2020-11-12T08:44:56-06:00 2019-12-31 113360065 ROTH & COMPANY LLP 1428 36TH STREET SUITE 200 BROOKLYN NY 11218 990 2019-01-01 112940331 CHAI LIFELINE INC CHAI 2124651300 151 WEST 30TH STREET NO 7TH FL NEW YORK NY 10001 STEPHEN SCHOLAR CHIEF EXECUTIVE OFFICER 2124651300 2020-11-05 1 ZACHARIA WAXLER P00502633 7182361600 2020-11-05 192.73.80.18 2020-11-05 11:00:18 ES P B5B5CDB99436E71A50CF93AA42E123FA974F916E B5B5CDB99436E71A50CF93AA42E123FA974F916E 2019 2021-01-29 14:40:06Z STEPHEN SCHOLAR 151 WEST 30TH STREET 7TH FLOOR NEW YORK NY 10001 28954397 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. 20 18 274 5000 0 0 27486084 28748959 0 0 1453 1257 -4754535 -4910011 22733002 23840205 1130284 917275 0 0 10741321 11575407 0 0 2608005 10676469 10987890 22548074 23480572 184928 359633 22075244 22623677 9892565 10074913 12182679 12548764 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 5148521 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 2019, 504 CAMPERS ATTENDED CAMP SIMCHA/CAMP SIMCHA SPECIAL. 4937583 4261 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 2019, CHAI LIFELINE PROVIDED EMOTIONAL, SOCIAL, AND FINANCIAL SUPPORT TO 5,904 FAMILIES THROUGH REFERRALS, INFORMATION AND ADVOCACY CONTACTS; 8,012 VOLUNTEER VISITS RAISED SPIRITS AND OFFERED NEEDED RESPITE TO PARENTS STANDING VIGIL AT CHILDREN'S BEDSIDES; 12,950 RIDES BY VOLUNTEERS OR CHAI LIFELINE VAN TO MEDICAL APPOINTMENTS, THUS FACILITATING TREATMENT COMPLIANCE; 69,170 HOT MEALS THAT WERE TASTY ALTERNATIVES TO HOSPITAL FOOD FOR PATIENTS AND ALLOWED CAREGIVERS TO EAT NUTRITIOUSLY WITHOUT LEAVING A CHILD'S BEDSIDE; 1,542 HOURS OF INSURANCE ADVOCACY THAT HELPED 300 FAMILIES UNDERSTAND THEIR COVERAGE, FIGHT DENIALS AND TURNDOWNS, AND COMPLETE PAPERWORK ACCURATELY; AND 484 OVERNIGHT VISITS AT THE CHAI HOUSE FOR FAMILIES WITH LOVED ONES AT THE CHILDREN'S HOSPITAL OF PHILADELPHIA. 8491202 503213 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, 460 BIG BROTHERS AND SISTERS WERE MENTORS TO ILL CHILDREN AND SIBLINGS. 287 RECREATIONAL ACTIVITIES 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. 913 HOURS OF COUNSELING HELPED FAMILIES RETURN TO PREVIOUS LEVELS OF FUNCTIONING. MORE THAN 560 HOURS OF TUTORING AND WEBCAM CONNECTIONS BETWEEN SCHOOL ROOMS AND HOSPITAL ROOMS EASED THE WAY BACK TO SCHOOL FOR CHILDREN INCAPACITATED BY ILLNESS. 1,836 CRISIS INTERVENTION WORKSHOPS, PRESENTATIONS, AND MEETINGS WITH FAMILIES, SCHOOLS, AND COMMUNITY ORGANIZATIONS. 409801 409801 409801 409801 18987107 1 1 0 0 0 0 0 0 0 1 1 1 0 0 1 1 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 0 0 0 0 1 9 0 1 274 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 20 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 STEPHEN SCHOLAR 2124651300 151 WEST 30TH STREET 7TH FLOOR NEW YORK NY 10001 LARRY SPEIWAK CO-CHAIRMAN OF THE BOARD 1.00 X X 0 0 0 JOSEPH SPRUNG CHAIRMAN OF THE EXECUTIVE 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 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 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 X 294729 0 66153 ABRAHAM COHEN EXECUTIVE DIRECTOR 50.00 X X 231762 0 14465 ISRAEL FRIED REGIONAL DIRECTOR 50.00 X 232977 0 7023 LEVI KATLOWITZ DIRECTOR COMMUNITY DEVELOP 50.00 X 243036 0 6345 ARYE ADEST REGIONAL DIRECTOR 50.00 X 204322 0 3874 RANDI GROSSMAN REGIONAL DIRECTOR 50.00 X 165327 0 2490 MATTHEW YANIV DIRECTOR, MARKETING 50.00 X 174719 0 12126 1546872 0 112476 24 0 1 0 BB CYCLING EVENTS LLC PO BOX 244 AMENIA FL 12501 EVENT ORGANIZER 281685 CATERING BY MC 1427 EAST 