2024-11-15T12:43:45-06:00 2023-12-31 135565207 KPMG LLP 1212 NORTH 96TH STREET SUITE 300 OMAHA NE 68114 990 2023-01-01 470689372 CHILDREN'S PHYSICIANS CHIL 4029556262 8200 DODGE STREET OMAHA NE 68114 AMY HATCHER CFO 4029556262 2024-11-14 1 0 HOLLY K MOEN P01800653 4023481450 2024-11-07 2023 2024-10-15 13:58:12Z KATHY ENGLISH 8200 DODGE STREET OMAHA NE 68114 65073698 0 X WWW.CHILDRENSNEBRASKA.ORG X 1996 NE CHILDREN'S PHYSICIANS IS THE LEADING PEDIATRIC PRIMARY CARE PRACTICE DEDICATED TO CARING FOR ALL CHILDREN IN OMAHA AND THE SURROUNDING AREAS, WHILE SUPPORTING EDUCATION AND RESEARCH. 7 1 0 1 0 0 44652 203627 53725402 64337598 4791 12958 1307729 518459 55082574 65072642 0 0 0 0 38433326 47966353 0 0 0 20714037 25708900 59147363 73675253 -4064789 -8602611 17679835 20110664 17753249 28786689 -73414 -8676025 CHILDREN'S PHYSICIANS DELIVERS THE HIGHEST QUALITY PEDIATRIC PRIMARY CARE WHILE SUPPORTING EDUCATION AND RESEARCH. 0 0 66435780 64856057 CHILDREN'S PHYSICIANS IS A PEDIATRIC HEALTH CARE PROVIDER ORGANIZATION FOR OMAHA AND SURROUNDING COMMUNITIES THAT OWNS AND OPERATES PEDIATRIC PRIMARY AND URGENT CARE CLINICS. THE CLINICS ALSO SERVE AS RESIDENT TRAINING SITES FOR PEDIATRIC RESIDENTS. AS OF DECEMBER 31, 2023, CHILDREN'S PHYSICIANS OPERATES FIFTEEN CLINICAL SITES. SEE HTTPS://WWW.CHILDRENSNEBRASKA.ORG/WP-CONTENT/UPLOADS/2024/01/COMMUNITY-BENEFIT-REPORT-2022.PDF FOR THE COMMUNITY BENEFIT REPORT. 66435780 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 18 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 7 1 0 0 1 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 X AMY HATCHER 4029556262 8200 DODGE STREET OMAHA NE 68114 ALAN TINGLEY MD PRESIDENT OF CHILDREN'S PHYSICIANS 0.00 40.00 X X 0 0 0 CHANDA CHACON PRESIDENT & CEO 0.00 40.00 X X 0 1364774 247043 CHRISTOPHER MALONEY MD EVP & PHYS IN CHIEF 0.00 40.00 X 0 1017080 133991 DR CHERYL LOGAN DIRECTOR (THRU 6/30/23) 1.00 0.00 X 0 0 0 JAYAM VASUDEVAN MD DIRECTOR 0.00 40.00 X 0 354268 38982 JO GILES DIRECTOR (THRU 6/30/23) 1.00 0.00 X 0 0 0 KATIE VOLLMUTH MD SECRETARY/TREASURER 0.00 40.00 X X 0 275339 12950 MALINDA BENDER MD VICE CHAIR 0.00 40.00 X X 0 486421 18544 RICHARD ANDERL DIRECTOR (THRU 6/30/23) 1.00 0.00 X 0 0 0 TERRANCE ZACH CHAIRMAN 1.00 0.00 X X 0 0 0 AMY HATCHER EVP & CFO 1.00 39.00 X 0 812392 120018 0 4310274 571528 0 0 1 0 A AND K MARKETING 5243 N 129TH ST OMAHA NE 68164 MARKETING SERVICES 381378 KE FLEX CONTRACTING LLC 4880 G STREET OMAHA NE 68117 REPAIRS/MAINTENANCE 350159 SWISTAK ENTERPRISES LLC 4624 CREST RIDGE LOOP BLAIR NE 68008 GROUNDS MAINTENANCE 170680 CYRACOM INTERNATIONAL INC PO BOX 74008076 CHICAGO IL 60674 PHONE INTERPRETER 155663 MMC CONTRACTORS 9751 142ND STREET OMAHA NE 68138 REPAIRS/MAINTENANCE 138791 6 