TY 2015 Form 990 Schedule O

efile Public Visual Render ObjectId: 201730449349302458 - Submission: 2017-02-13 TIN: 43-1969008

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
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Attach to Form 990 or 990-EZ.
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Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

COMMUNITY NETWORK SERVICES INC

Employer identification number

43-1969008

Return Reference	Explanation
FORM 990, PAGE 1, ITEM B	ON THE ORIGINAL RETURN THE OFFICER AND HIGHEST COMPENSATED EMPLOYEE WAGES PART VII COLUMN (D) INCLUDED THE EMPLOYEE BENEFITS. THIS AMENDED RETURN PROPERLY REPORTS THE EMPLOYEE BENEFITS IN PART VII COLUMN F. SCHEDULE J HAS ALSO BEEN AMENDED TO PROPERLY REPORT THE BREAKDOWN OF WAGES AND BENEFITS.
FORM 990, PAGE 2, PART III, LINE 4D	RESIDENTIAL - THROUGH USE OF SUBCONTRACTED HOUSING, PROVIDING SHELTER, CLINICAL SUPPORT, DAILY NEEDS, AND VARIOUS SUPPORT SERVICES TO ASSIST INDIVIDUALS IN A RESIDENTIAL SETTING WITH ACTIVITIES OF DAILY LIVING AND PROGRESS TOWARD THE GOAL OF BECOMING MORE SELF-SUFFICIENT. GRANTS - CNS WAS AWARDED A FOUR YEAR GRANT WITH THE GOAL TO IMPROVE THE PHYSICAL HEALTH STATUS OF PEOPLE SUFFERING MENTAL ILLNESS AND ADDICTION. THE SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION, A DIVISION OF THE DEPARTMENT OF HEALTH AND HUMAN SERVICES OF THE FEDERAL GOVERNMENT DEVELOPED THIS PROGRAM TO PROVIDE SUPPORT TO COMMUNITIES IN ORDER TO COORDINATE AND INTEGRATE PRIMARY CARE SERVICES INTO PUBLICLY FUNDED, COMMUNITY BASED BEHAVIORAL HEALTH SETTINGS.
FORM 990, PAGE 6, PART VI, LINE 11B	ORGANIZATION'S PROCESS TO REPORT FORM 990 AT COMMITTEE MEETING, SEND REPORT COPY TO BOARD CHAIR, AND REPORT TO BOARD.
FORM 990, PAGE 6, PART VI, LINE 12C	RANDOM ACKNOWLEDGEMENT OF RECEIPT AND DISCLOSURE STATEMENTS ARE REVIEWED AT LEAST ANNUALLY TO DETERMINE IF A POTENTIAL CONFLICT EXISTS. IF IT IS DETERMINED THAT A CONFLICT EXISTS, THE EMPLOYEE IS INFORMED THAT HE/SHE MAY NOT ENGAGE IN SUCH ACTIVITY. ADDITIONALLY, THE QUALITY DEPARTMENT AGGRESSIVELY MONITORS INCIDENT REPORTS IN ORDER TO IDENTIFY CONFLICTS OF INTEREST, AND IF A CONFLICT IS FOUND, EMPLOYEES ARE SUBJECT TO DISCIPLINARY ACTION UP TO AND INCLUDING TERMINATION.
FORM 990, PAGE 6, PART VI, LINE 15A	YES, SEE ELABORATION ON PART VI LINE 15B
FORM 990, PAGE 6, PART VI, LINE 15B	THE COMPANY UTILIZES A COMPENSATION CONSULTANT TO REVIEW ALL STAFF COMPENSATION, THE REVIEW INCLUDED COMPARATIVE DATA FROM AREA, INDUSTRY, AND LIKE SIZE ORGANIZATIONS.
FORM 990, PAGE 6, PART VI, LINE 19	UPON REQUEST THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE.

Return Reference

Explanation

FORM 990, PAGE 1, ITEM B

ON THE ORIGINAL RETURN THE OFFICER AND HIGHEST COMPENSATED EMPLOYEE WAGES PART VII COLUMN (D) INCLUDED THE EMPLOYEE BENEFITS. THIS AMENDED RETURN PROPERLY REPORTS THE EMPLOYEE BENEFITS IN PART VII COLUMN F. SCHEDULE J HAS ALSO BEEN AMENDED TO PROPERLY REPORT THE BREAKDOWN OF WAGES AND BENEFITS.

FORM 990, PAGE 2, PART III, LINE 4D

RESIDENTIAL - THROUGH USE OF SUBCONTRACTED HOUSING, PROVIDING SHELTER, CLINICAL SUPPORT, DAILY NEEDS, AND VARIOUS SUPPORT SERVICES TO ASSIST INDIVIDUALS IN A RESIDENTIAL SETTING WITH ACTIVITIES OF DAILY LIVING AND PROGRESS TOWARD THE GOAL OF BECOMING MORE SELF-SUFFICIENT. GRANTS - CNS WAS AWARDED A FOUR YEAR GRANT WITH THE GOAL TO IMPROVE THE PHYSICAL HEALTH STATUS OF PEOPLE SUFFERING MENTAL ILLNESS AND ADDICTION. THE SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION, A DIVISION OF THE DEPARTMENT OF HEALTH AND HUMAN SERVICES OF THE FEDERAL GOVERNMENT DEVELOPED THIS PROGRAM TO PROVIDE SUPPORT TO COMMUNITIES IN ORDER TO COORDINATE AND INTEGRATE PRIMARY CARE SERVICES INTO PUBLICLY FUNDED, COMMUNITY BASED BEHAVIORAL HEALTH SETTINGS.

FORM 990, PAGE 6, PART VI, LINE 11B

ORGANIZATION'S PROCESS TO REPORT FORM 990 AT COMMITTEE MEETING, SEND REPORT COPY TO BOARD CHAIR, AND REPORT TO BOARD.

FORM 990, PAGE 6, PART VI, LINE 12C

RANDOM ACKNOWLEDGEMENT OF RECEIPT AND DISCLOSURE STATEMENTS ARE REVIEWED AT LEAST ANNUALLY TO DETERMINE IF A POTENTIAL CONFLICT EXISTS. IF IT IS DETERMINED THAT A CONFLICT EXISTS, THE EMPLOYEE IS INFORMED THAT HE/SHE MAY NOT ENGAGE IN SUCH ACTIVITY. ADDITIONALLY, THE QUALITY DEPARTMENT AGGRESSIVELY MONITORS INCIDENT REPORTS IN ORDER TO IDENTIFY CONFLICTS OF INTEREST, AND IF A CONFLICT IS FOUND, EMPLOYEES ARE SUBJECT TO DISCIPLINARY ACTION UP TO AND INCLUDING TERMINATION.

FORM 990, PAGE 6, PART VI, LINE 15A

YES, SEE ELABORATION ON PART VI LINE 15B

FORM 990, PAGE 6, PART VI, LINE 15B

THE COMPANY UTILIZES A COMPENSATION CONSULTANT TO REVIEW ALL STAFF COMPENSATION, THE REVIEW INCLUDED COMPARATIVE DATA FROM AREA, INDUSTRY, AND LIKE SIZE ORGANIZATIONS.

FORM 990, PAGE 6, PART VI, LINE 19

UPON REQUEST THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

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