0 0 4833233 CHAI LIFELINE OPERATES TWO SUMMER CAMP PROGRAMS ON ONE CAMPUS FOR SERIOUSLY ILL CHILDREN. CAMP SIMCHA PROVIDES VACATIONS TO CHILDREN AND TEENS WITH CANCER AND OTHER BLOOD-BASED ILLNESSES. CAMP SIMCHA SPECIAL IS DESIGNED TO MEET THE MEDICAL AND SOCIAL NEEDS OF CHILDREN AND TEENS WITH MULTIPLE, DISPARATE CHRONIC ILLNESSES AND/OR DISABILITIES. EACH CAMP RUNS TWO, TWO-WEEK SESSIONS EVERY SUMMER AT THEIR 125-ACRE, FULLY HANDICAPPED ACCESSIBLE CAMPGROUND IN GLEN SPEY, NY. ACTIVITIES INCLUDE ADAPTED SPORTS, SWIMMING (INCLUDING RED CROSS INSTRUCTION), BOATING, CRAFTS, WORKSHOPS, AND SPECIAL EVENTS LIKE CONCERTS AND SHOWS. THE GOALS OF THE CAMPS ARE TO FACILITATE INDEPENDENCE; BUILD SOCIAL, EMOTIONAL AND DAILY LIVING SKILLS; ENHANCE KNOWLEDGE OF ONE'S ILLNESS AND CAPABILITIES; AND ENCOURAGE THE DEVELOPMENT OF FRIENDSHIPS AND SUPPORTIVE RELATIONSHIPS THAT CONTINUE THROUGHOUT THE YEAR. POST-CAMP SURVEYS INDICATE THAT ALMOST 89% OF CAMPERS HAVE MADE FRIENDS AND FEEL BETTER ABOUT THEIR ILLNESSES AFTER ATTENDING CAMP. IN 2017, 493 CAMPERS ATTENDED CAMP SIMCHA/CAMP SIMCHA SPECIAL. 3536245 CHAI LIFELINE PROVIDES EMOTIONAL AND SOCIAL SUPPORT FROM THE MOMENT OF DIAGNOSIS THROUGH TREATMENT AND RECOVERY. WHEN CHILDREN ARE CHRONICALLY ILL, CHAI LIFELINE'S INTERVENTION CONTINUES UNTIL THE CHILD REACHES 21. GOALS INCLUDE ENABLING THE FAMILY UNIT TO CONTINUE TO FUNCTION DURING MEDICAL CRISES; PROVIDING IN-HOSPITAL SUPPORT TO PATIENTS AND CAREGIVERS; AND BRINGING JOY AND HOPE TO YOUNG PATIENTS AND THEIR FAMILIES. INITIAL SUPPORT BEGINS WITH A CASE MANAGER'S EVALUATION THAT IDENTIFIES NEEDS AND SUGGESTS PROGRAMMATIC RESPONSES. IN 2017, CHAI LIFELINE PROVIDED EMOTIONAL, SOCIAL, AND FINANCIAL SUPPORT TO 5400 FAMILIES THROUGH REFERRALS, INFORMATION AND ADVOCACY CONTACTS; 7,290 VOLUNTEER VISITS RAISED SPIRITS AND OFFERED NEEDED RESPITE TO PARENTS STANDING VIGIL AT CHILDREN'S BEDSIDES; 11,247 RIDES BY VOLUNTEERS OR CHAI LIFELINE VAN TO MEDICAL APPOINTMENTS, THUS FACILITATING TREATMENT COMPLIANCE; 79,271 HOT MEALS THAT WERE TASTY ALTERNATIVES TO HOSPITAL FOOD FOR PATIENTS AND ALLOWED CAREGIVERS TO EAT NUTRITIOUSLY WITHOUT LEAVING A CHILD'S BEDSIDE; 730 HOURS OF INSURANCE ADVOCACY THAT HELPED 220 FAMILIES UNDERSTAND THEIR COVERAGE, FIGHT DENIALS AND TURNDOWNS, AND COMPLETE PAPERWORK ACCURATELY; AND 457 OVERNIGHT VISITS AT THE CHAI HOUSE FOR FAMILIES WITH LOVED ONES AT THE CHILDREN'S HOSPITAL OF PHILADELPHIA. 7634882 648309 FAMILY AND COMMUNITY PROGRAMS: THESE PROGRAMS HELP YOUNG PATIENTS AND THEIR FAMILIES LIVE AS NORMALLY AS POSSIBLE WHILE FIGHTING ILLNESS BY ENHANCING EMOTIONAL AND SOCIAL BONDS. IN THE PAST YEAR, 380 BIG BROTHERS AND SISTERS WERE MENTORS TO ILL CHILDREN AND SIBLINGS. 293 RECREATIONAL ACTIVITIES FOR PATIENTS, SIBLINGS, PARENTS, AND FAMILIES OFFERED OPPORTUNITIES FOR FRIENDSHIP AND SUPPORT. 34 HOLIDAY PARTIES AND FAMILY DAYS GAVE 8,796 CHILDREN AND FAMILIES A CHANCE TO CELEBRATE TOGETHER. SIBLINGS WERE ABLE TO DEVELOP PEER FRIENDSHIPS WITH OTHERS LIVING WITH ILLNESS OR LOSS IN THEIR HOMES AT 120 SIBLING ACTIVITIES. 728 HOURS OF COUNSELING HELPED FAMILIES RETURN TO PREVIOUS LEVELS OF FUNCTIONING. MORE THAN 651 HOURS OF TUTORING AND WEBCAM CONNECTIONS BETWEEN SCHOOL ROOMS AND HOSPITAL ROOMS EASED THE WAY BACK TO SCHOOL FOR CHILDREN INCAPACITATED BY ILLNESS. 354 CRISIS INTERVENTION WORKSHOPS, PRESENTATIONS, AND MEETINGS WITH FAMILIES, SCHOOLS, AND COMMUNITY ORGANIZATIONS. 611006 611006 611006 611006 16615366 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0 0 1 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 10 0 267 1 0 0 0 0 0 1 1 0 0 0 0 X 17 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA FL IL MD NJ NY PA X STEPHEN SCHOLAR 2124651300 151 WEST 30TH STREET FLOOR 2 NEW YORK NY 10001 DAVID JEMAL CO-CHAIRMAN OF THE BOARD 1.00 X X 0 0 0 LARRY SPEIWAK CO-CHAIRMAN OF THE BOARD 1.00 X X 0 0 0 JOSEPH SPRUNG CHAIRMAN OF THE EXEC. COMM 1.00 X X 0 0 0 SHIMMY BERTRAM TREASURER 1.00 X X 0 0 0 MECHEL BERGER SECRETARY 1.00 X X 0 0 0 SOL MAYER PRESIDIUM MEMBER 1.00 X X 0 0 0 MORDY ROTHBERG PRESIDIUM MEMBER 1.00 X X 0 0 0 DAVID KLEIN BOARD MEMBER 1.00 X 0 0 0 JON WEBER BOARD MEMBER 1.00 X 0 0 0 HILLEL MOERMAN BOARD MEMBER 1.00 X 0 0 0 DAVID MANDELBAUM BOARD MEMBER 1.00 X 0 0 0 MOSHE TAUB BOARD MEMBER 1.00 X 0 0 0 DANIEL WEINGARTEN BOARD MEMBER 1.00 X 0 0 0 JOE HAMMER BOARD MEMBER 1.00 X 0 0 0 ELLIOT MOSKOWITZ BOARD MEMBER 1.00 X 0 0 0 STEPHEN SCHOLAR EXECUTIVE VICE PRESIDENT 50.00 X X 369099 0 88582 ABRAHAM COHEN EXECUTIVE DIRECTOR 50.00 X X 205052 0 81828 ISRAEL FRIED REGIONAL DIRECTOR 50.00 X 268236 0 79008 LEVI KATLOWITZ DIRECTOR COMMUNITY DEVELOPMENT 50.00 X 212654 0 79400 ARYE ADEST REGIONAL DIRECTOR 50.00 X 188821 0 75115 RANDI GROSSMAN REGIONAL DIRECTOR 50.00 X 161785 0 7566 GALIT REICHLIN DIRECTOR, MAJOR GIFTS 50.00 X 159133 0 32960 1564780 0 444459 19 0 1 0 ROOTZ 3016 W JARVIS CHICAGO IL 60645 MARATHON 190135 BB CYCLING EVENTS LLC 1474 VIA MIGUEL JUPITER FL 33477 EVENT ORGANIZER 179445 WEISS BROTHERS OF NESHER 543 PENNSYLVANIA AVE LINDEN NJ 07036 CATERING 163780 RICHTER CATERERS LTD 2517 AVENUE I BROOKLYN NY 11210 CATERING 133275 FIRST CLASS CATERERS 310 VISTA PARK DR