2013-08-05T13:05:00-05:00 2012-12-31 131517563 LOEB & TROPER LLP 655 THIRD AVENUE 12TH FLOOR NEW YORK NY 10017 990 2012-01-01 133468427 The Children's Health Fund CHIL 2125359400 215 West 125th Street No 301 New York NY 10027 Karen Redlener 2125359400 2013-07-31 1 FREDERICK H ROTHMAN P01275277 2128674000 2012 2016-02-24 21:20:13Z Karen Redlener 215 West 125th Street No 301 New York NY 10027 20663323 0 X www.childrenshealthfund.org X 1988 NY To provide health care to the nation's most medically underserved children and their families. 16 14 67 1443 0 0 16006867 16994440 0 0 280075 299855 -310159 -533490 15976783 16760805 6813731 8649829 0 0 5230853 4819708 137600 77464 1576007 3047895 3169325 15230079 16716326 746704 44479 19198776 19775019 10268140 10365705 8930636 9409314 X Children's Health Fund (CHF) is committed to providing health care to the nation's most medically-underserved children and adolescents by 1) Developing a national network of health care programs that operate in urban and rural communities, 2) Reducing the impact of public health crises on children, and 3) Promoting the health and well-being of all children. 0 0 6122900 3686747 National Programs The 25 health care programs in Children's Health Fund's national network brought high quality health care services to some of our nation's most vulnerable children and families, regardless of ability to pay. From long-suffering urban communities like Detroit and South Los Angeles to rural programs in West Virginia and central Idaho, our programs reached just under 85,000 children and family members (84,138) through 250,695 health care visits. 4630935 3492399 New York Programs In New York City, home to CHF's Flagship program, low-income and homeless families reaped the benefits of recent capital expansion, conducted in partnership with Montefiore Medical Center, which included the opening of the Center for Child Health and Resiliency in the South Bronx and the launch of a new mobile dental clinic. In 2012, the New York Flagship Program's doctors, nurses, dentist, mental health providers and nutritionists cared for 11,247 homeless and vulnerable children and family members in over 65,000 health care visits. 1668469 1470683 Public Health & Crisis Response CHF works in collaboration with Columbia University's National Center for Disaster Preparedness to ensure that the needs of children are addressed in preparing for, responding to and recovering from major disasters. In addition, in 2012, CHF's New York Flagship Program and our New Jersey Children's Health Project responded to Hurricane Sandy. In the immediate aftermath of the storm, doctors and nurses from these programs treated injuries inflicted during the hurricane and the clean-up, as well as asthma exacerbations worsened by cold and damp conditions. Even as the region began to rebuild, CHF continued to provide medical, mental health and resiliency services to support families hardest hit by the storm. 1613433 Public Education and Awareness CHF provides a voice for low-income and homeless children, helping to keep a spotlight on the health care needs of our nation's poorest and most vulnerable residents. We work with media and federal, state and local lawmakers to keep the health care needs of our children on the forefront of the nation's health policy agenda, and collaborate with many private sector advocates including child health advocacy groups, health policy experts and health providers to form coalitions focused on children's well-being. 