2025-11-17T10:25:02-06:00 2024-12-31 135565207 KPMG LLP 350 NORTH 5TH ST STE 600 MINNEAPOLIS MN 55401 990 2024-01-01 453765330 CHILDREN'S CLINIC NETWORK CHIL 6128136113 2525 CHICAGO AVENUE SOUTH MINNEAPOLIS MN 55404 BRENDA MCCORMICK SVP & CFO 6128136113 2025-11-12 1 0 HOLLY K MOEN P01800653 6123055000 2025-11-09 2024 2025-03-06 01:10:19Z BRENDA MCCORMICK 2525 CHICAGO AVENUE SOUTH MINNEAPOLIS MN 55404 34628733 0 X CHILDRENSMN.ORG X 2011 MN CHILDREN'S CLINIC NETWORK CHAMPIONS THE SPECIAL HEALTH NEEDS OF CHILDREN AND THEIR FAMILIES. 4 3 180 0 0 0 62504 67838 33451154 34560895 0 -3189 -2079542 0 31434116 34625544 10220 19496 0 0 12307843 13522796 0 0 0 20511723 24146169 32829786 37688461 -1395670 -3062917 14473003 15087655 10763123 14440692 3709880 646963 X 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. 0 0 35964145 19496 34560295 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 118,606 CLINIC VISITS. 35964145 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 180 1 0 0 0 0 0 0 0 0 0 0 0 0 X 4 3 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MN X BRENDA MCCORMICK SVP & CFO 6128136000 2525 CHICAGO AVENUE SOUTH MINNEAPOLIS MN 55404 MARC GORELICK MD PRESIDENT AND CEO 1.00 49.00 X X 0 3659536 496534 ARCHELLE GEORGIOU BOARD MEMBER 1.00 3.00 X 0 0 0 JJ KUHN BOARD MEMBER, CHAIR 1.00 2.00 X X 0 0 0 JEFF VON GILLERN BOARD MEMBER, TREASURER 1.00 2.00 X X 0 0 0 BRENDA MCCORMICK SVP & CFO 1.00 49.00 X 0 945454 50152 ANDREW PUGH BOARD SECRETARY & SVP CLO 1.00 49.00 X 0 660837 46533 MONICA SCHILLER VP AMBULATORY SERVICES 10.00 40.00 X 81211 324843 38724 PAMELA GIGI CHAWLA MD VP CHIEF OF GENERAL PEDIATRICS 10.00 40.00 X 102762 411049 46848 ELIZABETH PLACZEK MD CLINIC PHYSICIAN 50.00 0.00 X 302123 0 45480 CATHERINA BEDFORD MD MEDICAL DIRECTOR 50.00 0.00 X 233457 0 42161 CYNTHIA KRULL MD CLINIC PHYSICIAN 50.00 0.00 X 231021 0 38753 KRISTIN HEUERMANN MD CLINIC PHYSICIAN 50.00 0.00 X 215783 0 42162 NEETI PRADIP KAMBALE MD CLINIC PHYSICIAN 50.00 0.00 X 232203 0 42351 JENNIFER OLSON MARKET FORMER SVP & COO, THRU 9/2023 0.00 0.00 X 0 694568 0 1398560 6696287 889698 14 1 1 0 PARTNERS IN PEDIATRICS 12720 BASS LAKE ROAD MAPLE GROVE MN 55369 PHYSICIAN & STAFF 10977233 RYAN COMPANIES US INC 533 SOUTH THIRD STREET SUITE 100 MINNEAPOLIS MN 55415 CONSTRUCTION 1088060 ECLINICALWORKS LLC 2 TECHNOLOGY DRIVE WESTBOROUGH MA 01581 TECHNOLOGY MAINT. 