2024-05-14T15:36:57-05:00 2023-06-30 580692043 MAULDIN & JENKINS LLC 200 W MLK BLVD STE 1100 CHATTANOOGA TN 374021239 990 2022-07-01 591781637 MOSE & GARRISON SISKIN MEMORIAL FDN INC D/B/A SISKIN CHILDREN'S INSTITUTE MOSE 4236481706 1101 CARTER STREET CHATTANOOGA TN 37402 DONALD MUELLER CEO 4236481700 2024-05-15 1 DONALD MUELLER XXX-XX-XXXX 0 MATTHEW T HISEY P01293572 4237566133 2024-05-14 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z DONALD MUELLER 1101 CARTER STREET CHATTANOOGA TN 37402 15405783 0 X WWW.SISKIN.ORG X 1950 TN THE INSTITUTE IS DEDICATED TO IMPROVING THE QUALITY OF LIFE FOR CHILDREN WITH SPECIAL NEEDS AND THEIR FAMILIES THROUGH EXCELLENCE IN EDUCATION, SUPPORT SERVICES, ADVOCACY, AND COMMUNITY PARTNERSHIPS. 20 20 336 50 98281 16929 2756607 3518641 5943426 7839910 2222380 796150 179379 105108 11101792 12259809 0 0 0 0 11249807 12652232 0 0 115351 3336800 3365444 14586607 16017676 -3484815 -3757867 53806754 53005628 961877 1142910 52844877 51862718 X THE INSTITUTE IS DEDICATED TO IMPROVING THE QUALITY OF LIFE FOR CHILDREN WITH SPECIAL NEEDS AND THEIR FAMILIES THROUGH EXCELLENCE IN EDUCATION, SUPPORT SERVICES, ADVOCACY, AND COMMUNITY PARTNERSHIPS. 0 0 3794736 2004719 SCHOOL PROGRAM: SISKIN CHILDREN'S INSTITUTE OPERATES A PRESCHOOL CENTER IN CHATTANOOGA WHERE CHILDREN WITH AND WITHOUT DISABILITIES LEARN TOGETHER IN AN INCLUSIVE ENVIRONMENT. AT THE SISKIN EARLY LEARNING CENTER, COMPREHENSIVE TEAMS OF TEACHERS, SPECIALIZED THERAPISTS AND OTHER PROFESSIONALS SERVE CHILDREN AGES 6 WEEKS TO 6 YEARS. THE SISKIN EARLY LEARNING CENTER CONTINUALLY RECEIVES DISTINGUISHED RECOGNITIONS, SUCH AS THE HIGHEST RATING POSSIBLE FROM THE TENNESSEE DEPARTMENT OF HUMAN SERVICES AND ACCREDITATION FROM THE NATIONAL ASSOCIATION FOR THE EDUCATION OF YOUNG CHILDREN (NAEYC). THIS PROGRAM BENEFITED 192 INDIVIDUALS. 4647379 4175231 APPLIED BEHAVIORAL SERVICES IS AN EVIDENCE-BASED FORM OF THERAPY THAT FOCUSES ON INCREASING POSITIVE AND HELPFUL BEHAVIORS WHILE ALSO DECREASING UNWANTED BEHAVIORS. IT CAN HELP INCREASE LANGUAGE AND COMMUNICATION SKILLS, IMPROVE FOCUS, MEMORY, AND ACADEMIC PERFORMANCE, AND ENHANCE SOCIAL SKILLS WITH PEERS AND ADULTS. ABA IS OFTENTIMES A PRIMARY TOOL WHEN WORKING WITH CHILDREN WITH AUTISM SPECTRUM DISORDERS (ASD) AND OTHER DEVELOPMENTAL DISABILITIES. 3329972 1602904 PEDIATRIC BEHAVIORAL AND DEVELOPMENTAL CLINIC: SISKIN CHILDREN'S INSTITUTE OPERATES A PEDIATRIC BEHAVIORAL AND DEVELOPMENTAL CLINIC THAT BENEFITED 3,474 INDIVIDUALS DURING THE YEAR. 1604738 HOME AND COMMUNITY BASED EARLY INTERVENTION PROGRAM. THIS PROGRAM PROVIDES SERVICES TO FAMILIES WITH CHILDREN AGES BIRTH TO THREE WITH SPECIAL NEEDS. THIS INTERVENTION IS PROVIDED IN THE HOME OR IN ANOTHER SETTING IN THE COMMUNITY WITH "CAREGIVERS" INCLUDING FAMILIES AND CHILD CARE PROVIDERS. THIS PROGRAM BENEFITED 700 INDIVIDUALS AND IS FUNDED BY TEIS GRANTS OF $1,734,805. 