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Nonprofiteer
← CHILDRENS CLINIC NETWORK

Form 990 for tax year 2022

Filed by CHILDRENS CLINIC NETWORK.

Totals

Total revenue
$31,297,073
Total expenses
$33,067,635
Contributions and grants received
$661,797
Grants paid
$10,458
Program services expenses (Part IX)
$31,953,356
Management and general expenses
$1,114,279
Fundraising expenses
$0
Program service expenses (Part III)
$31,953,356

Program services were 96.6% 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

  • ANDREW PUGH

    BOARD SECRETARY & SVP CHIEF LE

    Total calculated
    $547,229
    From this org
    $0
    From related orgs
    $506,040
    Other
    $41,189
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $404,631 related
    Bonus
    $0 + $97,930 related
    Other
    $0 + $3,479 related
    Deferred
    $0 + $18,300 related
    Nontaxable benefits
    $0 + $22,889 related
    Filer's total
    $0 + $547,229 related

  • GARY BLACKFORD

    BOARD MEMBER, BOARD VICE CHAIR

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • HENRY CHANG

    FORMER BOARD MEMBER & ELECT (2/22)

    Total calculated
    $0
    Hours/week
    0

  • CHARLIE MAXWELL

    FORMER BOARD MEMBER, TREASURER (2/22)

    Total calculated
    $0
    Hours/week
    0

  • MATTHEW BILUNAS

    BOARD MEMBER, TREASURER (3/22)

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • ARCHELLE GEORGIOU

    BOARD MEMBER, BOARD CHAIR (3/22)

    Total calculated
    $0
    Hours/week
    1 + 3 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 MCCORMICK

    SVP & 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

  • PAMELA GIGI CHAWLA MD

    VP CHIEF OF GENERAL PEDIATRICS

    Total calculated
    $566,897
    From this org
    $100,635
    From related orgs
    $425,553
    Other
    $40,709
    Hours/week
    10 + 40 related

    Schedule J breakdown matched by us

    Base
    $100,635 + $269,436 related
    Bonus
    $0 + $128,376 related
    Other
    $0 + $27,741 related
    Deferred
    $0 + $20,964 related
    Nontaxable benefits
    $0 + $19,745 related
    Filer's total
    $100,635 + $466,262 related

  • MONICA SCHILLER

    VP AMBULATORY SERVICES

    Total calculated
    $445,262
    From this org
    $138,433
    From related orgs
    $267,946
    Other
    $38,883
    Hours/week
    18 + 32 related

    Schedule J breakdown matched by us

    Base
    $138,433 + $147,658 related
    Bonus
    $0 + $104,979 related
    Other
    $0 + $15,309 related
    Deferred
    $0 + $18,170 related
    Nontaxable benefits
    $0 + $20,713 related
    Filer's total
    $138,433 + $306,829 related

  • KRISTIN HEUERMANN MD

    CLINIC PHYSICIAN

    Total calculated
    $248,246
    From this org
    $209,332
    From related orgs
    $0
    Other
    $38,914
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $188,646
    Bonus
    $19,670
    Other
    $1,016
    Deferred
    $13,034
    Nontaxable benefits
    $25,880
    Filer's total
    $248,246

  • PAMELA NIKSICH MD

    STAFF PHYSICIAN

    Total calculated
    $283,675
    From this org
    $261,795
    From related orgs
    $0
    Other
    $21,880
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $214,484
    Bonus
    $34,800
    Other
    $12,511
    Deferred
    $12,396
    Nontaxable benefits
    $9,484
    Filer's total
    $283,675

  • CYNTHIA KRULL MD

    CLINIC PHYSICIAN

    Total calculated
    $265,913
    From this org
    $230,288
    From related orgs
    $0
    Other
    $35,625
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $206,417
    Bonus
    $16,499
    Other
    $7,372
    Deferred
    $8,543
    Nontaxable benefits
    $27,082
    Filer's total
    $265,913

  • CATHERINE BEDFORD MD

    MEDICAL DIRECTOR

    Total calculated
    $275,452
    From this org
    $239,049
    From related orgs
    $0
    Other
    $36,403
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $201,334
    Bonus
    $35,357
    Other
    $2,358
    Deferred
    $10,852
    Nontaxable benefits
    $25,551
    Filer's total
    $275,452

  • NEETI PRADIP KAMBALE MD

    CLINIC PHYSICIAN

    Total calculated
    $215,785
    From this org
    $180,894
    From related orgs
    $0
    Other
    $34,891
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $149,423
    Bonus
    $12,497
    Other
    $18,974
    Deferred
    $11,480
    Nontaxable benefits
    $23,411
    Filer's total
    $215,785

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 CLINIC NETWORK RELIES ON CHILDREN'S HEALTH CARE, THE PARENT OF CHILDREN'S CLINIC NETWORK, TO ESTABLISH THE COMPENSATION OF THE CEO: COMPENSATION COMMITTEE, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
PART-I LINE-4B
CERTAIN EMPLOYEES OF CHILDREN'S HEALTH CARE, PARENT OF CHILDREN'S CLINIC NETWORK, 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: JENNIFER OLSON MARKET - $81,330 BRENDA MCCORMICK - $83,200 CYNTHIA KRULL MD - $7,012 NEETI PRADIP KAMBALE MD - $4,007 MONICA SCHILLER - $13,032 PAMELA GIGI CHAWLA MD - $24,848 PAMELA NIKSICH 0 $10,714

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
202343189349318644

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

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