2021-11-15T11:35:15-06:00 2020-12-31 113360065 ROTH & COMPANY LLP 1428 36TH STREET SUITE 200 BROOKLYN NY 11218 990 2020-01-01 112940331 CHAI LIFELINE INC CHAI 2124651300 151 WEST 30TH STREET NO 7TH FL NEW YORK NY 10001 STEPHEN SCHOLAR CHIEF EXECUTIVE OFFICER 2124651300 2021-11-14 1 STEPHEN SCHOLAR 999009999 ZACHARIA WAXLER P00502633 7182361600 2021-11-11 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z STEPHEN SCHOLAR 151 WEST 30TH STREET 7TH FLOOR NEW YORK NY 10001 27609953 0 X CHAILIFELINE.ORG X 1988 NY CHAI LIFELINE IS AN INTERNATIONAL HEALTH SUPPORT NETWORK, PROVIDING SOCIAL, EMOTIONAL, FINANCIAL AND PRACTICAL ASSISTANCE TO CHILDREN, FAMILIES AND COMMUNITIES FACING ILLNESS, CRISIS, OR LOSS. CHAI LIFELINE OFFERS MORE THAN TWO-DOZEN YEAR-ROUND PROGRAMS AND SERVICES, INCLUDING CASE MANAGEMENT AND COUNSELING; MEALS DELIVERED TO HOSPITALS AND HOMES; TRANSPORTATION TO MEDICAL APPOINTMENTS; HOSPITAL AND IN-HOME RESPITE; EMERGENCY FINANCIAL ASSISTANCE; INSURANCE ADVOCACY; TRIPS, RETREATS AND SPECIAL EVENTS; PROJECT CHAI CRISIS INTERVENTION, TRAUMA, AND BEREAVEMENT SUPPORT; CLINICAL INTERVENTIONS; EDUCATIONAL RESOURCES; I-SHINE AFTERSCHOOL PROGRAMMING; AND ITS FLAGSHIP SUMMER PROGRAMS CAMP SIMCHA, CAMP SIMCHA SPECIAL, AND CAMP SIMCHA WITHOUT BORDERS FOR CHILDREN AND TEENS WITH LIFE-THREATENING AND LIFELONG ILLNESS. 18 18 200 3300 0 0 28748959 26295874 0 0 1257 -856728 -4910011 -2549174 23840205 22889972 917275 825069 0 0 11575407 11907008 0 0 2586355 10987890 9274756 23480572 22006833 359633 883139 22623677 18906274 10074913 5474371 12548764 13431903 X CHAI LIFELINE IS AN INTERNATIONAL HEALTH SUPPORT NETWORK, PROVIDING SOCIAL, EMOTIONAL, FINANCIAL AND PRACTICAL ASSISTANCE TO CHILDREN, FAMILIES AND COMMUNITIES FACING ILLNESS, CRISIS, OR LOSS. CHAI LIFELINE OFFERS MORE THAN TWO-DOZEN YEAR-ROUND PROGRAMS AND SERVICES, INCLUDING CASE MANAGEMENT AND COUNSELING; MEALS DELIVERED TO HOSPITALS AND HOMES; TRANSPORTATION TO MEDICAL APPOINTMENTS; HOSPITAL AND IN-HOME RESPITE; EMERGENCY FINANCIAL ASSISTANCE; INSURANCE ADVOCACY; TRIPS, RETREATS AND SPECIAL EVENTS; PROJECT CHAI CRISIS INTERVENTION, TRAUMA, AND BEREAVEMENT SUPPORT; CLINICAL INTERVENTIONS; EDUCATIONAL RESOURCES; I-SHINE AFTERSCHOOL PROGRAMMING; AND ITS FLAGSHIP SUMMER PROGRAMS CAMP SIMCHA, CAMP SIMCHA SPECIAL, AND CAMP SIMCHA WITHOUT BORDERS FOR CHILDREN AND TEENS WITH LIFE-THREATENING AND LIFELONG ILLNESS. 0 0 3716560 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. IN 2020, 117 CAMPERS ATTENDED CAMP SIMCHA/CAMP SIMCHA SPECIAL. 