2011-02-02T12:32:11-06:00 2010-06-30 BeachFleischman PC PO Box 64130 Tucson AZ 857284130 990 2009-07-01 860667510 Children's Clinics For Rehabilitative Services CHIL 5203245437 2600 North Wyatt Drive Tucson AZ 85712 Jania Arnoldi 5203245437 2011-01-25 1 David M Iaconis CPA 5203214600 2009 2016-02-24 21:20:13Z Jill Bemis 2600 North Wyatt Drive Tucson AZ 85712 6326624 0 X WWW.CHILDRENSCLINICS.ORG X 1990 AZ Provision of quality family-centered services for children with special health care needs 12 12 86 20 0 0 178685 401345 9796196 5822543 65113 73882 28645 28854 10068639 6326624 0 0 4084476 3747380 0 0 5145275 2556789 9229751 6304169 838888 22455 7066830 7660825 1792709 2364249 5274121 5296576 The Children's Clinics provides a family centered comprehensive medical home to meet the special needs of children and families. 0 0 5396923 5822543 The Children's Clinics for Rehabilitative Services (CCRS), in keeping with its tax-exempt purposes, 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. The volume of visits to our Medical/Dental Specialty Clinics, Rehab Services and Ancillary Services during Fiscal Year 09/10 are shown at Schedule O. 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.Children's Clinics 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 6/30/10:Medical/Dental Clinic Visits 12,993Rehab Service Visits 7,507X-Ray Procedures 1,026 5396923 1 1 0 0 0 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 41 0 1 86 1 0 0 0 0 0 0 0 0 0 12 12 1 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 AZ X X Jania Arnoldi 5203243217 2600 N Wyatt Dr Tucson AZ 85712 Vicki Began RN MN 2.00 X 0 0 0 Roger Biede II DDS 2.00 X 0 0 0 Chris Cunniff MD 2.00 X 0 0 0 CL Deibel 2.00 X 0 0 0 Palmer Evans MD 2.00 X 0 0 0 Fayez Ghishan MD 2.00 X 0 0 0 Lawrence Houseman MD 2.00 X 0 0 0 Diana Sheldon 2.00 X 0 0 0 Burt Strug MD 2.00 X 0 0 0 Tracy Nuckolls 2.00 X X 0 0 0 Kevin Burns 2.00 X X 0 0 0 John Stephens MD 2.00 X X 0 0 0 Jill Bemis 40.00 X 153585 0 5160 Jania Arnoldi 40.00 X 89730 0 9549 Edie Jordan RN 40.00 X 93867 0 9639 337182 0 24348 1 0 1 0 University Physicians Healthcare 2701 E Elvira Road Tucson AZ 85756 Medical Services 447572 Blue Cross Blue Shield of Arizona 5285 E Williams Circle 1000 Tucson AZ 85711 Medical Services 369816 Tucson Medical Center 5301 E Grand Road Tucson AZ 85712 Medical Services 266864 Target Commercial Interiors 1201 E Broadway Blvd Tucson AZ 85719 Interior Design 247209 Neurological Associates of Tucson 2450 E River Road Tucson AZ 85718 Medical Services 133800 6 401345 401345 Patient services 621400 5756599 5756599 Insurance Claims 621400 65944 65944 5822543 73882 73882 28854 28854 28854 28854 6326624 5822543 0 102736 369144 143693 225451 2753932 2395184 358748 56222 48495 7727 342448 285196 57252 225634 184042 41592 29225 23989 5236 338902 333355 5547 2880 2880 191835 113777 78058 184898 151617 33281 306552 280244 26308 24204 19847 4357 19795 16232 3563 264847 217175 47672 32921 26995 5926 Patient Care 832293 832293 Medical Supplies 241820 241820 Bad Debt 66372 66372 Miscellaneous 20245 16597 3648 6304169 5396923 907246 0 2601229 3274093 481057 333294 123098 71532 4288575 3472423 761647 816152 3099799 3165754 7066830 7660825 1792709 2364249 1792709 2364249 X 5274121 5296576 5274121 5296576 7066830 7660825 X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 319396 240971 78425 3676452 3231452 445000 292727 292727 816152 6326624 6304169 22455 0 22455 6853614 526990 526990 6326624 0 6326624 6831159 526990 526990 6304169 0 6304169 X X 0 0 0 0 0 0 0 0 0 Jill Bemis 153585 0 0 0 0 0 3600 0 1560 0 158745 0 0 0 Form 990, Part VI, Section A, line 2 Kevin Burns (Vice President) Is Chief Executive Officer of University Medical Center Corporation. Vicki Began, RN, MN (Voting Member) is Vice President of Women, Children's and Emergency services, University Medical Center Corporation. Palmer Evans (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 approval by the finance/audit 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 An independent CPA was engaged to perform a salary survey in February 2007 when a new CEO was hired. Information was provided to the board regarding compensation for a final decision. In February 2009, the independent CPA completed another salary survey and provided the information to the board. In regards to the positions of CFO and COO, in November 2006, information was obtained from Medical Group Management Association and the Arizona Council of Human Services. Salary.com was utilized in August 2007 for comparability data for the CFO position. 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.