2017-02-09T11:01:04-06:00 2016-06-30 860683059 BEACHFLEISCHMAN PC 1985 EAST RIVER ROAD SUITE 201 TUCSON AZ 85718 990 2015-07-01 860667510 CHILDREN'S CLINICS FOR REHABILITATIVE SERVICES CHIL 5203245437 2600 NORTH WYATT DRIVE TUCSON AZ 85712 JARED PERKINS INTERIM CEO 5203245437 2017-02-08 1 DAVID M IACONIS CPA P00143768 5203214600 2015 2021-01-29 14:40:06Z JARED PERKINS 2600 NORTH WYATT DRIVE TUCSON AZ 85712 10093982 0 X WWW.CHILDRENSCLINICS.ORG X 1990 AZ FAMILY CENTERED COMPREHENSIVE MEDICAL HOME TO MEET THE SPECIAL NEEDS OF CHILDREN AND FAMILIES 16 16 122 68 0 0 136418 167398 8104048 9157152 54263 24497 28462 29774 8323191 9378821 0 0 0 0 5083990 6048542 0 0 0 3312444 3371353 8396434 9419895 -73243 -41074 7642465 7587712 953668 1070056 6688797 6517656 X THE CHILDREN'S CLINICS PROVIDES A FAMILY CENTERED COMPREHENSIVE MEDICAL HOME TO MEET THE SPECIAL NEEDS OF CHILDREN AND FAMILIES. 0 0 8183909 9157152 CHILDREN'S CLINICS OFFERS SOUTHERN ARIZONA'S FAMILIES A UNIQUE ENVIRONMENT TO MEET THE HEALTH CARE NEEDS OF THEIR CHILDREN WITH MORE THAN 25 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 DYSTRPOHY, 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 PILOT PARENTS 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.CLINICAL STATISTICAL PROFILE FOR FYE 6/30/16:PRIMARY CARE - 5,469SPECIALTY CARE - 11,393REHAB SERVICE VISITS - 13,206 8183909 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 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 0 0 0 0 1 42 0 1 122 1 0 0 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 AZ X CATHY PETERSON 5203243217 2600 N WYATT DR TUCSON AZ 85712 VICKI BEGAN RN MN VOTING MEMBER 1.00 X 0 0 0 ROGER BIEDE II DDS VOTING MEMBER 1.00 X 0 0 0 BRIAN CAMMARATA MD VOTING MEMBER 1.00 X 0 0 0 VAN ELROD VOTING MEMBER 1.00 X 0 0 0 MISTY HANSEN VOTING MEMBER 1.00 X 0 0 0 HEATHER HARTLING VOTING MEMBER 1.00 X 0 0 0 LAWRENCE HOUSEMAN MD VOTING MEMBER 1.00 X 0 0 0 JACLYN LARSON VOTING MEMBER 1.00 X 0 0 0 KATE MAGUIRE JENSEN VOTING MEMBER 1.00 X 0 0 0 FRANK MARINI VOTING MEMBER 1.00 X 0 0 0 KAREN MLAWSKY VOTING MEMBER 1.00 X 0 0 0 ZIAD SHEHAB MD VOTING MEMBER 1.00 X 0 0 0 BURT STRUG MD VOTING MEMBER 1.00 X 0 0 0 CATHY TOWNSEND RN MSN-L VOTING MEMBER 1.00 X 0 0 0 TRACY NUCKOLLS PRESIDENT 1.00 X X 0 0 0 JOHN STEPHENS MD SECRETARY/ TREASURER 1.00 X X 0 0 0 MAUREEN WARWICK COOMLER RN MHA CHIEF EXECUTIVE OFFICER 40.00 X 144845 0 15967 CATHY T PETERSON CHIEF FINANCIAL OFFICER 40.00 X 135143 0 10377 EDITH P BAILEY MD PHYSICIAN 25.50 X 109218 0 10626 YOLANDA FELIX DIRECTOR CLINICAL SERVICES 40.00 X 108852 0 11255 BARRY E LONDON MD PHYSICIAN 24.00 X 103597 0 4848 MARGARET JILL BEMIS CHIEF EXECUTIVE OFFICER (FORMER) 0.00 X 152643 0 6896 754298 0 59969 6 1 1 0 BANNER UNIVERSITY MEDICAL GROUP 2701 E ELVIRA RD TUCSON AZ 85706 PHYSICIAN SERVICES 777967 TUCSON MEDICAL CENTER PO BOX 42195 TUCSON AZ 85712 BUILDING MAINTENANCE 257080 NEUROLOGICAL ASSOCIATION OF TUCSON 2450 E RIVER RD TUCSON AZ 85718 PHYSICIAN SERVICES 164300 MEDSCRIBE TRANSCRIPTION SERVICES 5401 E 7TH STREET TUCSON AZ 85711 MEDICAL TRANSCRIPTION 156524 QUALITY SYSTEMS INC PO BOX 511449 LOS ANGELES CA 90051 SOFTWARE MAINTENANCE 102113 5 167398 167398 PATIENT SERVICES 621400 9148812 9148812 MISCELLANEOUS 621400 8340 8340 9157152 71028 71028 29774 0 29774 29774 29774 668630 715161 -46531 -46531 -46531 9378821 9157152 0 54271 353786 53068 300718 4564456 4186327 378129 151087 139390 11697 625077 553683 71394 354136 306723 47413 24350 24350 16846 14139 2707 380060 329452 50608 8681 5335 3346 283478 233786 49692 276771 197508 79263 266969 196556 70413 37811 29648 8163 32873 23240 9633 363 305 58 238512 138337 100175 35531 24046 11485 PATIENT CARE 1269148 1269148 MEDICAL SUPPLIES 360787 360787 MISCELLANEOUS 78744 78744 BAD DEBT 60429 43687 16742 9419895 8183909 1235986 0 4950849 1784362 1364974 1343962 163251 369599 3831767 2818585 1163391 1013182 0 3076607 7642465 7587712 953668 1070056 953668 1070056 X 6688797 6517656 6688797 6517656 7642465 7587712 -41074 -130067 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 267277 237780 29497 3564490 2580805 983685 1013182 X 9984078 -130067 735324 605257 9378821 0 9378821 10155219 735324 735324 9419895 0 9419895 PART X, LINE 2: FINANCIAL STATEMENTS FIN 48 (ASC 740) FOOTNOTE: THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER INTERNAL REVENUE CODE 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. GAAP REQUIRES MANAGEMENT TO PERFORM AN EVALUATION OF ALL TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN THE COURSE OF PREPARING THE ORGANIZATION'S TAX RETURNS TO DETERMINE WHETHER THE TAX POSITIONS MEET A "MORE LIKELY THAN NOT" STANDARD OF BEING SUSTAINED UNDER EXAMINATION BY THE APPLICABLE TAXING AUTHORITIES. THIS EVALUATION IS REQUIRED TO BE PERFORMED FOR ALL OPEN TAX YEARS, AS DEFINED BY THE VARIOUS STATUTES OF LIMITATIONS, FOR FEDERAL AND STATE PURPOSES. THE ORGANIZATION IS ONLY SUBJECT TO INCOME TAXES ON UNRELATED BUSINESS TAXABLE INCOME (UBTI). AS A RESULT, THE ORGANIZATION IS REQUIRED TO FILE INFORMATIONAL RETURNS FOR FEDERAL AND STATE PURPOSES AND, IF IT HAS UBTI, FEDERAL AND STATE INCOME TAX RETURNS. MANAGEMENT HAS PERFORMED ITS EVALUATION OF TAX POSITIONS TAKEN ON ALL OPEN TAX RETURNS AND HAS DETERMINED THAT THERE WERE NO POSITIONS TAKEN THAT DO NOT MEET THE "MORE LIKELY THAN NOT" STANDARD. FROM TIME TO TIME, THE ORGANIZATION MAY BE SUBJECT TO PENALITIES AND INTEREST ASSESSED BY VARIOUS TAXING AUTHORITIES, WHICH ARE CLASSIFIED AS ADMINISTRATIVE AND OPERATING EXPENSES, IF THEY OCCUR. X X X 0 0 0 0 0 0 0 0 0 MAUREEN WARWICK COOMLER RN MHA CHIEF EXECUTIVE OFFICER 144845 0 0 0 0 0 6030 0 9937 0 160812 0 0 0 MARGARET JILL BEMIS CHIEF EXECUTIVE OFFICER (FORMER) 152643 0 0 0 0 0 6021 0 875 0 159539 0 0 0 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 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 UMC. THE 6 DIRECTORS APPOINTED BY S&C, TMC AND 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 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 11 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 2015. 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.