2025-05-14T15:38:02-05:00 2024-06-30 861065772 DELOITTE TAX LLP 111 MONUMENT CIRCLE SUITE 4200 INDIANAPOLIS IN 462045108 990 2023-07-01 311459815 CHMC COMMUNITY HEALTH SERVICES NETWORK CHMC 5138031106 3333 BURNET AVENUE CINCINNATI OH 452293039 CAROLYN KARAGEORGES VP & CAO 5138031106 2025-05-14 1 1 SHAWNA M JANSONS P01222873 3174648600 2023 2025-03-06 01:10:19Z JEFFREY ANDERSON 3333 BURNET AVENUE CINCINNATI OH 452293039 23489257 0 X N/A X 1995 OH PROVIDE MEDICAL SERVICES TO CHILDREN IN THE COMMUNITY. 5 0 0 0 0 0 0 0 18103592 23174021 0 0 119428 315236 18223020 23489257 0 0 0 0 0 0 0 0 0 23824198 29318681 23824198 29318681 -5601178 -5829424 13055917 12009487 22893902 27676896 -9837985 -15667409 X 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. 0 0 29318681 23489257 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 CHILDREN AND THEIR FAMILIES IN NEIGHBORHOODS OF OUR COMMUNITY. CHSN SERVES AS THE STRUCTURE FOR BRINGING MEDICAL PROFESSIONALS WHO SHARE THE VISION OF PROVIDING QUALITY MEDICAL CARE TO CHILDREN AND FAMILIES IN THE NEIGHBORHOODS IN WHICH THEY LIVE. 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 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 UNIQUE NEEDS OF ALL CHILDREN IN NEIGHBORHOODS OF OUR COMMUNITY. 29318681 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 5 0 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X CAROLYN KARAGEORGES 5138031106 3333 BURNET AVENUE CINCINNATI OH 452293039 X EVALINE ALESSANDRINI TRUSTEE 1.00 49.00 X 0 1319326 71443 PAUL JENNY TRUSTEE 1.00 49.00 X 0 1115505 198766 BARBARA TOFANI TRUSTEE 1.00 49.00 X 0 996766 52001 JEFFREY ANDERSON MD CHAIRMAN & PRESIDENT 1.00 49.00 X X 0 613786 114724 SAMIR SHAH MD TRUSTEE 1.00 49.00 X 0 432897 74567 CAROLYN KARAGEORGES TREASURER 1.00 49.00 X 0 372253 88874 KIMBERLY KAAS VP & COO 1.00 49.00 X 0 296044 79837 ZACHARY HILLE SECRETARY 1.00 49.00 X 0 166955 31783 COURTNEY CAMPBELL SAXTON FMR. SECRETARY 0.00 50.00 X 0 384214 89045 0 5697746 801040 0 1 1 0 0 NET PATIENT REVENUES 621990 23174021 23174021 23174021 315236 315236 315236 23489257 23489257 0 0 695333 695333 515489 515489 1150586 1150586 56608 56608 1332553 1332553 ALLOCATED SAL & BEN 19144916 19144916 PATIENT CARE SUPPLIES 4995936 4995936 COLLECTION FEES 1028887 1028887 TELEPHONE 191154 191154 207219 207219 29318681 29318681 0 0 649153 0 1726501 2037120 0 0 6483382 2089965 4243013 4393417 6437250 5578950 13055917 12009487 22893902 27676896 22893902 27676896 X -9837985 -15667409 -9837985 -15667409 13055917 12009487 -5829424 0 X X 0 1 X 1 0 X 4008351 9392568 14906042 18103592 23174021 69584574 4008351 9392568 14906042 18103592 23174021 69584574 0 0 0 69584574 15528 15873 95446 119428 315236 561511 4023879 9408441 15001488 18223020 23489257 70146085 0.99200 0.99410 0.00000 0.00000 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER OPERATING REVENUES - 2019 AMOUNT: $ 15,528. 2020 AMOUNT: $ 15,873. 2021 AMOUNT: $ 95,446. 2022 AMOUNT: $ 119,428. 2023 AMOUNT: $ 315,236. 19200 19200 5631303 1672259 3959044 723634 327806 395828 109245 89900 19345 4393417 X 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 YEARS 2024 AND 2023. FISCAL YEARS 2021 THROUGH 2024 ARE SUBJECT TO EXAMINATION BY BOTH THE FEDERAL AND STATE TAX JURISDICTIONS. 