PITTSBURGH PA 15205 CATERING 130491 8 15832106 150000 9316456 352957 25298562 24744 24744 118780 119071 -291 -291 -291 212720 15832106 4768392 -4555672 -4555672 MISCELLANEOUS 900099 42286 42286 42286 20809629 0 0 -4488933 601006 601006 648309 648309 10000 10000 744561 447002 237447 60112 7881573 6531481 691586 658506 103252 86826 7458 8968 463436 389713 33473 40250 648055 514093 79445 54517 10138 10138 34750 34750 150 150 692063 380423 13879 297761 273016 134833 2145 136038 2447400 1870395 233503 343502 282642 136596 16831 129215 913490 771302 121389 20799 1202734 1069936 45936 86862 258407 218143 28595 11669 850794 795816 45200 9778 191396 184110 5079 2207 FOOD SERVICES 1547948 1466720 14411 66817 EVENTS AND ENTERTAINMEN 338070 323909 14161 MISCELLANEOUS 37977 34753 3224 20181167 16615366 1621415 1944386 1146194 1109166 4325522 4696580 13152 0 106957 156371 21948542 8267342 13379409 13681200 5972 32289 220835 237312 44054 44054 19242095 19956972 2404897 2152168 5457656 5818248 7862553 7970416 X 10088498 10697577 579527 577462 711517 711517 11379542 11986556 19242095 19956972 628462 -21448 0 X X 0 1 X 1 0 X 22785378 20599720 21847021 24619008 25298562 115149689 22785378 20599720 21847021 24619008 25298562 115149689 115149689 6243 331 90 22465 24744 53873 176796 188777 263675 18648 42286 690182 115893744 0.99360 0.98960 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: INSURANCE PROCEEDS MISCELLANEOUS INCOME LEGAL SETTLEMENT REAL ESTATE TAX REFUND 711517 39574 17960 733131 711517 30656 30656 711517 708890 11848 10522 19743 711517 224298 499669 8700 13550 10227 708890 200000 34155 9857 224298 0.97050 0.02950 0 0 1821854 1821854 17176082 6166118 11009964 20373 3011 17362 2930233 2098213 832020 13681200 X 21201256 -21448 413075 391627 20809629 0 20809629 20594242 413075 413075 20181167 0 20181167 PART V, LINE 4: CHAI LIFELINE'S PERMANENTLY RESTRICTED NET ASSETS CONSIST OF TWO ENDOWMENT FUNDS WHOSE ASSETS ARE TO BE HELD IN PERPETUITY. THE INCOME FROM THE ASSETS CAN BE USED TO SUPPORT CHAI LIFELINE'S GENERAL ACTIVITIES. PART X, LINE 2: CHAI LIFELINE HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. PERIOD ENDING DECEMBER 31, 2014 AND SUBSEQUENT REMAIN SUBJECT TO EXAMINATION BY APPLICABLE TAXING AUTHORITIES. 