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← CHILDRENS CLINIC NETWORK

Form 990 for tax year 2023

Filed by CHILDRENS CLINIC NETWORK.

Totals

Total revenue
$31,434,116
Total expenses
$32,829,786
Contributions and grants received
$62,504
Grants paid
$10,220
Program service revenue
$33,451,154
Investment income
$0
Other revenue
-$2,079,542
Total assets, end of year
$14,473,003
Total liabilities, end of year
$10,763,123
Net assets or fund balances, end of year
$3,709,880
Program services expenses (Part IX)
$31,175,837
Management and general expenses
$1,653,949
Fundraising expenses
$0
Program service expenses (Part III)
$31,175,837

Program services were 95.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $62,504

  • 2a · Program service revenue: PATIENT SERVICE

    total $28,002,822 · related or exempt $28,002,822

  • 2b · Program service revenue: MEDICAID

    total $4,224,007 · related or exempt $4,224,007

  • 2c · Program service revenue: PAY FOR PERF. BONUS

    total $1,223,725 · related or exempt $1,223,725

  • 2d · Program service revenue: PARKNG RAMP

    total $600 · excluded $600

  • 6a · Gross rents

    real property $211,724

  • 6b · Less rental expenses

    real property $2,291,266

  • 6c · Rental income or loss

    real property -$2,079,542

  • 6d · Net rental income or loss

    total -$2,079,542 · excluded -$2,079,542

Functional expenses

Part IX, the statement of functional expenses.

  • 2 · Grants to domestic individuals

    total $10,220 · program services $10,220

  • 5 · Compensation of officers, directors and key employees

    total $171,776 · management and general $171,776

  • 7 · Other salaries and wages

    total $9,157,990 · program services $8,375,798 · management and general $782,192

  • 8 · Pension plan contributions

    total $420,203 · program services $388,664 · management and general $31,539

  • 9 · Other employee benefits

    total $1,955,888 · program services $1,741,365 · management and general $214,523

  • 10 · Payroll taxes

    total $601,986 · program services $556,803 · management and general $45,183

  • 11b · Fees: legal

    total $31,736 · management and general $31,736

  • 11c · Fees: accounting

    total $72,861 · management and general $72,861

  • 11d · Fees: lobbying

    total $1,710 · program services $1,710

  • 11g · Fees: other

    total $11,109,469 · program services $11,102,327 · management and general $7,142

  • 12 · Advertising and promotion

    total $2,895 · management and general $2,895

  • 13 · Office expenses

    total $211,079 · program services $211,079

  • 14 · Information technology

    total $301,942 · program services $7,840 · management and general $294,102

  • 16 · Occupancy

    total $156,538 · program services $156,538

  • 17 · Travel

    total $5,702 · program services $5,702

  • 19 · Conferences, conventions and meetings

    total $57,517 · program services $57,517

  • 22 · Depreciation, depletion and amortization

    total $700,794 · program services $700,794

  • 23 · Insurance

    total $109,056 · program services $109,056

  • 24a · Other expenses: MEDICAL EXPENSES

    total $6,395,992 · program services $6,395,992

  • 24b · Other expenses: MN CARE & SALES TAX

    total $576,256 · program services $576,256

  • 24c · Other expenses: BAD DEBT EXPENSE

    total $466,047 · program services $466,047

  • 24d · Other expenses: CREDIT CARD FEES

    total $156,035 · program services $156,035

  • 24e · All other expenses

    total $156,094 · program services $156,094

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $800 · end of year $800

  • 4 · Accounts receivable

    beginning of year $3,182,598 · end of year $4,321,495

  • 8 · Inventories for sale or use

    beginning of year $635,681 · end of year $736,837

  • 9 · Prepaid expenses and deferred charges

    beginning of year $72,844 · end of year $1,180,414

  • 10a · Land, buildings and equipment: cost or other basis

    $9,077,232

  • 10b · Land, buildings and equipment: accumulated depreciation

    $6,733,805

  • 10c · Land, buildings and equipment, net

    beginning of year $3,070,745 · end of year $2,343,427

  • 15 · Other assets

    beginning of year $4,900,056 · end of year $5,890,030

  • 17 · Accounts payable and accrued expenses

    beginning of year $343,096 · end of year $168,857

  • 25 · Other liabilities

    beginning of year $6,414,079 · end of year $10,594,266

  • 27 · Net assets without donor restrictions

    beginning of year $5,105,550 · end of year $3,709,880

Mission and programs · 2023

Mission

CHILDREN'S CLINIC NETWORK CHAMPIONS THE SPECIAL HEALTH NEEDS OF CHILDREN AND THEIR FAMILIES. WE ARE COMMITTED TO IMPROVING CHILDREN'S HEALTH BY PROVIDING HIGH-QUALITY, FAMILY-CENTERED PEDIATRIC SERVICES AT OUR SEVEN CLINICS.

Activities or mission (Part I)

CHILDREN'S CLINIC NETWORK CHAMPIONS THE SPECIAL HEALTH NEEDS OF CHILDREN AND THEIR FAMILIES.

  • CHILDREN'S CLINIC NETWORK PROVIDES STATE-OF-THE-ART COMPASSIONATE PEDIATRIC SPECIFIC OUTPATIENT CARE. OUR FACILITIES AND SERVICES ARE DESIGNED EXCLUSIVELY FOR THE NEEDS OF CHILDREN AND THEIR FAMILIES. OUR MEDICAL EQUIPMENT IS TAILORED TO FIT CHILDREN, AND OUR STAFF IS TRAINED AND EXPERIENCED TO CARE FOR THE SPECIAL PHYSICAL AND EMOTIONAL NEEDS OF CHILDREN. OUR SEVEN NETWORK CLINICS, AT THEIR LOCATIONS (SEE SCHEDULE O FOR LOCATIONS) PROVIDED 118,699 CLINIC VISITS.

    Expenses $31,175,837 · Grants $10,220 · Revenue $33,450,554

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

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

  • ANDREW PUGH

    SVP CHIEF LEGAL OFFICER

    Total calculated
    $649,461
    From this org
    $0
    From related orgs
    $605,205
    Other
    $44,256
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $476,222 related
    Bonus
    $0 + $118,449 related
    Other
    $0 + $10,534 related
    Deferred
    $0 + $19,800 related
    Nontaxable benefits
    $0 + $24,456 related
    Filer's total
    $0 + $649,461 related

  • BRENDA MCCORMICK

    SVP & 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

  • MONICA SCHILLER

    VP AMBULATORY SERVICES

    Total calculated
    $420,610
    From this org
    $76,314
    From related orgs
    $305,256
    Other
    $39,040
    Hours/week
    10 + 40 related

    Schedule J breakdown matched by us

    Base
    $76,314 + $226,089 related
    Bonus
    $0 + $62,726 related
    Other
    $0 + $16,441 related
    Deferred
    $0 + $18,058 related
    Nontaxable benefits
    $0 + $20,982 related
    Filer's total
    $76,314 + $344,296 related

  • GARY BLACKFORD

    BOARD MEMBER, VICE CHAIR THRU 3/23

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • MATTHEW BILUNAS

    BOARD MEMBER, TREASURER THRU 8/23

    Total calculated
    $0
    Hours/week
    0

  • 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 9/23

    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

  • PAMELA GIGI CHAWLA MD

    VP CHIEF OF GENERAL PEDIAT

    Total calculated
    $557,380
    From this org
    $102,420
    From related orgs
    $409,679
    Other
    $45,281
    Hours/week
    10 + 40 related

    Schedule J breakdown matched by us

    Base
    $102,420 + $297,047 related
    Bonus
    $0 + $83,880 related
    Other
    $0 + $28,752 related
    Deferred
    $0 + $25,218 related
    Nontaxable benefits
    $0 + $20,063 related
    Filer's total
    $102,420 + $454,960 related

  • CYNTHIA KRULL MD

    CLINIC PHYSICIAN

    Total calculated
    $291,445
    From this org
    $254,203
    From related orgs
    $0
    Other
    $37,242
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $225,785
    Bonus
    $24,046
    Other
    $4,372
    Deferred
    $9,133
    Nontaxable benefits
    $28,109
    Filer's total
    $291,445

  • CATHERINE BEDFORD MD

    MEDICAL DIRECTOR

    Total calculated
    $291,397
    From this org
    $252,856
    From related orgs
    $0
    Other
    $38,541
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $224,408
    Bonus
    $23,957
    Other
    $4,491
    Deferred
    $12,022
    Nontaxable benefits
    $26,519
    Filer's total
    $291,397

  • NEETI PRADIP KAMBALE MD

    CLINIC PHYSICIAN

    Total calculated
    $282,570
    From this org
    $241,312
    From related orgs
    $0
    Other
    $41,258
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $213,191
    Bonus
    $24,046
    Other
    $4,075
    Deferred
    $14,714
    Nontaxable benefits
    $26,544
    Filer's total
    $282,570

  • ELIZABETH PLACZEK

    CLINIC PHYSICIAN

    Total calculated
    $300,131
    From this org
    $259,866
    From related orgs
    $0
    Other
    $40,265
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $258,674
    Bonus
    $0
    Other
    $1,192
    Deferred
    $15,565
    Nontaxable benefits
    $24,700
    Filer's total
    $300,131

  • CHRIS CARDONA-CORREA

    STAFF PHYSICIAN

    Total calculated
    $278,379
    From this org
    $256,723
    From related orgs
    $0
    Other
    $21,656
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $197,204
    Bonus
    $3,924
    Other
    $55,595
    Deferred
    $7,402
    Nontaxable benefits
    $14,254
    Filer's total
    $278,379

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, and on a Form 990-PF Part VIII's — 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 2023: JENNIFER OLSON MARKET - $257,514 BRENDA MCCORMICK - $70,901 PAMELA GIGI CHAWLA MD - $25,769 MONICA SHILLER - $14,039 CYNTHIA KRULL - $ 3,689 NEETI PRADIP KAMBALE - $3,156

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.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2023
Filed
14 November 2024
IRS schema version
2023v5.1
Source object
202423209349308032

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