203627 203627 PATIENT SERVICES REV 621110 62183295 62183295 CAPITATION PAYMENTS 621110 1277660 1277660 DEPARTMENT SERVICES 621110 876643 876643 64337598 14014 14014 1056 -1056 -1056 -1056 SCHOOL RN PROGRAM 900099 349996 349996 MISCELLANEOUS REVENUE 900099 168463 168463 518459 65072642 64856057 0 12958 40875450 38645571 2229879 693254 636699 56555 4207449 3696635 510814 2190200 2035350 154850 2467538 2467538 2120 2120 3857128 3754565 102563 409377 4140 405237 12160406 12139499 20907 658013 658013 2903507 2879557 23950 13471 9436 4035 20793 20793 663208 663208 397634 68562 329072 CLINICAL LOSS - UNCOM 1005145 1005145 REPAIRS/MAINTENANCE 600536 600536 SALES & USE TAX 181231 1865 179366 PROF BUSINESS EXP 109175 103604 5571 259618 168495 91123 73675253 66435780 7239473 0 5204056 4025570 3278510 5547778 16339 17822 1406955 1846609 26115 52718 9617574 6774269 3078073 2843305 3536249 2749664 1133538 3027198 17679835 20110664 1044495 1195813 16708754 27590876 17753249 28786689 X -73414 -8676025 -73414 -8676025 17679835 20110664 X -8602611 0 X 0 1 X 1 0 X 28659 22837 1649124 44652 203627 1948899 49812237 48730695 52107638 55033131 64856057 270539758 49840896 48753532 53756762 55077783 65059684 272488657 0 0 0 272488657 3797 1476 2202 4791 14014 26280 3797 1476 2202 4791 14014 26280 49844693 48755008 53758964 55082574 65073698 272514937 0.99990 0.99990 0.00010 0.00010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 343811 197574 146237 4890053 3128011 1762042 3599795 2796540 803255 783915 652144 131771 2843305 ACCOUNTS RECEIVABLE-AFFILIATES 2933684 OTHER RECEIVABLES 93514 3027198 ACCOUNTS PAYABLE - AFFILIATES 23637102 LEASE OBLIGATION 2675168 CURRENT PORTION OF LEASE PAYMENT 591968 OTHER PAYABLES 686638 27590876 X PART X, LINE 2: FIN 48 FOOTNOTE THE COMPANY RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED. CHANGES IN RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. DURING 2023 OR 2022, THE COMPANY DID NOT RECORD ANY AMOUNTS RELATED TO UNCERTAIN TAX POSITIONS OR ANY ACCRUED INTEREST AND PENALTIES. 0 1 0 0 0 0 0 0 0 CHANDA CHACON PRESIDENT & CEO 0 1013225 0 321070 0 30479 0 233000 0 14043 0 1611817 0 0 CHRISTOPHER MALONEY MD EVP & PHYS IN CHIEF 0 663135 0 246647 0 107298 0 133469 0 522 0 1151071 0 63479 AMY HATCHER EVP & CFO 0 548099 0 177679 0 86614 0 111573 0 8445 0 932410 0 48403 MALINDA BENDER MD VICE CHAIR 0 436775 0 28000 0 21646 0 16324 0 2220 0 504965 0 0 JAYAM VASUDEVAN MD DIRECTOR 0 308258 0 28000 0 18010 0 15871 0 23111 0 393250 0 0 KATIE VOLLMUTH MD SECRETARY/TREASURER 0 248447 0 24000 0 2892 0 11215 0 1735 0 288289 0 0 PART I, LINE 3 SEE SCHEDULE O FORM 900, PART VI, LINE 15 NARRATIVE REGARDING METHODS USED BY RELATED ORGANIZATIONS TO ESTABLISH COMPENSATION OF THE EXECUTIVES