264577 3 67838 67838 PATIENT SERVICE 621498 29957396 29957396 MEDICAID 621498 4001789 4001789 PAY FOR PERF. BONUS 621498 553013 553013 BLOOD 621498 27753 27753 STIPENDS & HONORARIUMS 621498 20344 20344 600 600 34560895 3189 -3189 -3189 -3189 34625544 34560295 0 -2589 X 19496 19496 172502 172502 10140062 9257187 882875 449652 415549 34103 2110747 1874154 236593 649833 600548 49285 6236 6236 61782 61782 1254 1254 11527739 11504872 22867 5556 5556 219080 219080 262045 11000 251045 2517403 2517403 7900 7900 92998 92998 664939 664939 133673 133673 MEDICAL EXPENSES 6996168 6996168 MN CARE & SALES TAX 693806 693806 BAD DEBT EXPENSE 609605 609605 CREDIT CARD FEES 172508 172508 173477 172005 1472 37688461 35964145 1724316 0 800 700 4321495 4383914 736837 942856 1180414 1497739 9795193 6724790 2343427 3070403 5890030 5192043 14473003 15087655 168857 165342 10594266 14275350 10763123 14440692 X 3709880 646963 3709880 646963 14473003 15087655 -3062917 0 X 0 1 X 1 0 X FORM 990. SCHEDULE A SUPPLEMENTAL INFORMATION: CHILDREN'S CLINIC NETWORK HAS OBTAINED TAX-EXEMPT STATUS AS AN ORGANIZATION WHOSE MAIN PURPOSE IS TO PROVIDE MEDICAL CARE, HOWEVER, CHILDREN'S CLINIC NETWORK IS NOT REQUIRED TO BE LICENSED, REGISTERED, OR SIMILARILY RECOGNIZED BY THE STATE OF MINNESOTA AS A HOSPITAL AND IS NOT REQUIRED TO FILE SCHEDULE H. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1254 1254 0 SCHEDULE C, PART II-B MN CHAPTER OF THE AMERICAN ACADEMY OF PEDIATRICS (MNAAP): $220 MINNESOTA MEDICAL ASSOCIATION (MMA): $614 AMERICAN MEDICAL ASSOCIATION (AMA): $420 6109519 3458573 2650946 3685674 3266217 419457 3070403 RIGHT OF USE - BASE OPERATING ASSET 5192043 5192043 LEASE LIABILITY 6207932 INTERCOMPANY PAYABLE 7864095 MNCARE TAX 203323 14275350 X PART X, LINE 2: THE IRS HAS DETERMINED THAT CHILDREN'S AND ITS SUBSIDIARIES ARE EXEMPT ORGANIZATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE IRC. CHILDREN'S BELIEVES THAT IT CONTINUES TO MEET THE REQUIREMENTS OF THE IRC TO SUSTAIN ITS TAX-EXEMPT STATUS. IN ACCORDANCE WITH ASC SUBTOPIC 740-10, INCOME TAXES OVERALL, CHILDREN'S 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. MANAGEMENT DETERMINED THERE ARE NO MATERIAL INCOME POSITIONS FOR THE YEARS ENDED DECEMBER 31, 2024 AND 2023. CHILDREN'S IS NOT SUBJECT TO AN INCOME TAX EXAMINATION FOR YEARS BEFORE 2021. 1 CHARITY CARE ASSISTANCE TO INDIVIDUALS 20 19496 COST CHARITY CARE TO INDV PART I, LINE 2: CHILDREN'S CLINIC NETWORK PROVIDES CHARITY CARE ASSISTANCE TO INDIVIDUALS OUTLINED IN OUR POLICY WHICH IS CLOSELY MONITORED BY MANAGEMENT. 