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      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IV, LINE 2B:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOUNDATION ACTS AS A FISCAL AGENT OF FUNDS FROM OTHER ENTITIES, FOR THE BENEFIT OF, OR IN CONNECTION WITH, THE FOUNDATION. AT DECEMBER 31, 2023, THE FUNDS MANAGED AS AN AGENT FOR OTHER ENTITIES WERE INCLUDED IN CASH. THE FUNDS ARE HELD FOR THE PURPOSES OF SUPPORTING SURGICAL RESIDENTS AND RESIDENCY PROGRAMS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOUNDATION RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE FOUNDATION HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. THE FOUNDATION IS SUBJECT TO EXAMINATIONS BY APPLICABLE TAXING JURISDICTIONS FOR ALL PERIODS SINCE 2020.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 1, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>CORE PURPOSES: TO IMPROVE CHILDREN'S HEALTH BY IDENTIFYING RESOURCES FOR PEDIATRIC MEDICAL RESEARCH AND SUPPORTING OUTREACH PROGRAMS IN THE LOWER HUDSON VALLEY. CORE VALUES: PATHFINDER: FINDING SOLUTIONS RESOURCEFUL: TAKING ADVANTAGE OF OPPORTUNITIES PERSEVERANCE: SEEKING RESOURCES FOR MEDICAL RESEARCH AND PROMOTING A "NEVER QUIT' ATTITUDE TO SUPPORT OUTREACH PROGRAMS. THREE TO FIVE YEAR OBJECTIVES: 1) CONTINUE TO EXPAND OUTREACH PROGRAMS. HOW TO MEASURE THE IMPACT: A) NUMBER OF PROGRAMS SUPPORTED; B) NUMBER OF CHILDREN/FAMILIES REACHED; AND C) NUMBER OF DOLLARS SPENT. 2) FACILITATE CHILDREN'S MEDICAL RESEARCH PROGRAMS. HOW TO MEASURE IMPACT: A) NUMBER OF PROGRAMS SUPPORTED; B) NUMBER OF DOLLARS SPENT; C) PEER REVIEW PUBLICATIONS; D) AWARDS RECEIVED; AND E) MEDIA AND PUBLIC RELATIONS. STRATEGIES TO ACCOMPLISH OBJECTIVES: 1) BOARD DEVELOPMENT-TIME, TALENT, TREASURE. 2) TARGETED AWARENESS OF DONORS. 3) MORE GRANT APPLICATIONS. 4) CONDUCT FUND RAISING EVENTS. 5) TARGETED AWARENESS OF CHRF TO THE MEDICAL COMMUNITY. 6) OBTAIN GRANTS THAT INCREASE THE NUMBER OF PROGRAMS. 7) CHARITABLE PLANNING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>CHILDREN'S HEALTH AND RESEARCH FOUNDATION HAS ITS FORM 990 PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND HAS ESTABLISHED THE FOLLOWING REVIEW PROCESS TO ENSURE THAT THE INFORMATION REPORTED IS COMPLETE AND ACCURATE. WHEN THE FORM 990 HAS BEEN PREPARED, IT IS REVIEWED BY MANAGEMENT AND IS READY TO BE FILED WITH THE INTERNAL REVENUE SERVICE, IT IS ELECTRONICALLY SENT TO THE BOARD MEMBERS OF CHRF FOR ANY COMMENTS. ANY COMMENTS ARE SUMMARIZED AND PROVIDED TO THE OUTSIDE ACCOUNTANTS. EACH ISSUE IS DOCUMENTED AND ADDRESSED UNTIL THE RETURN IS FINALIZED AND APPROVED FOR FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>WHEN A POTENTIAL OR ACTUAL FINANCIAL INTEREST HAS BEEN DISCLOSED, THE BOARD SHALL EVALUATE WHETHER THE TERMS OF THE CONTRACT, TRANSACTION OR ARRANGEMENT ARE FAIR AND REASONABLE TO THE CORPORATION AND CONSISTENT WITH THE BEST INTERESTS OF THE CORPORATION. FAIRNESS INCLUDES, BUT IS NOT LIMITED TO, THE CONCEPTS THAT THE CORPORATION SHOULD PAY NO MORE THAN FAIR MARKET VALUE FOR ANY GOODS OR SERVICES WHICH THE CORPORATION RECEIVES, THE CORPORATION SHOULD RECEIVE FAIR MARKET VALUE CONSIDERATION FOR ANY GOODS OR SERVICES THAT IT FURNISHES OTHERS AND THE CORPORATION WOULD NOT REASONABLY BE EXPECTED TO OBTAIN A MORE ADVANTAGEOUS TRANSACTION WITH ANOTHER ENTITY. THE BOARD SHALL SET FORTH THE BASIS FOR ITS DECISION WITH RESPECT TO APPROVAL OF CONTRACTS OR TRANSACTIONS INVOLVING CONFLICTS OF INTEREST IN THE MINUTES OF THE MEETING AT WHICH THE DECISION IS MADE, INCLUDING THE BASIS FOR DETERMINING THAT THE CONSIDERATION TO BE PAID IS FAIR TO THE CORPORATION. IF, BASED ON THE ABOVE EVALUATION, THE BOARD DETERMINES THAT THE CONTRACT, TRANSACTION OR ARRANGEMENT IS FAIR AND REASONABLE TO THE CORPORATION AND CONSISTENT WITH THE BEST INTERESTS OF THE CORPORATION, THE, BOARD MAY APPROVE THE PROPOSED TRANSACTION OR ARRANGEMENT, SO LONG AS THE BOARD DETERMINES, BY A MAJORITY VOTE OF DISINTERESTED DIRECTORS, THAT THE PROPOSED TRANSACTION IS IN THE CORPORATION'S BEST INTEREST AND IS FAIR AND REASONABLE. THE DIRECTOR OR OFFICER WITH THE POTENTIAL OR ACTUAL FINANCIAL INTEREST SHALL NOT BE PRESENT DURING THE DISCUSSION OF THE ISSUE OR THE VOTE. INTERESTED DIRECTORS MAY BE COUNTED IN DETERMINING THE PRESENCE OF A QUORUM AT A MEETING OF THE BOARD OF DIRECTORS OR COMMITTEE WHICH AUTHORIZES SUCH CONTRACT OR TRANSACTION. THE MINUTES OF THE BOARD SHALL INCLUDE: THE NAMES OF THE DIRECTORS, OFFICERS OR COMMITTEE MEMBERS, IF ANY, WHO DISCLOSED FINANCIAL INTERESTS; THE NATURE OF THE FINANCIAL INTEREST THAT POSES A POTENTIAL OR ACTUAL CONFLICT; A SUMMARY OF THE CONTENT OF THE BOARD'S DISCUSSIONS (INCLUDING ANY ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT); AND A RECORD THAT A VOTE WAS TAKEN REGARDING THE PROPOSED TRANSACTION OR ARRANGEMENT. EACH DIRECTOR, OFFICER, AND MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS SHALL ANNUALLY AFFIRM, IN WRITING, THAT HE OR SHE: (1) HAS RECEIVED A COPY OF THE BOARD CONFLICT OF INTEREST POLICY; (2) HAS READ AND UNDERSTANDS THE POLICY; (3) HAS AGREED TO COMPLY WITH THE POLICY; AND (4) UNDERSTANDS THAT THE CORPORATION IS A CHARITABLE ORGANIZATION AND THAT, IN ORDER TO MAINTAIN ITS TAX-EXEMPT STATUS, THE CORPORATION MUST ENGAGE PRIMARILY IN ACTIVITIES THAT ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. THE BOARD SHALL DIRECT THE APPROPRIATE OFFICERS OR CONSULTANTS OF THE CORPORATION TO PERIODICALLY REVIEW THE CORPORATION'S ACTIVITIES AND ARRANGEMENTS TO ENSURE THAT IT OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES. OF SPECIAL CONCERN ARE WHETHER ITS COMPENSATION ARRANGEMENTS AND TRANSACTIONS ARE REASONABLE AND REFLECT FAIR MARKET VALUE FOR SERVICES PROVIDED AND WHETHER ANY ARRANGEMENTS FOR MANAGEMENT OR ADMINISTRATIVE SERVICES CONFORM TO THE POLICIES SET FORTH IN THESE BYLAWS, ARE PROPERLY RECORDED AND DO NOT RESULT IN PRIVATE INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE OUTGOING EXECUTIVE DIRECTOR (ED) OPERATED UNDER A FIVE-YEAR CONTRACT AGREEMENT WITH THE FOUNDATION. THE ED DEPARTED FROM CHRF IN SEPTEMBER OF 2023. A NEW CONTRACT WAS APPROVED BY THE BOARD IN OCTOBER 2023 FOR THE NEWLY HIRED EXECUTIVE DIRECTOR. THE BOARD REVIEWED MARKET RESEARCH DATA OF SIMILAR SIZE 501(C)(3)ORGANIZATIONS TO DETERMINE REASONABLE COMPENSATION FOR THE ED. THE BOARD'S REVIEW AND APPROVAL WAS DOCUMENTED IN THE MINUTES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S FORM 990 AND FORM 1023 ARE AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE. THE RETURN IS POSTED ON GUIDESTAR.ORG AND OTHER SIMILAR TYPES OF WEBSITES. IN ADDITION, THE FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, ARTICLES OF INCORPORATION AND BYLAWS ARE ALSO AVAILABLE UPON WRITTEN REQUEST.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>PAYROLL PROCESSING FEES: PROGRAM SERVICE EXPENSES 9,375. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,375. DEVELOPMENTAL TRAINING &amp; MEDICAL RESEARCH: PROGRAM SERVICE EXPENSES 250,911. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 250,911. ADMINISTRATION FEES: PROGRAM SERVICE EXPENSES 6,275. MANAGEMENT AND GENERAL EXPENSES 2,717. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,992.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHILDREN'S HEALTH &amp; RESEARCH FOUNDATION'S BOARD ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF ITS INDEPENDENT AUDITOR. THE POLICY FOR SELECTION AND OVERSIGHT OF THE INDEPENDENT AUDITORS HAS NOT CHANGED SINCE LAST YEAR.</ExplanationTxt>
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</Return>