4549911 2982 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 2020, CHAI LIFELINE PROVIDED EMOTIONAL, SOCIAL, AND FINANCIAL SUPPORT TO 5,995 FAMILIES THROUGH REFERRALS, INFORMATION AND ADVOCACY CONTACTS; 8,970 VOLUNTEER VISITS RAISED SPIRITS AND OFFERED NEEDED RESPITE TO PARENTS STANDING VIGIL AT CHILDREN'S BEDSIDES; 10,009 RIDES BY VOLUNTEERS OR CHAI LIFELINE VAN TO MEDICAL APPOINTMENTS, THUS FACILITATING TREATMENT COMPLIANCE; 60,391 HOT MEALS THAT WERE TASTY ALTERNATIVES TO HOSPITAL FOOD FOR PATIENTS AND ALLOWED CAREGIVERS TO EAT NUTRITIOUSLY WITHOUT LEAVING A CHILD'S BEDSIDE; 6,098 HOURS OF INSURANCE ADVOCACY THAT HELPED 294 FAMILIES UNDERSTAND THEIR COVERAGE, FIGHT DENIALS AND TURNDOWNS, AND COMPLETE PAPERWORK ACCURATELY; AND 436 OVERNIGHT VISITS AT THE CHAI HOUSE FOR FAMILIES WITH LOVED ONES AT THE CHILDREN'S HOSPITAL OF PHILADELPHIA. 8349512 522537 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, 705 BIG BROTHERS AND SISTERS WERE MENTORS TO ILL CHILDREN AND SIBLINGS. 287 RECREATIONAL ACTIVITIES DONE REMOTELY UTILIZING TECHNOLOGY FOR PATIENTS, SIBLINGS, PARENTS, AND FAMILIES OFFERED OPPORTUNITIES FOR FRIENDSHIP AND SUPPORT. 29 HOLIDAY PARTIES AND FAMILY DAYS GAVE 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. 620 HOURS OF COUNSELING HELPED FAMILIES RETURN TO PREVIOUS LEVELS OF FUNCTIONING. MORE THAN 603 HOURS OF TUTORING AND WEBCAM CONNECTIONS BETWEEN SCHOOL ROOMS AND HOSPITAL ROOMS EASED THE WAY BACK TO SCHOOL FOR CHILDREN INCAPACITATED BY ILLNESS. 2,130 CRISIS INTERVENTION WORKSHOPS, PRESENTATIONS, AND MEETINGS WITH FAMILIES, SCHOOLS, AND COMMUNITY ORGANIZATIONS. 610 CAMPERS ATTENDED A CAMP SIMCHA WITHOUT BORDERS PROGRAM THAT BROUGHT THE CAMP SIMCHA SPIRIT TO THOSE WHO ARE UNABLE TO ATTEND OUR OVERNIGHT SUMMER CAMP. 299550 299550 299550 299550 16915533 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 76 0 1 200 1 0 0 0 0 0 0 0 0 0 0 0 0 X 18 18 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 X STEPHEN SCHOLAR 2124651300 151 WEST 30TH STREET 7TH FLOOR NEW YORK NY 10001 LARRY SPEIWAK CHAIRMAN OF BOARD 1.00 X X 0 0 0 JOSEPH SPRUNG CHAIRMAN OF THEEXECUTIVE COMMITTEE 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 SOLOMON MAYER PRESIDENT 1.00 X X 0 0 0 MORDY ROTHBERG PRESIDENT 1.00 X X 0 0 0 DAVID KLEIN 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 JOSEPH HAMMER BOARD MEMBER 1.00 X 0 0 0 ELLIOT MOSKOWITZ BOARD MEMBER 1.00 X 0 0 0 BRIAN HAIMM BOARD MEMBER 1.00 X 0 0 0 ABIE MALEH BOARD MEMBER 1.00 X 0 0 0 ELI SCHRON BOARD MEMBER 1.00 X 0 0 0 AVIGAIL ROSEMORE BOARD MEMBER 1.00 X 0 0 0 ALAN SHAMAH BOARD MEMBER 1.00 X 0 0 0 STEPHEN SCHOLAR CHIEF EXECUTIVE OFFICER 50.00 X 302485 0 157038 ABRAHAM M COHEN EXECUTIVE DIRECTOR 50.00 X 257183 0 101427 ISRAEL FRIED EXECUTIVE DIRECTOR B4C AND NJ REGION 50.00 X 355358 0 105019 MORDECHAI E GOBIOFF