Civic Intelligence

Clark & Champaign Counties Health Information Exchange

EIN 26-0698515 • 501(c)3 • Springfield, OH

Profile

Establish a community-wide health information exchange which will enable physicians, hospitals, and other health care providers to exchange data to better serve their patients and, as a result, improve the quality, safety, efficiency and cost effectiveness of care.

1150 E Home RoadSpringfield, OH 45503

www.cchie.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2015

Liabilities / Revenue

62nd percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)3 • <$500k nonprofits • Source year 2015

Net Margin

1st percentile

-29797%

Higher net margin than 1% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2015

Top Officer Pay

81st percentile

$0

Higher top officer pay than 81% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

501(c)3 • <$500k nonprofits • Source year 2015

Asset Growth

10th percentile

-100%

Faster asset growth than 10% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2014 to 2015

Revenue Growth

4th percentile

-100%

Faster revenue growth than 4% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2014 to 2015

Balance Sheet
Liabilities / AssetsScore unavailable

Assets

Down

$0

Down $89,392 (-100%) from 2014

Liabilities

Flat

$0

Flat from 2014

Net Assets

Down

$0

Down $89,392 (-100%) from 2014

Operations
Liabilities / Revenue62nd percentileNet Margin1st percentile

Revenue

Down

$300

Down $175,715 (-100%) from 2014

Expenses

Down

$89,692

Down $50,473 (-36%) from 2014

Net Income

Down

-$89,392

Down $125,242 (-349%) from 2014

Trend Graphs

Balance Sheet Trend

Asset Growth10th percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$150K$100K$50K$0Assets 2010: $75,985Liabilities 2010: $0Net Assets 2010: $75,9852010Assets 2011: $106,918Liabilities 2011: $0Net Assets 2011: $106,9182011Assets 2012: $132,492Liabilities 2012: $0Net Assets 2012: $132,4922012Assets 2013: $53,542Liabilities 2013: $0Net Assets 2013: $53,5422013Assets 2014: $89,392Liabilities 2014: $0Net Assets 2014: $89,3922014Assets 2015: $0Liabilities 2015: $0Net Assets 2015: $02015

Highlighted filing

2015

Assets$0
Liabilities$0
Net Assets$0
Open 2015 Filing

Operations Trend

Revenue Growth4th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$400K$200K$0-$200KExpenses 2010: $398,9012010Expenses 2011: $373,2992011Expenses 2012: $337,6732012Revenue 2013: $127,236Expenses 2013: $206,186Net Income 2013: -$78,9502013Revenue 2014: $176,015Expenses 2014: $140,165Net Income 2014: $35,8502014Revenue 2015: $300Expenses 2015: $89,692Net Income 2015: -$89,3922015

Highlighted filing

2015

Revenue$300
Expenses$89,692
Net Income-$89,392
Open 2015 Filing

Filings

Most recent year

2015 • Form 990EZDetailed filing. Detailed filing data is available for this year.

Open filing
Assets
$0
Liabilities
$0
Net assets
$0
Revenue
$300
Expenses
$89,692
Net income
-$89,392
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2015Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$0.00$0.90$0.89
2014Detailed filing. Detailed filing data is available for this year.$0.89$0.00$0.89$1.76$1.40$0.36
2013Detailed filing. Detailed filing data is available for this year.$0.54$0.00$0.54$1.27$2.06$0.79
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.32$0.00$1.32$3.38
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.07$0.00$1.07$3.73
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.76$0.00$0.76$3.99
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2015 to Dec 31, 2015
Signed
Sep 14, 2016
Return Version
2015v2.1
Gross Receipts
$300
Mission and Program Overview

Mission

Establish a community-wide health information exchange which will enable physicians, hospitals and other health care providers to exchange data to better serve their patients and improve the quality, safety, efficiency and cost effectiveness of care.

Program Services

DescriptionGrantsExpenses
Establish a community-wide health information exchange which will enable physicians, hospitals and other health care providers to exchange data to better serve their patients and improve the quality, safety, efficiency and cost effectiveness of care.$0$89,692
Compensation and Service Providers
Top Officer Pay81st percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
PAUL HILTZChairperson, President/CEO Springfield Region, SVP Mercy Health-$0--
MARTIN LARSONExecutive Director-$0--
PETER MUIRBoard Member-$0--
JAMES GRAVELLFormer Officer-$0--
Filing and Contact Details

Filer

Filer Name
Clark & Champaign Counties Health Information Exchange
EIN
26-0698515
Phone
9373428900
Address
1150 E Home Road, Springfield, OH 45503

Signing Officer

Name
Martin Larson
Title
Executive Director
Signed
2016-09-14
Supplemental Narrative

Additional Explanations

Form 990-EZ, Part I, Line 16 Other Expenses

“Bank Service Fees - 516; Licenses and Permits - 50;”

Form 990-EZ, Part II, Line 24B Other Assets

“Other Assets - BOY:154,EOY:0;”

Raw XML Appendix218 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
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IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt20
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt30
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm0PAUL HILTZ
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm1MARTIN LARSON
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm2PETER MUIR
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm3JAMES GRAVELL
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt0Chairperson, President/CEO Springfield Region, SVP Mercy Health
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt1EXECUTIVE DIRECTOR
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt2BOARD MEMBER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt3Former Officer
IRS990EZ/OperateHospitalInd0false
IRS990EZ/Organization501c3Ind0X
IRS990EZ/OrganizationDissolvedEtcInd0true
IRS990EZ/OrganizationHadUBIInd0false
IRS990EZ/OtherAssetsTotalDetail/BOYAmt0154
IRS990EZ/OtherAssetsTotalDetail/EOYAmt00
IRS990EZ/OtherChangesInNetAssetsAmt00
IRS990EZ/OtherEmployeePaidOver100kCnt00
IRS990EZ/OtherExpensesTotalAmt0566
IRS990EZ/OtherRevenueTotalAmt00
IRS990EZ/PoliticalCampaignActyInd0false
IRS990EZ/PrimaryExemptPurposeTxt0Establish a community-wide health information exchange which will enable physicians, hospitals and other health care providers to exchange data to better serve their patients and improve the quality, safety, efficiency and cost effectiveness of care.
IRS990EZ/ProgramServiceRevenueAmt0300
IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt0Establish a community-wide health information exchange which will enable physicians, hospitals and other health care providers to exchange data to better serve their patients and improve the quality, safety, efficiency and cost effectiveness of care.
IRS990EZ/ProgramSrvcAccomplishmentGrp/GrantsAndAllocationsAmt00
IRS990EZ/ProgramSrvcAccomplishmentGrp/ProgramServiceExpensesAmt089692
IRS990EZ/ProhibitedTaxShelterTransInd0false
IRS990EZ/RelatedOrganizationCtrlEntInd0false
IRS990EZ/SaleOfAssetsGrossAmt00
IRS990EZ/ScheduleBNotRequiredInd0X
IRS990EZ/SchoolOperatingInd0false
IRS990EZ/SpecialEventsDirectExpensesAmt00
IRS990EZ/SpecialEventsNetIncomeLossAmt00
IRS990EZ/SubjectToProxyTaxInd0false
IRS990EZ/SumOfTotalLiabilitiesGrp/BOYAmt00
IRS990EZ/SumOfTotalLiabilitiesGrp/EOYAmt00
IRS990EZ/TanningServicesProvidedInd0false
IRS990EZ/TaxImposedOnOrganizationMgrAmt00
IRS990EZ/TaxImposedUnderIRC4911Amt00
IRS990EZ/TaxImposedUnderIRC4912Amt00
IRS990EZ/TaxImposedUnderIRC4955Amt00
IRS990EZ/TaxReimbursedByOrganizationAmt00
IRS990EZ/TotalExpensesAmt089692
IRS990EZ/TotalProgramServiceExpensesAmt089692
IRS990EZ/TotalRevenueAmt0300
IRS990EZ/TransactionWithControlEntInd0false
IRS990EZ/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990EZ/TypeOfOrganizationCorpInd0X
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/CurrentTaxYearAmt00
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/CurrentTaxYearMinus1YearAmt00
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/CurrentTaxYearMinus2YearsAmt00
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/CurrentTaxYearMinus3YearsAmt00
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/CurrentTaxYearMinus4YearsAmt00
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt00
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt00
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IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt0915
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt05100
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt00
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt06015
IRS990ScheduleA/GovtFurnSrvcFcltsVl509Grp/TotalAmt00
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearAmt00
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IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus4YearsAmt0453
IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt01185
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt0300
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt0175902
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IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt0357737
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt0403779
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt01063830
IRS990ScheduleA/GrossReceiptsNonUnrltBusGrp/TotalAmt00
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearAmt00
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IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus2YearsAmt0209
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus3YearsAmt0410
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IRS990ScheduleA/InvestmentIncomeCYPct00.0011
IRS990ScheduleA/InvestmentIncomePYPct00.0012
IRS990ScheduleA/NetIncomeFromOtherUBIGrp/TotalAmt00
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IRS990ScheduleA/OtherIncome509Grp/TotalAmt00
IRS990ScheduleA/Post1975UBTIGrp/TotalAmt00
IRS990ScheduleA/PubliclySupportedOrg509a2Ind0X
IRS990ScheduleA/PublicSupportCY509Pct00.9989
IRS990ScheduleA/PublicSupportPY509Pct00.9988
IRS990ScheduleA/PublicSupportTotal509Amt01069845
IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/CurrentTaxYearAmt00
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IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/CurrentTaxYearMinus4YearsAmt00
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IRS990ScheduleA/SubstantialContributorsAmtGrp/CurrentTaxYearAmt00
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IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind0X
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IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt0175902
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IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt0362837
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IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt0300
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IRS990ScheduleN/AssetsDistributedInd0true
IRS990ScheduleN/AttorneyGeneralNotifiedInd0true
IRS990ScheduleN/BondsOutstandingInd0false
IRS990ScheduleN/DirectorOfSuccessorInd0false
IRS990ScheduleN/EmployeeOfSuccessorInd0false
IRS990ScheduleN/LiabilitiesPaidInd0true
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc0None
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IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/MethodOfFMVDeterminationTxt0Book Value
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/PersonNm0Greater Dayton Hospital Association
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine1Txt0241 Taylor
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine2Txt0Suite 130
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IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/ZIPCd045402
IRS990ScheduleN/OwnerOfSuccessorInd0false
IRS990ScheduleN/ReceiveCompensationInd0false
IRS990ScheduleN/RequiredToNotifyAGInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0Bank Service Fees - 516; Licenses and Permits - 50;
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1Other Assets - BOY:154,EOY:0;
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990-EZ, Part I, Line 16 Other Expenses
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990-EZ, Part II, Line 24b Other Assets
ReturnHeader/BuildTS02017-02-10 21:41:12Z
ReturnHeader/BusinessOfficerGrp/PersonNm0Martin Larson
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0Executive Director
ReturnHeader/BusinessOfficerGrp/SignatureDt02016-09-14
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0Clark & Champaign Counties Health Information Exchange
ReturnHeader/Filer/BusinessNameControlTxt0CLAR
ReturnHeader/Filer/EIN0260698515
ReturnHeader/Filer/PhoneNum09373428900
ReturnHeader/Filer/USAddress/AddressLine1Txt01150 E Home Road
ReturnHeader/Filer/USAddress/CityNm0Springfield
ReturnHeader/Filer/USAddress/StateAbbreviationCd0OH
ReturnHeader/Filer/USAddress/ZIPCd045503
ReturnHeader/ReturnTs02016-09-15T09:00:10-05:00
ReturnHeader/ReturnTypeCd0990EZ
ReturnHeader/TaxPeriodBeginDt02015-01-01
ReturnHeader/TaxPeriodEndDt02015-12-31
ReturnHeader/TaxYr02015

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