0 1 0 0 0 0 0 0 0 EVALINE ALESSANDRINI TRUSTEE 0 829582 0 322186 0 167558 0 33000 0 38443 0 1390769 0 0 PAUL JENNY TRUSTEE 0 760673 0 297003 0 57829 0 159048 0 39718 0 1314271 0 0 BARBARA TOFANI TRUSTEE 0 461113 0 469203 0 66450 0 33000 0 19001 0 1048767 0 0 JEFFREY ANDERSON MD CHAIRMAN & PRESIDENT 0 427942 0 128554 0 57290 0 76006 0 38718 0 728510 0 0 SAMIR SHAH MD TRUSTEE 0 362353 0 45994 0 24550 0 44647 0 29920 0 507464 0 0 COURTNEY CAMPBELL SAXTON FMR. SECRETARY 0 296933 0 69431 0 17850 0 50755 0 38290 0 473259 0 16349 CAROLYN KARAGEORGES TREASURER 0 285536 0 67060 0 19657 0 50182 0 38692 0 461127 0 0 KIMBERLY KAAS VP & COO 0 237681 0 57322 0 1041 0 45157 0 34680 0 375881 0 0 ZACHARY HILLE SECRETARY 0 145912 0 20743 0 300 0 0 0 31783 0 198738 0 0 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. 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 ("CINCINNATI CHILDREN'S"), 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 CONFLICT 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 AND OFFICERS ARE EMPLOYED BY CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER ("CINCINNATI CHILDREN'S"), A RELATED ORGANIZATION. CINCINNATI CHILDREN'S HAS A COMPENSATION COMMITTEE THAT ANNUALLY REVIEWS THE RECOMMENDATIONS OF CINCINNATI CHILDREN'S MANAGEMENT REGARDING EMPLOYEE PERFORMANCE EVALUATION AND COMPENSATION ADJUSTMENTS FOR DISQUALIFIED PERSONS TO ENSURE THAT CINCINNATI CHILDREN'S 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 CINCINNATI CHILDREN'S 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, LINE 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 ("CINCINNATI CHILDREN'S"). CINCINNATI CHILDREN'S HAS A WRITTEN WHISTLEBLOWER POLICY AND CHSN ABIDES BY THE PROVISIONS OF THIS POLICY. FORM 990, PART VI, SECTION B, LINE 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 ("CINCINNATI CHILDREN'S"). CINCINNATI CHILDREN'S 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 ("CINCINNATI CHILDREN'S"), A RELATED ORGANIZATION. EACH INDIVIDUAL DEVOTES AN AVERAGE OF 50 HOURS/WEEK FOR THEIR DUTIES TO CINCINNATI CHILDREN'S AND AFFILIATED ENTITIES. FORM 990, PART XII, LINES 2B AND 2C: CHSN'S FINANCIAL STATEMENTS ARE INCLUDED AS PART OF THE CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER & AFFILIATES CONSOLIDATED FINANCIAL STATEMENT AUDIT. CINCINNATI CHILDREN'S HAS AN AUDIT COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. CHILDREN'S HOSPITAL MEDICAL CENTER UNINSURED LOSS FUND #2 3333 BURNET AVENUE CINCINNATI OH 45229 316197894 MALPRACTICE AND LIABILITY TRUST FUND OH 501(C)(3) 509(A)(3) TYPE I CHILDREN'S HOSPITAL MEDICAL CENTER 0 CHILDREN'S HOSPITAL MEDICAL CENTER 3333 BURNET AVENUE CINCINNATI OH 45229 310833936 PEDIATRIC HEALTHCARE OH 501(C)(3) 3 THE CHILDREN'S HOSPITAL 0 THE CHILDREN'S HOSPITAL 3333 BURNET AVENUE CINCINNATI OH 45229 310537130 SUPPORT CHMC OH 501(C)(3) 509(A)(3) TYPE II N/A 0 EVERY CHILD SUCCEEDS 3440 BURNET AVENUE CINCINNATI OH 45229 311628467 MATERNAL HOME VISITS OH 501(C)(3) 509(A)(2) CHILDREN'S HOSPITAL MEDICAL CENTER 0 RIVER CITY INSURANCE LIMITED 3333 BURNET AVENUE CINCINNATI OH 45229 HEALTHCARE LIABILITY INSURANCE FOR CHMC OH N/A C 0 PARK AND KEMPER HOLDINGS INC 3333 BURNET AVENUE CINCINNATI OH 45229 992702105 INVESTMENT HOLDING OH N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 CHILDREN'S HOSPITAL MEDICAL CENTER R 28882822 FAIR MARKET VALUE CHILDREN'S HOSPITAL MEDICAL CENTER S 33749177 FAIR MARKET VALUE FORM 990, SCHEDULE R, PART V: DURING THE TIME PERIOD COVERED BY THIS RETURN, CHMC COMMUNITY HEALTH SERVICES NETWORK RECEIVED CERTAIN ACCOUNTING AND ADMINISTRATIVE SERVICES FROM CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER AT NO COST. THE VALUE OF THESE SERVICES IS AN UNSPECIFIED AMOUNT.