Liabilities / Assets
1st percentile
Higher debt load relative to assets than 1% of similar nonprofits.
Chmc Community Health Services Network
990 • Fiscal year 2017 • EIN 31-1459815
Refreshing map…
Siviq Scores
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
-0.67x
Liabilities / Revenue
1st percentile
Higher debt load relative to revenue than 1% of similar nonprofits.
Net Margin
61st percentile
Higher net margin than 61% of similar nonprofits.
Top Officer Pay
100th percentile
Higher top officer pay than 100% of similar nonprofits.
Top officer pay equals 45.1% of source-year revenue.
Asset Growth
9th percentile
Faster asset growth than 9% of similar nonprofits.
Revenue Growth
57th percentile
Faster revenue growth than 57% of similar nonprofits.
Balance Sheet
Assets
Down$1,519,893
Down $227,062 (-13%) from 2016
Net Assets
Up$2,540,561
Up $326,715 (+15%) from 2016
Liabilities
Down-$1,020,668
Down $553,777 (-119%) from 2016
Revenue And Expenses
Revenue
Up$4,391,847
Up $310,835 (+7.6%) from 2016
Expenses
Up$4,065,133
Up $245,740 (+6.4%) from 2016
Net Income
Up$326,714
Up $65,095 (+25%) from 2016
Historical Trend
Jump To
Filing Snapshot
- Filing Period
- Jul 1, 2016 to Jun 30, 2017
- Signed
- May 8, 2018
- Return Version
- 2016v3.0
- Gross Receipts
- $4,391,847
Mission and Program Overview
Mission
Chmc community health services network ("chsn") is organized and operated exclusively to support cincinnati children's hospital medical center ("cchmc") in cchmc's efforts to provide medical services to all of the children in the community.
Provide medical services to children in the community.
Balance Sheet Detail
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $787,749 | $651,930 | ▼ $135,819 |
| Accounts Receivable | $356,345 | $512,005 | ▲ $155,660 |
| Savings and Temporary Cash Investments | $596,709 | $353,025 | ▼ $243,684 |
| Prepaid Expenses and Deferred Charges | $6,152 | $2,933 | ▼ $3,219 |
| Total Assets | $1,746,955 | $1,519,893 | ▼ $227,062 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $-466,891 | $-1,020,668 | ▼ $553,777 |
| Total Liabilities | $-466,891 | $-1,020,668 | ▼ $553,777 |
| Net Assets / Fund Balance | |||
| Unrestricted Net Assets | $2,213,846 | $2,540,561 | ▲ $326,715 |
| Total Net Assets Fund Balance | $2,213,846 | $2,540,561 | ▲ $326,715 |
| Total Liabilities and Net Assets / Fund Balance | $1,746,955 | $1,519,893 | ▼ $227,062 |
Asset Categories
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $468,492 | $255,237 | $723,729 |
| Equipment | $156,201 | $245,525 | $401,726 |
| Land | $27,237 | - | $27,237 |
Compensation and Service Providers
Board Members and Trustees
| Name | Title |
|---|---|
| Steve Davis | Chairman and President |
| Michael Fisher | Director |
| Tom Dewitt MD | Director |
| Mark Mumford | Director and Treasurer |
| Scott J Hamlin through 2015 | Former Director |
| Charlene Mason | Secretary |
Revenue and Support
Revenue Composition
- Contributions and Grants
- $0
- Program Service Revenue
- $4,210,315
- Investment Income
- $0
- Other Revenue
- $181,532
- Change in Net Assets
- $326,714
Expenses and Functional Allocation
Major Expense Lines
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $2,515,259 |
| Other Expenses | $1,549,874 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
Functional Expense Allocation
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $2,173,450 | - | - | $2,173,450 |
| Other Expenses | $399,276 | - | - | $399,276 |
| Other Employee Benefits | $341,809 | - | - | $341,809 |
| Occupancy | $204,480 | - | - | $204,480 |
| All Other Expenses | $179,151 | - | - | $179,151 |
| Office Expenses | $174,537 | - | - | $174,537 |
| Depreciation Depletion | $159,139 | - | - | $159,139 |
| Travel | $18,389 | - | - | $18,389 |
| Total Functional Expenses | $4,065,133 | $0 | $0 | $4,065,133 |
Fundraising, Events, and Gaming
- Fundraising activities
- No
- Gaming activities
- No
- Professional fundraiser used
- No
Fundraising and Gaming Totals
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
Political and Lobbying Activity
- Political campaign activity
- No
- Lobbying activity
- No
- Subject to proxy tax
- No
Governance and Compliance
Governance Checklist
- Compiled or reviewed by an accountant
- No
- Annual disclosure for covered persons
- Yes
- Audit committee
- No
- 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
- No
- Management duties delegated
- No
Governance Explanations
Form 990, Part VI, Section B, Question 13:
“CHSN's Board of Trustees has not formally adopted a written Whistleblower Policy. However, CHSN is a related organziation of Cincinnati Children's Hospital Medical Center ("CCHMC"). CCHMC has a written Whistleblower Policy and CHSN abides by the provisions of this Policy.”
Form 990, Part VI, Section A, line 6
“Article III of CHSN's Code of Regulations provides that Children's Hospital Medical Center, a related organization, possesses the authority to appoint, elect, and remove members of CHSN's Board of Trustees.”
Form 990, Part VI, Section A, line 7A
“Article III of CHSN's Code of Regulations provides that Children's Hospital Medical Center, a related organization, possesses the authority to appoint, elect, and remove members of CHSN's Board of Trustees.”
Form 990, Part VI, Section B, line 11B
“The CHMC Community Health Services Network ("CHSN") Form 990 is prepared by senior management from Cincinnati Children's Hospital Medical Center ("CCHMC"), a related organization. External tax consultants then review Form 990 for completeness and accuracy. The Form 990 is then made available to all CHSN Board Members in advance of filing.”
Form 990, Part VI, Section B, line 12C
“All of CHSN's Board Members receive an annual questionnaire requesting information regarding family and business relationships that could potentially result in a conflict of interest under CHSN's Conflict of Interest Policy. Once the questionnaires have been completed by all of CHSN's Board Members, the questionnaires are reviewed and if CHSN determines that a relationship exists that presents a conflict of interest, CHSN follows the provisions set forth in CHSN's Vonflict of Interest Policy to resolve the conflict and determines the appropriate reporting to the board and, if required, Form 990 disclosure.”
Form 990, Part VI, Section B, line 15
“CHSN's Board Members are employed by Cincinnati Children's Hospital Medical Center ("CCHMC"), a related organization. CCHMC has a compensation committee that annually reviews the recommendations of CCHMC management regarding employee performance evaluation and compensation adjustments for disqualified persons to ensure that CCHMC has complied with the provisions of the rebuttable presumption of reasonableness under IRC Sec. 4958.”
Form 990, Part VI, Section C, line 19
“CHSN's governing documents, Conflict of Interest Policy, and financial statements are maintained on file by CCHMC senior management and are available to the public upon request either in-person, by telephone, or by written request.”
Form 990, Part VI, Section B, Question 14:
“CHSN's Board of Trustees has not formally adopted a written Document Retention and Destruction Policy. However, CHSN is a related organization of Cincinnati Children's Hospital Medical Center ("CCHMC"). CCHMC has a written Document Retention and Destruction Policy and CHSN abides by the provisions of this Policy.”
Form 990, Part VII, Section A:
“All individuals listed on Form 990, Part VII are employed by Cincinnati Children's Hospital Medical Center ("CCHMC"), a related organization. Each individual devotes an average of 50 hours/week for their duties to CCHMC and affiliated entities.”
Filing and Contact Details
Filer
- Filer Name
- CHMC Community Health Services Network
- EIN
- 31-1459815
- Phone
- 5138031106
- Address
- 3333 Burnet Avenue, Cincinnati, OH 45229-3039
Signing Officer
- Name
- Mark Mumford
- Title
- Director and Treasurer
- Phone
- 5138031106
- Signed
- 2018-05-08
- Discuss with paid preparer
- Yes
Organization Details
- Principal Officer
- Steve Davis
- Formed
- 1995
- Legal Domicile
- Oh
- Voting Board Members
- 5
- Independent Board Members
- 0
- Employees
- 0
- Volunteers
- 0
Preparer
- Firm
- Deloitte Tax LLP
- Address
- 250 East Fifth Street Suite 1900, Cincinnati, OH 45202
- Preparer
- Alicia Janisch
- Phone
- 5137847100
Supplemental Narrative
Additional Explanations
Form 990, Part XII, Line 2B:
“CHSN's financial statements are included as part of the Cincinnati Children's Hospital Medical Center & affiliates financial statement audit.”
Financial Statement Notes
Part X, Line 2:
“From the consolidated audited financial statements of Children's Hospital Medical Center, which include the activity of CHMC Community Health Service Network: Cincinnati Children's accounts for income taxes in accordance with Accounting Standards Codification Topic ("ASC") 740 "Income Taxes". It is Cincinnati Children's policy to classify the expense related to interest and penalties, if any, to be paid on underpayments of income taxes within other expenses. There were no material penalties or interest recognized in fiscal year 2017 or 2016. Listed below are the tax years that remain subject to examination by major tax jurisdiction: Federal - 2014 - 2017 State - 2014 - 2017”
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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
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| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 159139 |
| IRS990/Desc | 0 | Cincinnati Children's Hospital Medical Center ("CCHMC") is devoted to providing medical services to all of the children in the community. CHMC Community Health Services Network ("CHSN") is organized and operated exclusively to support CCHMC in this effort by reaching out to the medically underserved and economically disadvantaged neighborhoods of our community.CHSN serves as the structure for bringing medical professionals who share the vision of providing quality medical care to the underprivileged and underserved. CHSN carries out its charitable purposes by seeking and hiring such "mission oriented physicians. In addition, CHSN will make medical professionals an integral part of these underprivileged neighborhoods by establishing sites within these communities where resident physicians will work. The resident physicians will be able to learn more about the patients they seek to serve and thereby provide better service to them. Furthermore, in order to ensure its goals are met, CHSN will act as a liaison between the neighborhoods and CCHMC, and will focus on how to best meet the difficult and unique needs of the underprivileged neighborhoods of our community. |
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| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 49.00 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 49.00 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.00 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.00 |
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| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
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| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
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| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 44392 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 61766 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
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| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | Mark Mumford |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | Michael Fisher |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | Tom Dewitt MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | Charlene Mason |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | Scott J Hamlin through 2015 |
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| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
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| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 530755 |
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| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | Director and Treasurer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | Secretary |
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| IRS990/FormationYr | 0 | 1995 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 1 |
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| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
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| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
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| IRS990/InfoInScheduleOPartVIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
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| IRS990/MissionDesc | 0 | CHMC Community Health Services Network ("CHSN") is organized and operated exclusively to support Cincinnati Children's Hospital Medical Center ("CCHMC") in CCHMC's efforts to provide medical services to all of the children in the community. |
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| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 2540561 |
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| IRS990/PYTotalRevenueAmt | 0 | 4081012 |
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| IRS990/RegularMonitoringEnfrcInd | 0 | 1 |
| IRS990/RelatedEntityInd | 0 | 1 |
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| IRS990/ReportLandBuildingEquipmentInd | 0 | 1 |
| IRS990/ReportOtherAssetsInd | 0 | 0 |
| IRS990/ReportOtherLiabilitiesInd | 0 | 0 |
| IRS990/ReportProgramRelatedInvstInd | 0 | 0 |
| IRS990/RevenueAmt | 0 | 4391847 |
| IRS990/SavingsAndTempCashInvstGrp/BOYAmt | 0 | 596709 |
| IRS990/SavingsAndTempCashInvstGrp/EOYAmt | 0 | 353025 |
| IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt | 0 | 4210315 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt | 0 | 3923029 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt | 0 | 4025071 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt | 0 | 3356919 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt | 0 | 3284561 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt | 0 | 18799895 |
| IRS990ScheduleA/InvestmentIncomeCYPct | 0 | 0.00000 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearAmt | 0 | 181532 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus1YearAmt | 0 | 157983 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 74840 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 85520 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 34351 |
| IRS990ScheduleA/OtherIncome509Grp/TotalAmt | 0 | 534226 |
| IRS990ScheduleA/PubliclySupportedOrg509a2Ind | 0 | X |
| IRS990ScheduleA/PublicSupportCY509Pct | 0 | 0.97240 |
| IRS990ScheduleA/PublicSupportPY509Pct | 0 | 0.96780 |
| IRS990ScheduleA/PublicSupportTotal509Amt | 0 | 18799895 |
| IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind | 0 | X |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt | 0 | 4210315 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt | 0 | 3923029 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 4025071 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 3356919 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 3284561 |
| IRS990ScheduleA/Total509Grp/TotalAmt | 0 | 18799895 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt | 0 | 4391847 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt | 0 | 4081012 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt | 0 | 4099911 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt | 0 | 3442439 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt | 0 | 3318912 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt | 0 | 19334121 |
| IRS990/ScheduleBRequiredInd | 0 | 0 |
| IRS990ScheduleD/BuildingsGrp/BookValueAmt | 0 | 468492 |
| IRS990ScheduleD/BuildingsGrp/DepreciationAmt | 0 | 255237 |
| IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt | 0 | 723729 |
| IRS990ScheduleD/EquipmentGrp/BookValueAmt | 0 | 156201 |
| IRS990ScheduleD/EquipmentGrp/DepreciationAmt | 0 | 245525 |
| IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt | 0 | 401726 |
| IRS990ScheduleD/FootnoteTextInd | 0 | X |
| IRS990ScheduleD/LandGrp/BookValueAmt | 0 | 27237 |
| IRS990ScheduleD/LandGrp/OtherCostOrOtherBasisAmt | 0 | 27237 |
| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 0 | From the consolidated audited financial statements of Children's Hospital Medical Center, which include the activity of CHMC Community Health Service Network: Cincinnati Children's accounts for income taxes in accordance with Accounting Standards Codification Topic ("ASC") 740 "Income Taxes". It is Cincinnati Children's policy to classify the expense related to interest and penalties, if any, to be paid on underpayments of income taxes within other expenses. There were no material penalties or interest recognized in fiscal year 2017 or 2016. Listed below are the tax years that remain subject to examination by major tax jurisdiction: Federal - 2014 - 2017 State - 2014 - 2017 |
| IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | Part X, Line 2: |
| IRS990ScheduleD/TotalBookValueLandBuildingsAmt | 0 | 651930 |
| IRS990ScheduleJ/AnyNonFixedPaymentsInd | 0 | 0 |
| IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd | 0 | 0 |
| IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd | 0 | 0 |
| IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd | 0 | 0 |
| IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd | 0 | 0 |
| IRS990ScheduleJ/EquityBasedCompArrngmInd | 0 | 0 |
| IRS990ScheduleJ/InitialContractExceptionInd | 0 | 0 |
| IRS990/ScheduleJRequiredInd | 0 | 1 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 1 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 2 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 3 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 4 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 5 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount | 1 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount | 2 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount | 3 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount | 4 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount | 5 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt | 0 | 171073 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt | 1 | 178412 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt | 2 | 291372 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt | 3 | 750 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt | 4 | 50491 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt | 5 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt | 0 | 558938 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt | 1 | 536311 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt | 2 | 963749 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt | 3 | 317259 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt | 4 | 274668 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt | 5 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt | 1 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt | 2 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt | 3 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt | 4 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt | 5 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt | 1 | 89915 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt | 2 | 477615 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt | 3 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt | 4 | 17199 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt | 5 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt | 1 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt | 2 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt | 3 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt | 4 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt | 5 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt | 0 | 102419 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt | 1 | 112917 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt | 2 | 198605 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt | 3 | 26500 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt | 4 | 44635 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt | 5 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt | 1 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt | 2 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt | 3 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt | 4 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt | 5 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt | 0 | 27417 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt | 1 | 28177 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt | 2 | 29177 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt | 3 | 17892 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt | 4 | 17131 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt | 5 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt | 1 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt | 2 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt | 3 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt | 4 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt | 5 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt | 0 | 690 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt | 1 | 108605 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt | 2 | 496905 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt | 3 | 3810 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt | 4 | 19179 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt | 5 | 530755 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 0 | Steve Davis |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 1 | Mark Mumford |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 2 | Michael Fisher |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 3 | Tom Dewitt MD |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 4 | Charlene Mason |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 5 | Scott J Hamlin through 2015 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt | 0 | Chairman and President |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt | 1 | Director and Treasurer |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt | 2 | Director |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt | 3 | Director |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt | 4 | Secretary |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt | 5 | Former Director |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt | 1 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt | 2 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt | 3 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt | 4 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt | 5 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt | 0 | 860537 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt | 1 | 964422 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt | 2 | 1979808 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt | 3 | 366211 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt | 4 | 406104 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt | 5 | 530755 |
| IRS990ScheduleJ/SeverancePaymentInd | 0 | 0 |
| IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt | 0 | CHMC community health services network relied on Cincinnati Children's Hospital Medical Center ("CCHMC"), a related organization, to establish the compensation of individuals listed on Form 990, Part VII. CCHMC used one or more of the methods described below to establish an appropriate level of compensation: - Compensation Committee - Independent Compensation Consultant - Form 990 of other organizations - Compensation survey or study - Approval by the Board or Compensation Committee |
| IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt | 1 | Certain officers and key employees of Cincinnati Children's Hospital Medical Center ("CCHMC"), a related organization to CHSN, have arrangements which provide for supplemental retirement benefits as described in IRC Sec. 457(f). Due to the substantial risk of forfeiture provision, these arrangements are non-vested and there is no guarantee that these officers and faculty members will ever receive these benefits. The following is a listing of officers and key employees that received a deferral, subject to the substantial risk of forfeiture provision, under CCHMC's IRC Sec. 457(f) plan during the year (these amounts are included in the totals for Schedule J, Part II, Column C, Deferred Compensation): 1. Michael Fisher - $172,105 2. Mark Mumford - $86,417 3. Steve Davis - $75,919 4. Charlene Mason - $18,136 The following is a listing of officers and key employees that received a payment under CCHMC's IRC Sec. 457(f) plan during the year: 1. Michael Fisher - $477,615 2. Mark Mumford - $89,915 3. Charlene Mason - $17,199 |
| IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt | 2 | Scott Hamlin left Cincinnati Children's in April 2015. In connection with his departure, he received a continuation of salary, a payment of $250,000 in July 2016 for meeting certain requirements, and will receive one future payment (July 2017) contingent on meeting certain requirements. |
| IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt | 3 | Explanation of benefits: All compensation and benefits reported on Form 990, Part VII and Schedule J, Part II are provided by CCHMC, a related entity to CHSN. The employee benefit plan contribution amounts listed on Schedule J, Part II may include one or more of the following benefits: 1. Elective employee deferrals under IRC Sec. 403(b) 2. Discretionary employer contributions under IRC Sec. 403(b) 3. Elective employee deferrals under IRC Sec. 457(b) 4. Elective employee deferrals under IRC Sec. 457(f) In addition to the retirement plan contributions disclosed on Form 990, Part VII and Schedule J, Part II, the following non-taxable employee welfare benefits were made available to the employed, compensated officers and key employees listed on Form 990, Part VII and Schedule J, Part II: 1. Health and dental insurance benefits 2. Group life insurance (portions of which are taxed) 3. Unemployment benefits 4. Disability benefits The officers and key employees listed on Form 990, Part VII and Schedule J, Part II are also eligible for any other available employee benefits. |
| IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | Part I, Line 3 |
| IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | Part I, Line 4b |
| IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc | 2 | Form 990, Schedule J |
| IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc | 3 | Form 990, Schedule J: |
| IRS990ScheduleJ/SupplementalNonqualRtrPlanInd | 0 | 1 |
| IRS990/ScheduleORequiredInd | 0 | 1 |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 0 | CHSN's Board of Trustees has not formally adopted a written Whistleblower Policy. However, CHSN is a related organziation of Cincinnati Children's Hospital Medical Center ("CCHMC"). CCHMC has a written Whistleblower Policy and CHSN abides by the provisions of this Policy. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 1 | Article III of CHSN's Code of Regulations provides that Children's Hospital Medical Center, a related organization, possesses the authority to appoint, elect, and remove members of CHSN's Board of Trustees. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 2 | Article III of CHSN's Code of Regulations provides that Children's Hospital Medical Center, a related organization, possesses the authority to appoint, elect, and remove members of CHSN's Board of Trustees. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 3 | The CHMC Community Health Services Network ("CHSN") Form 990 is prepared by senior management from Cincinnati Children's Hospital Medical Center ("CCHMC"), a related organization. External tax consultants then review Form 990 for completeness and accuracy. The Form 990 is then made available to all CHSN Board Members in advance of filing. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 4 | All of CHSN's Board Members receive an annual questionnaire requesting information regarding family and business relationships that could potentially result in a conflict of interest under CHSN's Conflict of Interest Policy. Once the questionnaires have been completed by all of CHSN's Board Members, the questionnaires are reviewed and if CHSN determines that a relationship exists that presents a conflict of interest, CHSN follows the provisions set forth in CHSN's Vonflict of Interest Policy to resolve the conflict and determines the appropriate reporting to the board and, if required, Form 990 disclosure. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 5 | CHSN's Board Members are employed by Cincinnati Children's Hospital Medical Center ("CCHMC"), a related organization. CCHMC has a compensation committee that annually reviews the recommendations of CCHMC management regarding employee performance evaluation and compensation adjustments for disqualified persons to ensure that CCHMC has complied with the provisions of the rebuttable presumption of reasonableness under IRC Sec. 4958. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 6 | CHSN's governing documents, Conflict of Interest Policy, and financial statements are maintained on file by CCHMC senior management and are available to the public upon request either in-person, by telephone, or by written request. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 7 | CHSN's Board of Trustees has not formally adopted a written Document Retention and Destruction Policy. However, CHSN is a related organization of Cincinnati Children's Hospital Medical Center ("CCHMC"). CCHMC has a written Document Retention and Destruction Policy and CHSN abides by the provisions of this Policy. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 8 | All individuals listed on Form 990, Part VII are employed by Cincinnati Children's Hospital Medical Center ("CCHMC"), a related organization. Each individual devotes an average of 50 hours/week for their duties to CCHMC and affiliated entities. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 9 | CHSN's financial statements are included as part of the Cincinnati Children's Hospital Medical Center & affiliates financial statement audit. |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | Form 990, Part VI, Section B, Question 13: |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | Form 990, Part VI, Section A, line 6 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 2 | Form 990, Part VI, Section A, line 7a |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 3 | Form 990, Part VI, Section B, line 11b |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 4 | Form 990, Part VI, Section B, line 12c |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 5 | Form 990, Part VI, Section B, line 15 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 6 | Form 990, Part VI, Section C, line 19 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 7 | Form 990, Part VI, Section B, Question 14: |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 8 | Form 990, Part VII, Section A: |
Document Assets
No mirrored PDF or thumbnail assets are attached yet.
Filings
Displayed year
2017 • Form 990Detailed filing. Detailed filing data is available for this year.
- Assets
- $1,519,893
- Liabilities
- -$1,020,668
- Net assets
- $2,540,561
- Revenue
- $4,391,847
- Expenses
- $4,065,133
- Net income
- $326,714