Civic Intelligence

Chs Home Support Services Inc

990 • Fiscal year 2015 • EIN 11-3594561

Jan 01, 2015 to Dec 31, 2015 • Filed on Nov 09, 2016

15 Power DriveHauppauge, NY 11788

(631) 940-3350

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

61st percentile

0.31x

Higher debt load relative to assets than 61% of similar nonprofits.

2015 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2015

Liabilities / Revenue

58th percentile

0.27x

Higher debt load relative to revenue than 58% of similar nonprofits.

2015 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2015

Net Margin

70th percentile

11%

Higher net margin than 70% of similar nonprofits.

2015 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2015

Top Officer Pay

94th percentile

$452,402

Higher top officer pay than 94% of similar nonprofits.

Top officer pay equals 7.8% of source-year revenue.

2015 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2015

Asset Growth

77th percentile

12%

Faster asset growth than 77% of similar nonprofits.

2015 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2014 to 2015

Revenue Growth

67th percentile

11%

Faster revenue growth than 67% of similar nonprofits.

2015 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2014 to 2015

Assets

Up

$5,061,417

Up $536,966 (+12%) from 2014

Net Assets

Up

$3,514,111

Up $649,011 (+23%) from 2014

Liabilities

Down

$1,547,306

Down $112,045 (-6.8%) from 2014

Revenue

Up

$5,836,578

Up $570,709 (+11%) from 2014

Expenses

Down

$5,187,567

Down $918,256 (-15%) from 2014

Net Income

Up

$649,011

Up $1,488,965 (+177%) from 2014

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$8.0M$6.0M$4.0M$2.0M$0Assets 2010: $5,572,164Liabilities 2010: $1,075,225Net Assets 2010: $4,496,9392010Assets 2011: $5,352,411Liabilities 2011: $974,890Net Assets 2011: $4,377,5212011Assets 2012: $6,093,756Liabilities 2012: $1,539,158Net Assets 2012: $4,554,5982012Assets 2013: $5,516,211Liabilities 2013: $1,811,157Net Assets 2013: $3,705,0542013Assets 2014: $4,524,451Liabilities 2014: $1,659,351Net Assets 2014: $2,865,1002014Assets 2015: $5,061,417Liabilities 2015: $1,547,306Net Assets 2015: $3,514,1112015Assets 2016: $4,288,574Liabilities 2016: $935,138Net Assets 2016: $3,353,4362016Assets 2017: $4,270,167Liabilities 2017: $906,031Net Assets 2017: $3,364,1362017Assets 2018: $0Liabilities 2018: $0Net Assets 2018: $02018

Highlighted filing

2015

Assets$5,061,417
Liabilities$1,547,306
Net Assets$3,514,111

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$15M$10M$5.0M$0-$5.0MExpenses 2010: $10,319,6202010Expenses 2011: $8,260,4212011Expenses 2012: $7,592,9792012Revenue 2013: $7,143,846Expenses 2013: $7,993,390Net Income 2013: -$849,5442013Revenue 2014: $5,265,869Expenses 2014: $6,105,823Net Income 2014: -$839,9542014Revenue 2015: $5,836,578Expenses 2015: $5,187,567Net Income 2015: $649,0112015Revenue 2016: -$105,280Expenses 2016: $55,395Net Income 2016: -$160,6752016Revenue 2017: $10,317Expenses 2017: -$383Net Income 2017: $10,7002017Revenue 2018: $23,710Expenses 2018: $3,393,402Net Income 2018: -$3,369,6922018

Highlighted filing

2015

Revenue$5,836,578
Expenses$5,187,567
Net Income$649,011
Jump To
Filing Snapshot
Filing Period
Jan 1, 2015 to Dec 31, 2015
Signed
Nov 9, 2016
Return Version
2015v2.1
Gross Receipts
$6,424,482
Mission and Program Overview

Mission

Chs home support services, inc., a member of catholic health services of long island (chs), as a ministry of the catholic church, continues christ's healing mission, promotes excellence in care, and commits itself to those in need. Chs affirms the sanctity of life, and advocates for the poor and underserved, and serves the common good. It conducts its healthcare practice, business, education and innovation with justice, integrity and respect for the dignity of each person.