34TH STREET BROOKLYN NY 11210 CATERING 109350 2 17936728 30000 10782231 2369750 28748959 1257 1257 150920 17936728 5114192 -4963272 -4963272 MISCELLANEOUS 900099 53261 53261 53261 23840205 0 0 -4908754 409801 409801 507474 507474 633306 435458 152030 45818 8951055 7264431 775898 910726 190862 142747 24197 23918 1078559 797635 182119 98805 721625 581398 76649 63578 15930 15930 58600 58600 1275609 591667 18828 665114 289880 108469 3550 177861 2470844 1989647 232294 248903 210912 147439 15994 47479 1206248 1032748 111981 61519 1407065 1181243 141551 84271 400401 357658 42743 981407 978877 2530 237255 222630 14160 465 FOOD SERVICES 1904845 1772788 12666 119391 EVENTS AND ENTERTAINMEN 365502 325254 2158 38090 BAD DEBT 134926 134926 28466 4817 1582 22067 23480572 18987107 1885460 2608005 1447281 743890 4720692 4587805 154570 135766 24500510 10269844 14668384 14230666 717 33301 1038851 2843000 44749 49249 22075244 22623677 2656851 2546616 7103718 6955629 0 360833 131996 211835 9892565 10074913 X 11471162 11837247 711517 711517 12182679 12548764 22075244 22623677 359633 6452 0 X X 0 1 X 1 0 X 21847021 24619008 25298562 27676304 28899879 128340774 21847021 24619008 25298562 27676304 28899879 128340774 128340774 90 22465 24744 1453 1257 50009 263675 18648 42286 11760 53261 389630 128780413 0.99660 0.99520 X SCHEDULE A, PART II, LINE 10 EXPLANATION FOR OTHER INCOME: MISCELLANEOUS INCOME REAL ESTATE TAX REFUND RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 711517 711517 733131 21614 711517 711517 39574 17960 733131 711517 30656 30656 711517 708890 11848 10522 19743 711517 1.00000 0 0 1874107 1874107 18974843 7499631 11475212 342170 57597 284573 3309390 2712616 596774 14230666 REAL ESTATE 2843000 C 2843000 DEFERRED RENT 211835 211835 X 24252682 6452 406025 412477 23840205 0 23840205 23886597 406025 406025 23480572 0 23480572 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. PERIODS ENDING DECEMBER 31, 2015 AND SUBSEQUENT REMAIN SUBJECT TO EXAMINATION BY APPLICABLE TAXING AUTHORITIES. 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. X BIKE 4 CHAI 8765651 8765651 359194 412334 59415 1481219 NEW YORK DINNER 2121287 2016787 104500 128979 146632 14600 190623 8 7200710 7154290 46420 813958 469214 59085 978939 18087648 17936728 150920 1302131 1028180 133100 2650781 5114192 -4963272 1 AMERICAN FRIENDS OF CHAIYANU INC 151 WEST 30TH STREET NEW YORK NY 10001 311718648 501(C)3 213931 FINANCIAL ASSISTANCE CONGREGATION CHAI LIFELINE 151 WEST 30TH STREET NEW YORK NY 10001 412100349 501(C)3 195870 FINANCIAL ASSISTANCE 2 FINANCIAL ASSISTANCE 360 507474 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 STEPHEN SCHOLAR CHIEF EXECUTIVE OFFICER 294729 0 0 0 0 0 0 0 79254 0 373983 0 0 0 ABRAHAM COHEN EXECUTIVE DIRECTOR 211762 0 20000 0 0 0 0 0 75189 0 306951 0 0 0 ISRAEL FRIED REGIONAL DIRECTOR 202977 0 30000 0 0 0 0 0 85808 0 318785 0 0 0 LEVI KATLOWITZ DIRECTOR COMMUNITY DEVELOP 188036 0 55000 0 0 0 0 0 79706 0 322742 0 0 0 ARYE ADEST REGIONAL DIRECTOR 179322 0 25000 0 0 0 0 0 72963 0 277285 0 0 0 RANDI GROSSMAN REGIONAL DIRECTOR 165327 0 0 0 0 0 0 0 6713 0 172040 0 0 0 MATTHEW YANIV DIRECTOR, MARKETING 164623 0 10096 0 0 0 0 0 23495 0 198214 0 0 0 PART I, LINE 7 BONUSES ARE GIVEN WITH THE APPROVAL OF THE COMPENSATION COMMITTEE BASED ON MERIT. X 2 2055000 FAIR MARKET VALUE X PROFESSIONAL SERVICES 32 406025 COST X SUPPLIES 96 263109 COST X TRANSPORTATION 678 51641 IRS ALLOWABLE RATE 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. FORM 990, PART XII, LINE 2C: NO CHANGE