2013-05-10T17:58:44-05:00 2012-06-30 860683059 BEACHFLEISCHMAN PC PO BOX 64130 TUCSON AZ 857284130 990 2011-07-01 860667510 CHILDREN'S CLINICS FOR REHABILITATIVE SERVICES CHIL 5203245437 2600 NORTH WYATT DRIVE TUCSON AZ 85712 BETH FRANTZ 5203245437 2013-05-06 1 DAVID M IACONIS CPA P00143768 5203214600 2011 2016-02-25 16:41:14Z JILL BEMIS 2600 NORTH WYATT DRIVE TUCSON AZ 85712 10139999 0 X WWW.CHILDRENSCLINICS.ORG X 1990 AZ PROVISION OF QUALITY FAMILY-CENTERED SERVICES FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS 13 13 91 20 0 0 814605 352184 6191057 7289208 49662 64705 28854 36313 7084178 7742410 0 0 0 0 3884491 4276773 0 0 0 2615134 2725381 6499625 7002154 584553 740256 7819057 8546266 1937928 1924881 5881129 6621385 X THE CHILDREN'S CLINICS PROVIDES A FAMILY CENTERED COMPREHENSIVE MEDICAL HOME TO MEET THE NEEDS OF SPECIAL NEEDS CHILDREN AND FAMILIES. 0 0 6302980 7289208 CHILDREN'S CLINICS FOR REHABILITATIVE SERVICES (CCRS) IS THE ONLY MULTI-SPECIALTY, INTER-DISCIPLINARY CLINIC IN SOUTHERN ARIZONA. THE CLINIC FOCUSES ON CHILDREN WITH COMPLEX NEEDS IN A COLLABORATIVE ENVIRONMENT. IN KEEPING WITH ITS TAX-EXEMPT PURPOSES, CCRS HAS CONTINUED TO PROVIDE A RANGE OF SPECIALTY MEDICAL, DENTAL, AND THERAPY SERVICES FOR MEDICALLY COMPLEX, CHRONICALLY ILL OR PHYSICALLY DISABLED CHILDREN AND THEIR FAMILIES FROM SOUTHERN ARIZONA. THE MAJORITY OF OUR PATIENTS ARE MEDICALLY UNDERSERVED AND FINANCIALLY UNDERPRIVILEGED. UNIQUE TO OUR PROGRAM IS A PEDIATRIC PRIMARY CARE PROGRAM DESIGNED FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS, ONE OF THE FEW PROGRAMS NATIONALLY THAT CENTERS SPECIFICALLY ON CHILDREN WITH COMPLEX NEEDS. IN ADDITION TO MEDICAL SERVICES, CCRS PROVIDED SOCIAL SERVICES, SPECIAL EDUCATION, PSYCHOLOGY, CHILD LIFE AND ADVOCACY SERVICES TO OUR PATIENTS. WE CONTINUE TO PROVIDE A VARIETY OF SPECIAL PROGRAMS AND OUTREACH SERVICES TO OUR PATIENT POPULATION AND COLLABORATE WITH OTHER COMMUNITY ORGANIZATIONS AND AGENCIES THAT SERVE CHILDREN WITH SPECIAL HEALTH CARE NEEDS. FOR EXAMPLE, WE HAVE CONTINUED TO DEVELOP TRANSITION SERVICES FOR OUR OLDER PATIENTS AS THEY MOVE INTO ADULTHOOD.CCRS HAS CONTINUED TO IMPLEMENT STAFF EDUCATION PROGRAMS FOR OUR EMPLOYEES. WE HAVE HOSTED IN-SERVICE AND CONTINUING EDUCATION MEETINGS IN OUR FACILITY AND HAVE MADE THE FACILITY AVAILABLE TO OTHER COMMUNITY AND ADVOCACY GROUPS. WE HAVE CONTINUED TO MAINTAIN EDUCATIONAL AFFILIATIONS IN A NUMBER OF CLINICAL AREAS ENABLING MEDICAL AND ALLIED HEALTH STUDENTS TO ROTATE THROUGH OUR FACILITY FOR PORTIONS OF THEIR CLINICAL EDUCATION EXPERIENCE. WE MAINTAIN A PARENT RESOURCE LIBRARY ON SITE, IN COLLABORATION WITH PILOT PARENTS, FOR THE USE OF PARENTS AND OTHERS WHO WANT TO KNOW MORE ABOUT THEIR CHILDREN'S MEDICAL CONDITIONS AND AVAILABLE RESOURCES.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 6/30/12:MEDICAL/DENTAL CLINIC VISITS 13,010REHAB SERVICE VISITS 9,745X-RAY PROCEDURES 1,107 6302980 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 1 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 40 0 1 91 1 0 0 0 0 0 0 0 0 0 0 X 13 13 1 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 AZ X BETH FRANTZ 5203243217 2600 N WYATT DR TUCSON AZ 85712 VICKI BEGAN RN MN 0.50 X 0 0 0 ROGER BIEDE II DDS 0.50 X 0 0 0 CL DEIBEL 0.50 X 0 0 0 SHERRY ELROD 0.50 X 0 0 0 FAYEZ GHISHAN MD 0.50 X 0 0 0 MISTY HANSEN 0.50 X 0 0 0 LAWRENCE HOUSEMAN MD 0.50 X 0 0 0 SUSAN MATHEWS 0.50 X 0 0 0 BRIAN NIELSEN MD 0.50 X 0 0 0 DIANA SHELDON 0.50 X 0 0 0 BURT STRUG MD 0.50 X 0 0 0 SCOTT VAN VALDENBURG MD 0.50 X 0 0 0 TRACY NUCKOLLS 0.50 X X 0 0 0 JOHN STEPHENS MD 0.50 X X 0 0 0 WILLIAM LONG 0.50 X