1 1 0 0 0 0 0 0 0 MARC GORELICK MD PRESIDENT AND CEO 0 1266260 0 336546 0 2056730 0 471310 0 25224 0 4156070 0 312598 BRENDA MCCORMICK SVP & CFO 0 710574 0 119549 0 115331 0 20700 0 29452 0 995606 0 0 ANDREW PUGH BOARD SECRETARY & SVP CLO 0 498578 0 75235 0 87024 0 20700 0 25833 0 707370 0 0 JENNIFER OLSON MARKET FORMER SVP & COO, THRU 9/2023 0 0 0 0 0 694568 0 0 0 0 0 694568 0 694568 PAMELA GIGI CHAWLA MD VP CHIEF OF GENERAL PEDIATRICS 102762 292626 0 69552 0 48871 0 25810 0 21038 102762 457897 0 0 MONICA SCHILLER VP AMBULATORY SERVICES 81211 249804 0 55775 0 19264 0 16816 0 21908 81211 363567 0 0 ELIZABETH PLACZEK MD CLINIC PHYSICIAN 277337 0 23508 0 1278 0 16695 0 28785 0 347603 0 0 0 CATHERINA BEDFORD MD MEDICAL DIRECTOR 209515 0 19174 0 4768 0 14174 0 27987 0 275618 0 0 0 NEETI PRADIP KAMBALE MD CLINIC PHYSICIAN 208808 0 19389 0 4006 0 14333 0 28018 0 274554 0 0 0 CYNTHIA KRULL MD CLINIC PHYSICIAN 206631 0 19389 0 5001 0 9268 0 29485 0 269774 0 0 0 KRISTIN HEUERMANN MD CLINIC PHYSICIAN 197474 0 16854 0 1455 0 13548 0 28614 0 257945 0 0 0 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. FORM 990, PART I, LINE 4A: JENNIFER OLSON MARKET RECEIVED A SEVERANCE PAYMENT OF $694,568 IN 2024. FORM 990, 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 2024: MARC GORELICK - $2,037,326 BRENDA MCCORMICK - $104,509 ANDREW PUGH - $75,778 PAMELA GIGI SHAWLA MD - $43,118 MONICA SHILLER - $16,697 CYNTHIA KRULL - $3,905 NEETI PRADIP KAMBALE - $3,024 FORM 990, PART III, LINE 4A: PROGRAM SERVICE ACCOMPLISHMENTS PROGRAM SERVICE ACCOMPLISHMENTS: LOCATIONS - ADDRESSES OF OUR SEVEN NETWORK CLINICS 963 S. ROBERTS ST. WEST ST. PAUL, MN 55118 14701 VICTOR HUGO BLVD N HUGO, MN 55038 EDINBURGH MEDICAL AND DENTAL PLAZA 8500 EDINBROOK PARKWAY BROOKLYN PARK, MN 55443 3910 EXCELSIOR BOULEVARD ST. LOUIS PARK, MN 55416 BASS LAKE CENTER 12720 BASS LAKE ROAD MAPLE GROVE, MN 55369 6060 CLEARWATER DRIVE, SUITE 210 MINNETONKA, MN 55343-8978 13980 NORTHDALE BOULEVARD ROGERS, MN 55374 FORM 990, PART V, LINE 1C: PAYMENTS TO VENDORS ARE MADE FROM CHILDREN'S HEALTH CARE, INC., THEREFORE NO FORM 1099S ARE ISSUED BY CHILDREN'S CLINIC NETWORK. CHILDREN'S HEALTH CARE, INC. FILES THE FORM 1099S AND COMPLIES WITH THE BACKUP WITHHOLDING RULES FOR REPORTABLE PAYMENTS TO VENDORS. THE 1099S ISSUED BY CHILDREN'S HEALTH CARE, INC. ON BEHALF OF CHILDREN'S CLINIC NETWORK ARE REPORTED TO THE IRS. FORM 990, PART VI, SECTION A, LINE 6 CHILDREN'S CLINIC NETWORK HAS A SOLE MEMBER, CHILDREN'S HEALTH CARE, A MINNESOTA NONPROFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A CHILDREN'S CLINIC NETWORK'S SOLE MEMBER, CHILDREN'S HEALTH CARE, IS AUTHORIZED UNDER CHILDREN'S CLINIC NETWORK'S BYLAWS