2014-11-10T11:44:49-06:00 2013-12-31 381357951 PLANTE & MORAN PLLC 65 EAST STATE ST STE 600 COLUMBUS OH 43215 990 2013-01-01 310996044 COLUMBUS CENTER FOR HUMAN SERVICES INC COLU 6142789362 600 INDUSTRIAL MILE ROAD COLUMBUS OH 43228 REBECCA SHARP EXECUTIVE DIRECTOR 6142789362 2014-11-07 1 BERNIE OSTROWSKI P00366367 6148493000 2013 2015-11-30 17:44:51Z REBECCA SHARP 600 INDUSTRIAL MILE ROAD COLUMBUS OH 43228 19673915 0 X WWW.CCHS-COL.ORG X 1979 OH TO PROVIDE COMPREHENSIVE SUPPORT SERVICES FOR ADULTS WITH MENTAL RETARDATION AND OTHER DEVELOPMENTAL DISABILITIES. 9 7 710 20 0 0 6212 10210 18973132 19477859 164338 139 342208 185707 19485890 19673915 0 0 0 0 14179894 14304702 0 0 0 5347728 5339673 19527622 19644375 -41732 29540 7383557 6992410 6088056 5667369 1295501 1325041 COLUMBUS CENTER FOR HUMAN SERVICES, INC. PRIORITIZES HEALTH, SAFETY, PERSONAL GOALS, AND PROMOTES POSITIVE COMMUNITY ROLES FOR INDIVIDUALS WITH DISABILITIES. 0 0 16613775 19611731 COLUMBUS CENTER FOR HUMAN SERVICES PROVIDES SUPPORT SERVICES TO THE MENTALLY RETARDED AND DEVELOPMENTALLY DISABLED. SERVICES ARE DIRECTED BY THE PRINCIPLES OF NORMALIZATION, QUALITY OF LIFE AND COMMUNITY PARTICIPATION, AND INCLUDE RESIDENTIAL, TRAINING, AND SUPPORT SERVICES. 16613775 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 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 0 0 0 0 1 37 0 1 710 1 0 0 0 0 0 0 0 0 0 0 X 9 7 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 0 1 1 0 OH X REBECCA SHARP 6142723272 540 INDUSTRIAL MILE ROAD COLUMBUS OH 43228 DONA ENGLAND-AFEK PRESIDENT 50.00 X X 115516 0 28690 BARBARA HERETTA VICE PRESIDENT 50.00 X X 137937 0 24195 DAVE MCCARTY SECRETARY/TREASURER 1.00 X X 0 0 0 NANCY DEETH TRUSTEE 1.00 X 0 0 0 BRENT GARLAND TRUSTEE 1.00 X 0 0 0 MICHELLE GREEN-SEYMOUR TRUSTEE 1.00 X 0 0 0 S BREWSTER RANDALL TRUSTEE 1.00 X 0 0 0 THOMAS CALDWELL TRUSTEE 1.00 X 0 0 0 KIM KEHL TRUSTEE 1.00 X 0 0 0 253453 0 52885 2 0 1 0 0 10210 10210 SUPPORTED LIVING 531110 10543517 10543517 MEDICAID REVENUE 531110 8605431 8605431 ADULT DAY SERVICES 624100 328911 328911 19477859 5 5 134 0 134 134 134 WORKERS COMP REFUND 900099 51835 51835 FORGIVENESS OF DEBT 900099 47832 47832 LAUNDROMAT REVENUE 531110 34949 34949 51091 51091 185707 19673915 19611731 0 51974 353061 353061 12002190 10437747 1564443 1088157 1060591 27566 861294 845323 15971 1983 1983 9539 9539 51286 51286 236553 230302 6251 18540 18540 772924 638287 134637 582601 473248 109353 699601 319754 379847 185175 58254 126921 303858 189725 114133 132396 132396 ADULT DAY SERVICE 1665250 1665250 GOV MANDATED ASSESSMENT 463498 463498 BAD DEBTS 108163 108163 MEDICAL SUPPLIES 73146 73146 35160 31947 3213 19644375 16613775 3030600 0 837417 671787 1693499 1742952 3000 0 8929397 4484659 4695405 4444738 71704 50650 82532 82283 7383557 6992410 1706137 