1604738 13376825 1 1 0 0 0 0 0 1 0 1 1 1 0 0 1 1 1 0 1 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 5 0 336 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 20 20 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 TN X X BLAKE HIXSON 4236481700 1101 CARTER STREET CHATTANOOGA TN 37402 DAVID BINDER DIRECTOR 2.00 X 0 0 0 JOHN THOMAS TREASURER 2.00 X X 0 0 0 DR JIM SHIRE DIRECTOR 2.00 X 0 0 0 GINA DHANANI DIRECTOR 2.00 X 0 0 0 KARLENE CLARIDY DIRECTOR 2.00 X 0 0 0 CARLA MORGAN DIRECTOR 2.00 X 0 0 0 TERRY MCELVEEN DIRECTOR 2.00 X 0 0 0 SCOTT LEROY DIRECTOR 2.00 X 0 0 0 DR ANDREA GOINS DIRECTOR 2.00 X 0 0 0 STACY LIGHTFOOT DIRECTOR 2.00 X 0 0 0 STEPHEN RATTERMAN DIRECTOR 2.00 X 0 0 0 MATT RIVERS DIRECTOR 2.00 X 0 0 0 EDDIE RUSSELL DIRECTOR 2.00 X 0 0 0 ALAN CATES VICE CHAIRPERSON 2.00 X X 0 0 0 DR ALLEN MYERS SECRETARY 2.00 X X 0 0 0 RACHEL WELCH DIRECTOR 2.00 X 0 0 0 DR VALERIE RUTLEDGE CHAIRPERSON 2.00 X X 0 0 0 MEREDITH PERRY DIRECTOR 2.00 X 0 0 0 DR TAMA VAN DECAR DIRECTOR 2.00 X 0 0 0 EDNA VARNER PAST CHAIRPERSON 2.00 X X 0 0 0 DEREK BULLARD PRESIDENT 40.00 X 284720 0 37485 JEANINNE HOUCK CHIEF OPERATING OFFICER 40.00 X 168787 0 27267 LORENA FERREIRA PHYISICIAN 40.00 X 211692 0 24385 JAMES VAN DECAR PHYISICIAN 20.00 X 113330 0 2368 CINDY CHESTARO DEVELOPMENTAL PEDIATRICIAN 40.00 X 244522 0 6291 MELISSA GONZALEZ LEAD THERAPIST 40.00 X 147262 0 29423 MICHELLE KIMBALL NURSE PRACTITIONER 40.00 X 106014 0 11258 1276327 0 138477 7 0 1 0 0 3191071 327570 3518641 APPLIED BEHAVIORAL 611710 4175231 4175231 PRESCHOOL 611600 2061775 2061775 OUTREACH SERVICES 611710 1602904 1602904 7839910 722673 722673 57101 0 57101 57101 57101 2936133 2862656 73477 73477 -376 73853 289724 283318 6406 6406 UNRELATED INCOME FROM PASS THROUG 523000 98657 98657 OTHER RELATED INCOME 611710 -57056 -57056 41601 12259809 7782854 98281 860033 1390396 1211353 174512 4531 9530221 8328484 1167763 33974 1731615 1487528 240858 3229 19447 19447 44558 44558 254432 254432 403121 72562 330012 547 173453 143530 15468 14455 530900 400355 99671 30874 635052 560497 65924 8631 185564 183390 1387 787 327244 287489 29136 10619 121397 96338 24669 390 BAD DEBTS 262787 262787 0 0 PROGRAM SUPPLIES 250034 250034 0 0 STAFF TRAINING 57504 47006 8161 2337 MISCELLANEOUS 51579 31654 19703 222 48372 13818 29799 4755 16017676 13376825 2525500 115351 579569 290665 1620684 413250 456139 697907 1057513 1158199 69073 85613 14452318 6562327 8209386 7889991 14151916 13915031 27344350 26137986 318124 2416986 53806754 53005628 752783 739794 209094 278860 0 124256 961877 1142910 X 52607681 51566037 237196 296681 52844877 51862718 53806754 53005628 X -3757867 2825308 -49600 X X 0 1 X 1 0 X 1632115 2134819 1428787 2756607 3518641 11470969 1632115 2134819 1428787 2756607 3518641 11470969 310388 11160581 1314671 950859 831860 742087 779774 4619251 -105955 -62886 -64078 199684 98281 65046 16155266 25574738 0.69080 0.63190 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 95496 X X 0 87435 87435 87435 87435 87435 87435 87435 87435 87435 87435 1.00000 0 0 1950000 1950000 10280130 4648991 5631139 2222188 1913336 308852 7889991 LIMITED PARTNERSHIP INTERESTS 25470486 F INSURANCE ANNUITY 667500 F 26137986 OTHER LIABILITIES 124256 124256 X 15110403 2825308 46000 -49600 2821708 12288695 254432 -283318 -28886 12259809 16092562 46000 283318 329318 15763244 254432 254432 16017676 PART III, LINE 4: THE FOUNDATION