2022-09-14T08:07:20-05:00 2021-12-31 222978848 BEDERSON LLP 100 PASSAIC AVENUE - SUITE 310 FAIRFIELD NJ 07004 990 2021-01-01 136844298 CHILDREN'S SPECIALIZED HOSPITAL FOUNDATION INC CHIL 9083015410 150 NEW PROVIDENCE ROAD MOUNTAINSIDE NJ 07092 PHILIP SALERNO III PRESIDENT AND CHIEF DVLPMNT OFFICER 9083015410 2022-09-14 PHILIP SALERNO III 999009999 MICHAEL CARO P01418714 9737363333 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z PHILIP SALERNO III 150 NEW PROVIDENCE AVENUE MOUNTAINSIDE NJ 07092 49886815 0 X WWW.CHILDRENS-SPECIALIZED.ORG X 1985 NJ FUNDRAISING 25 25 0 0 0 0 16163605 12161796 0 0 4921627 12033788 682068 886002 21767300 25081586 13524469 12322044 0 0 2746284 2790256 0 0 0 1370212 1765184 17640965 16877484 4126335 8204102 118333795 126961468 6456603 6530908 111877192 120430560 TO RAISE FUNDS TO HELP SUPPORT CHILDREN'S SPECIALIZED HOSPITAL FOUNDATION AND ORGANIZATIONS WITH SIMILAR PURPOSES 0 0 16215758 12322044 CHILDREN'S SPECIALIZED HOSPITAL FOUNDATION IS A TAX EXEMPT ORGANIZATION OPERATED TO RAISE FUNDS FOR CHILDREN'S SPECIALIZED HOSPITAL (CSH) AND ORGANIZATIONS WITH SIMILAR PURPOSES. CSH IS A NON-PROFIT, PEDIATRIC REHABILIATION HOSPITAL AND PEDIATRIC LONG TERM CARE FACILITY. UPON OBTAINING FUNDS, THE FOUNDATION INVESTS THESE ASSETS AND THE INTEREST AND PRINCIPAL ARE USED FOR EDUCATIONAL, SCIENTIFIC AND CHARITABLE PURPOSES CARRIED OUT BY ORGANIZATIONS INCLUDING CSH AND THOSE WITH SIMILAR MISSIONS. THE FOUNDATION HOLDS VARIOUS EVENTS THROUGHOUT THE YEAR THAT BENEFIT SPECIFIC ACTIVITIES OR NEED AS SPECIFIED BY FOUNDATION MANAGEMENT. THROUGH A RESOLUTION APPROVED BY THE FOUNDATION BOARD OF TRUSTEES ON DECEMBER 8, 2020 AND EFFECTIVE JANUARY 1, 2021, THE BOARD OF TRUSTEES OF CHILDREN'S SPECIALIZED HOSPITAL FOUNDATION RESOLVED TO UTILIZE INVESTMENTS TO FUND ANNUAL FOUNDATION OPERATIONAL EXPENSES ALLOWING 100% OF EVERY DONATION TO CHILDREN'S SPECIALIZED HOSPITAL FOUNDATION TO SUPPORT THE VITAL PROGRAMS AND SERVICES THAT ARE TRANSFORMING THE LIVES OF CHILDREN WITH SPECIAL HEALTHCARE NEEDS. 16215758 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 17 0 1 0 0 0 0 0 0 1 1 0 0 0 0 X 25 25 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 NJ X JOSEPH J DOBOSH JR 7322587052 200 SOMERSET STREET NEW BRUNSWICK NJ 08901 PHILIP SALERNO III PRESIDENT & CHIEF DVLPMNT 40.00 1.00 X 538704 0 32344 MICHELE HALL-DUNCAN VICE CHAIRMAN 1.00 X X 0 0 0 COLIN O'REILLY BOARD MEMBER 1.00 X 0 0 0 BILL ARNOLD BOARD MEMBER 1.00 X 0 0 0 LESLIE TAYLOR CHAIR 1.00 X X 0 0 0 MICHAEL LEWIS PHD BOARD MEMBER 1.00 X 0 0 0 BONNIE RODRIGUEZ BOARD MEMBER 1.00 X 0 0 0 DANIEL SPICEHANDLER BOARD MEMBER 1.00 X 0 0 0 FRED TEWELL BOARD MEMBER 1.00 X 0 0 0 CELESTE ANDRIOT WOOD BOARD MEMBER 1.00 X 0 0 0 STELLA MATTEACE-ESPOSITO TREASURER 1.00 X X 0 0 0 NICHOLAS BOCCELLA BOARD MEMBER 1.00 X 0 0 0 VICTOR VISCOMI BOARD MEMBER 1.00 X 0 0 0 MAIREAD GOETZ BOARD MEMBER 1.00 X 0 0 0 JUSTIN MAYER BOARD MEMBER 1.00 X 0 0 0 GEORGE DESTAFNEY BOARD MEMBER 1.00 X 0 0 