TO ELECT DIRECTORS OF CHILDREN'S CLINIC NETWORK, AFTER APPROVAL BY THE BOARD OF DIRECTORS OF CHILDREN'S CLINIC NETWORK. FORM 990, PART VI, SECTION A, LINE 7B CHILDREN'S CLINIC NETWORK'S SOLE MEMBER, CHILDREN'S HEALTH CARE, MAINTAINS A NUMBER OF RESERVED POWERS INCLUDING BUT NOT LIMITED TO ELECTION OF DIRECTORS, APPROVAL OF ANNUAL BUDGETS, APPROVAL OF AMENDMENTS TO THE ARTICLES OF INCORPORATION AND BYLAWS. FORM 990, PART VI, SECTION B, LINE 11B THE SENIOR MANAGEMENT OF CHILDREN'S HEALTH CARE, THE PARENT OF CHILDREN'S CLINIC NETWORK, REVIEWS THE DRAFT OF FORM 990 WITH THE AUDIT AND COMPLIANCE COMMITTEE OF CHILDREN'S HEALTH CARE GOVERNING BODY PRIOR TO THE FILING OF THE FORM. THIS REVIEW INCLUDES AN OVERVIEW OF THE FORM AND DISCUSSION RELATED TO KEY SECTIONS. COPIES OF THE FINAL FORM 990 ARE MADE AVAILABLE TO MEMBERS OF THE COMMITTEE AND ALL DIRECTORS PRIOR TO THE FORM BEING FILED. THE AUDIT AND COMPLIANCE COMMITTEE HAS BEEN DELEGATED THE AUTHORITY TO OVERSEE THE COMPLETION AND FILING OF THE FORM 990 BY THE FULL CHILDREN'S HEALTH CARE BOARD, AND THE COMMITTEE REPORTS THE RESULTS OF ITS REVIEW AND APPROVAL TO THE FULL BOARD AT A REGULARLY SCHEDULED BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 12C MANAGEMENT OF CHILDREN'S HEALTH CARE, THE PARENT OF CHILDREN'S CLINIC NETWORK, ENSURE THAT CONFLICT OF INTEREST DISCLOSURE FORMS ARE COMPLETED BY ALL MEMBERS OF THE GOVERNING BODY AND BOARD COMMITTEES AT LEAST ANNUALLY. FORMS ARE COMPLETED AT THE BEGINNING OF THE YEAR, AND DIRECTORS AND COMMITTEE MEMBERS ARE INSTRUCTED TO PROVIDE ADDITIONAL DISCLOSURES IF NECESSARY DURING THE COURSE OF THE YEAR. THE GOVERNANCE COMMITTEE OF THE GOVERNING BODY OF CHILDREN'S HEALTH CARE, INC., ALONG WITH SENIOR MANAGEMENT (CEO AND GENERAL COUNSEL) OF CHILDREN'S HEALTH CARE, INC., REVIEW ALL DISCLOSURES PROVIDED BY GOVERNING BOARD MEMBERS. THE RESULTS OF THIS REVIEW AND ANY CONCERNS, LIMITATIONS, ETC. ARE REPORTED BY THE GOVERNANCE COMMITTEE TO THE FULL BOARD. IF CONFLICTS ARE IDENTIFIED, THE GOVERNANCE COMMITTEE AND MANAGEMENT WORK TO ENSURE THAT DIRECTORS DO NOT PARTICIPATE IN DISCUSSION OR VOTING ON THE AFFECTED MATTER. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION FOR THE CEO OF CHILDREN'S CLINIC NETWORK IS ESTABLISHED BY CHILDREN'S HEALTH CARE AS PART OF ITS EXECUTIVE COMPENSATION PROCESS. CHILDREN'S HEALTH CARE, INC. FOLLOWS THE REQUIREMENTS SET FORTH IN THE IRS REBUTTABLE PRESUMPTION OF REASONABLENESS IS DETERMINING COMPENSATION FOR THE CEO AND OTHER OFFICERS AND EXECUTIVE LEADERS OF CHILDREN'S CLINIC