X 0 0 0 JILL BEMIS 40.00 X 161816 0 5733 JANIA ARNOLDI 40.00 X 89929 0 11816 251745 0 17549 1 0 1 0 UNIVERSITY PHYSICIANS HEALTHCARE 2701 E ELVIRA ROAD TUCSON AZ 85756 HEALTH SERVICES 525517 TUCSON MEDICAL CENTER 5301 E GRANT ROAD TUCSON AZ 85712 PROPERTY MANAGEMENT 277984 NEUROLOGICAL ASSOCIATES OF TUCSON 2450 E RIVER ROAD TUCSON AZ 85718 HEALTH SERVICES 171390 MEDSCRIBE TRANSCRIPTION SERVICES 800 SEA GATE DRIVE SUITE 101 NAPLES FL 34103 MEDICAL TRANSCRIPTION 103982 4 352184 352184 PATIENT SERVICES 621400 7256750 7256750 MISCELLANEOUS 621400 32458 32458 7289208 64705 64705 36313 0 36313 36313 36313 2397589 2397589 0 0 7742410 7289208 0 101018 255239 38286 216953 3328911 3100742 228169 79963 76162 3801 352951 316505 36446 259709 228329 31380 23540 16007 7533 317168 310873 6295 13909 13909 196203 168472 27731 203659 150114 53545 258436 236984 21452 21857 16673 5184 26818 20344 6474 241011 207092 33919 34776 30032 4744 PATIENT CARE 998482 998482 MEDICAL SUPPLIES 322186 322186 BAD DEBT 42664 42664 MISCELLANEOUS 24672 23033 1639 7002154 6302980 699174 0 2565428 2836177 951120 1481393 65804 55304 4026048 3120355 1028529 905693 3208176 3267699 7819057 8546266 1937928 1924881 1937928 1924881 X 5881129 6621385 5881129 6621385 7819057 8546266 740256 0 X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 253905 195699 58206 3772143 2924656 847487 905693 7742410 7002154 740256 740256 8242873 500463 500463 7742410 0 7742410 7502617 500463 500463 7002154 0 7002154 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: FINANCIAL STATEMENTS FIN 48 (ASC 740) FOOTNOTE: 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. WITH LIMITED EXCEPTIONS, THE ORGANIZATION IS NO LONGER SUBJECT TO TAX EXAMINATION FOR ANY YEARS EARLIER THAN 2009 FOR FEDERAL AND 2008 FOR STATE. 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. X X 0 0 0 0 0 0 0 0 0 JILL BEMIS 161816 0 0 0 0 0 4604 0 1129 0 167549 0 0 0 JANIA ARNOLDI UNAPPROVED EXPENSES 1 2084 0 TUCSON MEDICAL CENTER TRACY NUCKOLLS IS EXEC. VP BUSINESS AFFAIRS & CHIEF LEGAL OFFICER OF TMC 277984 CONTRACTED FOR PROPERTY SERVICES 0 UNIVERSITY PHYSICIANS HEALTHCARE MISTY HANSEN IS CFO OF UPH AND FAYEZ GHISHAN IS A DIRECTOR OF UPH 525517 CONTRACTED FOR HEALTH SERVICES 0 FORM 990, PART VI, SECTION A, LINE 2 MISTY HANSEN (VOTING MEMBER) IS CHIEF FINANCIAL OFFICER OF UNIVERSITY OF ARIZONA HEALTH NETWORK. VICKI BEGAN, RN, MN (VOTING MEMBER) IS VICE-PRESIDENT - CHIEF NURSING OFFICER OF UNIVERSITY CAMPUS, UNIVERSITY OF ARIZONA HEALTH NETWORK. SCOTT VAN VALKENBURG, M.D. (VOTING MEMBER) IS CHIEF MEDICAL OFFICER OF TUCSON MEDICAL CENTER. TRACY NUCKOLLS (PRESIDENT) IS SENIOR VICE PRESIDENT/LEGAL OF TUCSON MEDICAL CENTER. 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, 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 THAT PROVIDE FUNDS FOR THE DELIVERY OF CHARITABLE HEALTH CARE SERVICES. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS ARE RESPONSIBLE FOR ELECTING THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11 FORM 990 IS REVIEWED BY THE FINANCE/AUDIT COMMITTEE OF THE BOARD. AFTER THE FORM IS REVIEWED BY THE COMMITTEE 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. IN THE SUMMER OF 2012, INFORMATION WAS OBTAINED IN THE FORM OF A SALARY SURVEY BY THIS COMMITTEE. THEY THEN DECIDED ON CURRENT SALARY BASED ON THE DATA OBTAINED. IN REGARDS TO THE POSITIONS OF CFO AND COO, IN THE SPRING OF 2012, INFORMATION WAS OBTAINED FROM MEDICAL GROUP MANAGEMENT ASSOCIATION AND THE ARIZONA COUNCIL OF HUMAN SERVICES. SALARY.COM WAS UTILIZED FOR COMPARABILITY DATA FOR BOTH POSITIONS. 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.