0 ANITA SIEGEL ESQ BOARD MEMBER 1.00 X 0 0 0 VINCENT BARICAUA BOARD MEMBER 1.00 X 0 0 0 PAUL KRIEGER BOARD MEMBER 1.00 X 0 0 0 MARK MONTENERO BOARD MEMBER 1.00 X 0 0 0 JOHN NIETZEL BOARD MEMBER 1.00 X 0 0 0 MATTHEW SKURBE BOARD MEMBER 1.00 X 0 0 0 EDWARD J MKCENNA ESQ BOARD MEMBER 1.00 X 0 0 0 JOHN R BLASI ESQ BOARD MEMBER 1.00 X 0 0 0 MICHAEL MILLER SECRETARY 1.00 X X 0 0 0 MATTHEW MCDONALD CSH - PRESIDENT & CEO 1.00 40.00 X 0 0 0 JOSEPH J DOBOSH JR ASSISTANT TREASURER 1.00 40.00 X 0 0 0 PAUL BOSLAND CHAIRMAN EMERITUS 1.00 X 0 0 0 LOUIS PARENT EMERITUS TRUSTEE 1.00 X 0 0 0 FRANK VUONO HONORARY TRUSTEE 1.00 X 0 0 0 JOSEPH LAMENDOLA PHD HONORARY TRUSTEE 1.00 X 0 0 0 ALEXANDER R GIAQUINTO PHD CHAIRMAN EMERITUS 1.00 X 0 0 0 PERLA HALTNER EMPLOYEE 40.00 X 138870 0 19976 ELENA HERSKOWITZ EMPLOYEE 40.00 X 146069 0 31908 JANET LAMBERT EMPLOYEE 40.00 X 107739 0 27869 BETH ANNE DOBOSH EMPLOYEE 40.00 X 150808 0 21298 KATHERINE M CATTANI EMPLOYEE 40.00 X 138154 0 24467 1220344 0 157862 6 0 1 0 0 37720 12124076 158405 12161796 799489 799489 35805127 24570828 11234299 11234299 11234299 1099699 37720 234401 865298 865298 INCOME FROM DEFERRED COMPENSATION 525920 20704 20704 20704 25081586 11234299 0 1685491 12322044 12322044 538704 436350 102354 1761220 1426588 334632 35513 28766 6747 325789 263889 61900 129030 104514 24516 9810 9810 62995 62995 804058 763266 40792 231888 231888 76980 54656 22324 3945 3301 644 13281 13281 CAPITAL CAMPAIGNS 354760 354760 MAINTENANCE AND SOFTWAR 84617 84617 DONOR RECOGNITION EXPEN 53551 53247 304 SUPPLIES 30652 26134 4518 38647 38647 16877484 16215758 661726 0 4269137 11657012 2490454 1609357 925471 6531260 492721 386704 109886419 106465927 269593 311208 118333795 126961468 3654311 3983790 2802292 2547118 6456603 6530908 X 93540403 95663045 18336789 24767515 111877192 120430560 118333795 126961468 8204102 349266 0 X X 0 1 X 1 0 X 5317382 4572565 4867375 4827924 11688844 31274090 5317382 4572565 4867375 4827924 11688844 31274090 11429475 19844615 1289494 1310864 1530685 1366980 820193 6318216 37592306 7603752 0.52790 0.47860 X SCHEDULE A, SECTION II, SECTION THE ORGANIZATION RECEIVED BEQUEST CONTRIBUTIONS OF $435,232, WHICH ARE DEEMED TO BE "UNUSUAL GRANTS" AS A RESULT, THESE CONTRIBUTIONS WERE REMOVED FROM LINE 1 AND 5 OF SCHEDULE A, PART II, SECTION A. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 13430599 934452 2958054 11405997 12173895 1727704 471000 13430599 10518973 100 2058152 403330 12173895 11512422 660 171433 1165542 10518973 10600425 100 1332897 421000 11512422 0 0 0 DUE TO CHILDREN'S SPECIALIZED HOSPITAL 2547118 2547118 25665253 349266 234401 583667 25081586 0 25081586 17111885 234401 234401 16877484 0 16877484 Part XI, Line 2d - Other Adjustments: SPECIAL AND COMMUNITY EVENT EXPENSES NETTED AGAINST REVENUES ON FORM 990 234,401. Part XII, Line 2d - Other Adjustments: SPECIAL AND COMMUNITY EVENT EXPENSES NETTED AGAINST REVENUES ON FORM 990 234,401. WALK 249986 249986 24453 GOLF OPEN 250305 