1652498 4381919 4014871 6088056 5667369 X 1295501 1325041 1295501 1325041 7383557 6992410 29540 0 X X 1 X 0 0 0 X 6668 6212 6212 10210 29302 15910513 17395028 19369152 19178211 19611731 91464635 15910513 17401696 19375364 19184423 19621941 91493937 0 0 0 91493937 1020 471 2010 20095 5 23601 1020 471 2010 20095 5 23601 117037 51835 168872 15911533 17402167 19377374 19321555 19673781 91686410 0.99790 0.99830 0.00030 0.00030 X 554800 554800 3218541 2328251 890290 3418010 870693 2547317 1565388 1152933 412455 172658 132782 39876 4444738 X X X 1 0 0 0 0 0 0 0 0 BARBARA HERETTA VICE PRESIDENT 67416 0 0 0 70521 0 22500 0 1695 0 162132 0 0 0 SCHEDULE J, PART 1, LINE 4A BARBARA HERETTA, VICE PRESIDENT, WAS ENTITLED TO A SEVERANCE AGREEMENT EQUAL TO 28 WEEKS OF SALARY PLUS HER UNUSED PAID TIME OFF. DURING 2013, $31,057 OUT OF THE TOTAL AMOUNT WAS PAID OUT. THE SEVERANCE AGREEMENT ALSO INCLUDED EMPLOYER PROVIDED NONTAXABLE BENEFITS IN THE FORM OF INSURANCE. FORM 990, PART VI, SECTION B, LINE 11 THE EXECUTIVE DIRECTOR REVIEWS FORM 990 PRIOR TO FILING. A COPY OF THE 990 IS PROVIDED TO THE BOARD AND REVIEWED AT THE FIRST MEETING AFTER FILING. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST STATEMENTS ARE SIGNED ANNUALLY. FULL DISCLOSURE OF ALL ACTUAL AND POTENTIAL CONFLICTS, AND A DETERMINATION BY THE DISINTERESTED BOARD MEMBERS - WITH THE INTERESTED BOARD MEMBER(S) RECUSED FROM PARTICIPATING IN DEBATES AND VOTING ON THE MATTER - ARE REQUIRED. ALL ACTUAL AND POTENTIAL CONFLICTS OF INTERESTS SHALL BE DISCLOSED BY BOARD MEMBERS THROUGH THE ANNUAL DISCLOSURE FORM AND/OR WHENEVER A CONFLICT ARISES. THE DISINTERESTED MEMBERS OF THE BOARD SHALL MAKE A DETERMINATION AS TO WHETHER A CONFLICT EXISTS AND WHAT SUBSEQUENT ACTION IS APPROPRIATE (IF ANY). THE BOARD SHALL RETAIN THE RIGHT TO MODIFY OR REVERSE SUCH DETERMINATION AND ACTION, AND SHALL RETAIN THE ULTIMATE ENFORCEMENT AUTHORITY WITH RESPECT TO THE INTERPRETATION AND APPLICATION OF THIS POLICY. FORM 990, PART VI, SECTION B, LINE 15 TO DETERMINE THE PRESIDENT'S COMPENSATION, AN INDEPENDENT CPA FIRM MAKES COMPENSATION RECOMMENDATIONS TO THE BOARD OF DIRECTORS USING AN OPRA SURVEY AS A BENCMARK OF COMPENSATION PAID TO INDIVIDUALS IN SIMILAR POSITIONS. THE BASE COMPENSATION WAS ORIGINALLY ESTABLISHED 20 YEARS AGO WITH ONLY A 3-5% INCREASE THROUGHOUT THE YEARS. NO INCREASE HAS BEEN MADE OVER THE PAST THREE YEARS. THE COMPENSATION DECISION HAS BEEN CONTEMPORANEOUSLY SUBSTANTIATED. THE PROCESS LAST OCCURRED IN 2011. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, THE CONFLICT OF INTEREST POLICY AND THE FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C: THE BOARD PRESIDENT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE COMPILATION OF THE ORGANIZATION'S FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT.