CHILDRENS CLINICS FOR REHABILITATIVE SERVICES: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- CHILDRENS CLINICS FOR REHABILITATIVE SERVICES (EIN 86-0667510)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-05-09
- IRS object ID
- 202321299349304627
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-05-09T19:06:28-05:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 860683059 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BEACHFLEISCHMAN PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1985 E RIVER ROAD SUITE 201 | AddressLine1Txt |
| City | TUCSON | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85718 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 860667510 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHILDREN'S CLINICS FOR | BusinessNameLine1Txt |
| Business Name Line2 | REHABILITATIVE SERVICES | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CHIL | BusinessNameControlTxt |
| Phone | 5203245437 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2600 NORTH WYATT DRIVE | AddressLine1Txt |
| City | TUCSON | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85712 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHRIS FARLEY | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 5203245437 | PhoneNum |
| Signature | 2023-04-20 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | CHRIS | PersonFirstNm |
| Person Last | FARLEY | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KELLY L MELTZER CPA | PreparerPersonNm |
| PTIN | P00633511 | PTIN |
| Phone | 5203214600 | PhoneNum |
| Preparation | 2023-04-20 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JARED PERKINS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2600 NORTH WYATT DRIVE | AddressLine1Txt |
| City | TUCSON | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85712 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $15,142,357 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CHILDRENSCLINICS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1990 | FormationYr |
| Legal Domicile State | AZ | LegalDomicileStateCd |
| Activity Or Mission | FAMILY CENTERED COMPREHENSIVE MEDICAL HOME TO MEET THE SPECIAL NEEDS OF CHILDREN AND FAMILIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 139 | TotalEmployeeCnt |
| Total Volunteers | 83 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $454,878 | PYContributionsGrantsAmt |
| CY Contributions Grants | $689,692 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $11,729,895 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $12,310,066 | CYProgramServiceRevenueAmt |
| PY Investment Income | $243,995 | PYInvestmentIncomeAmt |
| CY Investment Income | $477,127 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $12,428,768 | PYTotalRevenueAmt |
| CY Total Revenue | $13,476,885 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $8,043,043 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $8,505,942 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $100,634 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,908,727 | PYOtherExpensesAmt |
| CY Other Expenses | $4,138,398 | CYOtherExpensesAmt |
| PY Total Expenses | $11,951,770 | PYTotalExpensesAmt |
| CY Total Expenses | $12,644,340 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $476,998 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $832,545 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $12,268,035 | TotalAssetsBOYAmt |
| Total Assets EOY | $10,953,834 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,063,441 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,820,528 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $9,204,594 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $9,133,306 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE CHILDREN'S CLINICS PROVIDES A FAMILY CENTERED COMPREHENSIVE MEDICAL HOME TO MEET THE SPECIAL NEEDS OF CHILDREN AND FAMILIES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $11,032,637 | ExpenseAmt |
| Revenue | $12,310,066 | RevenueAmt |
