OHIO CHILDRENS HOSPITAL SOLUTIONS FOR PATIENT SAFETY: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
OHIO CHILDRENS HOSPITAL SOLUTIONS FOR PATIENT SAFETY (EIN 45-2848263)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-15
IRS object ID
201313199349303556
Schema version
2012v2.3
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)
Timestamp2013-11-15T09:45:19-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1428 BEECHER RD STE DAddressLine1
CityGAHANNACity
StateOHState
ZIP Code43230ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN452848263EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1OHIO CHILDREN'S HOSPITAL SOLUTIONSBusinessNameLine1
Business Name Line2FOR PATIENT SAFETYBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlOHIONameControl
Phone6142282844Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameNICHOLAS LASHUTKAName
TitlePRESIDENTTitle
Phone6142282844Phone
Date Signed2013-11-13DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMATTHEW R LEPPERTName
Phone6145325098Phone
Date Prepared2013-11-15DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonNICHOLAS LASHUTKANameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1155 E BROAD ST 23RD FLOORAddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code43215ZIPCode
FieldValueIRS element (for citing)
Gross Receipts2788393GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2011YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionTO CREATE A UNIVERSALLY SAFE AND HEALING ENVIRONMENT FOR ALL CHILDREN AS PART OF A NETWORK OF CHILDREN'S HOSPITALS IN THE UNITED STATES.ActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year50ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year133691ProgramServiceRevenuePriorYear
Program Service Revenue CY2788393ProgramServiceRevenueCY
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year133741TotalRevenuePriorYear
Total Revenue Current Year2788393TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year25459OtherExpensePriorYear
Other Expenses Current Year1897051OtherExpensesCurrentYear
Total Expenses Prior Year25459TotalExpensesPriorYear
Total Expenses Current Year1897051TotalExpensesCurrentYear
Revenues Less Expenses Prior Year108282RevenuesLessExpensesPriorYear
Revenues Less Expenses CY891342RevenuesLessExpensesCY
Total Assets BOY133729TotalAssetsBOY
Total Assets EOY1344517TotalAssetsEOY
Total Liabilities BOY25447TotalLiabilitiesBOY
Total Liabilities EOY344893TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY108282NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY999624NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO CREATE A UNIVERSALLY SAFE AND HEALING ENVIRONMENT FOR ALL CHILDREN AS PART OF A NETWORK OF CHILDREN'S HOSPITALS IN THE UNITED STATES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense1693783Expense
DescriptionBUILT 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.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
DescriptionPART OF A 33 MEMBER NETWORK THAT PROVIDES A UNIVERSALLY SAFE AND HEALING ENVIRONMENT FOR ALL CHILDREN.Description
FieldValueIRS element (for citing)
Total Program Service Expense1693783TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquipfalseReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10962NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicyfalseConflictOfInterestPolicy
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledOHStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSARAH CANSLERNamePerson
Telephone Number6142282844TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (8 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
MICHAEL FISHER
CHAIR3.00X000
KEVIN WEBB
VICE CHAIR1.00X000
BILL CONSIDINE
SECRETARY/TR1.00X000
STEVE ALLEN
TRUSTEE1.00X000
PATTI DEPOMPEI
TRUSTEE1.00X000
DEBBIE FELDMAN
TRUSTEE1.00X000
BARBARA MARTIN
TRUSTEE1.00X000
GIOVANNI PIEDIMONTE
TRUSTEE1.00X000
FieldValueIRS element (for citing)
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
FEDERAL FIXED PRICE CONTRACT21833932183393
HOSPITAL PARTICIPATION FEES605000605000
FieldValueIRS element (for citing)
Total Program Service Revenue2788393TotalProgramServiceRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2788393TotalRevenueColumn
Related Or Exempt Function Income2788393RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total64000Total
Program Services25600ProgramServices
Management And General38400ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total162464Total
Management And General162464ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total75Total
Management And General75ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1588236Total
Program Services1588236ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total13076Total
Program Services10747ProgramServices
Management And General2329ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total6537Total
Program Services6537ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total35826Total
Program Services35826ProgramServices

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
TRAINING & CONF CALL FEES2304723047
VIDEO PROD & WEBINAR FEES37903790

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1897051Total
Program Services1693783ProgramServices
Management And General203268ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY38BOY
EOY678681EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY133691BOY
EOY317836EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
EOY340000EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
EOY8000EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY133729BOY
EOY1344517EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY25447BOY
EOY344893EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY25447BOY
EOY344893EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY108282BOY
EOY999624EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY108282BOY
EOY999624EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY133729BOY
EOY1344517EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses891342ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewtrueAccountantCompileOrReview

Accountant Compile Or Review Basis AccountantCompileOrReviewBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
FS AuditedfalseFSAudited
Audit CommitteefalseAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year50CurrentTaxYearMinus1Year
Total50Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year133691CurrentTaxYearMinus1Year
Current Tax Year2788393CurrentTaxYear
Total2922084Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year133741CurrentTaxYearMinus1Year
Current Tax Year2788393CurrentTaxYear
Total2922134Total
FieldValueIRS element (for citing)
Public Support Total5092922134PublicSupportTotal509

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year133741CurrentTaxYearMinus1Year
Current Tax Year2788393CurrentTaxYear
Total2922134Total
FieldValueIRS element (for citing)
First5 Years509XFirst5Years509

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ALL OTHER ACCOMPLISHMENT DESCRIPTIONFORM 990, PAGE 2, PART III, LINE 4DPART OF A 33 MEMBER NETWORK THAT PROVIDES A UNIVERSALLY SAFE AND HEALING ENVIRONMENT FOR ALL CHILDREN.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 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.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ANOT APPLICABLE. HOWEVER, ALL SIGNIFICANT VENDOR CONTRACTS WERE PRESENTED TO AND DELIBERATED AT THE BOARD LEVEL.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19NO DOCUMENTS AVAILABLE TO THE PUBLIC EXCEPT AS REQUIRED BY LAW.
OTHER FEES FOR SERVICESFORM 990, PART IX, LINE 11GHEALTH CARE CONSULTANT 12,886 0 0 CLINICAL STEERING TEAM FEES 124,987 0 0 DATA STATISTICAL CONSULTANT 438,087 0 0 CLINICAL PROJECT CONTRACTOR 1,008,540 0 0 COMMUNICATIONS CONTRACTOR 3,736 0 0

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