Chsli and its members, as a ministry of the catholic church, continue christ's healing mission, by promoting excellence in care and committing itself to those in need.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$443,689$1,762,561▲ $1,318,872
Accounts Receivable$737,216$1,216,109▲ $478,893
Land, Buildings, and Equipment, Net$639,230--
Inventories for Sale or Use$266,953$0▼ $266,953
Prepaid Expenses and Deferred Charges$47,231$29,167▼ $18,064
Cash and Non-Interest-Bearing Accounts$0$0→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Investments in Publicly Traded Securities$0$0→ $0
Intangible Assets$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$4,524,451$5,061,417▲ $536,966
Other Assets Total$2,390,132$2,053,580▼ $336,552
Liabilities
Other Liabilities$860,000$812,000▼ $48,000
Accounts Payable and Accrued Expenses$799,351$735,306▼ $64,045
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$1,659,351$1,547,306▼ $112,045
Net Assets / Fund Balance
Unrestricted Net Assets$2,865,100$3,514,111▲ $649,011
Permanently Rstr Net Assets$0$0→ $0
Temporarily Rstr Net Assets$0$0→ $0
Total Net Assets Fund Balance$2,865,100$3,514,111▲ $649,011
Total Liabilities and Net Assets / Fund Balance$4,524,451$5,061,417▲ $536,966

Asset Categories

AssetBook ValueDepreciationBasis
Other Assets Org$2,053,580--
Compensation and Service Providers

Board Members and Trustees

Highest Paid Contractors

ContractorServicesLocationCompensation
15 Power Drive LLCRentPO BOX 598, St James, NY 11780$181,212
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$4,428,531
Investment Income
$1,395,096
Other Revenue
$12,951
Change in Net Assets
$649,011
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$3,026,208
Salaries, Compensation, and Employee Benefits$2,161,359
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$713,080$844,946-$1,558,026
Depreciation Depletion$307,761--$307,761
Other Employee Benefits$132,632$157,159-$289,791
Occupancy$239,586--$239,586
Pension Plan Contributions$91,699$108,657-$200,356
Office Expenses$169,501$18,434-$187,935
Payroll Taxes$51,803$61,383-$113,186
Other Expenses$80,482$17,823$0$98,305
Fees for Services Other$85,345$670-$86,015
Fees for Services Legal-$49,039-$49,039
Insurance$26,353$1,169-$27,522
Travel$9,032$180-$9,212
Payments to Affiliates-$4,992-$4,992
Fees for Services Accounting-$3,996-$3,996
Advertising$16$2,052-$2,068
Interest$159--$159
Total Functional Expenses$3,816,765$1,370,802$0$5,187,567
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Related Party$812,000
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 6 - Members of the Organization

The sole member of catholic home care is catholic health system of long island (d/b/a/ catholic health services of long island) (chs). Chs is a new york not-for-profit corporation organized to serve as the coordinating body of an integrated network of healthcare providers. Chs is sponsored by the roman catholic diocese of rockville centre(diocese).

Form 990, Part VI, Line 7A - Election of the Governing Body

Chs is the sole member and established co-operator of catholic home care, parent company of chs home support services, inc. And as such, has the right to appoint the governing body of chs home support services, inc.

Form 990, Part VI, Line 7B - Decisions of the Governing Body

Chs as the sole member and established co-operator of catholic home care, parent company of chs home support services, inc., is required to approve certain decisions made by the governing body of chs home support services, inc.

Form 990, Part VI, Line 11B - Review Process of Form 990

The form 990 and appropriate schedules are completed by outside tax advisors and reviewed internally by management. The final draft of the form 990 is then presented to the organization's compliance and audit committee (the committee) of the board of trustees (the board), which has been delegated the review function by the board. Upon approval of the committee, the form 990 is then sent to all voting members of the board. Once approved by the board (or the executive committee of the board, as appropriate), the organization's board chair and chief executive officer communicates, in writing to the chs compliance and audit committee and chs board chair. After review of any applicable comments from the board, the compliance and audit committee will then recommend the approval of the form 990 to the chs board of directors who will then review the recommendations and provide the final approval of the form 990. The form 990 is then submitted to the internal revenue service.

Form 990, Part VI, Line 12C - Conflict of Interest Policy

Disclosure in accordance with the conflict of interest policy (the policy) by board and board committee members, employees and others that satisfy the criteria to be considered an interested person is submitted upon hire or appointment and annually thereafter. Such individuals have a continuing obligation to update the information provided during the course of the year. A summary of disclosures is provided to the organization's compliance and audit committee by the organization's compliance officer. All disclosures are investigated and information related to the disclosure shall be gathered and summarized and included with the summary of disclosures. Upon review of the summary of disclosures, the organization's compliance and audit committee shall report its findings to the board of trustees for review. The board shall determine whether a conflict of interest exists based on the criteria contained in the policy. If the board or board committee determines that no conflict exists, the matter shall be referred for review by the chs compliance and audit committee before the determination becomes final. If a conflict of interest is identified and a majority of the board or board committee agrees that the transaction or arrangement is in the best interest of chs and wishes to go forward with it, the chair of the organization's board of trustees shall provide a written request to the chair of the chs compliance and audit committee, delineating the transaction and conflict and providing reasons why the board agrees that the transaction or arrangement is in the best interest of chs, certifies that chs cannot secure similar services from an organization without a conflict, and wishes to go forward with it. Person determined to have a conflict of interest must recuse himself from any decision making or voting on the interest that gave rise to the conflict. Upon receipt of the written request and any supporting documents, the chs compliance and audit committee shall make the final decision as to whether chs shall enter into the transaction or arrangement.

Form 990,part VI,line 15-compensation Policy of Chs,A Related Org

The chief administrative officer submits for approval to the system ceo recommendations for base salary adjustments and incentive awards for "disqualified persons" as defined in the policy. The policy defines a "disqualified person" as a person in a position to exercise substantial influence over the affairs of chs or an operating entity, and is either a) a voting member of the board of directors or board of trustees; b) the entity's president, chief executive officer, and chief operating officers or persons holding equivalent positions; c) the entity's treasurers and chief financial officers; d) the person's compensation is primarily based on revenues derived from activities of chs or an operating entity, or of a particular department or function of chs or an operating entity, that the person controls; e) the person has or shares authority to control or determine a substantial portion of chs or an operating entity's capital expenditures, operating budget, or compensation for other employees; f) the person manages a department or activity of chs or an operating entity that represents a substantial portion of the activities, assets, income, or expenses of chs or an operating entity, compared to the organization as a whole; or g) family members of any of those described in the preceding d, e, or f. Once approved by the corporate ceo, these recommendations are sent to the executive compensation committee for review. The executive compensation committee, with an independent compensation consultant engaged by the board, will review proposed salary adjustments and incentive awards to ensure reasonableness by reviewing comparable total compensation data(including incentives) paid to similarly situated executives at the median of the defined marketplace with possible adjustment made for special skill, experience, competence and performance, including contribution to the system as a whole. Reviews are done by an independent consultant annually. The compensation committee sets standards to ensure that the criteria used to determine incentive compensation are specific, objective, measureable and related to indicators of performance. Based on the information, the committee will then make its recommendation to the board of trustees.

Form 990,part VI,line19-documents Available for Public Inspection

Governing documents - certificate of incorporation filed with the nys department of state; conflict of interest policy is not publicly available; chs consolidated financial statements are available at dac bond.

Form 990, Part VII, Section A - Line 1A

Hours for trustees are the estimated weekly hours (2.0) trustees contribute to this and all other related organizations, not necessarily equally but in the proportion necessary, for which they receive no compensation. Mary ellen polit, evp & cao - the total hours worked reported reflects time worked as an officer for all of the following related entities: good shepherd hospice (11-2958438); good shepherd hospice foundation (26-3169427); chs home support services (11-3594561)and catholic home care (11-2126736). Danielle stein, vp finance - the total hours worked reported reflects time worked as an officer for all of the following related entities: nursing sisters home care, inc. (11-2126736); chs home support services, inc. (11-3594561) and good shepherd hospice (11-2958438).

Filing and Contact Details

Filer

Filer Name
Chs Home Support Services Inc
EIN
11-3594561
In Care Of
% CHS HOME SUPPORT SERVICES
Phone
6319403350
Address
15 POWER DRIVE, HAUPPAUGE, NY 11788

Signing Officer

Name
Mary Ellen Polit
Title
Executive VP, CAO
Phone
6318287411
Signed
2016-11-09
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Mary Ellen Polit
Formed
2001
Legal Domicile
Ny
Voting Board Members
15
Independent Board Members
15
Employees
44
Volunteers
0

Preparer

Firm
PricewaterhouseCoopers LLP
Address
300 Madison Avenue, New York, NY 10017
Preparer
Laura J Parello
Phone
6464713000
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 3 - Ceasing Operations

Effective december 30, 2015, chs home support services, inc. Has sold substantially all of its operating assets and will cease operations.

Financial Statement Notes

Part X, Other Liabilities - Line 2, Fin 48 Footnote

Chs and most of its subsidiaries are exempt from federal income taxes under section 501(c)(3) of the internal revenue code of 1986, as amended. Chs accounts for uncertain tax positions in accordance with the codification topic 740, income taxes. Management annually reviews its tax positions and has determined that there are no material uncertain tax positions that require recognition in the consolidated financial statements, using a threshold of more likely than not of being sustained.

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Filings

Peer Organizations

Similar nonprofits based on the same Siviq industry and scale cohort. 2015 filings • 501(c)3 • $5M-$10M nonprofits