| Desc | CHILDREN'S CLINICS OFFERS SOUTHERN ARIZONA'S FAMILIES A UNIQUE ENVIRONMENT TO MEET THE HEALTH CARE NEEDS OF THEIR CHILDREN WITH MORE THAN 40+ MEDICAL AND DENTAL SPECIALTY CLINICS, PRIMARY CARE, BEHAVIORAL HEALTH AND THERAPY SERVICES UNDER ONE ROOF. CHILDREN'S CLINICS IS A NON-PROFIT ORGANIZATION PROVIDING FAMILY-CENTERED, COMPREHENSIVE OUTPATIENT PRIMARY CARE, SPECIALTY CARE AND REHABILITATIVE THERAPY SERVICES IN A COMFORTABLE AND ENGAGING ATMOSPHERE. CHILDREN'S CLINICS IS ACCESSIBLE TO THE ENTIRE COMMUNITY, SERVING CHILDREN FROM BIRTH TO YOUNG ADULTHOOD. IN ADDITION TO GENERAL PEDIATRICS, MANY OF OUR CHILDREN HAVE COMPLEX MEDICAL CONDITIONS SUCH AS CEREBRAL PALSY, SPINA BIFIDA, MUSCULAR DYSTROPHY, CARDIAC CONDITIONS, CLEFT LIP AND PALATE, SICKLE CELL, AND METABOLIC DISORDERS. A LARGE NUMBER OF STAFF AND PROVIDERS ARE BILINGUAL SPANISH SPEAKERS AND TRANSLATION SERVICES ARE AVAILABLE FOR ALL LANGUAGES. CHILDREN'S CLINICS IS THE SOUTHERN ARIZONA PROVIDER FOR THE STATE CHILDREN'S REHABILITATIVE SERVICES PROGRAM. CHILDREN'S CLINICS ACCEPTS MOST PRIVATE INSURANCES, AHCCCS HEALTH PLANS, AND PRIVATE-PAY PATIENTS. THE CLINIC ALSO RECOGNIZES THAT CHILDREN WITH SPECIAL HEALTHCARE NEEDS DON'T OFTEN HAVE THE OPPORTUNITY TO PARTICIPATE IN SOME OF THE ""NORMAL EXPERIENCES OF CHILDHOOD"" SUCH AS TRICK OR TREATING OR PICTURES WITH SANTA. CHILDREN'S CLINICS FREQUENTLY HAS SPECIAL PROGRAMMING ONSITE TO HELP DELIVER THESE EXPERIENCES TO OUR PATIENTS AND FAMILIES. SERVICES ARE PROVIDED THROUGH A UNIQUE PARTNERSHIP OF COMMUNITY PHYSICIANS, UNIVERSITY OF ARIZONA HEALTH NETWORK PHYSICIANS, CHILDREN'S CLINICS STAFF AND THERAPISTS AT ONE LOCATION. THIS PARTNERSHIP INSURES COORDINATION OF CARE THAT IS ESPECIALLY CRITICAL FOR CHILDREN WITH COMPLEX HEALTH CARE NEEDS. CHILDREN'S CLINICS IS A JOINT COMMISSION ACCREDITED PROGRAM THAT FOCUSES ON DELIVERING HIGH QUALITY CARE. CHILDREN'S CLINICS IS CO-LOCATED WITH OTHER CHILD-SERVING ORGANIZATIONS SUCH AS RAISING SPECIAL KIDS AND THE AUTISM SOCIETY THAT OFFER ADDITIONAL SUPPORT TO OUR PATIENTS AND FAMILIES.GEOGRAPHIC SERVICE AREA:PRIMARY SERVICE AREA INCLUDES ZIP CODES FOR ALL OF PIMA, SANTA CRUZ, COCHISE, GRAHAM, AND GREENLEE COUNTIES, AS WELL AS SOUTHERN AND CENTRAL PIMA COUNTY AND THE SOUTHERN TIP OF GILA COUNTY (WINKLEMAN/HAYDEN AREA). SOME REFERRAL PATIENTS COME FROM OUTSIDE THIS PRIMARY SERVICE AREA FOR SELECTED SPECIALTY SERVICES. | Desc |
| Total Program Service Expenses | $11,032,637 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 34 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 139 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MIREYA RIEGERT | PersonNm |
| Phone | 5203243215 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2600 N WYATT DR | AddressLine1Txt |
| City | TUCSON | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85712 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|
| DAVID CRAWFORD | |||||||
| PHYSICIAN | 40.00 | Yes (X) | $311,298 | $0 | $26,598 | ||
| REBECCA EGBERT | |||||||
| PHYSICIAN | 36.00 | Yes (X) | $210,166 | $0 | $14,124 | ||
| JARED PERKINS | |||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | $167,645 | $0 | $123,526 | Yes (X) | ||
| CHRISTOPHER FARLEY | |||||||
| CHIEF FINANCIAL OFFICER | 40.00 | $155,436 | $0 | $22,875 | Yes (X) | ||
| MELISSA RITCHEY | |||||||
| CHIEF CLINICAL OFFICER | 40.00 | Yes (X) | $150,035 | $0 | $19,731 | ||
| YOLANDA FELIX | |||||||
| DIRECTOR QUALITY/COMPLIANCE/SAFETY | 40.00 | Yes (X) | $116,886 | $0 | $5,551 | ||
| GEMMA THOMAS | |||||||
| CHIEF ADMINISTRATOR OFFICER | 40.00 | Yes (X) | $128,249 | $0 | $11,911 | ||
| ROGER BIEDE II DDS | |||||||
| VOTING MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| KATALIN SCHERER | |||||||
| VOTING MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| VAN ELROD | |||||||
| VOTING MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| MISTY HANSEN | |||||||
| VOTING MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| KATE MAGUIRE JENSEN | |||||||
| VOTING MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| JACLYN LARSON | |||||||
| VOTING MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| JEFF LAIME | |||||||
| VOTING MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| JOY UPSHAW | |||||||
| VOTING MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| BRIAN NIELSEN | |||||||
| VOTING MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| ANGIE WRIGHT | |||||||
| VOTING MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| ZIAD SHEHAB MD | |||||||
| VOTING MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| BURT STRUG | |||||||
| VOTING MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| TAWNYA TRETSCHOK | |||||||
| VOTING MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| TRACY NUCKOLLS | |||||||
| PRESIDENT | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| JOHN STEPHENS MD | |||||||
| TREASURY/SECRETARY | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,239,715 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $224,316 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 9 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| BANNER UNIVERSITY MEDICAL GROUP | |||||
| 535 N WILMOT ROAD SUITE 101 | TUCSON | AZ | 85711 | ON-SITE PHYSICIAN SERVICES | $844,670 |
| BARKER CONTRACTING INC | |||||
| 2127 E SPEEDWAY BLVD SUITE 101 | TUCSON | AZ | 85719 | CONSTRUCTION SERVICES | $327,038 |
| TMC HEALTHCARE | |||||
| 5301 E GRANT ROAD | TUCSON | AZ | 85712 | FACILITY MAINTENANCE | $250,289 |
| NEXTGEN HEALTHCARE | |||||
| 18111 VAN KARMAN AVE SUITE 800 | IRVINE | CA | 92612 | MEDICAL SOFTWARE SUPPORT & MAINTENANCE | $204,304 |
| CDW GOVERNMENT INC | |||||
| 75 REMITTANCE DR SUITE 1515 | CHICAGO | IL | 60675 | COMPUTER EQUIPMENT/LICENSES | $147,732 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 7 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $689,692 | AllOtherContributionsAmt |
| Total Contributions | $689,692 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICES | 621400 | $12,306,365 | $12,306,365 |
| MISCELLANEOUS | 621400 | $3,701 | $3,701 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $12,310,066 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $155,283 | TotalRevenueColumnAmt |
| Exclusion | $155,283 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $20,860 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $20,860 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,966,456 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,644,612 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $321,844 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $321,844 | TotalRevenueColumnAmt |
| Exclusion | $321,844 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,476,885 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $12,310,066 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $477,127 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $415,503 | TotalAmt |
| Program Services | $77,546 | ProgramServicesAmt |
| Management And General | $337,957 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,607,554 | TotalAmt |
| Program Services | $6,023,814 | ProgramServicesAmt |
| Management And General | $520,804 | ManagementAndGeneralAmt |
| Fundraising | $62,936 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $213,468 | TotalAmt |
| Program Services | $196,116 | ProgramServicesAmt |
| Management And General | $17,352 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $775,483 | TotalAmt |
| Program Services | $703,777 | ProgramServicesAmt |
| Management And General | $71,706 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $493,934 | TotalAmt |
| Program Services | $431,622 | ProgramServicesAmt |
| Management And General | $62,312 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,650 | TotalAmt |
| Management And General | $59,650 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,075 | TotalAmt |
| Program Services | $27,993 | ProgramServicesAmt |
| Management And General | $6,082 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $442,383 | TotalAmt |
| Program Services | $360,572 | ProgramServicesAmt |
| Management And General | $60,025 | ManagementAndGeneralAmt |
| Fundraising | $21,786 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,972 | TotalAmt |
| Management And General | $10,530 | ManagementAndGeneralAmt |
| Fundraising | $2,442 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $347,770 | TotalAmt |
| Program Services | $284,524 | ProgramServicesAmt |
| Management And General | $51,968 | ManagementAndGeneralAmt |
| Fundraising | $11,278 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $389,116 | TotalAmt |
| Program Services | $296,341 | ProgramServicesAmt |
| Management And General | $92,775 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $271,334 | TotalAmt |
| Program Services | $226,320 | ProgramServicesAmt |
| Management And General | $42,894 | ManagementAndGeneralAmt |
| Fundraising | $2,120 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,151 | TotalAmt |
| Program Services | $24,570 | ProgramServicesAmt |
| Management And General | $9,509 | ManagementAndGeneralAmt |
| Fundraising | $72 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,595 | TotalAmt |
| Program Services | $24,781 | ProgramServicesAmt |
| Management And General | $5,814 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,052 | TotalAmt |
| Program Services | $18,116 | ProgramServicesAmt |
| Management And General | $3,936 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $333,348 | TotalAmt |
| Program Services | $210,009 | ProgramServicesAmt |
| Management And General | $123,339 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,979 | TotalAmt |
| Program Services | $32,117 | ProgramServicesAmt |
| Management And General | $18,862 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PATIENT CARE | $1,242,521 | $1,242,521 | |
| MEDICAL SUPPLIES | $483,459 | $483,459 | |
| BAD DEBT | $305,331 | $305,331 | |
| MISCELLANEOUS | $78,662 | $63,108 | $15,554 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,644,340 | TotalAmt |
| Program Services | $11,032,637 | ProgramServicesAmt |
| Management And General | $1,511,069 | ManagementAndGeneralAmt |
| Fundraising | $100,634 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,173,659 | BOYAmt |
| EOY | $2,130,190 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,327,636 | BOYAmt |
| EOY | $2,556,817 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $198,879 | BOYAmt |
| EOY | $228,298 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $6,932,985 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,343,357 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,278,928 | BOYAmt |
| EOY | $2,589,628 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,288,933 | BOYAmt |
| EOY | $3,365,375 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $83,526 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,268,035 | BOYAmt |
| EOY | $10,953,834 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $935,929 | BOYAmt |
| EOY | $1,080,365 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $700,000 | BOYAmt |
| EOY | $630,000 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,338,376 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $89,136 | BOYAmt |
| EOY | $110,163 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,063,441 | BOYAmt |
| EOY | $1,820,528 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,204,594 | BOYAmt |
| EOY | $9,133,306 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,204,594 | BOYAmt |
| EOY | $9,133,306 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,268,035 | BOYAmt |
| EOY | $10,953,834 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $832,545 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$903,833 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,218,511 | OtherCostOrOtherBasisAmt |
| Depreciation | $474,469 | DepreciationAmt |
| Book Value | $1,744,042 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,718,177 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,040,050 | DepreciationAmt |
| Book Value | $678,127 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,996,297 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,828,838 | DepreciationAmt |
| Book Value | $167,459 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,589,628 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DEFERRED COMPENSATION | Desc |
| Amt | $110,163 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $110,163 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $13,074,694 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$903,833 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $786,113 | DonatedServicesAndUseFcltsAmt |
| Other Revenue | -$305,331 | OtherRevenueAmt |
| Revenue Not Reported | -$423,051 | RevenueNotReportedAmt |