37720 212585 62973 19449 25516 1 637128 637128 67480 34530 1137419 37720 1099699 130453 19449 84499 234401 865298 1 CHILDREN'S SPECIALIZED HOSPITAL 150 NEW PROVIDENCE ROAD MOUNTAINSIDE NJ 07092 221487148 12322044 0 TO SUPPORT THE HOSPITAL IN ITS OPERATIONS X 0 1 0 0 1 0 0 0 0 PHILIP SALERNO III PRESIDENT & CHIEF DVLPMNT 394334 0 117616 0 26754 0 11600 0 20744 0 571048 0 0 0 ELENA HERSKOWITZ EMPLOYEE 146069 0 0 0 0 0 0 0 31908 0 177977 0 0 0 BETH ANNE DOBOSH EMPLOYEE 150808 0 0 0 0 0 0 0 21298 0 172106 0 0 0 KATHERINE M CATTANI EMPLOYEE 138154 0 0 0 0 0 0 0 24467 0 162621 0 0 0 PERLA HALTNER EMPLOYEE 138870 0 0 0 0 0 0 0 19976 0 158846 0 0 0 Part I, Line 4b Philip Salerno III is the beneficiary of a deferred compensation trust. Such deferred compensation is subject to a substantial risk of complete forfeiture. Accordingly, the beneficiary may never actually receive the unvested benefit amount. Current year deferred compensation plan contributions included in deferred compensation for Philip Salerno III were $25,000. The amounts reflected in Schedule J part II column F includes vested benefits in a IRC Section 457(f) (Non-Qualified Deferred compensation) as the amount no longer subject to a substantial risk of complete forfeiture. Part I, Line 5 CERTAIN INDIVIDUALS RECEIVED A BONUS DURING 2021 THAT IS INCLUDED IN COLUMN B(ii) X 81979 FAIR MARKET VALUE X 5 76426 FAIR MARKET VALUE 0 0 0 Form 990, Part VI, Section B, line 11b A copy of the 990 was emailed to the board members and discussed at a board meeting before it was filed. Form 990, Part VI, Section B, line 12c TRUSTEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST FORM ANNUALLY. Form 990, Part VI, Section B, line 15a THE COMPENSATION OF THE PRESIDENT AND CHIEF DEVELOPMENT OFFICER IS DETERMINED AFTER A REVIEW OF THE MOST RECENT ASSOCIATION OF HEALTHCARE PHILANTHROPY SALARY SURVEY. THE COMPENSATION COMMITTEE RECOMMENDS A SALARY, WHICH IS THEN PRESENTED TO THE BOARD OF TRUSTEES FOR FINAL APPROVAL. Form 990, Part VI, Section C, line 19 The organization makes its policies available to the public upon request. FORM 990, PART XII, LINE 2C: THE ORGANIZATION'S FINANCE COMMITTEE IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT. THE FINANCE COMMITTEE REVIEWS THE AUDIT AND RECOMMENDS THAT IT BE APPROVED BY THE BOARD OF DIRECTORS. THE PROCESS HAS NOT CHANGED FROM PRIOR YEARS. FORM 990, PART I, LINE 5: THE ORGANIZATION'S EMPLOYEES ARE PAID BY CHILDREN'S SPECIALIZED HOSPITAL, AN AFFILIATED ORGANIZATION. THE SALARIES AND RELATED COSTS FOR THESE EMPLOYEES ARE ALLOCATED TO THE ORGANIZATION AND PAID THROUGH INTERCOMPANY ACCOUNTS. CHILDRENS SPECIALIZED HOSPITAL 150 NEW PROVIDENCE ROAD MOUNTAINSIDE NJ 07092 221487148 PROVIDER OF HEALTH CARE SERVICES FOR CHILDREN NJ 501(C)(3) HOSPITAL NONE 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 CHILDRENS SPECIALIZED HOSPITAL B 12322044 Per audit of financial stmts CHILDRENS SPECIALIZED HOSPITAL P 2573354 Per audit of financial stmts