MAINTAINS A COLLECTION OF RELIGIOUS ANTIQUITIES THAT ARE OPEN TO THE PUBLIC. IT IS A COLLECTION OF RELIGIOUS ARTIFACTS OF VARIOUS FAITHS. THIS INCLUDES ARTICLES USED IN WORSHIP, SILVER PLATES, CANDLE HOLDERS, POINTERS, BOOKS, STONE AND WOOD CARVINGS, FINE ART IN IVORY, SILVER AND PORCELAIN. THESE ARTIFACTS PRESERVE AN IMPORTANT PART OF THE HISTORY OF THE FOUNDATION'S FOUNDERS. THEY PROMOTE UNDERSTANDING OF PEOPLE AND THEIR DIFFERENCES, ONE OF THE PRINCIPLES FOR WHICH THE ORGANIZATION WAS FOUNDED. PART X, LINE 2: THE FOUNDATION FOLLOWS THE STATUTORY REQUIREMENTS FOR ITS INCOME TAX ACCOUNTING AND GENERALLY AVOIDS RISKS ASSOCIATED WITH POTENTIALLY PROBLEMATIC TAX POSITIONS THAT MAY BE CHALLENGED UPON EXAMINATION. MANAGEMENT BELIEVES ANY LIABILITY RESULTING FROM TAXING AUTHORITIES IMPOSING ADDITIONAL INCOME TAXES FROM ACTIVITIES DEEMED TO BE UNRELATED TO THE FOUNDATION'S NON-TAXABLE STATUS WOULD NOT HAVE A MATERIAL EFFECT ON THE FOUNDATION'S FINANCIAL STATEMENTS. THE FOUNDATION IS NO LONGER SUBJECT TO TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2019. PART XI, LINE 2D - OTHER ADJUSTMENTS: UNREALIZED CHANGE IN VALUE OF INSURANCE ANNUITIES -49,600. PART XI, LINE 4B - OTHER ADJUSTMENTS: DIRECT EXPENSES FROM FUNDRAISING ACTIVITIES -283,318. PART XII, LINE 2D - OTHER ADJUSTMENTS: DIRECT EXPENSES FROM FUNDRAISING ACTIVITIES 283,318. 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 0 1 SCHEDULE E, PART I, LINE 6 THE FOUNDATION RECEIVES FEDERAL GRANTS THROUGH THE TEIS PROGRAM WITH THE UNITED STATES DEPARTMENT OF EDUCATION. STARNIGHT 287224 287224 267274 MINI EVENTS 2500 2500 16044 289724 289724 283318 283318 6406 X 0 0 0 0 0 0 0 0 0 DEREK BULLARD PRESIDENT 284720 0 0 0 0 0 18000 0 19485 0 322205 0 0 0 CINDY CHESTARO DEVELOPMENTAL PEDIATRICIAN 244522 0 0 0 0 0 769 0 5522 0 250813 0 0 0 LORENA FERREIRA PHYISICIAN 211692 0 0 0 0 0 13200 0 11185 0 236077 0 0 0 JEANINNE HOUCK CHIEF OPERATING OFFICER 168787 0 0 0 0 0 10500 0 16767 0 196054 0 0 0 MELISSA GONZALEZ LEAD THERAPIST 147262 0 0 0 0 0 20500 0 8923 0 176685 0 0 0 FORM 990, PART VI, SECTION A, LINE 2 DR. TAMA VAN DECAR IS THE SPOUSE OF EMPLOYEE DR. JIM VAN DECAR WHO IS THE DEVELOPMENTAL PEDIATRICIAN OF THE NASHVILLE OFFICE. FORM 990, PART VI, SECTION B, LINE 11B THE DRAFT 990 TAX RETURN IS FORWARDED TO ALL GOVERNING BOARD MEMBERS AND FINANCE COMMITTEE MEMBERS FOR THEIR REVIEW AND APPROVAL BEFORE THE TAX RETURN IS FILED. FORM 990, PART VI, SECTION B, LINE 12C AT THE BEGINNING OF EACH BOARD OR COMMITTEE MEETING, AGENDA ITEMS ARE APPROVED AND CHAIR OF THE MEETING REQUESTS THAT ANYONE WITH A KNOWN CONFLICT OF INTEREST WITH ANY AGENDA ITEM ABSTAIN FROM DISCUSSION OF OR VOTING ON THAT ITEM. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD OF DIRECTORS SETS THE SALARY OF THE CEO. ALL OTHERS ARE DETERMINED BY ADMINISTRATORS WITH CEO APPROVAL. FORM 990, PART VI, SECTION C, LINE 18 FORMS 990 AND 990-T ARE AVAILABLE FROM THE WEBSITE OF GUIDESTAR.ORG FOR A PERIOD OF FIVE YEARS AND ARE ALSO AVAILABLE BY REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF INSURANCE ANNUITIES -49,600. FORM 990, PART XII, LINE 2C: THIS PROCESS HAS NOT CHANGED.