AND PHYSICIANS. PART I, LINE 4B THE FOLLOWING INDIVIDUALS PARTICIPATED IN A 457(F) PLAN DURING 2023. THE AMOUNTS OF DEFERRED COMPENSATION DISTRIBUTED AND ACCRUED FOR EACH OF THE INDIVIDUALS DURING 2023 ARE AS FOLLOWS: CHANDA CHACON $209,000 ACCRUAL, $0 PLAN DISTRIBUTION CHRISTOPHER MALONEY $109,469 ACCRUAL, $72,843 PLAN DISTRIBUTION AMY HATCHER $85,923 ACCRUAL, $55,543 PLAN DISTRIBUTION FORM 990, PART VI, SECTION A, LINE 4 A SUMMARY OF CHANGES MADE TO THE 2023 BYLAWS: THE BYLAWS CALL FOR A SEVEN-PERSON BOARD, CONSISTING OF: CHMC PRESIDENT OR DESIGNEE TWO OTHER BOARD MEMBERS APPOINTED BY THE CHMC CEO 3 ELECTED PHYSICIAN DIRECTORS 1 APPOINTED BY CU; BEGINNING IN 2025, THIS PERSON WILL BE THE PERSON AFFILIATED WITH CU WHO SERVES ON THE CHMC BOARD THE PHYSICIAN DIRECTORS CAN SERVE 2 CONSECUTIVE 3 YEAR TERMS; MEMBER APPOINTED DIRECTORS CAN SERVE UNLIMITED TERMS. THE BOARD IS RESPONSIBLE FOR: A. RECOMMENDATION OF AMENDMENTS TO THE ARTICLES OF INCORPORATION OR THESE BYLAWS, SUBJECT TO APPROVAL BY THE MEMBER. B. ESTABLISHMENT OR ABOLISHMENT OF STANDING AND SPECIAL COMMITTEES OF THE BOARD OF DIRECTORS NOT OTHERWISE DEFINED IN THESE BYLAWS. C. DEVELOPMENT AND ADOPTION OF BUSINESS PLANS CONSISTENT WITH STRATEGIC PRIORITIES ESTABLISHED BY THE MEMBER, INCLUDING PLANS FOR RECRUITMENT, DEVELOPMENT, AND RETENTION OF PROVIDERS. D. OVERSIGHT OF CLINICAL PRACTICE DEVELOPMENT AND FACULTY PERFORMANCE EXPECTATIONS, INCLUDING, IN CONSULTATION WITH CP PHYSICIANS, THE DEVELOPMENT AND IMPLEMENTATION OF CLINICAL BEST PRACTICES, CARE PATHWAYS, POLICIES, AND PROCEDURES. E. OVERSIGHT OF ADMINISTRATIVE INFRASTRUCTURE AND PRACTICE MANAGEMENT SERVICES PROVIDED IN SUPPORT OF THE CLINICAL PRACTICE. F. COORDINATION AND PARTICIPATION IN APPLICABLE PEER REVIEW AND RISK MANAGEMENT FUNCTIONS FOR CP PHYSICIANS. G. PROVIDING INPUT AND OVERSIGHT OF CLINICAL QUALITY AND SAFETY INITIATIVES. H. ENGAGING IN SHORT AND LONG-TERM WORKFORCE PLANNING AND RECRUITMENT OVERSIGHT. FORM 990, PART VI, SECTION A, LINE 6 CHILDREN'S PHYSICIANS' HAS A SINGLE CORPORATE MEMBER, CHILDREN'S HOSPITAL & MEDICAL CENTER. FORM 990, PART VI, SECTION A, LINE 7A CHILDREN'S PHYSICIANS' HAS A SINGLE CORPORATE MEMBER, CHILDREN'S HOSPITAL & MEDICAL CENTER. FORM 990, PART VI, SECTION A, LINE 7B RESERVED POWERS OF MEMBER. NOTWITHSTANDING ANYTHING IN THE BYLAWS TO THE CONTRARY, THE CONSENT OF THE MEMBER, ACTING THROUGH THE HOSPITAL DESIGNEE, SHALL BE REQUIRED TO APPROVE THE FOLLOWING ACTIONS: I. ELECTION AND REMOVAL OF DIRECTORS. IN ACCORDANCE WITH THESE BYLAWS, THE MEMBER SHALL HAVE THE POWER TO APPOINT CERTAIN DIRECTORS OF THE CORPORATION UNDER ARTICLE IV, SECTION 1, AND REMOVE CERTAIN DIRECTORS OF THE CORPORATION UNDER ARTICLE IV, SECTION 11. THE MEMBER SHALL ALSO HAVE