| Revenue Subtotal | $13,497,745 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$20,860 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$20,860 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $13,476,885 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $13,145,982 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $786,113 | DonatedServicesUseFcltsAmt |
| Other Expenses Included | $20,860 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $806,973 | ExpensesNotReportedAmt |
| Expenses Subtotal | $12,339,009 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $305,331 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $305,331 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $12,644,340 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | FINANCIAL STATEMENTS FIN 48 (ASC 740) FOOTNOTE: THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)(3) AND IS CLASSIFIED AS OTHER THAN A PRIVATE FOUNDATION. THE ORGANIZATION IS ALSO EXEMPT FOR STATE PURPOSES. ACCORDINGLY, NO INCOME TAX PROVISION IS MADE IN THE FINANCIAL STATEMENTS. INCOME FROM CERTAIN ACTIVITIES NOT DIRECTLY RELATED TO CHILDREN'S CLINIC'S TAX-EXEMPT PURPOSE, HOWEVER, MAY BE SUBJECT TO TAXATION AS UNRELATED BUSINESS TAXABLE INCOME (UBTI). FROM TIME TO TIME, THE ORGANIZATION MAY BE SUBJECT TO PENALTIES AND INTEREST ASSESSED BY VARIOUS TAXING AUTHORITIES, WHICH ARE CLASSIFIED AS ADMINISTRATIVE AND OPERATING EXPENSES, IF THEY OCCUR. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE -305,331. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | TENANT RENTAL EXPENSE -20,860. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | TENANT RENTAL EXPENSE 20,860. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE 305,331. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DAVID CRAWFORD | ||||||||||||||
| PHYSICIAN | $214,222 | $0 | $64,776 | $0 | $32,300 | $0 | $8,995 | $0 | $17,603 | $0 | $337,896 | $0 | $0 | $0 |
| REBECCA EGBERT | ||||||||||||||
| PHYSICIAN | $168,255 | $0 | $39,611 | $0 | $2,300 | $0 | $6,803 | $0 | $7,321 | $0 | $224,290 | $0 | $0 | $0 |
| JARED PERKINS | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $166,124 | $0 | $1,521 | $0 | $0 | $0 | $106,063 | $0 | $17,463 | $0 | $291,171 | $0 | $0 | $0 |
| CHRISTOPHER FARLEY | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $140,587 | $0 | $14,849 | $0 | $0 | $0 | $5,818 | $0 | $17,057 | $0 | $178,311 | $0 | $0 | $0 |
| MELISSA RITCHEY | ||||||||||||||
| CHIEF CLINICAL OFFICER | $135,186 | $0 | $14,849 | $0 | $0 | $0 | $5,599 | $0 | $14,132 | $0 | $169,766 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 4B | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION HAS A NONQUALIFIED DEFERRED COMPENSATION PLAN FOR JARED PERKINS UNDER SECTION 457(F) OF THE INTERNAL REVENUE CODE. COMPENSATION EXPENSE FOR THIS PLAN WAS $98,967 FOR CALENDAR YEAR 2021. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | MEMBERS MUST BE EITHER (I) NONPROFIT, CHARITABLE ORGANIZATIONS WHICH ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, AND WHICH ARE LICENSED BY THE STATE OF ARIZONA TO OPERATE AN ACUTE CARE HOSPITAL OR WHICH OWN OR CONTROL ANY NONPROFIT, CHARITABLE ORGANIZATION WHICH IS SO LICENSED; OR (II) NONPROFIT, CHARITABLE ORGANIZATIONS WHICH ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, THAT PROVIDES FUNDS FOR THE DELIVERY OF CHARITABLE HEALTH CARE SERVICES. THE INITIAL MEMBERS WERE TUCSON MEDICAL CENTER (TMC) AND UNIVERSITY MEDICAL CENTER (UMC). TMC AND BANNER UMC ARE EQUAL MEMBERS, EACH ENTITLED TO ONE VOTE ON MATTERS ACTED UPON BY THE MEMBERS. SQUARE AND COMPASS CHILDREN'S CLINIC (S&C) IS NOT A MEMBER OF THE CORPORATION BUT PARTICIPATES AS A PHILANTHROPIC STAKEHOLDER OF THE CORPORATION IN ACCORDANCE WITH THE BYLAWS. |
| FORM 990, PART VI, SECTION A, LINE 7A | PER THE BYLAWS, THERE SHALL BE NO FEWER THAN 9 VOTING DIRECTORS. 2 DIRECTORS SHALL BE APPOINTED BY S&C; 2 DIRECTORS SHALL BE APPOINTED BY TMC; AND 2 DIRECTORS SHALL BE APPOINTED BY BANNER UMC. THE 6 DIRECTORS APPOINTED BY S&C, TMC AND BANNER UMC ARE REFERRED TO AS THE ORGANIZING DIRECTORS. THE PRESIDENT OF THE CCRS CLINIC MEDICAL STAFF OR A MEMBER OF THE MEDICAL STAFF DESIGNATED BY THE PRESIDENT SHALL BE APPOINTED A DIRECTOR BY THE ORGANIZING DIRECTORS. A PHYSICIAN MEMBER OF THE CCRS CLINIC MEDICAL STAFF WHO IS ENGAGED IN THE PRIVATE PRACTICE OF MEDICINE IN PIMA COUNTY, ARIZONA AND WHO IS NOT A FULL-TIME FACULTY MEMBER OF THE UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE AND ALSO IS NOT EMPLOYED BY ANY ORGANIZATION AFFILIATED WITH THE COLLEGE OF MEDICINE SHALL BE SELECTED AND APPOINTED A DIRECTOR BY THE ORGANIZING DIRECTORS. A PHYSICIAN MEMBER OF THE CCRS CLINIC MEDICAL STAFF WHO IS A FULL-TIME FACULTY MEMBER OF THE UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE SHALL BE SELECTED AND APPOINTED A DIRECTOR BY THE ORGANIZING DIRECTORS. EACH OF THE FOREGOING 9 DIRECTORS SHALL HAVE A SINGLE AND EQUAL VOTE ON THE BOARD OF DIRECTORS. ADDITIONAL PERSONS MAY BE SELECTED TO SERVE ON THE BOARD OF DIRECTORS IF APPROVED BY 2/3 OF THE DIRECTORS ENTITLED TO VOTE AND MUST INCLUDE THE CONSENT OF 1 DIRECTOR APPOINTED BY S&C, TMC AND BANNER UMC. |
| FORM 990, PART VI, SECTION A, LINE 7B | CERTAIN DECISIONS OF THE BOARD OF DIRECTORS ARE ""MEMBER DECISIONS AND MUST BE APPROVED BY UNANIMOUS AGREEMENT OF THE ORGANIZING DIRECTORS ENTITLED TO VOTE. MEMBER DECISIONS INCLUDE THE FOLLOWING ACTIONS: 1. THE AMENDMENT OF THE ARTICLES OF INCORPORATION OR BYLAWS; 2. THE ACQUISITION OR CREATION OF ANY SUBSIDIARY OR CONTROLLED CORPORATION; 3. THE MERGER OR CONSOLIDATION OF THE CORPORATION WITH ANOTHER CORPORATION, OR THE ENTERING INTO ANY JOINT VENTURE, PARTNERSHIP, LIMITED LIABILITY COMPANY, OR OTHER BUSINESS VENTURE WITH A THIRD PARTY; 4. THE DISSOLUTION OR LIQUIDATION OF THE CORPORATION; 5. THE EXPENDITURE OF ANY FUNDS IN EXCESS OF THOSE PREVIOUSLY APPROVED IN THE CAPITAL AND OPERATING BUDGETS OF THE CORPORATION; 6. THE ENTERING INTO ANY LOAN, INDEBTEDNESS, GUARANTY, SECURITY INTEREST, MORTGAGE, SURETY, HYPOTHECATION; 7. THE DISPOSITION OF ANY ASSETS IN EXCESS OF SUCH MONETARY SUM AS THE MEMBERS MAY DETERMINE FROM TIME TO TIME TO ANY PERSON OTHER THAN TO THE MEMBERS OR A SUBSIDIARY OF THE MEMBERS; 8. THE APPOINTMENT OF AN INDEPENDENT AUDITOR OR HIRING OF INDEPENDENT COUNSEL; 9. THE APPROVAL OF THE ANNUAL OPERATING AND CAPITAL BUDGETS AND ANY MATERIAL OR SUBSTANTIAL MODIFICATION OR AMENDMENT THEREOF; AND 10. THE SELECTION, REMOVAL OR REPLACEMENT OF A BOARD MEMBER. |
| FORM 990, PART VI, SECTION B, LINE 11B | FORM 990 IS REVIEWED BY THE CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER. AFTER THE FORM IS REVIEWED BY THE CEO AND CFO, A COPY IS PROVIDED TO THE ENTIRE BOARD PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION MONITORS CONFLICTS ANNUALLY BY REQUIRING EACH BOARD MEMBER TO FILL OUT A DISCLOSURE FORM. ANY DETERMINATION OF CONFLICT IS MADE BY THE BOARD PRESIDENT AND/OR VICE PRESIDENT. THE CONFLICT OF INTEREST POLICY COVERS ALL OF THE BOARD OF DIRECTORS AND A SEPARATE POLICY EXISTS FOR EMPLOYEES AND CONTRACTORS. IF THERE IS A CONFLICT THE BOARD WILL DECIDE WHETHER THE PERSON OR PEOPLE WITH THE CONFLICT WILL BE INCLUDED IN THE VOTE. IF IT IS DETERMINED THAT THEY SHOULD NOT VOTE ON THE MATTER, THEN THEY WILL BE EXCLUDED FROM THE VOTE. |
| FORM 990, PART VI, SECTION B, LINE 15 | A COMPENSATION COMMITTEE WAS CREATED FOR THE CEO'S SALARY. INFORMATION WAS OBTAINED IN THE FORM OF A SALARY SURVEY BY THIS COMMITTEE. THEY THEN DECIDED ON CURRENT SALARY BASED ON THE DATA OBTAINED. THE CEO SALARY WAS LAST DETERMINED IN 2017. NEITHER THE CEO NOR ANY EMPLOYEE PARTICIPATES IN THE COMPENSATION COMMITTEE. THE COO POSITION WAS HIRED IN 2015. INFORMATION WAS OBTAINED FROM THE MEDICAL GROUP MANAGEMENT ASSOCIATION AND THE ARIZONA COUNCIL OF HUMAN SERVICES. SALARY.COM WAS UTILIZED FOR COMPARABILITY. A SIMILAR PROCESS WAS DONE FOR THE CFO POSITION IN 2014. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SQUARE AND COMPASS CHILDREN'S CLINIC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2600 N WYATT DRIVE | AddressLine1Txt |
| City | TUCSON | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85712 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 866050486 | EIN |
| Primary Activities | FACILITY & SUPPORT FOR MEDICAL CLINICS FOR SPECIAL NEEDS CHILDREN | PrimaryActivitiesTxt |
| Legal Domicile State | AZ | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 12C, III-FI | PublicCharityStatusTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
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