DIRECTOR OF CLIENT SERVICES 50.00 X 179861 0 96927 LEVI Y KATLOWITZ DIRECTOR OF COMMUNITY DEVELOPMENT 50.00 X 216600 0 81487 ARYE ADEST DIRECTOR OF COMMUNITY DEVELOPMENT NJ 50.00 X 202760 0 82268 MATTHEW YANIV CHIEF MARKETING OFFICER 50.00 X 195293 0 47307 YOEL D MARGOLESE BIKE4CHAI DIRECTOR 50.00 X 182690 0 83512 RANDI GROSSMAN REGIONAL DIRECTOR 50.00 X 172313 0 7335 2064543 0 762320 22 0 1 0 BB CYCLING EVENTS LLC PO BOX 244 AMENIA FL 12501 EVENT ORGANIZER 202177 REGAL LITH PRINTERS LLC 1725 OAK STREET LAKEWOOD NJ 08701 PRINTING 111757 2 16497343 1911925 7886606 526582 26295874 125 125 101430 1212524 90807 2080000 10623 -867476 -856853 -856853 0 16497343 2549174 -2549174 -2549174 22889972 0 0 -3405902 299550 299550 525519 525519 1627757 1286859 188434 152464 8658516 7133866 732768 791882 220386 165682 35190 19514 705929 502506 124919 78504 694420 557548 72446 64426 18242 12670 5572 52774 52774 785684 484322 55528 245834 516212 147519 3734 364959 1869441 1140073 218446 510922 269165 130795 26646 111724 1447172 1218574 133215 95383 778067 643730 74123 60214 310097 259859 24171 26067 883654 881833 1821 235172 216025 16975 2172 FOOD SERVICES 1133537 1069212 12916 51409 BAD DEBT 718169 718169 EVENTS AND ENTERTAINMEN 257370 252061 5309 22006833 16915533 2504945 2586355 743840 1054535 4587805 3208675 135766 18472 25721261 11147345 17073666 14573916 33351 5927 49249 44749 22623677 18906274 2546616 1610770 211835 119530 6955629 3744071 360833 10074913 5474371 X 11837247 12720386 711517 711517 12548764 13431903 22623677 18906274 883139 0 X 0 1 X 1 0 X 24619008 25298562 27676304 28899879 26295874 132789627 24619008 25298562 27676304 28899879 26295874 132789627 132789627 22465 24744 1453 1257 125 50044 18648 42286 11760 53261 125955 132965626 0.99870 0.99660 X SCHEDULE A, PART II, LINE 10 EXPLANATION FOR OTHER INCOME: MISCELLANEOUS INCOME RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 711517 711517 711517 711517 733131 21614 711517 711517 39574 17960 733131 711517 30656 30656 711517 1.00000 0 0 160071 1874107 2034178 960429 19056081 8175374 11841136 342170 88516 253654 3328403 2883455 444948 14573916 23054597 164625 164625 22889972 0 22889972 22171458 164625 164625 22006833 0 22006833 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 GENERAL ACTIVITIES. BIKE 4 CHAI 6776743 6776743 156398 132001 70767 802504 NEW YORK DINNER 2724685 2724685 43993 100000 248538 6 6995915 6995915 61222 38366 895385 16497343 16497343 156398 237216 209133 1946427 2549174 -2549174 1 AMERICAN FRIENDS OF CHAIYANU INC 151 WEST 30TH STREET NEW YORK NY 10001 311718648 501(C)3 146115 FINANCIAL ASSISTANCE CONGREGATION CHAI LIFELINE 151 WEST 30TH STREET NEW