1613433 14035737 1 1 0 1 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0 0 0 0 1 1 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 17 0 67 1 0 0 0 0 0 1 1 0 0 0 0 X 16 14 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY AL AK AZ AR CA CO CT FL GA IL KS KY ME MD MA MI MN MS MO NH NJ NM NC ND OH OK OR PA RI SC TN UT VA WA WV WI X X Carlos Rivera Controller 2125359400 215 West 125th Street New York NY 10027 Irwin Redlener 25.00 X X 242962 0 0 Karen Redlener 24.00 X X 115000 0 0 Robert F Tannenhauser 1.50 X X 0 0 0 Jeffrey S Maurer 1.50 X X 0 0 0 Paul Simon 1.50 X 0 0 0 Robert Essner 1.50 X 0 0 0 Honorable David Dinkins 1.50 X 0 0 0 Robert C Osborne 1.50 X 0 0 0 W Robert Friedman Jr 1.50 X 0 0 0 Samuel A Keesal 1.50 X 0 0 0 Sean Cassidy 1.50 X 0 0 0 Jane Pauley 1.50 X 0 0 0 Rock Positano 1.50 X 0 0 0 Alex Karnal 1.50 X 0 0 0 Herve Dedky 1.50 X 0 0 0 Paul Maddon 1.50 X 0 0 0 Lawrence Boord 37.50 X 133467 0 31531 Jeb Weisman 37.50 X 177766 0 28261 Carol Sumkin 37.50 X 169220 0 33705 Delaney Gracy 37.50 X 163838 0 31352 Colby Kelly 37.50 X 149381 0 6534 Dennis Johnson 37.50 X 129106 0 29022 1280740 0 160405 8 0 1 0 Farber Specialty Vehicle 7052 Americana Parkway Columbus OH 43068 Vehicle construction 229800 MBO Partners PO BOX 202056 Dallas TX 75320 Business services consultant 105582 2 2565339 14429101 101400 16994440 304695 304695 3131028 4960 3067728 73100 63300 -68140 -4840 -4840 228200 2565339 761690 -533490 -533490 16760805 0 0 -233635 8649829 8649829 538874 205222 297208 36444 3318274 2234279 263169 820826 131171 82321 12285 36565 535610 333094 54561 147955 295779 175954 41669 78156 34791 34791 50000 50000 98959 98959 77464 77464 343453 280520 24820 38113 253343 143106 45250 64987 493896 264360 115949 113587 34307 19379 6128 8800 331993 206822 50064 75107 181077 157452 7458 16167 186609 162263 7685 16661 1050408 953576 78557 18275 110489 68601 14988 26900 16716326 14035737 1104582 1576007 300 300 3516463 1004002 6371357 9782633 153039 139442 10562581 8177727 3020945 2384854 5876510 6309373 260162 154415 19198776 19775019 212460 442640 10055680 9923065 10268140 10365705 X 4764494 5293199 2166142 2116115 2000000 2000000 8930636 9409314 19198776 19775019 X 44479 426846 7353 X X 0 1 X 1 0 X 25164120 18516165 13928979 16006867 16994440 90610571 25164120 18516165 13928979 16006867 16994440 90610571 12615270 77995301 51911 251282 304856 302154 304695 1214898 91825469 0.84940 0.87600 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 40629 98959 139588 16576738 16716326 985816 246454 0 0 1000000 899400 911504 985816 3796720 5695080 164082 260647 187271 139588 751588 250000 224850 227876 246454 949180 1423770 47884 58097 25462 40629 172072 5521446 785297 44911 6261832 5900060 -78614 300000 5521446 5501495 698565 300000 5900060 3791188 700000 1010307 5501495 5104764 -1313576 3791188 0.68000 0.32000 0 0 3158034 2887033 271001 7284511 5196105 2088406 120036 94589 25447 2384854 X 17195004 7353 7353 17187651 -426846 -426846 16760805 16716326 0 16716326 0 16716326 Description of Intended Use of Endowment Funds: Part V, Line 4: To have funds available for future emergencies and other unforseen events. Description of Uncertain Tax Positions Under FIN 48: Part X, Line 2: CHF has determined that there are no material uncertain tax positions that require recognition or disclosure in the financial statements. Periods ending December 31, 2009 and subsequent remain subject to examination by applicable taxing authorities. Part XI, Line 2d - Other Adjustments: Change in beneficial interest in lead trust 7,353. Part XI, Line 4b - Other Adjustments: Net gain on investments -426,846. X X X X X X X 1 ER Events Design Inc 208 West 80th Street Suite 1E New York NY 10024 Gala consultant 0 2793539 44500 2749039 Campbell & Company 1 East Wacker Drive Suite 3350 Chicago IL 60601 Strategic planning consultant 0 0 32964 0 2793539 77464 2749039 AL AK AZ AR CA CO CT FL GA IL KS KY ME MD MA MI MN MS MO NH NJ NM NY NC ND OH OK OR PA RI SC TN UT VA WA WV WI 2012 Gala 2793539 2565339 228200 398120 111296 252274 2793539 2565339 228200 398120 111296 252274 761690 -533490 Explanation of Fundraising Payments Schedule G, Part I, Line 2b, Column (v) CHF reimbursed E+R Events Design Inc. $7,133 and Campbell & Company $10,575 for office expenses and additional personnel expenses incurred by the consultants in addition to the consulting fees. 1 New York Prebyterian Hospital 525 East 68th Street Box 156 New York NY 10032 133957095 501(c)(3) 340046 Harlem Children's Health Project Montefiore Medical Center 853 Longwood Ave 2nd FL Bronx NY 10459 131740014 501(c)(3) 3514488 23442 Fair Market Value Medical Supplies New York and South Bronx Children's Health Projects Coastal Family Health Center PO Box 475 Biloxi MS 39533 640592416 501(c)(3) 282000 26260 Fair Market Value Medical Supplies Mississippi Gulf Coast Children's Health Project Tulane University 800 commerce Rd Suite Harahan LA 70805 720423889 501(c)(3) 542278 New Orleans Children's Health Project Our Lady of The Lakes Regional Medical Center 5228 Dijon Baton Rouge LA 70808 720423651 501(c)(3) 167000 New Orleans Children's Health Project Louisiana State University 5825 Airline highway LA 70805 Baton Rouge LA 70805 726087770 501(c)(3) 197000 5713 Fair Market Value Medical Supplies Baton Rouge Children's Health Project Trustees of Columbia University 1700 Broadway 10th FL MC7409 New York NY 10019 135598093 501(c)(3) 1000000 Pediatric Public Health Initiative Parkland Foundation 2777 Stemmons Freeway Dallas TX 75207 756004221 501(c)(3) 170000 15750 Fair Market Value Medical Supplies Dallas Children's Health Project University of Chicago Comer Children's Hospital 5721 S Maryland Avenue Chicago IL 60637 362177139 501(c)(3) 72000 Chicago Children's Health Project Orlando Regional Healthcare 601 West Michigan Street Orlando FL 32805 591726273 501(c)(3) 120800 Orlando Children's Health Project Cedars-Sinai Medical Center 8701 West 3rd Street Suite 210 Los Angeles CA 90048 951644600 501(c)(3) 135000 9000 Fair Market Value Medical Supplies Los Angeles Children's Health Project University of Miami Pediatric 1601 NW 12th Avenue Rm4066 Miami FL 33136 592579927 501(c)(3) 255000 South Florida Children's Health Project Chiricahua Community Health Center 1100F Avenue Douglas AZ 85607 860814898 501(c)(3) 178620 Southern Arizona Children's Health Project Children's National Medical Center 1901 Mississippi Avenue SE Washington DC 20020 521640402 501(c)(3) 85000 Children's Health Project of D.C. Family Health Services 794 Eastland drive Twin Falls ID 83301 820371093 501(c)(3) 68000 Idaho Children's Health Project Aaron E Henry Comm Health Care 510 Highway 322 Claksdale MS 38614 640624495 501(c)(3) 140000 Mississippi Children's Health Project UMDNJ Foundation 65 Bergen Street Newark NJ 07107 237313160 501(c)(3) 222527 New Jersey Children's Health Project Phoenix Children's Hospital 1919 East Thomas Rd Phoenix AZ 85016 860422559 501(c)(3) 135000 19118 Fair Market Value Medical Supplies Phoenix Children's Health Project National Nursing Center 260 South Broad St 18th FL Philadephia PA 19102 010560081 501(c)(3) 50000 Referral Management Initiative Lucille Packard Foundation 725 Welch Road M/C 5523 Palo Alto CA 94304 770003859 501(c)(3) 122000 San Francisco Children's Health Project Marshall University 1600 Medical Center Dr Huntington WV 27501 550683361 501(c)(3) 79630 West Virginia Children's Health Project Dell Children's Medical Center 4900 Mueller Blvd Austin TX 78723 741109643 501(c)(3) 100050 Austin Children's Health Project Le Bonheur Children's Hospital 2400 Union Avenue Ste500 Memphis TN 38112 621251288 501(c)(3) 152000 Memphis Regional Children's Health Project Henry Ford Health System Office of Philanthrophy Henry Ford System 1 Ford Place 5A Detroit MI 48202 381357020 501(c)(3) 200000 Children's Health Project of Detroit Telluride Foundation 620 Mountain Village Blvd Telluride CO 81435 841530768 501(c)(3) 10000 Colorado Children's Health Project Columbia University Sch Of Dental Medicine 60 W 168 StreetPS 3-454E New York NY 10032 135598093 501(c)(3) 212107 Harlem Children's Health Project 26 0 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: CHF does regular financial and clinical needs assessments related to its grant recipients and maintains records to substantiate amounts of grants. We review the distribution of annual awards to our 24 partner organizations as well as our 2 affiliates and we maintain that schedule on an annual basis and reconcile with accounting books. We assess the needs of a program to provide core services as a primary care organization. Additionally, we support enhanced medical home services including mental and oral health care. We look at the costs required by the partner organization for core services and we prioritize our grant awards to maintain such service and then we do a similar process for enhanced services. CHF defines impact of each program by monitoring encounter data and specific deliverables that are required from various funding sources. For example, if an organization receives dollars for our referral management program which supports patient access to subspecialty care, we require that they report on the number of patients who received such services. To the extent they receive unrestricted funds they are required to report on their overall encounters on a bi-annual basis. X 1 1 X X X X X 0 0 0 0 0 0 0 0 0 Irwin Redlener 242962 0 0 0 0 0 0 0 0 0 242962 0 0 0 Lawrence Boord 133467 0 0 0 0 0 7210 0 24321 0 164998 0 0 0 Jeb Weisman 177766 0 0 0 0 0 9384 0 18877 0 206027 0 0 0 Carol Sumkin 169220 0 0 0 0 0 8750 0 24955 0 202925 0 0 0 Delaney Gracy 163838 0 0 0 0 0 6594 0 24758 0 195190 0 0 0 Colby Kelly 149381 0 0 0 0 0 0 0 6534 0 155915 0 0 0 Dennis Johnson 129106 0 0 0 0 0 6262 0 22760 0 158128 0 0 0 Part I, Line 1a Irwin Redlener, President, was reimbursed for internet access, telephone and home office expenses. These payments were not treated as taxable compensation. X 2 52228 cost X Airline tickets 1 25000 cost X Supplies 1 24172 cost 0 0 0 Method for Determining Number of Contributors: Part I, Column (b): Reporting is based on the number of contributors. Form 990, Part VI, Section A, line 2 The President, Irwin Redlener, and the Secretary/Executive Director, Karen Redlener, have a family relationship. Form 990, Part VI, Section B, line 11 The Controller and Executive Director review and present the completed form 990 to the Finance Committee, who are given the opportunity to ask questions and present comments. The full Board of Directors then votes to accept the 990 for signature by the Executive Director. Form 990, Part VI, Section B, line 12c Board Members and key management personnel must annually sign a document disclosing any potential conflicts of interest. If they have no conflicts, they must sign to that effect. Potential conflicts are discussed at the appropriate committee meeting and a decision on how to handle the potential conflict is voted on in the absence of the relevant individual. Form 990, Part VI, Section B, line 15 Compensation surveys are utilized every few years to determine officer salaries and all officer salaries are reviewed on an annual basis by the Board of Directors as part of the budget review process. Compensation surveys were last undertaken in 2011. Form 990, Part VI, Section C, line 19 These documents are available upon request. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 9: Change in beneficial interest in lead trust 7,353. Form 990, Part XII, line 2c: The process has not changed from the prior year.