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Nonprofiteer
← CHILDRENS HEALTH CARE SERVICES INC

Form 990 for tax year 2022

Filed by CHILDRENS HEALTH CARE SERVICES INC.

Totals

Total revenue
$5,554,028
Total expenses
$3,582,982
Contributions and grants received
$1,857,224
Grants paid
$964
Program services expenses (Part IX)
$3,172,837
Management and general expenses
$410,145
Fundraising expenses
$0
Program service expenses (Part III)
$3,172,837

Program services were 88.6% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • MARC GORELICK MD

    PRESIDENT & CEO

    Total calculated
    $1,978,002
    From this org
    $0
    From related orgs
    $1,935,831
    Other
    $42,171
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,169,891 related
    Bonus
    $0 + $746,536 related
    Other
    $0 + $19,404 related
    Deferred
    $0 + $18,300 related
    Nontaxable benefits
    $0 + $23,871 related
    Filer's total
    $0 + $1,978,002 related

  • AARON BOUW

    BOARD SECRETARY & SR DIR, FR

    Total calculated
    $239,899
    From this org
    $0
    From related orgs
    $217,962
    Other
    $21,937
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $167,647 related
    Bonus
    $0 + $50,125 related
    Other
    $0 + $190 related
    Deferred
    $0 + $13,295 related
    Nontaxable benefits
    $0 + $8,642 related
    Filer's total
    $0 + $239,899 related

  • GARY BLACKFORD

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • HENRY CHANG

    BOARD MEMBER THRU FEB 2022

    Total calculated
    $0
    Hours/week
    0

  • CHARLES MAXWELL

    TREASURER THRU FEB 2022

    Total calculated
    $0
    Hours/week
    0

  • MATTHEW BILUNAS

    TREASURER AS OF MARCH 2022

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • ARCHELLE GEORGIOU

    BOARD CHAIR AS OF MARCH 2022

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • BRENDA MCCORMICK

    SVP AND CFO

    Total calculated
    $1,008,181
    From this org
    $0
    From related orgs
    $962,479
    Other
    $45,702
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $618,281 related
    Bonus
    $0 + $250,618 related
    Other
    $0 + $93,580 related
    Deferred
    $0 + $18,300 related
    Nontaxable benefits
    $0 + $27,402 related
    Filer's total
    $0 + $1,008,181 related

  • JENNIFER OLSON MARKET

    SVP & COO

    Total calculated
    $1,110,387
    From this org
    $0
    From related orgs
    $1,068,566
    Other
    $41,821
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $640,152 related
    Bonus
    $0 + $343,601 related
    Other
    $0 + $84,813 related
    Deferred
    $0 + $18,300 related
    Nontaxable benefits
    $0 + $23,521 related
    Filer's total
    $0 + $1,110,387 related

  • BRENDA BECKWITH

    SR DIRECTOR PERIOPERATIVE SVCS

    Total calculated
    $216,898
    From this org
    $23,700
    From related orgs
    $159,419
    Other
    $33,779
    Hours/week
    13 + 37 related

    Schedule J breakdown matched by us

    Base
    $23,700 + $121,895 related
    Bonus
    $0 + $37,163 related
    Other
    $0 + $361 related
    Deferred
    $0 + $7,584 related
    Nontaxable benefits
    $0 + $26,195 related
    Filer's total
    $23,700 + $193,198 related

  • JANICE ANDERSON

    NURSE ANESTHETIST (CRNA)

    Total calculated
    $248,133
    From this org
    $214,038
    From related orgs
    $0
    Other
    $34,095
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $205,197
    Bonus
    $8,841
    Other
    $0
    Deferred
    $13,557
    Nontaxable benefits
    $20,538
    Filer's total
    $248,133

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
CHILDREN'S - MINNETONKA RELIES ON CHILDREN'S HEALTH CARE, INC., THE PARENT OF CHILDREN'S - MINNETONKA, TO ESTABLISH THE COMPENSATION OF THE TO ESTABLISH COMPENSATION OF THE CEO: COMPENSATION COMMITTEE, INDEPENDENT OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
PART-I LINE-4B
CERTAIN EMPLOYEES OF CHILDREN'S HEALTH CARE ARE PROVIDED THE OPPORTUNITY TO PARTICIPATE IN THE 457(F) DEFERRAL PLAN (THE DEFERRAL PLAN). THE DEFERRAL PLAN REQUIRES THAT THE EMPLOYEE IS A PHYSICIAN OR EXECUTIVE AND IS A .5 FTE OR MORE IN ORDER TO BE ELIGIBLE TO PARTICIPATE IN THE DEFERRAL PLAN. PAYMENTS FROM THE DEFERRAL PLAN OCCUR AT VESTING AND ARE BASED ON PERCENTAGE OF SALARY. THE FOLLOWING AMOUNTS REPRESENT THE AMOUNT PAID UNDER THE DEFERRAL PLAN IN 2022: BRENDA MCCORMICK - $83,200 JENNIFER OLSEN MARKET - $81,330

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2022
Filed
14 November 2023
IRS schema version
2022v5.0
Source object
202333189349318958

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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