THE RIGHT TO APPROVE THE PERSON CREIGHTON UNIVERSITY WISHES TO APPOINT TO THE BOARD AS THE CREIGHTON APPOINTED DIRECTOR. II. APPOINTMENT AND REMOVAL OF CORPORATION ADMINISTRATIVE LEADER. IN ACCORDANCE WITH THE BYLAWS, THE HOSPITAL DESIGNEE SHALL HAVE THE POWER TO APPOINT AND REMOVE THE PERSON DESIGNATED AS THE ADMINISTRATIVE LEADER OF THE CORPORATION. III. APPROVAL OF CERTAIN ACTIONS. THE FOLLOWING ACTIONS OF THE CORPORATION MUST BE APPROVED BY THE HOSPITAL DESIGNEE: (1) ADOPTION AND ADJUSTMENT OF THE CORPORATION'S ANNUAL BUDGET, CAPITAL EXPENDITURES BUDGET, MISSION STATEMENT, OPERATING PLAN, AND LONG-RANGE PLAN; (2) INCURRENCE OR ASSUMPTION OF DEBT (OTHER THAN TRADE PAYABLES); (3) ADOPTION OF COMPENSATION PLANS; (4) ANY DISTRIBUTIONS OF CAPITAL OR NET EARNINGS OF THE CORPORATION; (5) CHANGES TO THE ARTICLES OF INCORPORATION OR BYLAWS; (6) ANY ACTION REQUIRED TO BE SUBMITTED TO AND APPROVED BY THE VOTING MEMBERS OF A NONPROFIT CORPORATION PURSUANT TO THE NEBRASKA NONPROFIT CORPORATION ACT; (7) REORGANIZATION AND TRANSFER OF ASSETS OUTSIDE OF THE ORDINARY COURSE OF BUSINESS; (8) ESTABLISHMENT OF A SUBSIDIARY OR PARTICIPATION AS A SHAREHOLDER, PARTNER, OR MEMBER OF ANY OTHER ENTITY; AND (9) ADMISSION OF NEW MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B A COMPLETE COPY OF THE FORM 990 IS MADE AVAILABLE TO THE COMPENSATION COMMITTEE OF THE HOSPITAL BOARD. THE FORM 990, EXCLUDING PART VII AND SCHEDULE J COMPENSATION INFORMATION, IS MADE AVAILABLE TO THE REMAINDER OF THE BOARD OF DIRECTORS. BOTH ARE MADE AVAILABLE THROUGH THE DIRECTOR'S DESK WEBSITE PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY APPLIES TO ANY PERSON IN A POSITION TO EXERCISE INFLUENCE IN CONNECTION WITH ANY CONTRACT, TRANSACTION OR ARRANGEMENT PRESENTED TO THE BOARD OF DIRECTORS OR A BOARD COMMITTEE FOR APPROVAL (INTERESTED PERSON). THIS INCLUDES, BUT IS NOT LIMITED TO, ANY DIRECTOR, OFFICER, OR MEMBER OF A COMMITTEE WITH BOARD-DESIGNATED POWERS. EACH INTERESTED PERSON HAS THE OBLIGATION TO ANNUALLY SUBMIT A COMPLETED CONFLICT OF INTEREST QUESTIONNAIRE AND HAS A CONTINUING OBLIGATION TO DISCLOSE ANY POTENTIAL CONFLICT OF INTEREST PROMPTLY. EACH INTERESTED PERSON SIGNS ANNUALLY AN ACKNOWLEDGMENT THAT STATES THAT THE INTERESTED PERSON HAS RECEIVED, READ AND UNDERSTANDS THE CONFLICT OF INTEREST POLICY, AGREES TO COMPLY WITH THE POLICY; UNDERSTANDS THAT THE POLICY APPLIES TO THE BOARD OF DIRECTORS AND COMMITTEES; UNDERSTANDS THAT CHILDREN'S PHYSICIANS IS A NOT-FOR-PROFIT ORGANIZATION THAT MUST ENGAGE PRIMARILY IN EXEMPT ACTIVITIES; AGREES TO REPORT TO THE GENERAL COUNSEL OR THE BOARD CHAIR ANY CHANGE TO MATTERS PREVIOUSLY DISCLOSED ON THE CONFLICT OF INTEREST QUESTIONNAIRE; STATES THAT THE INFORMATION PROVIDED IN THE