NETWORK. THIS FUNCTION IS PERFORMED BY THE COMPENSATION COMMITTEE OF THE GOVERNING BOARD OF CHILDREN'S HEALTH CARE, WHICH IS COMPOSED OF ONLY INDEPENDENT DIRECTORS. THE PROCESS INCLUDES REVIEW OF COMPARABILITY DATA, RETENTION OF AN OUTSIDE COMPENSATION CONSULTANT AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION THROUGH DETAILED MINUTES OF THE COMPENSATION COMMITTEE AND FULL BOARD MEETINGS WHERE EXECUTIVE COMPENSATION IS CONSIDERED. FORM 990, PART VI, SECTION C, LINE 19 CHILDREN'S HEALTH CARE, THE PARENT OF CHILDREN'S CLINIC NETWORK, MAKES FINANCIAL STATEMENT INFORMATION PUBLIC THROUGH A SUMMARY OF FINANCIAL PERFORMANCE IN ITS ANNUAL REPORT. IN ADDITION, FINANCIAL STATEMENTS ARE PROVIDED PUBLICLY THROUGH DIGITAL ASSURANCE CERTIFICATION, A DISSEMINATION AGENT, WHO THEREAFTER MAKE THIS INFORMATION PUBLICLY AVAILABLE. CHILDREN'S CLINIC NETWORK RELIES ON THE CONFLICT OF INTEREST POLICY OF CHILDREN'S HEALTH CARE, THE PARENT OF CHILDREN'S CLINIC NETWORK CHILDREN'S HEALTH CARE DOES NOT MAKE THE CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. THE GOVERNING DOCUMENTS OF CHILDREN'S CLINIC NETWORK ARE NOT AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G PURCHASED LAB & MEDICAL SVCS: PROGRAM SERVICE EXPENSES 11,302,011. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,302,011. REPAIRS AND MAINTENANCE: PROGRAM SERVICE EXPENSES 180,053. MANAGEMENT AND GENERAL EXPENSES 22,867. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 202,920. LINEN: PROGRAM SERVICE EXPENSES 16,495. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,495. LEASED EQUIPMENT: PROGRAM SERVICE EXPENSES 6,313. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,313. CHILDREN'S HEALTH CARE INC 2525 CHICAGO AVENUE SOUTH MINNEAPOLIS MN 55404 411754276 HEALTHCARE MN 501(C)(3) LINE 3 N/A 0 CHILDREN'S HEALTH CARE FOUNDATION 2525 CHICAGO AVENUE SOUTH MINNEAPOLIS MN 55404 411814223 HEALTHCARE MN 501(C)(3) LINE 7 CHC 0 CHILDREN'S HEALTH CARE SERVICES INC 2525 CHICAGO AVENUE SOUTH MINNEAPOLIS MN 55404 411756478 HEALTHCARE MN 501(C)(3) LINE 3 CHC 0 MOTHER BABY FACILITY LLC 2525 CHICAGO AVENUE SOUTH MINNEAPOLIS MN 55404 454078371 HEALTHCARE MN 501(C)(3) LINE 12A CHC 0 CHILDREN'S HEALTH INSURANCE NETWORK LTD PO BOX 30600 GRAND CAYMAN CJ INSURANCE CJ CHC C 0 CHILDREN'S HEALTH NETWORK 910 EAST 26TH STREET SUITE 330 MINNEAPOLIS MN 55404 463226418 MEDICAL SERVICES MN CHC C 0 CHILDREN'S MN HOME MEDICAL EQUIPMENT 2525 CHICAGO AVENUE MINNNEAPOLIS MN 55404 842915398 MED. EQ. SERVICES MN CHC C 0 0 0 1 0 0 0 0 0 0 1 0 0 1 0 1 1 1 1 1