1 0 0 0 0 0 0 0 0 0 EUROPE (INCLUDING ICELAND & GREENLAND) FINANCIAL ASSITANCE 10000 WIRE TRANSFER 1 0 0 0 0 0 0 0 BIKE 4 CHAI 6843907 6843907 386628 333015 23736 829615 NEW YORK DINNER 2277337 2181197 96140 93520 123040 23950 206691 15 6923582 6807002 116580 531428 376774 25685 1814310 16044826 15832106 212720 1011576 832829 73371 2850616 4768392 -4555672 1 AMERICAN FRIENDS OF CHAIYANU 151 WEST 30TH STREET NEW YORK NY 10001 311718648 501(C)3 333750 FINANCIAL ASSISTANCE CONGREGATION CHAI LIFELINE 151 WEST 30TH STREET NEW YORK NY 10001 412100349 501(C)3 157526 FINANCIAL ASSISTANCE CHAI LIFELINE CHILDREN'S FUND 151 WEST 30TH STREET NEW YORK NY 10001 412100349 501(C)3 109730 FINANCIAL ASSISTANCE 3 0 FINANCIAL ASSISTANCE 343 648309 PART I, LINE 2: CASE MANAGERS SUBMIT A RECOMMENDATION, WHICH ARE SUBSEQUENTLY APPROVED BY THEIR RESPECTIVE SUPERVISORS ANY AMOUNT ABOVE $5,000 MUST BE APPROVED BY THE EXECUTIVE VICE PRESIDENT. ALL RECORDS ARE APPROPRIATLY MAINTAINED. X 1 1 X X X X 0 0 0 0 0 0 0 1 0 STEPHEN SCHOLAR EXECUTIVE VICE PRESIDENT 251626 0 70000 0 47473 0 8513 0 80069 0 457681 0 0 0 ABRAHAM COHEN EXECUTIVE DIRECTOR 203964 0 0 0 1088 0 7536 0 74292 0 286880 0 0 0 ISRAEL FRIED REGIONAL DIRECTOR 199419 0 66356 0 2461 0 7502 0 71506 0 347244 0 0 0 LEVI KATLOWITZ DIRECTOR COMMUNITY DEVELOPMENT 178067 0 30000 0 4587 0 5812 0 73588 0 292054 0 0 0 ARYE ADEST REGIONAL DIRECTOR 170030 0 17000 0 1791 0 5374 0 69741 0 263936 0 0 0 RANDI GROSSMAN REGIONAL DIRECTOR 156935 0 0 0 4850 0 4933 0 2633 0 169351 0 0 0 GALIT REICHLIN DIRECTOR, MAJOR GIFTS 147233 0 0 0 11900 0 2158 0 30802 0 192093 0 0 0 PART I, LINE 7 BONUSES ARE GIVEN WITH THE APPROVAL OF THE COMPENSATION COMMITTEE BASED ON MERIT. X 18 126688 FAIR MARKET VALUE X TOYS AND MERCHANDISE 106 172202 COST X TRANSPORTATION 20596 54067 IRS ALLOWABLE RATE 0 0 0 PART I, COLUMN (B): LISTED NUMBER OF CONTRIBUTIONS FORM 990, PART VI, SECTION B, LINE 11B THE AUDIT COMMITTEE MEETS WITH MANAGEMENT AND APPROPRIATE REPRESENTATIVES OF THE PREPARER TO REVIEW THE FORM 990 DRAFT AND MAKE ANY CHANGES THEY DEEM NECESSARY. THE AUDIT COMMITTEE THEN PROVIDES THE MEMBERS OF THE BOARD OF DIRECTORS WITH THE OPPORTUNITY TO RECEIVE AND REVEIW THE DOCUMENT BEFORE SUBMISSION TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION INQUIRES ANNUALLY FROM EACH OFFICER INDIVDUALLY WHETHER OR NOT THEY HAVE ANY INTERESTS IN THE ORGANIZATION WHICH CONSTITUTE A CONFLICT. IF A CONFLICT WERE TO BE FOUND, THE CONFLICTED PERSON WOULD BE RECUSED FROM MATTERS RELATING TO HIS/HER POSSIBLE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 AN INDEPENDENT COMPENSATION CONSULTANT AND COMPENSATION SURVEY ARE USED TO DETERMINE COMPENSATION. THIS PROCESS WAS LAST PERFORMED IN 2016. FORM 990, PART VI, SECTION C, LINE 19 A COPY OF THE MOST RECENT AUDITED FINANCIAL STATEMENTS OF CHAI LIFELINE IS AVAILABLE ON OUR WEBSITE. THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR