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Nonprofiteer
← CHMC COMMUNITY HEALTH SERVICES NETWORK

Form 990 for tax year 2022

Filed by CHMC COMMUNITY HEALTH SERVICES NETWORK.

Totals

Total revenue
$18,223,020
Total expenses
$23,824,198
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$18,103,592
Investment income
$0
Other revenue
$119,428
Total assets, end of year
$13,055,917
Total liabilities, end of year
$22,893,902
Net assets or fund balances, end of year
-$9,837,985
Program services expenses (Part IX)
$23,824,198
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$23,824,198

Program services were 100.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • STEVE DAVIS MD

    TRUSTEE (THRU 7/22)

    Total calculated
    $2,372,092
    From this org
    $0
    From related orgs
    $2,302,891
    Other
    $69,201
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,214,092 related
    Bonus
    $0 + $625,665 related
    Other
    $0 + $463,134 related
    Deferred
    $0 + $30,500 related
    Nontaxable benefits
    $0 + $38,701 related
    Filer's total
    $0 + $2,372,092 related

  • PAUL JENNY

    TRUSTEE

    Total calculated
    $1,275,873
    From this org
    $0
    From related orgs
    $1,103,457
    Other
    $172,416
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $737,739 related
    Bonus
    $0 + $277,678 related
    Other
    $0 + $88,040 related
    Deferred
    $0 + $150,566 related
    Nontaxable benefits
    $0 + $21,850 related
    Filer's total
    $0 + $1,275,873 related

  • TINA CHENG

    TRUSTEE (THRU 1/23)

    Total calculated
    $1,241,842
    From this org
    $0
    From related orgs
    $1,197,820
    Other
    $44,022
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $759,739 related
    Bonus
    $0 + $283,799 related
    Other
    $0 + $154,282 related
    Deferred
    $0 + $30,500 related
    Nontaxable benefits
    $0 + $13,522 related
    Filer's total
    $0 + $1,241,842 related

  • EVALINE ALESSANDRINI

    TRUSTEE (EFF. 7/22)

    Total calculated
    $1,008,895
    From this org
    $0
    From related orgs
    $939,746
    Other
    $69,149
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $710,359 related
    Bonus
    $0 + $159,359 related
    Other
    $0 + $70,028 related
    Deferred
    $0 + $30,500 related
    Nontaxable benefits
    $0 + $38,649 related
    Filer's total
    $0 + $1,008,895 related

  • BARBARA TOFANI

    TRUSTEE

    Total calculated
    $647,000
    From this org
    $0
    From related orgs
    $597,411
    Other
    $49,589
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $394,174 related
    Bonus
    $0 + $144,865 related
    Other
    $0 + $58,372 related
    Deferred
    $0 + $30,500 related
    Nontaxable benefits
    $0 + $19,089 related
    Filer's total
    $0 + $647,000 related

  • JEFFREY ANDERSON MD

    CHAIRMAN & PRESIDENT

    Total calculated
    $627,549
    From this org
    $0
    From related orgs
    $524,630
    Other
    $102,919
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $395,928 related
    Bonus
    $0 + $93,275 related
    Other
    $0 + $35,427 related
    Deferred
    $0 + $64,828 related
    Nontaxable benefits
    $0 + $38,091 related
    Filer's total
    $0 + $627,549 related

  • SAMIER SHAH

    TRUSTEE (EFF. 1/23)

    Total calculated
    $418,201
    From this org
    $0
    From related orgs
    $351,621
    Other
    $66,580
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $329,681 related
    Bonus
    $0 + $750 related
    Other
    $0 + $21,190 related
    Deferred
    $0 + $30,500 related
    Nontaxable benefits
    $0 + $36,080 related
    Filer's total
    $0 + $418,201 related

  • CAROLYN KARAGEORGES

    TREASURER (EFF. 2/23)

    Total calculated
    $429,615
    From this org
    $0
    From related orgs
    $345,017
    Other
    $84,598
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $266,002 related
    Bonus
    $0 + $62,406 related
    Other
    $0 + $16,609 related
    Deferred
    $0 + $46,580 related
    Nontaxable benefits
    $0 + $38,018 related
    Filer's total
    $0 + $429,615 related

  • ALEXANDER MILLER

    TREASURER (THRU 2/23)

    Total calculated
    $422,226
    From this org
    $0
    From related orgs
    $338,382
    Other
    $83,844
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $265,176 related
    Bonus
    $0 + $64,013 related
    Other
    $0 + $9,193 related
    Deferred
    $0 + $46,482 related
    Nontaxable benefits
    $0 + $37,362 related
    Filer's total
    $0 + $422,226 related

  • KIMBERLY KAAS

    VP & COO

    Total calculated
    $268,061
    From this org
    $0
    From related orgs
    $219,220
    Other
    $48,841
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $195,320 related
    Bonus
    $0 + $23,246 related
    Other
    $0 + $654 related
    Deferred
    $0 + $14,541 related
    Nontaxable benefits
    $0 + $34,300 related
    Filer's total
    $0 + $268,061 related

  • ZACHARY HILLE

    SECRETARY

    Total calculated
    $169,749
    From this org
    $0
    From related orgs
    $138,254
    Other
    $31,495
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $126,234 related
    Bonus
    $0 + $11,759 related
    Other
    $0 + $261 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $31,495 related
    Filer's total
    $0 + $169,749 related

  • COURTNEY CAMPBELL SAXTON

    FMR. SECRETARY

    Total calculated
    $445,191
    From this org
    $0
    From related orgs
    $359,939
    Other
    $85,252
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $275,563 related
    Bonus
    $0 + $65,584 related
    Other
    $0 + $18,792 related
    Deferred
    $0 + $47,422 related
    Nontaxable benefits
    $0 + $37,830 related
    Filer's total
    $0 + $445,191 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
CHMC COMMUNITY HEALTH SERVICES NETWORK RELIED ON CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER ("CINCINNATI CHILDREN'S"), A RELATED ORGANIZATION, TO ESTABLISH THE COMPENSATION OF INDIVIDUALS LISTED ON FORM 990, PART VII. CINCINNATI CHILDREN'S USED THE METHODS DESCRIBED BELOW: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
PART I, LINE 4B:
CERTAIN OFFICERS AND KEY EMPLOYEES OF CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER ("CINCINNATI CHILDREN'S"), 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. NO OFFICERS OR KEY EMPLOYEES RECEIVED A PAYMENT UNDER CINCINNATI CHILDREN'S IRC SEC. 457(F) PLAN DURING THE YEAR.
FORM 990, SCHEDULE J:
EXPLANATION OF BENEFITS: ALL COMPENSATION AND BENEFITS REPORTED ON FORM 990, PART VII AND SCHEDULE J, PART II ARE PROVIDED BY CINCINNATI CHILDREN'S, 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.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • RIVER CITY INSURANCE LIMITED

    C · HEALTHCARE LIABILITY INSURANCE FOR CHMC · OH

Provenance

Return type
form_990
Tax year
2022
Filed
3 May 2024
IRS schema version
2022v5.0
Source object
202401249349301400

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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