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OHIO CHILDRENS HOSPITAL SOLUTIONS FOR PATIENT SAFETY: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
OHIO CHILDRENS HOSPITAL SOLUTIONS FOR PATIENT SAFETY (EIN 45-2848263)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-16
IRS object ID
201403209349300740
Schema version
2013v3.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2014-11-16T19:55:22-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN263641206PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1LEPPERT COMPANY CPAS LLCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1428 BEECHER RD STE DAddressLine1
CityGAHANNACity
StateOHState
ZIP Code43230ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN452848263EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1OHIO CHILDREN'S HOSPITAL SOLUTIONSBusinessNameLine1
Business Name Line2FOR PATIENT SAFETYBusinessNameLine2
FieldValueIRS element (for citing)
Business Name ControlOHIOBusinessNameControlTxt
Phone6142282844PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1155 E BROAD ST 23RD FLOORAddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code43215ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonNICHOLAS LASHUTKAPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone6142282844PhoneNum
Signature2014-11-12SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMATTHEW R LEPPERTPreparerPersonNm
PTINP00290279PTIN
Phone6145325098PhoneNum
Preparation2014-11-16PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerNICHOLAS LASHUTKAPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1155 E BROAD ST 23RD FLOORAddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code43215ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$2,556,055GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2011FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionTO CREATE A UNIVERSALLY SAFE AND HEALING ENVIRONMENT FOR ALL CHILDREN AS PART OF A NETWORK OF CHILDREN'S HOSPITALS IN THE UNITED STATES.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$2,788,393PYProgramServiceRevenueAmt
CY Program Service Revenue$2,556,055CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$2,788,393PYTotalRevenueAmt
CY Total Revenue$2,556,055CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,897,051PYOtherExpensesAmt
CY Other Expenses$2,113,548CYOtherExpensesAmt
PY Total Expenses$1,897,051PYTotalExpensesAmt
CY Total Expenses$2,113,548CYTotalExpensesAmt
PY Revenues Less Expenses$891,342PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$442,507CYRevenuesLessExpensesAmt
Total Assets BOY$1,344,517TotalAssetsBOYAmt
Total Assets EOY$1,714,399TotalAssetsEOYAmt
Total Liabilities BOY$344,893TotalLiabilitiesBOYAmt
Total Liabilities EOY$272,268TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$999,624NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,442,131NetAssetsOrFundBalancesEOYAmt
MissionTO CREATE A UNIVERSALLY SAFE AND HEALING ENVIRONMENT FOR ALL CHILDREN AS PART OF A NETWORK OF CHILDREN'S HOSPITALS IN THE UNITED STATES.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$2,051,105ExpenseAmt
DescBUILT A NATIONAL NETWORK OF DATA COLLECTION AND ANALYSIS INFASTRUCTURE, ESTABLISHED SHARED GOALS FOR HARM REDUCTION, DEVELOPED PEDIATRIC MEASURES FOR READMISSIONS AND NINE HOSPITAL-ACQUIRED-CONDITIONS (HACS), AND LAUNCHED SERIOUS-SAFETY-EVENTS (SSE)TRAINING.Desc
Total Program Service Expenses$2,051,105TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document3IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld CompliancefalseBackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldOHStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonSARAH CANSLERPersonNm
Phone6142282844PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1155 E BROAD ST 23RD FLOORAddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code43215ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
MICHAEL FISHER
CHAIR3.00Yes (X)$0$0$0
KEVIN WEBB
VICE CHAIR1.00Yes (X)$0$0$0
BILL CONSIDINE
SECRETARY/TR1.00Yes (X)$0$0$0
STEVE ALLEN
TRUSTEE1.00Yes (X)$0$0$0
PATTI DEPOMPEI
TRUSTEE1.00Yes (X)$0$0$0
DEBBIE FELDMAN
TRUSTEE1.00Yes (X)$0$0$0
BARBARA MARTIN
TRUSTEE1.00Yes (X)$0$0$0
GIOVANNI PIEDIMONTE
TRUSTEE1.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
FEDERAL FIXED PRICE CONTRACT$2,275,623$2,275,623
HOSPITAL PARTICIPATION FEES$275,000$275,000
REIMBURSABLES$5,432$5,432
FieldValueIRS element (for citing)
Total Program Service Revenue$2,556,055TotalProgramServiceRevenueAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,556,055TotalRevenueColumnAmt
Related Or Exempt Func Income$2,556,055RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$71,500TotalAmt
Program Services$35,750ProgramServicesAmt
Management And General$35,750ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$23,239TotalAmt
Program Services$10,102ProgramServicesAmt
Management And General$13,137ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$2,806TotalAmt
Management And General$2,806ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,968,623TotalAmt
Program Services$1,968,623ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$5,318TotalAmt
Management And General$5,318ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$9,820TotalAmt
Program Services$9,820ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$25,685TotalAmt
Program Services$25,685ProgramServicesAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
REIMBURSABLE EXPENSE$5,432$5,432
TRAINING & CONF CALL FEES$1,125$1,125

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,113,548TotalAmt
Program Services$2,051,105ProgramServicesAmt
Management And General$62,443ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$678,681BOYAmt
EOY$1,287,389EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$317,836BOYAmt
EOY$357,010EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$340,000BOYAmt
EOY$70,000EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$8,000BOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,344,517BOYAmt
EOY$1,714,399EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$344,893BOYAmt
EOY$272,268EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$344,893BOYAmt
EOY$272,268EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$999,624BOYAmt
EOY$1,442,131EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$999,624BOYAmt
EOY$1,442,131EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,344,517BOYAmt
EOY$1,714,399EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$442,507ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (true)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
FS AuditedfalseFSAuditedInd
Audit CommitteefalseAuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$50CurrentTaxYearMinus2YearsAmt
Total$50TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$133,691CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,788,393CurrentTaxYearMinus1YearAmt
Current Tax Year$2,556,055CurrentTaxYearAmt
Total$5,478,139TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$133,741CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,788,393CurrentTaxYearMinus1YearAmt
Current Tax Year$2,556,055CurrentTaxYearAmt
Total$5,478,189TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$5,478,189PublicSupportTotal509Amt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$133,741CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,788,393CurrentTaxYearMinus1YearAmt
Current Tax Year$2,556,055CurrentTaxYearAmt
Total$5,478,189TotalAmt
FieldValueIRS element (for citing)
First5 Years509Yes (X)First5Years509Ind

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 11BTHE PRESIDENT AND HIS ASSISTANT REVIEWS A DRAFT OF FORM 990 PREPARED BY THE CPA FIRM PRIOR TO IT BEING FILED WITH THE IRS.
FORM 990, PAGE 6, PART VI, LINE 15ANOT APPLICABLE. HOWEVER, ALL SIGNIFICANT VENDOR CONTRACTS WERE PRESENTED TO AND DELIBERATED AT THE BOARD LEVEL.
FORM 990, PAGE 6, PART VI, LINE 19NO DOCUMENTS AVAILABLE TO THE PUBLIC EXCEPT AS REQUIRED BY LAW.
FORM 990, PART IX, LINE 11GHEALTH CARE CONSULTANT 29,383 0 0 CLINICAL STEERING TEAM FEES 151,528 0 0 DATA STATISTICAL CONSULTANT 335,950 0 0 CLINICAL PROJECT CONTRACTOR 1,451,762 0 0