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Nonprofiteer
← CHILDRENS HEALTH CARE SERVICES INC

Form 990 for tax year 2023

Filed by CHILDRENS HEALTH CARE SERVICES INC.

Totals

Total revenue
$9,010,047
Total expenses
$6,504,267
Contributions and grants received
$0
Grants paid
$15,402
Program services expenses (Part IX)
$5,677,006
Management and general expenses
$827,261
Fundraising expenses
$0
Program service expenses (Part III)
$5,677,006

Program services were 87.3% 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
    $2,089,091
    From this org
    $0
    From related orgs
    $1,732,513
    Other
    $356,578
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,277,144 related
    Bonus
    $0 + $435,965 related
    Other
    $0 + $19,404 related
    Deferred
    $0 + $332,398 related
    Nontaxable benefits
    $0 + $24,180 related
    Filer's total
    $0 + $2,089,091 related

  • BRENDA MCCORMICK

    SVP AND CFO

    Total calculated
    $960,368
    From this org
    $0
    From related orgs
    $916,032
    Other
    $44,336
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $671,566 related
    Bonus
    $0 + $163,219 related
    Other
    $0 + $81,247 related
    Deferred
    $0 + $16,376 related
    Nontaxable benefits
    $0 + $27,960 related
    Filer's total
    $0 + $960,368 related

  • AARON BOUW

    BOARD SECRETARY & SR DIR, FINANCIAL REPORTING

    Total calculated
    $238,224
    From this org
    $0
    From related orgs
    $219,893
    Other
    $18,331
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $197,761 related
    Bonus
    $0 + $21,888 related
    Other
    $0 + $244 related
    Deferred
    $0 + $9,478 related
    Nontaxable benefits
    $0 + $8,853 related
    Filer's total
    $0 + $238,224 related

  • GARY BLACKFORD

    VICE CHAIR THRU MAR 2023

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • MATTHEW BILUNAS

    TREASURER THRU AUG 2023

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • ARCHELLE GEORGIOU

    BOARD MEMBER, BOARD CHAIR

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • JJ KUHN

    BOARD MEMBER, CHAIR-ELECT

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • JEFF VON GILLERN

    BOARD MEMBER, TREASURER

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • JENNIFER OLSON MARKET

    SVP & COO THRU SEPT 2023

    Total calculated
    $2,035,238
    From this org
    $0
    From related orgs
    $1,174,878
    Other
    $860,360
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $326,753 related
    Bonus
    $0 + $200,000 related
    Other
    $0 + $648,125 related
    Deferred
    $0 + $842,586 related
    Nontaxable benefits
    $0 + $17,774 related
    Filer's total
    $0 + $2,035,238 related

  • TIM LANDER

    CHIEF OF SURGERY

    Total calculated
    $573,064
    From this org
    $27,094
    From related orgs
    $514,786
    Other
    $31,184
    Hours/week
    3 + 47 related

    Schedule J breakdown matched by us

    Base
    $27,094 + $401,315 related
    Bonus
    $0 + $86,200 related
    Other
    $0 + $27,271 related
    Deferred
    $0 + $19,800 related
    Nontaxable benefits
    $0 + $11,384 related
    Filer's total
    $27,094 + $545,970 related

  • WILLIAM MIZE

    MEDICAL DIRECTOR OF RADIOLOGY

    Total calculated
    $834,399
    From this org
    $40,161
    From related orgs
    $763,054
    Other
    $31,184
    Hours/week
    3 + 47 related

    Schedule J breakdown matched by us

    Base
    $40,161 + $582,517 related
    Bonus
    $0 + $132,191 related
    Other
    $0 + $48,346 related
    Deferred
    $0 + $19,800 related
    Nontaxable benefits
    $0 + $11,384 related
    Filer's total
    $40,161 + $794,238 related

  • BRENDA BECKWITH

    SR DIRECTOR PERIOPERATIVE SVCS

    Total calculated
    $220,481
    From this org
    $46,486
    From related orgs
    $139,460
    Other
    $34,535
    Hours/week
    13 + 37 related

    Schedule J breakdown matched by us

    Base
    $46,486 + $119,701 related
    Bonus
    $0 + $19,509 related
    Other
    $0 + $250 related
    Deferred
    $0 + $7,705 related
    Nontaxable benefits
    $0 + $26,830 related
    Filer's total
    $46,486 + $173,995 related

  • ASHLEY RUE

    MANAGER SURGERY CENTER

    Total calculated
    $149,087
    From this org
    $122,689
    From related orgs
    $0
    Other
    $26,398
    Hours/week
    50

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

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 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 4A
JENNIFER OLSON MARKET: $212,260.
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 2023: BRENDA MCCORMICK - $70,901 JENNIFER OLSON MARKET - $257,514 TIMOTHY LANDER - $21,311 WILLIAM MIZE - $34,594

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
2023
Filed
14 November 2024
IRS schema version
2023v5.1
Source object
202423199349317087

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