YORK NY 10001 412100349 501(C)3 153435 FINANCIAL ASSISTANCE 2 FINANCIAL ASSISTANCE 328 525519 PART I, LINE 2: CASE MANAGERS SUBMIT RECOMMENDATIONS, WHICH ARE SUBSEQUENTLY APPROVED BY THEIR RESPECTIVE SUPERVISORS. ANY AMOUNT ABOVE $5,000 MUST BE APPROVED BY THE EXECUTIVE VICE PRESIDENT. ALL RECORDS ARE APPROPRIATELY MAINTAINED. X 1 1 X X X X 0 0 0 0 0 0 0 1 0 ISRAEL FRIED EXECUTIVE DIRECTOR B4C AND NJ REGION 205358 0 150000 0 0 0 14600 0 90419 0 460377 0 0 0 STEPHEN SCHOLAR CHIEF EXECUTIVE OFFICER 302485 0 0 0 0 0 9887 0 147151 0 459523 0 0 0 ABRAHAM M COHEN EXECUTIVE DIRECTOR 214683 0 42500 0 0 0 10544 0 90883 0 358610 0 0 0 LEVI Y KATLOWITZ DIRECTOR OF COMMUNITY DEVELOPMENT 156600 0 60000 0 0 0 8708 0 72779 0 298087 0 0 0 ARYE ADEST DIRECTOR OF COMMUNITY DEVELOPMENT NJ 142760 0 60000 0 0 0 4123 0 78145 0 285028 0 0 0 MORDECHAI E GOBIOFF DIRECTOR OF CLIENT SERVICES 169861 0 10000 0 0 0 6652 0 90275 0 276788 0 0 0 YOEL D MARGOLESE BIKE4CHAI DIRECTOR 141555 0 41135 0 0 0 7329 0 76183 0 266202 0 0 0 MATTHEW YANIV CHIEF MARKETING OFFICER 185293 0 10000 0 0 0 8480 0 38827 0 242600 0 0 0 RANDI GROSSMAN REGIONAL DIRECTOR 172313 0 0 0 0 0 6910 0 425 0 179648 0 0 0 PART I, LINE 7 BONUSES ARE GIVEN WITH THE APPROVAL OF THE COMPENSATION COMMITTEE BASED ON MERIT. X 19 90807 FAIR MARKET VALUE X 3 357500 FAIR MARKET VALUE X TRANSPORTATION 655 42551 IRS ALLOWABLE RATE X SUPPLIES 31 35724 COST 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B A BOARD MEETING WAS HELD BY THE BOARD OF DIRECTORS TO PRESENT, REVIEW AND APPROVE FORM 990. FORM 990, PART VI, SECTION B, LINE 12C DIRECTORS AND OFFICERS ARE REQUIRED TO DISCLOSE ANY POTENTIAL CONFLICT OF INTEREST. FAILURE TO DISCLOSE A POTENTIAL CONFLICT OF INTEREST OR ENGAGING IN A PRACTICE DETERMINED TO BE A CONFLICT OF INTEREST MAY RESULT IN DISCIPLINARY ACTION UP TO AND INCLUDING TERMINATION. FORM 990, PART VI, SECTION B, LINE 15 AN INDEPENDENT COMPENSATION CONSULTANT AND COMPENSATION SURVEY ARE USED TO DETERMINE COMPENSATION. THIS PROCESS WAS PERFORMED IN 2018. FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST, THE PUBLIC MAY VIEW THE ORGANIZATIONS' GOVERNING AND RELATED DOCUMENTS AT THE ADDRESS LOCATED ON PAGE 1 OF FORM 990. AMERICAN FRIENDS OF CHAIYANU INC 151 WEST 30TH STREET 7TH FL NEW YORK NY 10001 311718648 PROVIDES MORAL AND FINANCIAL SUPPORT TO ILL CHILDREN AND THEIR FAMILIES NY 501(C)(3) LINE 7 CHAI LIFELINE INC 1 CONGREGATION CHAI LIFELINE 151 WEST 30TH STREET 7TH FL NEW YORK NY 10001 412100349 CONGREGATION NY 501(C)(3) LINE 1 CHAI LIFELINE INC 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 AMERICAN FRIENDS OF CHAIYANU INC B 146115 CASH CONGREGATION CHAI LIFELINE B 153435 CASH