CONFLICT OF INTEREST QUESTIONNAIRE IS TRUE AND ACCURATE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF. THE GENERAL COUNSEL REVIEWS EACH COMPLETED CONFLICT OF INTEREST QUESTIONNAIRE TO DETERMINE IF INVESTIGATION OF ANY POTENTIAL CONFLICT IS NECESSARY. WHEN A POTENTIAL CONFLICT IS VOLUNTARILY IDENTIFIED BY AN INTERESTED PERSON OR THROUGH DISCLOSURE BY ANOTHER PERSON, THE REMAINING BOARD/COMMITTEE MEMBERS REVIEW THE MATTER AND DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. ONLY DISINTERESTED BOARD/COMMITTEE MEMBERS MAY VOTE TO DETERMINE WHETHER A CONFLICT EXISTS. THE INTERESTED PERSON IN QUESTION CANNOT BE PRESENT DURING THE VOTE. IF A CONFLICT OF INTEREST EXISTS, THE DISINTERESTED BOARD/COMMITTEE MEMBERS DETERMINE WHETHER A MORE ADVANTAGEOUS CONTRACT, TRANSACTION OR ARRANGEMENT SHOULD BE OBTAINED. WHEN CONSIDERING WHETHER TO ENTER INTO THE PROPOSED CONTRACT, TRANSACTION, OR ARRANGEMENT, ONLY DISINTERESTED BOARD/COMMITTEE MEMBERS CAN VOTE TO DETERMINE IF IT IS IN THE BEST INTEREST OF CHILDREN'S PHYSICIANS AND FOR CHILDREN'S PHYSICIANS OWN BENEFIT. THE INTERESTED PERSON MAY BE REQUIRED TO LEAVE THE ROOM WHEN THE MATTER IS VOTED ON. ONLY DISINTERESTED BOARD/COMMITTEE MEMBERS MAY VOTE ON THE MATTER. FAILURE TO COMPLY WITH THE CONFLICT OF INTEREST POLICY MAY RESULT IN REMOVAL FROM THE BOARD. FORM 990, PART VI, SECTION B, LINE 15 EACH YEAR, AN INDEPENDENT COMPANY CONDUCTS A MARKET ANALYSIS OF COMPENSATION, TO SUBSTANTIATE THE COMPENSATION OF EXECUTIVE AND PHYSICIAN COMPENSATION. THIS INFORMATION IS PRESENTED TO THE COMPENSATION COMMITTEE OF THE HOSPITAL BOARD OF DIRECTORS. THE INDEPENDENT COMPANY ISSUES AN ANNUAL REASONABLENESS OPINION LETTER REGARDING THE APPROPRIATENESS OF EXECUTIVE AND PHYSICIAN PAY LEVELS. THE HOSPITAL BOARD OF DIRECTORS RECEIVES A REPORT FROM THE COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT AVAILABLE TO THE PUBLIC. CHILDREN'S HOSPITAL & MEDICAL CENTER AND AFFILIATES AUDITED FINANCIAL STATEMENTS CAN BE OBTAINED IN ADMINISTRATION. FORM 990, PART XI, LINE 10: CHILDREN'S PHYSICIANS IS SUPPORTED BY CAPITAL TRANSFERS FROM ITS PARENT CHILDREN'S HOSPITAL & MEDICAL CENTER AS IT IS AN INTEGRAL PART OF THE ORGANIZATION. THE NEGATIVE FUND BALANCE AT YEAR-END WAS BASED UPON AN ESTIMATE OF REQUIRED FUNDING. CHILDREN'S HOSPITAL & MEDICAL CENTER 8200 DODGE STREET OMAHA NE 68114 470379754 PEDIATRICS NE 501(C)(3) LINE 3 N/A 0 CHILDREN'S HOSPITAL & MEDICAL CENTER FDN 8200 DODGE STREET OMAHA NE 68114 476105603 FUNDRAISING NE 501(C)(3) LINE 7 CHMC 0 CHILDREN'S HEALTH NETWORK 8200 DODGE STREET OMAHA NE 68114 363967578 HEALTH NETWORK NE CHMC C 0 KENT INC 8200 DODGE STREET OMAHA NE 68114 470527928 REAL ESTATE NE CHMC C 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0